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中国医保制度面临着医疗费用持续上涨、大量隐性债务凸现的挑战;成本转嫁是加剧医保体系支付风险的重要原因。医保成本转嫁的多维度研究表明,既存在医患之间、代际之间的成本转嫁,也有不同所有制“身份”群体及企业之间的成本转嫁,还有职业病、病退、特殊工种提前退休等向医保的成本转嫁。将医保支付风险研究置于老龄化和城市化背景之下,探讨其对医保的长期影响并提出规避策略。
China’s medical insurance system is facing the challenge of rising medical costs and a large number of hidden debts. Cost transfer is an important reason for exacerbating the risk of medical insurance payment. The multidimensional study on the shift of health care costs shows that there are not only the cost transfer between doctors and patients, between generations, but also the cost transfer between groups and enterprises with different ownership systems and the advancement of occupational diseases, sick leave and special trades Retirement, etc. to pass the cost of health insurance. Putting the research on health insurance payment risk under the background of aging and urbanization, discussing its long-term impact on health insurance and putting forward the evasion strategy.