医保动态

1北京:农民工医保并入职工医保今年,北京将实现农民工医保制度与城镇职工基本医疗保险制度并轨,实现统一缴费,统一医保待遇。与北京市行政区域内用人单位建立劳动关系的本市及外地农民工,都将按照城镇职工医保缴费标准参保缴费,同时享受北京市职工基本医疗保险待遇。而此前,农民工群体只有大病医保项目。城镇居民、灵活就业人     

老龄化背景下城镇职工医疗保险基金收支变化趋势及对策研究——以吉林省为例

本文构建了老龄化背景下城镇职工医疗保险基金收支变化趋势的量化分析模型,然后利用吉林省城镇职工医疗保险的抽样数据进行了实例分析。结果显示2010-2020年期间人口老龄化将使吉林省城镇职工医疗保险基金收入年增长约0.92%,基金支出年增长约3.55%,在2021年左右面临支出大于收入的风险。对此提出的政策建议包括政府主导构建医疗保险基金储备、利用数据优势完善医保支付方式、倡导医疗服务的理性消费。     

城镇职工医疗保险存在的问题和对策

我县自2000年12月实施城镇职工医疗保险以来,经过六年多时间的运行,城镇职工以基本医疗保险为主导,以城镇职工大额医疗补充保险、公务员医疗保险、企业补充医疗保险、医疗救助为辅的医疗保障体系已经形成,为构建和谐社会起到了“稳定器”和“安全网”作用。但审计发现还存在一些问题尚待进一步完善和改进。一、存在的主要问题1.医保履盖面过窄。据统计,截止2006年12月全县参加城镇职工医疗保险人数12786人,其中:机关(团体)79家,参保人数2402人;事业单位178家,参保人数4250人,企业154家,参保人数3383人;其他人员2751人(其中灵活就业人员1716人)。从统计情况看,在医疗保险参保人员中,机关事业单位工作人员参保情况良好,参保率达100%,做到应保尽保;灵活就业人员(自谋职业人员)、个体经济组织、私营企业参保率低。经调查了解,灵活就业人员(自谋职业人员)参加养老保险人数是6185人,而参加医疗保险人数只有1716人,参加医疗保险人数只占参加养老保险人数的28%,全县共有个体工商户7743家、私营企业1370家,而参加医疗的二块合计只有100家,2308人,应保未保现象十分严重,也是制约医保履盖面的主要...     

医保基金风险控制之道

医保基金是医疗保险制度的生命线和经济基础，基金的平衡直接关系到医保制度改革的成败。覆盖人群的日益庞大为医保基金带来了稳定的收入来源，而医疗支出的刚性和当期的不确定性容易使管理部门在基金运行上以追求平衡为先导，而基金运行效率位其次，这导致医保统筹基金的“蛋糕”越做越大。在这种表象背后，我们不能高枕无忧，要看到平静下面暗流涌动，要在基金平衡运行中寻求效率、抵御风险。     

城镇职工基本医疗保险的健康绩效研究——基于CHNS数据

本文使用中国健康营养调查(CHNS)2009年和2011年的数据,选定短期健康状况评价指标和长期健康状况评价指标,对城镇职工基本医疗保险的健康绩效进行了实证分析。结果表明:参加城镇职工基本医保能在一定程度上改善参保者的短期健康状况,并能显著提高参保者长期健康水平,尤其体现在降低参保者罹患心脑血管疾病的概率上。同时,参加城镇职工基本医保会增加参保人员的实际医疗费用支出。总体上,城镇职工基本医疗保险对参保人群健康具有积极作用,即产生了正向的健康绩效。     

新规速览

北京BeiJing医保可转移接续按照《北京市基本医疗保险关系转移接续有关问题的通知》,7月1日开始,跨统筹地区到北京市的流动就业人员,有接收单位的按相关规定参加该市城镇职工基本医疗保险。无接收单位的具有该市户籍的灵活就业人员,可按灵活就业人员医疗保障有关办法参加城镇职工     

县级城镇职工医疗保险基金审计

城镇职工医疗保险是我国基本医疗保险体系的重要组成部分,缓解了城镇职工看病难、看大病更难的现实问题,促进了人民身体健康水平的提高。近年来,在各级党委、政府的重视支持下,医保基金从无到有、从少到多得到逐步加强,医保基金的管理也逐步趋于制度化、规范化。加强对医保基金的审计监督,对于正确处理好改革、发展和稳定三者的关系,维护国家、单位和参保人员的利益具有重要的意义。结合去年对城镇职工医疗保险基金审计工作实践,笔者就县级城镇职工基本医疗保险基金运行中存在的问题及相应的审计策略,谈一点粗浅的看法。     

团体医疗保险的客户选择与核保

1998年2月国务院下发了国发(1998)44号文件,决定在全国范围内进行城镇职工医疗保险制度改革。城镇职工基本医疗保险制度的原则为“低水平、广覆盖”,城镇职工基本医疗保险制度强调医疗费用由国家、企业、个人三方共同承担。个人需要承担相当大的比例的医疗费用。企业参加医保     

灵活就业“释义”与发展趋势——我国灵活就业人员医疗保险政策研究之一

作为数量庞大的就业群体,灵活就业人员无疑是医疗保险扩面的重点和难点。目前灵活就业人员参加医疗保险的现状究竟如何？地方探索又有何异同？本刊拟分期刊发一组文章,通过梳理灵活就业的基本情况和政策规定,分析灵活就业人员参加医疗保险所面临的问题,就如何进一步完善城镇灵活就业人员医疗保险政策、促进灵活就业人员参加医疗保险、实现医疗保险制度的可持续发展,提出意见和建议。     

延迟退休、个人账户调整与城镇职工医疗保险基金可持续运行

文章通过构建精算模型,从城镇职工医疗保险基金可持续运行的角度对不同延迟退休和个人账户调整方案及组合进行模拟评估。研究发现:现行制度下城镇职工医疗保险统筹基金面临支付风险,延迟退休仅能够在短期内缓解城镇职工医疗保险基金的支付压力;仅依靠延迟退休难以在长期内缓解城镇职工医疗保险基金的支付压力,运用“延迟退休+个人账户调整”的模式,即在延迟退休的基础上对个人账户进行调整,更有利于基金的长期稳定运行。在现行退休制度下,建议取消个人账户,将单位缴费和个人缴纳的费用计入统筹账户,城镇职工医疗保险基金的单位缴费率可以下调1%;在延迟退休政策势在必行的情况下,建议在男性和女性不同岁退休的基础上,取消个人账户,实现城镇职工医疗保险单位缴费率降低2%。这样既有利于基金的可持续运行,也可以保证基金的运行效率,更能加强城镇职工医疗保险制度的互助共济性。     

Short-sale refinancing and price adjustment speed to bad news: Evidence from a quasi-natural experiment in China

Short selling may accelerate stock price adjustment to negative news. However, the literature provides mixed evidence for this prediction. Using short-sale refinancing and a staggered difference-in-differences (DID) model, this paper explores the effect of short selling on stock price adjustment. Our results show that (1) short-sale refinancing improves the speed of stock price adjustment to negative news. This result holds after we control for endogeneity. (2) The positive relationship between short-sale refinancing and stock price adjustment speed is significant in subsamples of stocks with higher earnings management or lower accuracy of analyst forecasts, indicating that firms with more opaque information are more likely to be targeted by short sellers. In subsamples of stocks with a higher ownership concentration or lower ownership by institutional investors, short selling is more likely to increase the speed of stock price adjustment, indicating that ownership structure may influence negative news mining. (3) As short-sale refinancing exacerbates the absorption of bad news by stock prices, it increases crash risk. This study enriches the research on the economic consequences of short selling and provides empirical evidence supporting regulations on short selling in China.     

Cost accounting standard and cost accounting systems in Japan. Lessons from the past - recovering lost traditions

This paper aims to show two things. The first is how Japanese culture has contributed to the development of Japanese cost accounting history. The second is to reveal the research possibilities of cost accounting history. This paper also reviews the salient features of several important examples of these aspects of cost accounting practice in Japan. It therefore explores, through some practical illustrations, how and why Japanese cost accounting differs from that found in the West.     

Guidelines for Manuscripts Submitted to The China Journal of Accounting Research

【正】The China Journal of Accounting Research‘‘CJAR’’(ISSN 1755-3091)publishes quarterly.It contains peer-reviewed articles and commentaries on accounting,auditin...     

Shared Standard Setting in the Public Interest:A Strong Model

正The last two decades have been a definitive era in the evolution of the accountancy profession.In the wake of major corporate scandals at the turn of the century,an international public debate arose on the need for more effective and well-considered regulation;this debate then reignited during the global financial and sovereign debt crises.     

HOW TO PUT TOGETHER A COMPLETE PACKAGE

正Many Institute members know they cannot rely purely on technical knowledge and business acumen to remain competitive.As soft skills are increasingly important,Jemelyn Yadao finds out how CPAs can maintain     

Guidelines for Manuscripts Submitted to The China Journal of Accounting Research

正The China Journal of Accounting Research"CJAR"(ISSN 1755-3091)publishes quarterly.It contains peer-reviewed articles and commentaries on accounting,auditing and corporate governance issues that relate to the greater China region.We welcome the submission of both theoretical and empirical research papers pertinent to researchers,regulators and practitioners.Authors should note:     

The China puzzle: Opportunities for accounting research

How can China achieve phenomenal economic growth despite what is considered as 'weak' institutions in market-based economies? Xu(2011) provides a framework to u...     

Bayesian Premium Rating with Latent Structure

We propose a fully Bayesian approach to non-life risk premium rating, based on hierarchical models with latent variables for both claim frequency and claim size. Inference is based on the joint posterior distribution and is performed by Markov Chain Monte Carlo. Rather than plug-in point estimates of all unknown parameters, we take into account all sources of uncertainty simultaneously when the model is used to predict claims and estimate risk premiums. Several models are fitted to both a simulated dataset and a small portfolio regarding theft from cars. We show that interaction among latent variables can improve predictions significantly. We also investigate when interaction is not necessary. We compare our results with those obtained under a standard generalized linear model and show through numerical simulation that geographically located and spatially interacting latent variables can successfully compensate for missing covariates. However, when applied to the real portfolio data, the proposed models are not better than standard models due to the lack of spatial structure in the data.     

Aims and Scope

<正>The focus of the China Journal of Accounting Research is to publish theoretical and empirical research papers that use contemporary research methodologies to...     

Income smoothing and the cost of debt

The literature on income smoothing focuses on the effect of earnings smoothing on the equity market.This paper investigates the effect of income smoothing on th...