EU-China Social Security Reform Co-operation Project for The People’s Republic of China
Impact of DRGs on the co-payment policies in China
BY Hubert Stüker
Dr Lars Kyburg


Content
Introduction.............................................................................................................. 4
Summary ................................................................................................................. 5
Theoretical Background of different types of co-payments...................................... 7
General government and private sector expenditure on health by 2005 in China,
Europe and selected countries .............................................................................. 10
General government and private sector spending of the total expenditure on
health - 2005 .......................................................................................................11
Private household and prepaid/risk-pooling plans spending of private sector
expenditure on health 2005................................................................................ 13
Financing sources of the health care system in China....................................... 15
Deductible and Ceiling lines under Basic Medical Insurance System in China ..... 20
Deductible lines in China.................................................................................... 20
Ceiling lines in China.......................................................................................... 21
Benefit package in China ................................................................................... 22
Basic Medical Insurance regulations on deductible and ceiling lines in selected
Cities .................................................................................................................. 23
Regulations on deductible and ceiling lines in selected European countries ........ 31
Conclusions ........................................................................................................... 39
List of Pictures
Picture 1 - Total expenditure on health as % of GDP 2005 ........................................11
Picture 2 - Total expenditure on health as % share of government and private sector
2005 ................................................................................................................... 12
Picture 3 – Social security funds as % of general government expenditure on health
2005 ................................................................................................................... 13
Picture 4 – Private households’ out-of-pocket payment as % of private sector
expenditure on health 2005................................................................................ 14
Picture 5 – Private Health Insurance as % of private sector expenditure on health
2005 ................................................................................................................... 15
Picture 6 – Public and Private Sector Health Care expenditure China 2003 ............ 19