Sustainability Optimization of Ningxia Residents’ Basic Medical Insurance Fund

DOI

10.2991/978-94-6463-676-5_3How to use a DOI?

Keywords

Basic medical insurance fund for residents; Sustainable development; System dynamics; Optimization scheme

Abstract

OBJECTIVE To establish a scientific and effective system dynamics model of residents’ basic medical insurance fund and explore the sustainable development of the fund. METHODS Based on the theory of system dynamics, firstly, the initial value of the key variables of the model is predicted; secondly, the simulation prediction of the key variable adjustment of the model is completed. Finally, weigh and select the optimal solution for the sustainable development of the fund. RESULTS Under the initial value condition, the fund balance shows a trend of negative first and then positive. The key variables have different effects on the fund simulation balance. The key variable combination of the fund sustainability optimization scheme is the individual contribution rate of 0.9%, the government subsidy rate of 1.2%, the hospitalization reimbursement ratio of 75%, and the outpatient reimbursement ratio of 60%. CONCLUSION The theory of system dynamics can provide scientific methodological support for the sustainable development of medical insurance. In the future, the financing level of medical insurance fund should be improved, the financing structure should be adjusted, and the fund supervision should be strengthened to reduce the risk of fund operation.

Copyright

© 2025 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Download article (PDF)

TY  - CONF
AU  - Jinrui Du
AU  - Zhichun Li
AU  - Miao Fan
AU  - Feng Hu
AU  - Yufeng Sun
PY  - 2025
DA  - 2025/04/15
TI  - Sustainability Optimization of Ningxia Residents’ Basic Medical Insurance Fund
BT  - Proceedings of the 2024 6th Management Science Informatization and Economic Innovation Development Conference (MSIEID 2024)
PB  - Atlantis Press
SP  - 15
EP  - 25
SN  - 2352-5428
UR  - https://doi.org/10.2991/978-94-6463-676-5_3
DO  - 10.2991/978-94-6463-676-5_3
ID  - Du2025
ER  -