In 2023, the urban and rural resident basic medical insurance program in China received an income of more than one trillion yuan, representing an increase of 4.4 percent from the previous year.
Reform of the public health insurance system
In the past few years, the Chinese healthcare system and public health insurance have undergone significant reforms, with the country’s basic medical insurance programs now covering more than 1.33 billion people. To simplify the system and safeguard equal healthcare and benefits to everyone living in both urban and rural regions, the rural cooperative medical scheme and the urban resident basic medical insurance were both integrated into a uniform urban and rural resident basic medical insurance system, which covers all non-working residents across China.
Regional inequalities
However, inequalities remain rampant among patients from different employment statuses or living in different regions. On one hand, employee basic medical insurance normally offers more comprehensive coverage and higher reimbursement rates than the resident basic medical insurance. On the other hand, with each province having its own policy, the resident basic medical insurance program in poorer regions can also be significantly inferior to its counterpart in a more affluent region. Access to quality healthcare services remains challenging in rural areas, as high-level hospitals and specialists are generally concentrated in provincial capitals and economic centers.
Overall annual income of resident basic medical insurance programs in China from 2014 to 2023
(in billion yuan)
One yuan equals to 0.14 U.S. dollars and 0.13 Euros (as of August 2024). Data before 2019, including the information concerning the discontinued urban resident basic medical insurance and the rural cooperative medical scheme come from the chapter 13.1.2 of China's Health Statistics Yearbook 2022 (page 335), 2014 and 2015 data of urban resident basic medical insurance does not include the personal accounts deposits of urban employee basic medical insurance participants.
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Nation Healthcare Security Administration. (July 25, 2024). Overall annual income of resident basic medical insurance programs in China from 2014 to 2023 (in billion yuan) [Graph]. In Statista. Retrieved December 03, 2024, from https://www.statista.com/statistics/1371700/china-resident-basic-medical-insurance-total-income/
Nation Healthcare Security Administration. "Overall annual income of resident basic medical insurance programs in China from 2014 to 2023 (in billion yuan)." Chart. July 25, 2024. Statista. Accessed December 03, 2024. https://www.statista.com/statistics/1371700/china-resident-basic-medical-insurance-total-income/
Nation Healthcare Security Administration. (2024). Overall annual income of resident basic medical insurance programs in China from 2014 to 2023 (in billion yuan). Statista. Statista Inc.. Accessed: December 03, 2024. https://www.statista.com/statistics/1371700/china-resident-basic-medical-insurance-total-income/
Nation Healthcare Security Administration. "Overall Annual Income of Resident Basic Medical Insurance Programs in China from 2014 to 2023 (in Billion Yuan)." Statista, Statista Inc., 25 Jul 2024, https://www.statista.com/statistics/1371700/china-resident-basic-medical-insurance-total-income/
Nation Healthcare Security Administration, Overall annual income of resident basic medical insurance programs in China from 2014 to 2023 (in billion yuan) Statista, https://www.statista.com/statistics/1371700/china-resident-basic-medical-insurance-total-income/ (last visited December 03, 2024)
Overall annual income of resident basic medical insurance programs in China from 2014 to 2023 (in billion yuan) [Graph], Nation Healthcare Security Administration, July 25, 2024. [Online]. Available: https://www.statista.com/statistics/1371700/china-resident-basic-medical-insurance-total-income/