Research On The Fund Balance Mechanism And Risk Control In The Integration Of The Maternity Insurance And Medical Insurance

China has been in the New Normal,and in the Two-Child era as well which result in a need of social insurance reform.On the one hand,decrease social insurance contribution rate can release the burden of companies,On the other hand,maternity insurance is closely related to birth which also proved a need to reform so as to adapt to the new social background.Considering these or those variety factors,the maternity insurance and medical insurance are bound to be integrated.In 2017 January,the State Council introduced a pilot program on integrating the maternity insurance and medical insurance which is a larger reform in recent years.The pilot program gives an explicit guiding ideology on integrating these two insurances,and provides the routine and principle of them.However,there is no standard of setting contribution rate based on region differences in the pilot program,and also say nothing clearly on fund balance control on two insurance's integration.This paper aims to research on the fund balance mechanism in the integration of maternity insurance and medical insurance which under the integration routine designed by the State Council,analyzing risk factors and influencing factors of fund balance,and giving some advises concerned with risk control of fund balance.This paper analyzes pilot program of these two insurances' integration more systematically,and by using Risk list method summarizes risk factors in the integration of maternity insurance and medical insurance,mathematics method is used to construct fund balance model,then ZhenJiang is selected to do an empirical study by using the model.This paper has following findings: First,fund balance risks are quite different in the integration between the maternity insurance and medical insurance which compared with their independent state without integration,risk factors in integration are the added by the two insurances risk factors in their independent situation.Second,Some risk factors cannot be quantified,which result that they cannot be put into fund balance model.Taking ZhengJiang as an empirical study object,the result shows that the Two-Child Family Plan exactly have negative influence on the fund,increasing fund payments,but because of the birth rate of the only-one child is not high,so it do not quite increase the paying pressure of the maternity insurance.Third,If keeping original reimbursement level like before integration of these two insurances,it is supposed not to set added value of contribution rate from these two original insurances system so that it can not lead to surplus of fund balance.Though the anti-risk ability improves after integration,but considering that the Two-Child birth has the trend beyond the Only-One Child birth,and other risks like aging and ethical risk and so on,this paper advises that even after integration of the maternity insurance and medical insurance,it should increase the pooling level of insurance so as to further strengthen anti-risk ability of fund,moreover,innovate medical insurance expenses controlling method and establish the early warning system are good ways to promote long-term fund safety in their integration.