Research On The Financing Mechanism Of The Long-term Care Insurance In China

At present,with the deepening of the aging population in China,the demand for services for the disabled basic daily life care' is increasing.The trend will undoubtedly bring the huge economic burden to the elderly themselves and their families.In order to avoid the pressure of high care costs to the family and solve the people's livelihood problems related to the health of the elderly.In this context,Ministry of Human Resources and Social Security issued the “Guiding Opinions on Piloting the Long-Term Care Insurance System” in December 2016.The "Guidance Opinion" proposes to establish a social model of the long-term care insurance in 15 pilot cities,and strives to establish a long-term care insurance system that is compatible with China's socialist market economic system during the 13 th Five-Year Plan period.15 cities have carried out pilot work on long-term care insurance in an orderly manner.More than two years of practice have found that the foundation of establishing a long-term care insurance system is to ensure the stability of the fund pool.Based on this paper,through the public product theory,the law of large numbers,and the ILO model,the financing mechanism of long-term care insurance in China is discussed from the following aspects.First,compare the financing plans of 15 cities for the long-term care insurance,analyze the unity and difference of financing mechanisms in different regions,and summarize the experience of pilot cities' fund-raising programs.At the same time,it also raises the issues that need to be solved.Second,we will sort out the financing mechanism for long-term care insurance in Germany and Japan,and summarize the excellent experience of the German and Japanese fund-raising mechanisms.Third,combined with the analysis of China's pilot city financing plan,drawing on the excellent experience of foreign countries,based on China's economic development level and medical and health level,design China's long-term care insurance financing mechanism,including fundraising main body,financing channel,fundraising responsibility and fundraising level.Fourth,further quantitative analysis of the fundraising level,under the ILO model to measure the optimization theoretical value of China's long-term care insurance contribution rate,and in the next 30 years of economic development and population changes,assess the theoretical funding rate of China's Whether the fund-raising amount matches the demand-based cost,and suggesting that China establish a dynamic adjustment mechanism for the level of fundraising,and assess the burden of fund-raising responsibility of all parties under the dynamic mechanism.Finally,the following four suggestions for the establishment of a unified financing mechanism for the long-term care insurance in the future are as follows: First,it is necessary to establish the law and regulations related to the longterm care insurance;second,it is necessary to establish a wide-coverage,multi-channel,scientific and rational dynamic adjustment mechanism of the financing mechanism;the third is to strengthen the government's financial support for the long-term care insurance in economically underdeveloped areas;the fourth is to do a good job of "medical,nursing,and care" and improve the efficiency of capital utilization.