本文运用期权理念构建基层医疗服务期权管理模式,提出政府通过买入基层保健服务这个买方期权,对冲其对城乡居民承担的卖出买方期权的风险,建立社会保障部门、基层医疗服务机构和城乡居民三位一体的期权管理模式。本文通过统计方法大致匡算出保险人未来承担的潜在损失和相应概率,进而运用期权定价模型估算出医疗服务费,政府将收取的医疗服务费转化为预付给医疗服务者的人头付费,实现风险在城乡居民、政府和医疗服务者之间合理转移。最后本文利用卫生部信息中心数据进行仿真计算和实例分析。
<<In order to recognize and do construction of the basic health care managed model using the option idea,the paper puts forward that the government should buy a call option of the basic health services from hospitals to avoid risks from all residents in the urban and rural areas,a put option. The basic health care managed model should be built among the government,hospital and all residents. An option pricing model is used to derive the fair premium from evaluating the insurer’s potential loss and corresponding probability with statistics technology. The government transform the fair premium into the captivation for medical provider to realize the risk transfer from insurant,government and medical provider. An example analysis is exploited and redesigned in the final part.
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