Research on the design of serious illness insurance scheme in Shanghai based on micro-simulation

Table 5 Proportion of URRBMI fund payment in total medical expenses from 2014 to 2016

Gender	Age	Expense	Corresponding frequency	2014	2015	2016	Means
1	1	1	0.00—	0.5270	0.5785	0.5660	0.5572
1	1	2	0.25—	0.5377	0.5160	0.5822	0.5453
1	1	3	0.50—	0.5438	0.5454	0.5663	0.5518
1	1	4	0.75—	0.5781	0.4848	0.4924	0.5184
1	2	1	0.00—	0.6142	0.6335	0.6435	0.6304
2	2	4	0.75—	0.5750	0.6334	0.5848	0.5978

Note: Simulation of medical expenses of OOMS and OIMS with serious diseases, where OOMS only outpatient medical services, and OIMS only inpatient medical services
URRBMI urban and rural residents’ basic medical insurance

ISSN: 1472-6963