China’s Ambitious Policy Experiment with Social Long-Term Care Insurance: Promises, Challenges, and Prospects

Zhanlian Feng, Yan Lin, Bei Wu, Xiaowei Zhuang, Elena Glinskaya

Research output: Contribution to journalArticlepeer-review

Abstract

In 2016, China launched long-term care insurance (LTCI) pilot programs in 15 cities across the country. In this Commentary, we provide an overview of these pilots regarding the target insured population, sources of financing, beneficiary eligibility criteria, and benefit design. We offer perspectives on the strengths and limitations, implementation challenges, and future prospects of these ongoing pilots. Also, we highlight the needs for addressing several key policy issues and challenges before further expanding these programs toward national implementation. These include solidifying the LTCI financing pool for independence and self-sustainability, balancing national priorities and local needs in LTCI design, reducing coverage gaps and disparities, ensuring quality of care through pay-for-performance and regulatory oversight, and strengthening independent evaluation of LTCI implementation and impacts.

Original languageEnglish (US)
JournalJournal of Aging and Social Policy
DOIs
StateAccepted/In press - 2023

Keywords

  • China
  • financing
  • long-term care insurance
  • social insurance

ASJC Scopus subject areas

  • Demography
  • Gerontology
  • Life-span and Life-course Studies

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