Document Type : Research Paper
Authors
1 Allameh Tabataba'i University
2 Associate Professor, Faculty of Economics, Allame Tabataba`i University, Tehran, Iran
3 Faculty of Economics, Allame Tabataba`i University, Tehran, Iran
4 allmeh tabatabaei
Abstract
Today, financing through health insurance is known as one of the most important sources of financing in the health sector. In this regard, improving the level of satisfaction of the insured and increasing their access to medical services are among the most important goals of health insurance organizations, and organizations that provide access to suitable services without imposing a financial burden on their insured will be successful. For this purpose, the balance in the revenue sources and expenses of the organizations in question is very important. the purpose of this research is to examine the budget balance in five funds of Iran Health Insurance Organization during the period of 2008-2019 using monthly data and also to analyze the factors affecting the budget deficit of these funds including premiums, coinsurance, treatment and overhead costs and the number of services purchased by various funds of Iran Health Insurance Organization, from the perspective of their mediating role in reimbursement, behavior management and purchasing medical services, using by panel vector error correction model, in order to provide a solution to eliminate the budget deficit. The obtained results showed that in the long run, coinsurance paid by the insured and the premium paid to different funds of Iran Health Insurance Organization had a negative effect on the budget deficit of the mentioned funds. In contrast, the increase in treatment and overhead costs and the number of services purchased by Five funds of Iran Health Insurance Organization exacerbated the problem of budget deficit of these funds.
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