TY - BOOK ED - World Bank. ED - World Bank. TI - The Path to Integrated Insurance Systems in China T2 - Policy Notes PY - 2010/// CY - Washington, D.C. PB - The World Bank KW - Access to Finance KW - Access to Health Services KW - Administrative Costs KW - Bankruptcy KW - Capacity Building KW - Cities KW - Cost-Effectiveness KW - Diabetes KW - Doctors KW - Economic Development KW - Employment KW - Expenditures KW - Finance and Financial Sector Development KW - Health Care Costs KW - Health Economics & Finance KW - Health Monitoring & Evaluation KW - Health Policy KW - Health Professionals KW - Health Systems Development & Reform KW - Health, Nutrition and Population KW - Hospitals KW - Human Resources KW - Inflation KW - Informed Consent KW - Insurance KW - Insurance & Risk Mitigation KW - Medical Savings Accounts KW - Migrant Workers KW - Migration KW - Nutrition KW - Pharmacies KW - Physicians KW - Private Health Insurance KW - Profitability KW - Public Health KW - Purchasing Power KW - Rural Health Care KW - Savings KW - Social Health Insurance KW - Social Insurance KW - Unions KW - Urban Areas KW - Villages KW - Workers N2 - Since the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak, health care in China has become a leading national concern. Often highlighted by the popular phrase, kan-bing-nan, kan-bing-gui (seeking care is difficult and expensive), healthcare costs can be devastating. Prior to 2007, there were two formal insurance programs: the Urban Employee Basic Medical Insurance (UEBMI) for the urban employed population, and the New Rural Cooperative Medical Insurance (NRCMI) for rural residents. A third major group-urban resident without formal employment-was essentially left out of the state health security system. In July 2007, the State Council initiated a pilot experiment in 79 cities-the Urban Resident Basic Medical Insurance (URBMI). The plan targeted urban residents without formal employment, especially the elderly and children (State Council 2007). The present health policy note provides an updated review of healthcare settings and policy reforms, focusing primarily on urban health financing. It discusses urban insurance in the context of universal coverage and how to harmonize insurance schemes across urban and rural areas. This discussion is placed in the context of global experience and emerging principles of best practices UR - http://elibrary.worldbank.org/doi/book/10.1596/27719 ER -