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Currently, the bottleneck in the targeted poverty alleviation is the poverty due to illness or the return to poverty owing to illness. As a result, Hebei Province in August of 2016 issued Implementation Program (Trial) of Improving the Medical Assistance to Impoverished Population to Prevent Poverty Due to Illness. This article analyzes the “triple guarantee” system for the impoverished population in Hebei Province by exploring the expense-control, system design, reimbursement mechanism, service mechanism, guarantee system, and financial aid mechanism and discovers the five problems: single-channel financing, lack of guarantee for the potential impoverished population, inadequate prevention prior to illness, the incompetent role of commercial medical insurance, and the details of implementation. Guided by the spirit of 19th Party Congress-“lengthen the short plate and strengthen the weak points”, this paper proposes the approaches to optimize the medical security of the impoverished population in Hebei Province: broaden the financing channels, improve the stability and sustainability of the poverty-relief fund for medical insurance, expand the population enjoying medical security, recognize the potentially poor population and offer assistance, design competent system for the health service and disease prevention of the impoverished population, perfect the security system to bring the role of commercial insurance into full play, conduct lean management by formulating policy details so as to render the policy easily recognized. Keywords—medical security; impoverished population; policy innovation; approaches of optimization

proceedings of the 2018 4th international conference on social science and higher education (icsshe 2018)

Approaches to Optimize and Innovate the Policies of Poverty-relief Medical Insurance Mechanism for Impoverished Population -- A Case Study of Hebei Province