Abstract
In recent years, Vietnam has made significant reforms to its health insurance system, resulting in great progress. However, changes in epidemiology and demographic shifts towards an aging population can impact the balance of the social medical insurance fund. Against this background, this paper aims to study the factors that affect the impact of population aging on the balance of the health insurance fund, by introducing seven mediating variables and subsequently analyzing the relationships between these variables to investigate the impact of population aging on the health insurance fund balance. The results indicate that population aging negatively affects the balance between revenue and expenditure of the medical insurance fund. Based on this analysis, we propose two corresponding recommendations to enhance fiscal sustainability: Enhancing healthcare resource efficiency and promoting economic development to increase income for workers.
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