Going north is becoming popular for elderly care! Over 80000 Hong Kong elderly aged 65+in Guangdong

Release time:Apr 15, 2024 22:35 PM

Introduction: The industry believes that in order to promote cross-border elderly care services, the key is to establish medical mutual recognition and smooth payment channels, so that elderly Hong Kong residents in mainland China do not have to travel between different places when seeking medical treatment. According to early 2020 data, it is estimated that there are 18000 to 38000 patients from the Hong Kong Medical Authority residing in Guangdong Province.

The elderly care cooperation in the Guangdong Hong Kong Macao Greater Bay Area, which has been delayed due to the epidemic, has once again become popular after the comprehensive clearance of Shenzhen and Hong Kong. Since the beginning of this year, the Hong Kong Special Administrative Region government has launched multiple policy measures to benefit the elderly in Hong Kong, and some elderly care institutions in the Greater Bay Area have experienced a small peak in Hong Kong people's booking and check-in.

Among the over 700 residents who have made reservations for the newly completed Taikang Home Pengyuan in Shenzhen recently, there are over 50 Hong Kong residents. The Taikang Home · Yueyuan, which opened in Guangzhou in 2017, has also accommodated 25 Hong Kong residents. According to data from the Hong Kong Department of Labour and Welfare, as of the end of 2021, it is estimated that approximately 85000 Hong Kong residents aged 65 and above are living in Guangdong Province year-round, an increase of 85% over the past 10 years.

Cross border elderly care for Hong Kong residents can help solve the problem of insufficient elderly care resources in Hong Kong, and also bring market and opportunities to the development of the elderly care service industry in mainland China. The biggest obstacle currently faced by "cross-border elderly care" is the non portability of social welfare such as elderly care and medical care, especially the huge differences in medical services and medical insurance payment systems between Guangdong and Hong Kong, making it difficult to achieve unified conditions for participation and benefits in the short term.

Qiu Jianwei, member of the Taikang Insurance Group Management Committee and CEO of Taikang Home, told First Financial that the company is also actively negotiating and exchanging with relevant government departments in Guangdong and Hong Kong to jointly explore the integration and integration of elderly care and medical policies in the Guangdong Hong Kong Macao Greater Bay Area, and is currently in the process of promotion.

Hong Kong elderly value the cost-effectiveness of mainland elderly care institutions

The Human Development Report released by the United Nations shows that the average life expectancy in Hong Kong is 85.5 years, ranking first in the world's longest living areas for seven consecutive years. In 2021, the proportion of elderly people aged 65 and above in Hong Kong exceeded 20%, entering a super aging society.

The aging population in Hong Kong is becoming increasingly severe, and the supply of elderly care services has been in short supply for many years. The waiting time for local nursing homes is long, and the average waiting time for government funded nursing homes is about 2 years, some as long as 34 months. Moreover, the cost of nursing homes in Hong Kong is relatively high, with the government spending 16000 yuan per person per month to purchase a place, and nursing homes costing 22500 yuan, which is much higher than the cost of elderly care institutions in mainland China.

Qiu Jianwei stated that compared to Hong Kong, Hong Kong residents seeking retirement in mainland China have a high cost-effectiveness. Both real estate prices and service prices in Hong Kong are much higher than those in Guangzhou and Shenzhen. The cost of high-quality elderly care institutions in Guangzhou and Shenzhen may have an advantage over the cost of very ordinary elderly care institutions in Hong Kong.

Since the beginning of this year, government departments in Guangdong and Hong Kong have introduced various measures to facilitate Hong Kong residents to move north for elderly care. On July 28th, the Social Welfare Department of the Hong Kong Special Administrative Region Government announced the expansion of the Guangdong Home Care Service Plan, which includes Guangdong, Shenzhen, Zhuhai, Foshan, Huizhou, Dongguan, Zhongshan, Jiangmen, and Zhaoqing, to facilitate elderly care in the Greater Bay Area cities.

Since 2014, the Hong Kong Special Administrative Region government has been purchasing residential care services from nursing homes operated by non-governmental organizations in Shenzhen and Zhaoqing through the Guangdong Residential Accommodation and Care Service Plan. Elderly people who are waiting for nursing homes can voluntarily choose to stay and move north for retirement. After the expansion of the plan, we will invite operators who have experience in providing subsidized care services for elderly care homes in Hong Kong and have a good record of operating elderly care homes in cities in the Greater Bay Area to apply to include their elderly care homes located in the Greater Bay Area as recognized service organizations under the plan.

In April of this year, Guangdong, Hong Kong, and Macao jointly released 110 "Bay Area Standards", among which multiple standards such as the "Guidelines for Elderly Care for Elderly People with Cognitive Disorders in Elderly Care Institutions" are related to the field of elderly care services, providing guidance for establishing standards and norms for elderly care services in the Greater Bay Area; Guangzhou opens up beds in public elderly care institutions in Nansha District to elderly people from Hong Kong and Macau. Insurance institutions such as Taikang and Taiping have also attracted Hong Kong seniors to come to the mainland for retirement by providing retirement plans for Hong Kong residents.

Qiu Jianwei also revealed that Taikang is applying for an insurance license from the Hong Kong Insurance Regulatory Commission. If a license is issued in the future, it will be more convenient for Hong Kong residents to purchase insurance.

Improve the portability of social security measures

The Outline of the Development Plan for the Guangdong Hong Kong Macao Greater Bay Area issued by the Central Committee of the Communist Party of China and the State Council points out the deepening of cooperation in elderly care services, supporting Hong Kong and Macao investors to establish elderly care and other social service institutions in the nine cities of the Pearl River Delta in accordance with regulations through sole proprietorship, joint venture, or cooperation, and creating convenient conditions for Hong Kong and Macao residents to provide elderly care in Guangdong. Promote the integration of medical care and elderly care, and build a number of regional health and elderly care demonstration bases.

In June of this year, Guangdong and Hong Kong jointly signed the Memorandum of Understanding on Jointly Promoting Elderly Care Cooperation between Guangdong and Hong Kong, aiming to jointly promote the leapfrog development of elderly care service cooperation between the two regions and enable the elderly in the Bay Area to enjoy a happy old age.

The introduction of the development plan for the Guangdong Hong Kong Macao Greater Bay Area has greatly facilitated the communication and exchange of residents in the area. The trend of Hong Kong residents moving north for elderly care will also become increasingly apparent. However, the differences in public services such as elderly care, medical care, and medical insurance, as well as social security policies between Guangdong and Hong Kong, are important factors affecting the elderly in Hong Kong moving north for elderly care.

The industry believes that in order to promote cross-border elderly care services, the key is to establish mutual medical recognition and smooth payment channels, so that elderly Hong Kong residents in mainland China do not have to travel between different places when seeking medical treatment. According to early 2020 data, it is estimated that there are 18000 to 38000 patients from the Hong Kong Medical Authority residing in Guangdong Province.

A study on cross-border elderly care in the Greater Bay Area, in which Hong Kong scholar Shi Cheng participated, found that how to seek medical treatment in mainland China, whether there is a reduction or reimbursement of expenses, whether it is consistent with the Hong Kong drug catalog, and whether medical records can be shared, are common concerns for Hong Kong elderly people who are interested in elderly care in mainland cities in the Greater Bay Area.

The social security systems in Hong Kong and mainland China are based on two completely different financing mechanisms, and the biggest obstacle to cross-border elderly care is the non transferability of medical services and medical benefits.

On January 1, 2020, the Provisional Measures for Hong Kong, Macao, and Taiwan Residents to Participate in Social Insurance in the Mainland came into effect, further clarifying and standardizing the relevant regulations for Hong Kong, Macao, and Taiwan personnel to participate in social insurance in the Mainland. According to preliminary summary, as of October 2021, the number of Hong Kong and Macao residents participating in basic pension insurance in mainland China has reached 160000. This has largely solved the medical problems faced by Hong Kong people in mainland China.

Shi Cheng's "Concerns about Cross border Elderly Care in Hong Kong" published in the 6th issue of "China Social Security" in 2022 pointed out that in the context of the continuous aging population structure and shortage of elderly care resources in Hong Kong, promoting elderly care in mainland China seems to be a way to alleviate the pressure of elderly care in Hong Kong. However, due to the fact that the social security systems in Hong Kong and mainland China are based on two completely different financing mechanisms, it is difficult to achieve uniformity in the conditions for insurance participation and benefits in the short term.

Taking healthcare as an example, in Hong Kong, elderly people can access public healthcare services at a very affordable cost and can also receive an annual medical voucher of 2000 yuan. Hong Kong elderly people who are elderly in mainland China can only meet their medical needs by participating in resident medical insurance or purchasing commercial medical insurance on their own. The resident medical insurance plan in mainland China mainly covers major illnesses and hospitalization, and outpatient services and medication costs are not included. Even within the reimbursable range, individuals still need to bear about half of the expenses.

The Outline of the Development Plan for the Guangdong Hong Kong Macao Greater Bay Area proposes to shape a healthy bay area, strengthen the connection between cross-border public services and social security, and improve the portability of social security measures for the elderly in Hong Kong.

Shi Cheng believes that improving the portability of social welfare is a relatively feasible solution. She suggests promoting cooperation between the Hong Kong Medical Authority and medical insurance agencies and institutions in 9 cities in the Greater Bay Area and the Pearl River Delta, establishing designated hospitals and attempting to directly settle medical expenses for Hong Kong residents, allowing the use of medical vouchers in designated hospitals.

Since October 2015, elderly Hong Kong residents who have migrated to the mainland can use medical vouchers sponsored by the Hong Kong Special Administrative Region Government to pay for basic medical services at the University of Hong Kong Shenzhen Hospital; In April of this year, the pilot program for Hong Kong Elderly Medical Vouchers expanded its usage in mainland China. Qualified Hong Kong seniors can not only use them at the University of Hong Kong Shenzhen Hospital, but also at the Lai Chi Yuan Social Health Service Center located in Longgang District, Shenzhen. The pilot program of Hong Kong Elderly Medical Vouchers brings medical convenience to the elderly of cross-border elderly care, but the scope of use is still very limited.

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