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多层次医疗保障体系视角下普惠型商业健康补充保险发展路径分析
引用本文:王怡诺,蒋蓉,邵蓉. 多层次医疗保障体系视角下普惠型商业健康补充保险发展路径分析[J]. 中国卫生政策研究, 2021, 14(5): 15-20
作者姓名:王怡诺  蒋蓉  邵蓉
作者单位:中国药科大学国家药物政策与医药产业经济研究中心 江苏南京 211198
基金项目:江苏高校哲学社会科学研究项目(2019SJA0059)
摘    要:目的:探究在多层次医疗保障体系视角下,提出优化我国普惠型商业健康补充保险发展路径的措施.方法:通过分析我国普惠型商业健康补充保险发展情况,梳理其产品、保险公司以及第三方管理平台情况;并基于典型地区的实践经验,剖析现存的问题.结果:目前我国普惠型商业健康补充保险正处于"井喷式"发展阶段,然而发展路径尚未成熟,仍旧存在产品...

关 键 词:多层次医疗保障体系  普惠型  商业健康保险  补充保险  发展路径
收稿时间:2021-02-01
修稿时间:2021-03-20

Analysis of the development path of inclusive commercial health supplementary insurance from the perspective of multi-level medical security system
WANG Yi-nuo,JIANG Rong,SHAO Rong. Analysis of the development path of inclusive commercial health supplementary insurance from the perspective of multi-level medical security system[J]. Chinese Journal of Health Policy, 2021, 14(5): 15-20
Authors:WANG Yi-nuo  JIANG Rong  SHAO Rong
Affiliation:The Research Center of National Drug Policy & Ecosystem, China Pharmaceutical University, Nanjing Jiangsu 211198, China
Abstract:Objective:From the perspective of multi-level medical security system, this paper aimed at exploring the measures to optimize the development path of inclusive commercial health supplementary insurance in China. Methods:The product situation, insurance company situation and third-party management platform situation were sorted out by analyzing the inclusive commercial health supplementary insurance in China. The practices of this type of insurance in typical areas were studied, and the existing problems were analyzed. Results:At present, inclusive commercial health supplementary insurance in China is in the "blowout" development stage, but the development path is not yet mature. The analysis results showed that there are still problems such as the homogenization of products and services, lack of basic risk data, and lack of prominent complementary effects. Conclusions:It is suggested that China should adopt the "three-step" development model to optimize the inclusive commercial health supplementary insurance development path. The implementation of this policy can be achieved by coordinating the responsibilities of departments, improving the supporting policies and regulatory measures, establishing a medical insurance data sharing mechanism, and differentiating the product design.
Keywords:Multi-level medical security system  Inclusive type  Commercial health insurance  Supplementary insurance  Development path
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