推动“医保+商保”一站式结算的思考

付超奇

中国医疗保险 ›› 2024, Vol. 0 ›› Issue (10) : 5-9.

中国医疗保险 ›› 2024, Vol. 0 ›› Issue (10) : 5-9. DOI: 10.19546/j.issn.1674-3830.2024.10.001
专题分析

推动“医保+商保”一站式结算的思考

  • 付超奇
作者信息 +

Thoughts on Promoting the "Medical Insurance Plus Commercial Insurance" One-Stop Settlement

Author information +
文章历史 +

摘要

信息不对称、潜在的供需被抑制等多重因素制约了我国商业健康保险产业进一步发展壮大。为充分满足人民群众多元化的健康需求,助推“三医”+健康金融产业发展,本文提出开展“医保+商保”一站式结算,并分析了制约我国商业健康保险发展的问题,提出政策思考和可行路径,以期为医疗、医保、医药和商业健康保险创新发展提供参考。

Abstract

Multiple factors such as information asymmetry and suppression of potential supply and demand have constrained the further development and growth of commercial health insurance industry in China. In order to fully meet the diverse health needs of the people and promote the development of "medical insurance, medical services, and pharmaceuticals" plus health finance industry, this article proposes to develop "medical insurance plus commercial insurance" one-stop settlement, analyzes the problems that constrain the development of commercial health insurance in China, and proposes policy thinking and feasible paths, in order to provide a reference for the innovative development of medical service, medical insurance, pharmaceuticals and commercial health insurance.

关键词

医保+商保 / 清分结算中心 / 一站式结算

Key words

medical insurance plus commercial insurance / clearing and settlement center / one-stop settlement

引用本文

导出引用
付超奇. 推动“医保+商保”一站式结算的思考[J]. 中国医疗保险. 2024, 0(10): 5-9 https://doi.org/10.19546/j.issn.1674-3830.2024.10.001
Thoughts on Promoting the "Medical Insurance Plus Commercial Insurance" One-Stop Settlement[J]. China Health Insurance. 2024, 0(10): 5-9 https://doi.org/10.19546/j.issn.1674-3830.2024.10.001
中图分类号: F840.684    C913.7   

参考文献

[1] 刘源. 基本医保与商业健康保险赋能关系研究[J].中国医疗保险,2023(10):116-121.
[2] 先导研报.奋楫正当时:中国商业健康险的挑战与破局(2022)[EB/OL].(2022-08-10)[2024-09-23].https://www.xdyanbao.com/doc/darlkg3ux3?bd_vid=11264070438654187295.
[3] 经济参考网.2023年健康与养老保险保障指数测算研究报告[R/OL].(2024-10-17)[2024-10-22].http://www.jjckb.cn/20241017/00f344608ec9458dbefef33a248b3387/c.html.
[4] 中国政府网.数字政府建设:数据共享与数字共治[EB/OL].(2022-07-29)[2024-09-23].https://www.gov.cn/xinwen/2022-07/29/content_5703413.htm.
[5] 济南市医疗保障局.无纸化秒办!济南医保这个做法让群众“不跑腿”办商保理赔[EB/OL].(2023-07-17)[2024-06-13].http://ybj.jinan.gov.cn/art/2023/7/17/art_38257_4766304.html.
[6] 浙江省人民政府.“浙里惠民保”实现省域全覆盖[EB/OL].(2022-09-26)[2024-06-13].https://www.zj.gov.cn/art/2022/9/26/art_1554467_59834053.html.

Accesses

Citation

Detail

段落导航
相关文章

/