我国商业健康保险与基本医保差异化协同发展研究

史晓晨

中国医疗保险 ›› 2025, Vol. 0 ›› Issue (5) : 112-117.

中国医疗保险 ›› 2025, Vol. 0 ›› Issue (5) : 112-117. DOI: 10.19546/j.issn.1674-3830.2025.5.015
商保天地

我国商业健康保险与基本医保差异化协同发展研究

  • 史晓晨
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Research on the Differentiated and Coordinated Development of Commercial Health Insurance and Basic Medical Insurance in China

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摘要

商业健康保险是我国多层次医疗保障体系的组成部分,其与基本医疗保险的差异化和协同化发展对完善我国多层次医疗保障体系具有重要意义。首先,本文系统性地比较了商业健康保险与基本医保的差别,论证了二者在制度层面存在的根本差异。其次,从市场定位、信息壁垒和政策衔接三个方面,详细梳理了目前我国商业健康保险与基本医保差异化和协同化发展过程中存在的具体挑战。最后,针对上述难题,本文提出要厘清商业健康保险的市场定位、打破信息壁垒以及增强政策衔接等策略,旨在促进商业健康保险与基本医疗保险实现更为有效的差异化和协同化发展。

Abstract

Commercial health insurance is a component of China's multi-level healthcare security system. The differentiated and coordinated development between commercial health insurance and basic medical insurance are of great significance for improving China's multi-level healthcare security system. This paper firstly compares the differences between commercial health insurance and basic medical insurance, and expounds the fundamental differences between the two at the institutional level. Secondly, the paper analyzes the main challenges in the differentiated and coordinated development at present from three aspects of market positioning, information barriers, and policy coordination. Finally, it proposes strategies to clarify the market positioning of commercial health insurance, break down information barriers, and enhance policy coherence, so as to promote more effective differentiation and collaborative development between commercial health insurance and basic medical insurance.

关键词

商业健康保险 / 基本医保 / 差异化 / 协同

Key words

commercial health insurance / basic medical insurance / differentiation / coordination

引用本文

导出引用
史晓晨. 我国商业健康保险与基本医保差异化协同发展研究[J]. 中国医疗保险. 2025, 0(5): 112-117 https://doi.org/10.19546/j.issn.1674-3830.2025.5.015
Research on the Differentiated and Coordinated Development of Commercial Health Insurance and Basic Medical Insurance in China[J]. China Health Insurance. 2025, 0(5): 112-117 https://doi.org/10.19546/j.issn.1674-3830.2025.5.015
中图分类号: F840.684    C913.7   

参考文献

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基金

山东省高等学校青创科技支持计划“医养健康服务体系构建与高质量发展”(2022R W044)

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