Abstract
With the prominent value of commercial health insurance in China's multi-level healthcare security system, the insurance industry is actively seeking ecological cooperation with industries such as medical equipment. To promote the transformation of commercial health insurance to be long-term, diversified, and sustainable, it is necessary to establish a systematic commercial health insurance catalog. This article analyzes the practice of establishing commercial insurance catalogs in the United States, Australia, Canada, and Germany, and summarizes their experience. It believes that commercial insurance catalog is a reflection of the high-quality development of commercial health insurance, and is positively correlated with the stability and maturity of basic medical insurance, also it can effectively meet the needs of customers and achieve multi-party balance. At the same time, suggestions were put forward for the establishment of China's commercial insurance catalog, including implementing a refined catalog management approach of graded payment, establishing third-party organizations, approving diversified security outside the catalog, and prioritizing the establishment of a Class C drug catalog in the city-customized commercial health insurance.
Key words
commercial insurance catalog /
commercial health insurance /
international experience
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International Experience and Inspiration of Commercial Insurance Catalog[J]. China Health Insurance. 2025, 0(2): 19-27 https://doi.org/10.19546/j.issn.1674-3830.2025.2.003
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