Research on the social and commercial integration mode of Huimin Insurance from the perspective of holistic governance
10.3760/cma.j.cn111325-20230227-00150
- VernacularTitle:我国惠民保发展的社商融合模式分析及整体性治理建议
- Author:
Minjiang GUO
1
;
Yazi LI
;
Yang LIU
Author Information
1. 中国医学科学院医学信息研究所健康与医疗保障研究中心，北京 100020
- Keywords:
Insurance, health;
Huimin Insurance;
Social and commercial integration;
Multi-level medical security system;
Holistic governance
- From:
Chinese Journal of Hospital Administration
2023;39(7):541-545
- CountryChina
- Language:Chinese
-
Abstract:
As an important part of China′s multi-level medical insurance system, commercial health insurance has developed rapidly in recent years, but its guarantee level is still limited, and its role in the multi-level medical insurance system is not fully played. Huimin Insurance, as a new public private partnership health insurance, takes into account the dual characteristics of commercial operation and inclusive protection, and provides an important supplement to meet the needs of the masses for multi-level protection, alleviate the economic burden of serious diseases, and promote the innovation and development of the pharmaceutical industry. The author systematically analyzed the characteristics of social and commercial integration in the development of Huimin Insurance in China from the aspects of value-oriented mechanism, policy complementary mechanism and operation support mechanism, and analyzed the problems of in the current development process of Huimin Insurance based on the holistic governance framework of multi-level medical security system in three dimensions of " hierarchy-institutional-tool". It is suggested that the functional positioning of multiple subjects should be clarified, the ability of information integration should be enhanced, and the product design and serviceshould be optimized, so as to fully enlarge the supplementary security efficiency of Huimin Insurance, and explore a new path for the formation of a multi-level medical insurance system with Chinese characteristics.
