Enlightenment of the cooperative mode between social and commercial of Medicare in the United States on development of " City-customized Medical Insurance" in China
10.3760/cma.j.cn111325-20220703-00596
- VernacularTitle:美国Medicare社商合作模式对我国"惠民保"发展的启示
- Author:
Yangyang ZHENG
1
;
Meng YANG
;
Minglong FU
;
Shiying JIANG
;
Kai LIAN
Author Information
1. 湖北医药学院附属襄阳市第一人民医院医保办，襄阳 441000
- Keywords:
Medicare;
Integrated development of social and commercial;
Basic medical insurance;
"City-customized Medical Insurance";
Complementary advantages
- From:
Chinese Journal of Hospital Administration
2022;38(12):896-900
- CountryChina
- Language:Chinese
-
Abstract:
As a powerful attempt by government to promote the construction of the multi-level healthcare security system and social and commercial integration in China, " City-customized Medical Insurance" still has many problems to be solved at the beginning of its development, such as unclear boundary between government and enterprises, limited coverage and strength of security. On the basis of clarifying the current situation of " City-customized Medical Insurance", and combing the management experience of social and commercial integration in Medicare Part C plan of the United States, the authors put forward that China should make full use of the advantages of the combination of promising government and efficient market, guide differentiated product design, and establish market access and evaluation mechanism, so as to promote the effective connection between China′s commercial health insurance and basic healthcare insurance, and further reduce the people′s medical burden.
