[1]王毓丰,陈永法.商业保险衔接基本医疗保险的国际经验及启示[J].卫生经济研究,2019,(09):60-64.
　WANG Yu-feng,CHEN Yong-fa.International Experience and Enlightenment of Linking Basic Insurance to Commercial Insurance[J].Journal Press of Health Economics Research,2019,(09):60-64.
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商业保险衔接基本医疗保险的国际经验及启示
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2019年09期
页码:
60-64
栏目:
医保天地
出版日期:
2019-08-23

文章信息/Info

Title:
International Experience and Enlightenment of Linking Basic Insurance to Commercial Insurance
作者:
王毓丰1; 陈永法1
1.中国药科大学国际医药商学院，江苏 南京 211198
Author(s):
WANG Yu-feng; CHEN Yong-fa
School of International Pharmaceutical Business，China Pharmaceutical University，Nanjing Jiangsu 211198，China
关键词:
商业保险; 基本医疗保险; 经办服务
Keywords:
commercial insurance;  basic medical insurance;  handling services
分类号:
R19
文献标志码:
A
摘要:
在全球老龄化与医保费用支出持续增长的压力下，商业保险衔接基本医疗保险正成为趋势。德国、荷兰、英国商业保险衔接基本医疗保险的经验显示，商业保险在基本医疗保险体系中发挥了复合作用，与政府在清晰的分工定位下各司其职，并参与到医疗服务的行为约束和费用管控中。我国应探索商业保险逐步衔接基本医疗保险的合理路径，规范商业保险在公共服务定位下的自主运作行为，并加强商业保险与医疗机构之间的协作与制约关系。
Abstract:
Under the pressure of global aging and the continued growth of medical insurance expenditures，the integration of commercial insurance with basic medical insurance is becoming a trend. The international experience of connecting commercial insurance with basic medical insurance in Germany，the Netherlands and the United Kingdom shows that commercial insurance plays a complex role in the basic medical insurance system，and plays its own functions under the clear division of labor with the government and participates in the behavioral constraints of medical services and cost control. China should explore the rational path of commercial insurance to gradually link basic medical insurance，standardize the autonomous operation of commercial insurance under the positioning of public services，and strengthen the relationship between commercial insurance and medical institutions.

参考文献/References:

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更新日期/Last Update: 2019-08-23