欢迎访问《中国卫生经济》官方网站,今天是
分享到:
多层次保障体系下普惠型商业医疗保险的作用研究*
DOI:
CSTR:
作者:
作者单位:

作者简介:

王欣(1997—),女,硕士在读;研究方向:医疗保险、卫生经济;E-mail:20211020211@fudan.edu.cn

通讯作者:

中图分类号:

R1-9;F840.613

基金项目:

国家社科基金重大项目(20ZDA072)


The Role of Inclusive Commercial Medical Insurances in Multi-layer Medical Security System
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:对比典型地区多层次医疗保障体系下普惠型商业医疗保险的保障作用,为促进普惠型商保的健康发展、 构建更有效的多层次医疗保障体系提供参考。方法:以3个地区为代表开展案例研究,基于基本医疗保险和大病保险的报销政策和普惠型商业医疗保险方案,试算不同医疗费用水平下普惠型商业医疗保险的报销情况。结果:普惠型商保在发生高额医疗支出时发挥补充保障作用,保障作用与其方案设计和基本医疗保险及大病保险的特点紧密相关。结论:各地应结合基本医疗保险及大病保险的保障情况,因地制宜地设计普惠型商业医疗保险的责任范围和待遇水平,进一步发挥普惠型商业医疗保险的补充保障作用。

    Abstract:

    Objective: To analyze and compare the role of inclusive commercial medical insurances in the multi-layer medical security system of representative regions and provide references for promoting the development of inclusive commercial medical insurances as well as constructing more effective multi-layer medical security system. Methods: Three regions were selected to conduct case studies. Based on the schemes of local social medical insurances and inclusive commercial medical insurances,the reimbursement rates of the insurances at different medical cost levels were calculated. Results: Inclusive commercial medical insurances play a supplementary role when high medical expenditure is incurred,and the role is in relation to the schemes of inclusive commercial medical insurances and social medical insurances' features. Conclusion: To improve the supplementary role of inclusive commercial medical insurances,it is suggested to design the insurance coverage and treatment levels of inclusive commercial medical insurances appropriately coherent with the local social medical insurance benefits.

    参考文献
    相似文献
    引证文献
引用本文

王欣,陈文,张璐莹.多层次保障体系下普惠型商业医疗保险的作用研究*[J].中国卫生经济,2023,42(3):10-13. WANG Xin, CHEN Wen, ZHANG Lu-ying.多层次保障体系下普惠型商业医疗保险的作用研究*[J]. CHINESE HEALTH ECONOMICS,2023,42(3):10-13.

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2023-03-20
  • 出版日期:
文章二维码
网站二维码
期刊公众号