商业保险公司参与社会医疗保险管理的模式分析  

The Analysis on the Mode of Participating in Social Medical Insurance Management of Commercial Insurance Companies

作　　者：张杰[1,2] 

机构地区：[1]南京审计学院金融学院,江苏南京211815 [2]南京审计学院金融风险管理研究中心,江苏南京211815

出　　处：《西部金融》2013年第11期9-13,共5页West China Finance

基　　金：江苏省高校优势学科建设工程资助项目审计科学与技术预研究课题(YSXKKT14);江苏省高校哲学社会科学重点研究基地金融风险管理研究中心(苏教社政[2010]9号)资助

摘　　要：建立和完善医疗保险是一个关系国计民生的发展计划,对于促进社会发展有着十分重要的意义。就目前来看,覆盖全民的医疗保险目标已基本实现。商业保险公司参与社会医疗保险管理的模式已经成为下一阶段的发展模式之一,在各个城市中已经开设了试点工程,取得了一定的效果。但是由于各种因素的影响,此模式在发展的过程中,也存在一些困境。本文主要分析商业保险公司参与社会医疗保险管理的理论依据、典型地区商业保险公司参与社会医疗保险的管理模式,并提出相应的促进措施。Establishing and perfecting the medical insurance is a development plan which is beneficial to the national economy and the people＇s livelihood, and it has very important significance in promoting the social development. At present, the target of universal medical insurance has been basically realized. Commercial insurance companies＇ participating in the social medical insurance management has become one of the development models in the next phase. This model has opened pilot projects in many cities, which has got certain effect. But the development model is faced with some dilemma because of the influence of various factors. The paper mainly analyzes the theoretical basis that commercial insurance companies participate in social medical insurance management, management model of participating in the social medical insurance management of commercial insurance companies in typical areas, and puts forward corresponding promotion measures.

关 键 词：保险业 医疗保险 

分 类 号：F830.31[经济管理—金融学]