中国健康保险发展报告（2020）
| 书 名： |
中国健康保险发展报告（2020） |
| 英 文 名： |
ANNUAL REPORT ON HEALTH INSURANCE OF CHINA （2020）
|
| 作 者： |
阎建军 于莹 |
| I S B N： |
978-7-5201-1211-6 |
| 丛 书 名： |
健康保险蓝皮书
订阅
|
| 关 键 词： |
健康保险 医疗保险 保险集团 2020 |
| 出版日期： |
2020-11-01 |
中文摘要
《中国健康保险发展报告（2020）》是“健康保险蓝皮书”的年度系列报告，主要内容如下。
总报告对2019年中国健康保险业总体发展情况进行了回顾与展望，认为在监管当局大力发展保障型业务的政策导向下，健康保险业实现了高速增长，在业务结构上仍然保持稳定。民众需求爆发推动了医疗保险继续保持快速发展，同时在严格监管的政策下，医疗保险逐步走向规范化发展。特药险和长期医疗险等产品创新值得关注，互联网销售增长明显。人口老龄化的到来，产业融合和科技赋能加速，叠加新修订的《健康保险管理办法》等政策利好释放，健康保险业具有广阔的发展前景。
“市场报告”篇包括五个专题报告。
《中国健康保险产品报告（2019）》指出，健康保险产品是健康保险服务的集中体现，历经保险业三年来的结构调整之后，重大疾病保险依然是我国商业健康保险的头牌险种，费率可调型的长期医疗保险的问世为市场注入了新的动能，真正意义上的长期护理保险作为新兴的险种开始出现并呈现一定的市场接受度。
《中国健康管理发展报告（2019）》指出，我国健康管理产业尚处于起步阶段，健康管理与健康保险的融合模式还不成熟，目前保险市场选择提供的健康管理基本集中于“面向患病人群的健康服务”，服务类别有待进一步拓宽。展望未来，健康管理产业受到来自健康保险发展、新兴科技赋能和政策利好三方面的推动。
《中国肿瘤特药支付报告（2019）》梳理了中国大陆目前肿瘤特药的支付现状，剖析多层次肿瘤支付渠道的覆盖广度和覆盖深度，并在此基础上分析各个渠道的发展方向和挑战，进而对构建肿瘤特药多层次保障体系提出建议。
保险业对健康保险人才需求快速增长。受学科专业发展不成熟影响，在高校人才培养中，健康保险专业的定位、人才培养模式、教学师资等多方面尚存在不足，人才培养滞后。《中国健康保险人才教育报告（2019）》对部分院校从自身特色出发做出的有益探索进行了梳理。
2019年，五家美国健康险集团进入《财富》世界500强。《世界500强健康保险集团发展回顾（2019）》认为美国健康保险集团在医疗服务体系中承担三大功能，实现了功能扩展，是做大做强的关键。
“制度创新”篇围绕基本医保的公私合作制改革展开。
基本医保的公私合作制改革已经提上我国政策议程。《走向公私合作制：国际基本医保制度改革趋势探析》以德国、英国和美国作为分析样本，探寻国际基本医保制度改革走向公私合作制的来龙去脉，从历史和逻辑的统一中，总结出公私合作制的核心要素。
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总报告
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市场报告篇
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制度创新篇
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