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商业健康保险与医药产业协同发展
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商业健康保险与医药产业高质量协同发展的空间与方向探讨 | 团体补充医疗险课题分报告(三)
Xin Lang Cai Jing· 2025-06-17 00:54
Group 1 - The core viewpoint of the article emphasizes the high-quality collaborative development between commercial health insurance and the pharmaceutical industry, highlighting the interdependent relationship between medical service providers and insurance payment entities [1] - The historical development of the medical service system and the pharmaceutical industry reveals a complex interplay with insurance payment mechanisms, indicating potential areas for collaboration and growth [1][2] - The transition from a government-subsidized healthcare model to a market-driven approach has led to significant changes in the operational dynamics of public hospitals and the pharmaceutical sector [3][4] Group 2 - The period from 2009 to 2017 marked a significant phase in the reform of public hospital compensation mechanisms, with a focus on balancing the roles of medical service providers and insurance payers [9][10] - The introduction of the "New Medical Reform" in 2009 aimed to establish a public health service system that covers urban and rural residents, although challenges in implementation persisted [9][14] - The commercial health insurance market experienced substantial growth during this period, with premiums increasing tenfold, reflecting a rising demand for supplementary health coverage [6][15] Group 3 - The establishment of the National Healthcare Security Administration in 2018 initiated a new phase of medical reform, introducing diverse payment methods and enhancing regulatory oversight of healthcare expenditures [20][21] - The shift towards a more refined management approach in healthcare institutions is driven by the need to control costs and improve service quality, influenced by changes in insurance payment structures [23][24] - The integration of commercial health insurance with the healthcare system is expected to accelerate, particularly in the high-end medical service sector, as consumer demand for quality healthcare rises [26][27] Group 4 - The pharmaceutical industry in China has undergone significant transformations, with a notable shift towards biopharmaceuticals and innovative drug development, supported by government policies [30][31] - The rapid growth of the Chinese pharmaceutical market has positioned it as the second-largest globally, with a compound annual growth rate of 7.8% from 2010 to 2020 [31][33] - Despite the overall market expansion, challenges such as structural oversupply and the need for higher-quality products remain prevalent, necessitating ongoing industry adjustments [33][34]