大病保险和个人税优健康保险是我国健康保险业两类独特的险种。本文在对大病保险和个人税优健康保险制度创立和发展进程进行回顾的基础上,分析了发展成绩,指出了面临的诸多问题和挑战,基于对制度设计当中不完善之处的进一步分析,对深化大病保险和个人税优健康保险制度改革提出了政策建议。认为从医保经办管理机理来说,把大病保险经办管理与城乡居民基本医保经办管理分离,是无法构建大病保险控费机制的。大病保险和基本医保都采取民营化方式,或许是更优的选择。我国个人税优健康保险采取强制保险方式,但是强制保险方式与商业健康保险的定位是不匹配的。
<<Critical illness insurance and individual tax premium health insurance are two unique types of insurance in China’s health insurance industry. This report reviews the establishment and development process of critical illness insurance and individual tax premium health insurance policy. It affirms their achievements,and points out their problems and challenges. Based on the further analysis of imperfections in system design. This study puts forward the policy suggestions to deepen the critical illness insurance and individual tax premium health insurance system reform. From the perspective of the mechanism of medical insurance administration,it is impossible to construct the critical illness insurance fee control mechanism if the critical illness insurance administration if separated from the basic medical insurance administration. Privatization of both critical illness insurance and basic medical insurance may be the better choice. The individual tax premium health insurance in China is compulsive,but the positioning of the compulsory insurance and the commercial health insurance do not match.
<<Keywords: | Insurance CompanyCritical Illness InsuranceIndividual Tax Premium Health InsuranceFee Control Mechanism |