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谢伏瞻
    中国社会科学院学部委员,学部主席团主席,研究员,博士生导师。历任中国社会科学院院长、党组书记,国务院发展中心副主... 详情>>
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李培林
    男,汉族,出生于1955年5月,山东济南人,博士,研究员,全国人民代表大会社会建设委员会副主任委员,中国社会科学... 详情>>

    基于健康管理服务视角下商业健康保险服务需求与挑战

    摘要

    我国商业健康险从20世纪80年代开始逐步发展,经过30多年时间,随着经济发展稳中向好,经济结构不断优化,居民收入水平不断提升,国民保险意识的不断强化,商业健康险正在经历着蓬勃发展的黄金时期,健康险保费规模从2011年的691。72亿元迅速增长到2017年的4389。46亿元。与此同时,随着国民健康意识的提升,健康管理受到越来越多人的关注,在此背景下,健康管理也成为商业保险公司研究的重要课题,积极与健康管理服务行业深度融合,探索创新发展模式,经过数年的发展,“保险+健康管理”的模式已经深得人心。本文正是基于该行业背景,重温健康保险的起源与发展,分析健康保险的发展现状及发展过程中面临的新机遇,深刻分析了健康保险与健康管理深度融合中呈现的特点及形式,也指出了存在的问题。最后,客观阐述了健康保险未来发展面临的挑战及提出具体的建议。

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    Abstract

    China’s commercial health insurance has gradually developed since the 1980s. After more than 30 years,with the steady development of economic development,the economic structure has been continuously optimized,the income level of residents has been continuously improved,and the awareness of national insurance has been continuously strengthened. Under the golden age of booming development,the scale of health insurance premiums has grown rapidly from 69.172 billion yuan in 2011 to 438.946 billion yuan in 2017. At the same time,with the improvement of national health awareness,health management has attracted more and more people’s attention. In this context,health management has become an important topic for commercial insurance companies,and it is actively integrated with the health management service industry. Exploring the innovative development model,after several years of development,the “insurance & health management” model has won people’s hearts. Based on the background of the industry,this paper revisits the origin and development of health insurance,analyzes the development status of health insurance and the new opportunities in the development process,and deeply analyzes the characteristics and forms of the deep integration of health insurance and health management. Also pointed out the problems. Finally,objectively expounded the challenges faced by the future development of health insurance and made specific recommendations.

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    作者简介
    李石:李石,百年人寿保险股份有限公司个险发展部总经理、图易集团创始人,长期从事寿险产品开发、营销与推动,以及健康管理服务方面的研究。
    王小轶:王小轶,东北财经大学硕士,现就职于百年人寿保险股份有限公司个险发展部,主要从事寿险产品研究和推动。
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