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Report catalogue
The first part is the analysis of medical insurance industry and market.
Chapter 1 20 1 1-20 12 Development of the insurance industry 1
The first section China insurance policy environment 1
I. Policy environment of domestic insurance companies 1
Two. Foreign investment insurance policy 1
Three. Insurance fund management II
Section II Insurance Industry in China 3
I. Overview of the insurance industry at the end of 20 1 1 3
Two. Operation of China insurance market in 20 1 1 7 years
Three. The Development of Insurance Industry in China 20 12 13
Four. 20 12 15 insurance intermediary market development report
Section III 20 1 1-20 12 Basic Information of Major Social Insurance in China 28
I. Endowment insurance 29
Second, medical insurance 30 pages
Three. Unemployment insurance 3 1
Four. Industrial injury insurance 3 1
Verb (abbreviation of verb) maternity insurance
Six, social insurance fund management and supervision of 32 pages
Seven. Socialized management service
Eight. Construction of social insurance institutions
Section IV Overview of Global Insurance Industry 34
The number of commercial entities in the world insurance industry is increasing.
Second, the uneven growth pattern of the world insurance industry has intensified.
Three. Great changes have taken place in the organizational structure of the world insurance industry.
Four, insurance innovation has become an important driving force for the growth and development of the insurance industry on page 39
V. The use of funds has become an important part of the insurance industry.
Enlightenment and suggestion of intransitive verbs
Section V International Comparison and Countermeasure Research on the Development of Insurance Industry in China 43 pages
I. International comparison of insurance development in China 43 pages
Two, China insurance industry slowdown factor analysis on page 49.
Three. Countermeasures for the Future Development of China Insurance Industry
Chapter II Policy Environment of Medical Insurance in China
The first section 20 1 1-20 12 medical insurance policy environment 52
Section 2 20 1 1-20 12 Strengthening the medical management of industrial injury insurance in China 57
Chapter III Overview of Basic Medical Insurance Development in China 62
The first section coverage of basic medical insurance 62
I. Urban insurance coverage 62
Two. Rural insurance coverage 63
Three. Coverage rate of medical insurance for different groups in cities and towns
In the second quarter, the basic medical insurance situation analysis 64
I. General situation 64
Two. employment injury insurance
Three. maternity insurance
In the third quarter, China basic medical insurance benefit qualification research 67
I. Provisions on the qualifications of the basic medical insurance system 67
Two, the advantages and disadvantages of the basic medical insurance qualification provisions on page 68
Three, the basic medical insurance benefits to receive qualification measures 72 pages
Four, the basic medical insurance benefit qualification system construction 72 pages
The fourth quarter, Beijing basic medical insurance survey report 74
I. Review of Basic Medical Insurance in Beijing 74
Second, the evaluation of the basic medical insurance in Beijing 78
Three, Beijing basic medical insurance 80 pages
The fourth chapter 20 1 1-20 12 commercial medical insurance market operation 82
The first quarter 20 1 1-20 12 commercial medical insurance premium status 82
I. 20 1 1-20 12 premium analysis of commercial medical insurance 82
Second, 20 1 1-20 12 premium income analysis of major life insurance companies 85
In the second quarter, the market situation of commercial medical insurance 88
First, the life insurance market structure analysis
Two. The premium income in China is 2011-201289.
The third quarter 20 1 1-20 12 operating conditions of life insurance companies 92
I. China Life Insurance Co., Ltd. 92
Second, China Pacific Insurance Group Corporation 94
Three, Xinhua Life Insurance Company 94
Four, China Ping An Insurance (Group) Company 94
Five, Taikang Life Insurance Company 95
Six, Taiping Life Insurance Company 95
The fourth quarter life insurance company operating risk 95
I. Pricing Risk 96
Second, the sales risk 97
Three. Operational risk 99
Four. Manage risks 10 1
Verb (abbreviation of verb) Policy risk 102
Section 5 Risk Analysis of Health Insurance Operation 103
I. Insured 104
II. Medical Institutions 104
Three. Internal insurance company 104
The second part is the analysis of urban and rural medical insurance.
Chapter V Analysis on the Development of Urban Medical Insurance in China 105
Section 1 Reform, Evaluation and Development Countermeasures of Medical Insurance System for Urban Employees in China 105
I. Evaluation on the Reform of Medical Insurance System for Urban Workers in China 105
Second, the challenges faced by the reform of medical insurance system for urban workers in China 107
Three, China's urban workers medical insurance system development countermeasures 109
In the second quarter, the State Council's guiding opinions on the pilot project of basic medical insurance for urban residents11.
I. Objectives and Principles 1 1 1
Ii. Insurance coverage and financing level 1 12
Three. Strengthen management and service 1 13
Fourth, deepen relevant reforms 1 14.
Verb (abbreviation of verb) strengthens organizational leadership 1 15
Section III Current Situation and Countermeasures of Commercial Medical Insurance in China's Urban Social Security System 1 19
First, the status quo and shortcomings of China's medical and health undertakings 120
Second, China's commercial medical insurance development status and existing problems 122
Iii. Countermeasures and Suggestions for Improving Commercial Medical Insurance 124
Chapter VI Development Analysis of Rural Medical Insurance in China 127
Section 1 Analysis of Insurance Industry's Participation in the Construction of New Rural Cooperative Medical System in China 127
First, the basic situation of the new rural cooperative medical system 127
Two, the insurance industry to participate in the construction of new rural cooperative medical system 128
Three, the advantages and disadvantages of the insurance industry to participate in the construction of the new rural cooperative medical system 129
Four, actively support the insurance industry to participate in the construction of the new rural cooperative medical system 132
Section 2 System Analysis of Comprehensive Framework of Rural Medical Security 133
I. Analysis on the Evolution of the Structure and Function of Rural Medical Security System in China 134
Second, the experience and enlightenment of rural medical security system framework in foreign developing countries 136
Iii. Systematic analysis of the comprehensive framework of rural medical security: multi-level model 138
Four. Summary 14 1
Section III Construction of Medical Insurance for Migrant Workers in China 14 1
I. Problems in Medical Insurance for Migrant Workers 14 1
II. Countermeasures for the Construction of Migrant Workers' Medical Insurance System 143
Section IV Positioning of Rural Commercial Health Insurance 145
First, the rural health security dilemma calls for commercial health insurance 146
Second, the positioning of commercial health insurance in rural medical security system 147
Iii. Development Space of Rural Commercial Health Insurance 150
Fourth, the development strategy of rural commercial health insurance 15 1
Section 5 Research on the Coordinated Development of Commercial Insurance and Rural Social Security System 153
I. Positioning of Commercial Insurance in Rural Social Security System 153
II. Institutional Economics Analysis of Commercial Insurance Participating in the Construction of Rural Social Security System 155
III. Mode Selection and Advantages and Disadvantages Analysis of Commercial Insurance in Rural Social Security System 157
Part III Medical Reform and Insurance Industry
Chapter VII Reform of Medical and Health System and Development of Insurance Industry 16 1
Section 1 Reform of Medical and Health System 16 1
I. Analysis of 20 12 16 1 China Medical Reform
Second, the future trend of medical system reform in China 168
Section 2 20 1 1 statistical bulletin on health development in China 173.
I disease control and public health 173
Two. Health supervision 176
Three. Rural and community health services 177
Iv. maternal and child health care 178
Verb (abbreviation of verb) medical service 179
Six, outpatient and inpatient medical expenses 18 1
Seven. Health resources 183
VIII. Medical Research and Education 186
Section 3 Public Health and Medical Insurance 186
I. Urban Sanitation in China 186
II. Factors Affecting Public Health 188
The third part is the development trend of medical insurance industry.
Chapter VIII Discussion on Hot Issues of Medical Insurance 189
Section 1 Establishing a Multi-level Medical Insurance System in China 189
I. Framework and Characteristics of Medical Security System in China 189
Second, the current situation and problems of the medical security system 190
Third, improve the multi-level medical security system 194
Section 2 National Social Medical Insurance Based on Medical Insurance Management 200
First, the United States managed medical care and its risk management model 200
Second, the current situation of medical insurance in China 202
Three, China national social medical insurance model construction 203 pages
In the third quarter, social medical insurance marketing problem analysis 206
I. Discussion on whether social medical insurance needs marketing 206
Second, the marketing design and implementation of social medical insurance 208
Three. Discussion on marketing behavior of social medical insurance agencies 2 1 1
Section IV Equity of Medical Insurance System: Some Progress in Domestic Research in Recent Years 2 12
I. Connotation and content of fairness of medical insurance system 2 12
Second, the causes of unfair social medical insurance 2 14
Iii. Evaluation Indicators and Methods of Medical Insurance Fairness 2 15
Fourth, ways to improve the fairness of social medical insurance 2 16
Verb (abbreviation of verb) Conclusion and discussion 2 17
Chapter IX Development Trend of Medical Insurance 2012-2016219
Section 1 Development Trend of Basic Medical Insurance 2 19
I. Main policies of basic medical insurance 2 19
Second, the development trend of basic medical insurance 2 19
The development trend of commercial medical insurance in the second quarter 220
I. Forecast of Insurance Demand and Supply 220
Second, the health insurance development trend analysis 229
Analysis of Influencing Factors of Insurance Demand in the Third Section 234
I. Level of economic development and income level of residents 234
Two. social security system
Third, the degree of marketization 235
Four. Population factor 235
Verb (abbreviation of verb) inflation rate
Six, the public's risk awareness and understanding of insurance knowledge 235 pages
Seven. Other factors 236
The fourth quarter, three cities in central China medical insurance demand survey 236
I. Respondents' Choice and Evaluation of Health Insurance 237
Second, the analysis and thinking of the survey results 239
The fourth part is the development countermeasures of medical insurance industry.
Chapter X Analysis and Reference of the Development of Medical Insurance in Major Countries 2465438+
Section 1 German medical insurance system reform and its reference 24 1
A, Germany's legal medical insurance system 24 1
Second, the German nursing insurance system 243
Three, Germany's medical insurance reform 243
Four. What can we learn from it?
In the second quarter, the British medical insurance system reform analysis 245
First, the main characteristics of the British medical insurance system 246
Second, the British medical insurance system reform 247
Three, the British medical insurance reform performance evaluation on page 249
In the third quarter, the development of critical illness insurance and its enlightenment to China 252
I. Origin of critical illness insurance 252
Second, the development of critical illness insurance, England 253
Three. Enlightenment to China 256
The fourth quarter comparative study of British and American medical insurance system and its enlightenment to China 257
Research on the causes of the British and American medical insurance system, 258 pages
Second, the factors that determine the model of a national medical insurance system 264
Three. Enlightenment to China 265
Section 5 Comparison of Tax Policies of Commercial Health Insurance between China and the United States 266
First, China's current health insurance tax policy 266 pages
Second, the United States health insurance tax policy 267
Three, the United States health insurance tax policy for reference to China 269
Section VI Development of Canadian and Mexican Medical Insurance Systems and Its Enlightenment to China 27 1
First, Canada medical insurance information 272
Two. Information about medical insurance in Mexico
Three, some enlightenment 279
Section 7 Current Situation and Reform of Japanese Medical Insurance System 8 1
I. Types of medical insurance in Japan 283
Second, the division of labor and integration of Japan's medical insurance system 284
The eleventh chapter 20 12-20 16 commercial medical insurance development strategy 288
The first section at this stage of China's commercial medical insurance dilemma and countermeasure analysis 288
First, the current medical insurance products provided by insurance companies in China 288
Second, the present situation and predicament of medical insurance in China's insurance companies 289
Iii. Suggestions on Accelerating the Development of Commercial Medical Insurance in China 29 1
Four, the development of health insurance must guard against moral hazard 292
In the second quarter, the current situation, international trend and reform road of China's commercial medical insurance 295
I. Status of Commercial Health Insurance and Medical Insurance System in China 296
Second, the participation of commercial insurance in the construction of medical insurance system is an international trend 30 1
Three, the effective operation of market forces is the driving force for the reform of medical insurance system 306
IV. The Road to the Reform of the Medical Insurance System in China 3 1 1
Verb (abbreviation of verb) Conclusion 3 15
Section 3 Exploration and Practice of Supplemental Medical Insurance Provided by Commercial Insurance 3 15
I. Xiamen "Third Party Management+Floating Management Fee" Mode 3 16
Second, Taiyuan "self-financing+adjustable premium" underwriting mode 3 17
Three, Baoding "self financing+premium is not adjustable" mode 3 18
Four. The underwriting mode of "third-party management+self-financing+regular adjustment of premium" in Wuxi 3 19
Verb (abbreviation of verb) Investigation on the operation of supplementary medical insurance business of enterprises in Beijing 32 1
In the fourth quarter, the seller's medical market health insurance professional development road 326
First, the basic medical insurance and the seller's medical market game 326
Second, information asymmetry is prominent in medical problems.
Three, the difficulties faced by the professional development of health insurance 329
Iv. the only way for the development of specialized health insurance 33 1
Verb (abbreviation of verb) Derivative function of professional health insurance 332
Six, China health insurance professional management strategy 333
Section V Suggestions on the Development of Commercial Health Insurance in China
I. Evaluation on the Development of Commercial Health Insurance in China 337
Two, China commercial health insurance development constraints analysis of 339
Three. Suggestions on developing China's commercial health insurance 34 1
Section VI Reflections on the Development of Commercial Health Insurance in China
I. Development Space of Commercial Health Insurance in China 343
Second, the current situation of commercial health insurance business in China and its international gap 345
Three, promote professional management, improve the level of health insurance in China's insurance companies 347 pages
Section VII Give full play to the role of commercial medical insurance in optimizing the allocation of poverty alleviation resources.
First of all, helping the poor is the inevitable mission of the government to build a harmonious society.
Two, the optimization function of commercial medical insurance in the allocation of poverty alleviation resources 352 pages
Chapter 12 20 12-2065438+2065438 Other development suggestions of medical insurance 356
The first section on the establishment of China's medical accident insurance system on page 356
First, the definition and analysis of medical malpractice 356
Second, the necessity of medical malpractice into the insurance system management 357
Three, the method of establishing medical accident insurance system 359
Section 2 Risk Characteristics and Product Innovation of Health Insurance 36 1
I. Risk characteristics of health insurance 36 1
Second, the exploration of health insurance product innovation 362
In the third quarter, the difficulties and countermeasures of medical insurance cost control 365
A, the difficulty of medical insurance cost control 365
Two, the international advanced medical insurance cost control measures-managed medical care 367
Third, the application effect evaluation of managed medical care 368
20 12-20 16 China medical insurance industry development analysis and investment prospect consultation order report.
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Chart catalogue
Chart: 200 1 to 20 1 1 national insurance premium income growth trend Figure 4
Chart: 200 1-20 1 1 Growth trend of total insurance assets in China Figure 4.
Chart: 200 1-20 1 1 national insurance fund growth trend Figure 5
Chart: 200 1-20 1 1 Growth trend of national insurance institutions Figure 5
Chart: 200 1-20 1 1 growth trend of national insurance employees Figure 6
Chart: 200 1-20 1 1 growth trend of national insurance salesmen Figure 6
Chart: 200 1 to 20 1 1 growth trend of the number of foreign-funded insurance companies in China Figure 7
Chart: China premium income structure in 20 1 1 8 years.
Chart: Comparison of premium income in China in 2005 and 20 1 1 8.
Chart: Comparison of total assets of China Company in 2005 and 20 1 1 9.
Chart: 2011-1February insurance business data 12
Chart: 20 12 Insurance Business Data 14
Chart: 20 12 16 Proportion of insurance professional intermediaries
Chart: Number of insurance professional intermediaries at the end of 20 12 17
Chart: Employees of insurance intermediaries in 20 12 17 years
Chart: Quarterly change of the number of insurance professional intermediaries in 2003-20 12 19.
Chart: Quarterly changes in the number of insurance intermediaries in 2004-20 12 19.
Chart: Quarterly change of the number of insurance professional intermediaries in 20 years (20-2012004)
Chart: 20 12 2 1 proportion of national premium income channels
Chart: 20122 proportion of part-time institutions
Chart: 20123 proportion of operating income of part-time institutions
Chart: 200 1-20 12 24 Changes in the number of insurance salesmen
Chart: the development of insurance industry in various regions (countries) in the world in 2003 37
Chart: Comparison between Asian non-life insurance staff sergeant companies and non-listed companies 37
Chart: underwriting performance and investment income of non-life insurance business in major western markets at the end of 1990s.
Chart: Comparison of Global Insurance Funds in 2002 4 1
Chart: 1980-2005 Comparative trend of China premium income growth rate, GDP growth rate and world premium growth rate Figure 44.
Chart: 1980-2005 Global growth trend of premium, non-life insurance business and life insurance business Figure 45
Chart: Comparison of insurance premiums between developed countries and regions in the world and China in 2005, 46 pages.
Chart: 1999-2005 International comparison of insurance depth and insurance density in China 47
Chart: 2001-201148 Change trend of insurance concentration index in China insurance market.
Chart: Comparison of the number and insurance concentration of non-life insurance companies in some Asian countries and regions 48
Chart: 1994-2003 China urban insurance coverage rate 62
Chart: Comparison of the proportion of residents without medical insurance in China from 2003 to 2005 63
Chart: Form and Scope of Medical Security Services for Urban and Rural Residents in China in 2003 Table 63
Chart: the development of basic medical insurance in China in 2001-20164.
Chart: 2001-201165 Development of industrial injury insurance in China.
Chart: 2001-201166 Development of industrial injury and maternity insurance in China.
Chart: Specific reimbursement ratio of hospitals in Beijing 76
Chart: 1999-20 12 China health insurance premium income table 83
Chart: 1999-20 12 China health insurance premium income trend chart 84
Chart: 1999-20 12 China health insurance payment and expenditure table 84
Chart: 1999-20 12 chart of China health insurance payment and expenditure trend 84
Chart: 1999-20 12 Comparison of growth trend of health insurance premium income and payment expenditure in China Figure 85.
Chart: 20111-65438+February Life Insurance Company Premium Income Table 85
Chart: Life Insurance Company 20 12 Original Premium Income Table 87
Chart: 2011112 China premium income table 89.
Chart: 20 12 table 90 original insurance premium income in various regions of China.
Chart: From 200 1 to 201106, the participation of urban workers in China and the operation of the fund.
Chart: At present, the medical security model for residents in China is 107.
Chart:1980-composition of total health expenditure in China in 2004 108
Chart: The total national health expenditure in 2000-2004 was 120.
Chart: Statistical data of the number of people participating in basic medical insurance in China from 2000 to 2005 124.
Chart: Positioning of Commercial Health Insurance in Rural Medical Security 147
Chart: the concept of rural insurance 149
Chart: farmers' demand for medical insurance in three provinces 150
Chart: 20 1 1 Incidence and mortality of 27 notifiable infectious diseases in China 174.
Chart: Specific mortality and cause of death of ten major diseases in some cities and counties in 20 1 1 year 175.
Chart: The qualified rate of food hygiene sampling inspection in 2005 and 20 1 1 year (1) 176.
Chart: The qualified rate of food hygiene sampling inspection in 2005 and 20 1 1 year (II) 176.
Chart: maternal health indicators in 2005 and 20 1 1 year 178.
Chart: Maternal and child mortality rate in monitoring area 179.
Chart: 20 1 1 year workload of medical institutions and bed utilization rate 180
Chart: In 2005 and 20 1 1 year, the average daily workload of doctors in general hospitals of health departments was 18 1.
Chart: 20 1 1 year per capita medical expenses of outpatients and discharged patients in general hospitals of health departments (RMB) 182.
Chart: Per capita medical expenses and increase of outpatients and inpatients in general hospitals of health departments 182.
Chart: Health institutions and beds in 2005 and 20 1 1 year 183.
Chart: The number of health workers in 2005 and 20 1 1 year was 185.
Chart: National Social Medical Insurance Operation Mode 204
Chart: life insurance demand scale and growth rate in 2005 20 12 22 1
Chart: 2005-20 12 Property insurance demand growth rate 222
Chart: 2004-20 12 Comparison of Forecast Results of Three Property Insurance Demand Models 222
Chart: Distribution Structure of Insurance Assets in China in 2004 236
Chart: Comparison of main health indicators between Britain and the United States 263
Chart: 1999-20 1 1 year comparison of life insurance, personal accident insurance and health insurance in China 296
Chart: global commercial medical insurance penetration rate 304
Chart: participation level of medical insurance 3 10
Chart: Medical Financing System 3 1 1
Chart: 20 1 1 346 companies in the world's top 500 are mainly engaged in health insurance.
Chart: Comparison of various business models of health insurance of insurance companies 347