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Report Name: 20 12-20 16 Feasibility Analysis Report on China Medical Insurance Market Investment.

Release date: July 20 12

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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