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中美健康保险论坛探索保险与医疗机构融合发展新路径

2017-09-11 08:27:39   新华网

9月9日,由中国保险行业协会(以下简称中保协)主办的“中美健康保险论坛——与梅奥的对话”在京顺利召开。论坛围绕贯彻落实全国金融工作会议精神,推动健康保险可持续发展以及如何更好服务医疗供给侧改革、服务健康中国战略进行了交流讨论。

中保协会长朱进元、国家卫计委卫生发展研究中心主任傅卫、中国保监会人身保险监管部和国家卫计委体制改革司相关负责人出席论坛并做主题演讲;北京大学中国卫生经济研究中心主任刘国恩及来自保险公司、医疗机构、健康产业链等领域逾200名代表参加论坛。论坛还特别邀请了美国梅奥医疗集团资深专家与管理者就“医疗供给侧改革、融合发展”等方面进行了分享和交流,共同探讨健康保险的突破点与可持续发展模式,以期助推中国医疗体制改革落地。

朱进元在致辞中指出,保险业应积极落实全国金融工作会议精神和保监会“1+4”文件精神,回归本源,发挥长期稳健风险管理和保障功能,服务实体经济、服务各项国家战略,发挥好经济“减震器”和社会“稳定器”作用。

他指出,目前我国健康保险快速发展的政策环境已经形成,城镇化、老龄化等因素促使健康保险需求极大释放,同时健康产业关联行业,尤其是医疗和商业保险两个行业在合作、融合方面越来越积极主动。可以说,健康保险的发展面临“天时地利人和”的大好机遇。在此背景下,中保协将积极发挥平台作用,进一步促进医疗和保险行业之间的交流,推动行业合作及融合发展。

梅奥医疗集团高级投资官兼惠每医疗CEO罗如澍致辞中提出,未来,一个融合健康保险与医疗健康的新业态正在形成。

中国保监会人身险监管部相关负责人作了“完善监管制度,加快健康保险发展”的主题演讲,从监管角度探讨了健康保险发展的破局与创新。国家卫计委有关领导分别作了“推进健康中国建设,促进经济社会健康发展”和“深化医药卫生体制改革介绍” 的主题演讲,对“健康中国2030”进行了全方位解读,指明了商业健康保险助力“健康中国”建设的方向和路径。梅奥医疗集团的专家们中就“梅奥在医疗改革或重大政策转变下的应对策略”、“梅奥与雇主及保险公司的合作”等主题进行了分享、交流,梅奥成熟的经营模式与案例为我国健康保险与医疗健康的发展提供了有益的经验和启迪。

会议围绕“健康保险与医疗融合的创新模式”进行圆桌讨论,来自中国卫生经济研究中心、知名三甲医院、医疗投资行业、以及保险公司的有关领导和专家学者,就“探寻健康保险与医疗融合的创新模式”进行了交流,对我国健康保险发展的瓶颈因素进行了分析,提出健康保险需要跨界一起推动供给侧的改革,建立更好更多元化的健康服务体系,抓住健康产业难得的发展机遇。

据悉,中保协与梅奥在华机构惠每极致医疗合作课题“智能问诊助推分级诊疗与健康保险升级发展”也在本次论坛上正式启动。课题将充分借鉴梅奥智能问诊体系(AMC)运行经验,通过中美实践比较,研究优化医疗资源配置和提升健康保险保障能力的新方法,探索保险业与医疗机构融合发展新路径。

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