In western countries, Health management has become a very important part of the healthcare system. With the continuous deepening of healthy China strategy, health management will gradually extend and affect people’s lifestyle, thus promote the whole industry.
在西方国家,健康管理已经成为健康医疗体系中非常重要的一部分。随着健康中国战略的持续纵深推进,健康管理将逐步延伸、并影响民众的生活方式,相伴而生的产业发展自然值得期待。
After the 13th Five-Year of China,"Big Health"was put forward which symbolized thehealth management was improvedin the national strategic level. The health of the masses will be shifted from medical treatment to prevention, resulting inenhancing awareness of self-health management.
我国十三五之后提出“大健康”建设,把提高全民健康管理水平放在国家战略高度。群众健康将从医疗转向预防为主,不断提高民众的自我健康管理意识。
In November 2017,China Insurance Regulatory Commission (CIRC) issued the "Health Insurance Regulation (Draft)" to further standardize the health insurance market. Health management was encouraged to cooperate with medical insurance and there were more specific codes about pricing, data security and doctor-patient relationship in health management services. Meanwhile, information interconnection and data sharing were advocated in the case of ensuring privacy and data security among insurance companies, medical institutions and basic medical insurance departments. It helps to break the barriers of medical insurance data, lay the foundation for information interconnection and make a great step in the policy level.
2017年11月,保监会发布了《健康保险管理办法(征求意见稿)》,进一步规范健康保险市场。鼓励健康管理与医保合作,并对保险公司开展健康管理服务工作时的定价、数据安全、医患关系等内容进行了详细规范,肯定管理式医疗模式在中国的探索。同时,提出在充分保障客户隐私和数据安全的前提下,鼓励保险公司与医疗机构、基本医保部门等实现信息互联和数据共享。有利于破除医保数据壁垒,为信息互联和打通数据共享奠定基础,为医保和商保合作并实现共赢在政策层面迈出了一大步。
More and more commercial health insurance companies begin to cooperate with technology companies. They can provide 3 kinds of services, disease prevention, disease screening and chronic disease management. The future trend may be basic medical insurance as a basis, commercial medical insurance to provide value-added personalized service.
越来越多的商业健康保险公司开始与医疗科技公司及科技公司开展合作,可针对不同健康状态的用户,提供疾病预防、疾病筛查、慢病管理三类健康管理服务,切实改善用户的健康水平。未来的趋势可能是,医保保障基础医疗服务,商保针对自费提供增值的个性化服务。
We warmly welcome you to attend the 2nd Health Insurance Innovation Congress China 2018 (June 28-29th I Shanghai, China) in Shanghai, China, discussing more about Health management.
更多健康管理的话题,欢迎来到2018年第二届中国健康保险业创新国际峰会(6月28-29日I 上海)的现场,共同探讨。
| Event Highlight大会亮点 |
An Outlook on Health Insurance Market under New Medical Reform Policies
新医改政策下的商业健康保险市场观察 |
On Medical Cost Control: Payment Reform and Medical Cost Management
问道控费:支付方式改革与医疗成本管理 |
♦Interpretation of new medical reform policies
医改政策解读
♦Basic medical insurance + commercial health insurance
医保+商保
♦Risk identification and management of health insurance
健康保险风险识别与管理 ♦Insurance companies’ layout in massive health industry
保险公司在大健康产业的布局 ♦Transformation: from a passive payer to an active manager 转型:被动支付向主动管理 |
♦DRGs
(疾病)诊断相关分类
♦Hierarchical Medical System
分级诊疗
♦Health management
管理式医疗
♦PBM
药品福利管理 ♦Public hospital reform 公立医院改革 |
Health Insurance Product Innovation and Cooperation Model Exploration
健康保险产品创新与合作模式探索 |
The Disruptive Forces of Technologies and Services for Health Insurance
科技与服务破局健康保险发展之困 |
♦America health insurance
美国商业健康保险
♦Medical liability insurance + medical accident insurance
医疗意外险+医疗责任险
♦Deep cooperation between insurers and hospitals
保险公司与医院的深入合作
♦Doctor group
医生集团 ♦Internet medical services and health insurance 互联网医疗+健康保险 |
♦Medical big data
医疗大数据
♦Mobile health care
移动医疗
♦WIT120
智慧医疗
♦AI + big data
人工智能+大数据 ♦Customer acquisition + underwriting + claims 健康保险获客+核保+理赔 |
IIC Series Sponsors IIC系列赞助商 |
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