Study On Handling Mode Selection And Implementation Entrusting Insurance Company With Chengdu Serious Medical Mutual Aid Supplementary Insurance

From international experience, the Government commissioned the commercial insurance companies involved in handling management of medical insurance has become a trend. The one hand, the Government commissioned the insurance company through the procurement of services to provide comprehensive services; the other hand, the insurance company sells insurance products, including government security schemes, including risk from its commitments, and both have achieved some success. In the insurance industry in the country, especially the rapid development of the situation of the commercial health insurance, the insurance company to participate in medical insurance handling management is no longer a novelty. From the pilot areas of practice, insurance companies were involved in company management and insurance contract model, the new rural cooperative urban residents basic medical insurance, supplementary medical insurance handling management, give full play to the industry’s advantage, the Government and the masses praise.Based on this background, this article attempts by the literature analysis, theoretical analysis, survey research, empirical analysis, mutual aid to Chengdu, catastrophic health care supplemental insurance, for example, explore the serious medical mutual aid to supplement the insurance commissioned by commercial insurance companies handling mode selection and implementation process, starting from the theoretical analysis and the domestic and international practice, to identify the problems of serious medical mutual aid supplement insurance process, it is necessary to introduce market mechanisms by the insurance company managers, mutual aid and the catastrophic health care supplement insurance mode selection and implementation of a key link in the process provides the recommendations of the reference.Based on the topics of study, the specific research ideas and logical framework of this paper is as follows: The first chapter. This section describes the development status of the reform process of China’s medical insurance system and medical insurance management business on the reality of the medical insurance system in Chengdu, as well as the meaning and purpose of this study; related research through literature review, the Review at this stage the status quo:introduction of this study and the methods used.The second chapter. This section focuses on the basis of support Chengdu serious medical mutual aid supplement insurance, commission insurance company managers. First introduced the theoretical basis to start to explore these two theories in Chengdu serious medical mutual aid to supplement the application of its guiding significance in the insurance, commission insurance company handling business from the outsourcing of public services and welfare pluralism theory; and then explore from the government point of view Chengdu on Mutual Assistance in serious medical need for supplementary insurance commissioned by the insurance company handling business is not only conducive to the transformation of government functions, but also conducive to the formation of phase separation mechanism of the sign, pipe, monitoring, and improve handling efficiency and service quality; Chengdu on Mutual Assistance in catastrophic health care supplemental insurance commissioned the feasibility of the business of insurance company managers, from the perspective of the insurance industry, pointed out that the insurance industry in particular is the development of commercial health insurance, supplementary insurance, commission Chengdu serious medical mutual insurance company handling business laid the foundation.The third chapter. This section selects the four countries of the United States, Britain, Germany and the Netherlands to analyze the actual situation of the commercial insurance companies to participate in the management of social health insurance, combined with some domestic pilot areas’experience, supplemented Chengdu serious medical mutual insurance commission insurance company handling the business experience.The fourth chapter. This section describes Chengdu serious medical mutual aid to supplement the insurance commissioned by the insurance company handling the company management, insurance contract model, the integrated management model practices and insurance companies and health insurance agencies both rights and obligations, and to determine In actual operation, Chengdu mode that should be taken.The fifth chapter. This section details the Chengdu serious medical mutual aid entrusted supplementary insurance, the insurance company handling some of the key aspects of the implementation process, contract bidding links, determine the main responsibilities of each party’s responsibilities, performance evaluation index system, establishment of financial security analysis were discussed, and for issues related to the recommendations of the reference.