Research On The Development Of Long-term Medical Insurance In China

With the population ageing and medical inflation,the private medical expenses of residents have been increasing year by year.As an important part of the multi-level medical security system,the commercial medical insurance does not play a beneficial role in social security.The lack of commercial medical insurance is mainly due to the lack of long-term medical insurance in the market.At present,the domestic commercial medical insurance is mainly short-term insurance with millions of medical insurance,and the long-term medical insurance products are in short supply.Because most of the millions of medical insurance are more than a year,many can not guarantee renewal,resulting in a secondary security gap,and users of long-term security needs,long-term insurance is the future development trend of medical insurance.In the post-epidemic era,more and more attention has been paid to the medical and health problems of residents,and the demand for products that can provide long-term medical risk insurance has become more and more urgent.There is a gap between the effective supply of long-term medical insurance and the actual demand.Our country’s long-term medical insurance has been in a state of“Hot outside and cold inside” in recent years.However,due to the problems of medical inflation,health insurance policy changes,“Death spiral” and selective surrender,on the one hand,insurance companies are optimistic about the long-term health insurance market,on the one hand,but also worried about the risk of future payment.Therefore,in the development of long-term health insurance tend to be more conservative and cautious,the market products of a single homogeneous serious.The management experience of foreign developed countries points out that the management of medical expenses is the key to the management risk of long-term medical insurance.Many scholars at home and abroad are concerned about the development of long-term medical insurance,but for its market products and the current market development,there is a lack of in-depth practice fit.Therefore,this article from the market product analysis and business model combined to explore the development of long-term medical insurance.In 2022,Great Wall Life innovated to introduce a long-term fixed-payment medical insurance,which is different from the existing reimbursable medical insurance on the market,this insurance innovatively combines the reimbursement nature of existing medical insurance and the payment nature of serious illness insurance,with a simple claims process and multiple claims of the two major characteristics of fast out of the loop.Based on this,this article starts with the representative long-term medical insurance product“Great Wall Beacon Tower fixed payment medical insurance”,analyzes the current long-term medical insurance market development status and existing problems,and combined with health management,the future development direction of long-term medical insurance is proposed.The first part introduces the products of the fixed payment medical insurance of the Great Wall Beacon Tower,and analyzes the advantages and disadvantages of the long-term medical insurance products by the way of cases.The second part is the analysis of the necessity and feasibility of developing long-term medical insurance,grasping the development prospect,policy support,market demand and macro-economy of our country’s long-term medical insurance is the starting point of this paper.The third part is to our country long-term medical insurance development present situation and the predicament analysis,this paper introduces the current situation of long-term medical insurance from the perspectives of its business development,product supply and business model,etc.,the difficulties in the development of long-term medical insurance mainly focus on product pricing risk,management risk and lack of health management and regulation of fee rates.The fourth part provides the experience for our country’s long-term medical insurance development from American managed care and Singapore’s CBP fee adjustment model.The fifth part,based on the current market situation of our country,puts forward some useful suggestions on the future development of our insurance company from the three aspects of product pricing risk,management risk and health management.