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在医疗体制改革不断深化,人民生活质量迅速提升的背景下,商业医疗保险如何有效发挥社会管理职能和经济补偿职能,服务经济社会全局是一个非常重要的理论和实践命题。以健康保险为例,作为健康保险服务的主要载体,医疗保险机构之间的合作程度是否深化、利益纽带是否牢固、沟通联络是否顺畅,既是决定医疗保险赔付及费用支出多
Under the background of the deepening reform of medical system and rapid improvement of people’s life quality, it is a very important theoretical and practical proposition that commercial medical insurance can effectively play its social management and economic compensation functions and serve the overall economic and social conditions. Taking health insurance as an example, as the main carrier of health insurance service, whether the deepening of the cooperation among medical insurance institutions, the firm bond of interests and the smooth communication are the two factors that determine the medical insurance claims and expenses