中国健康保险发展报告(2021)图书
Annual Report on Health Insurance of China (2021)
[内容简介] 本书分为三部分,第一部分是总报告,回顾了2020年中国健康保险总体发展情况,探讨了业务转型压力问题;第二部分为市场篇,对健康管理服务在保险业的应用、健康保险产品创新、我国长期护理保险试点五周年经验以及世界500强健康保险集团发展路径进行分析;第三部分为制度创新篇,剖析城市定制型商业医疗险兴起原因及其典型案例。
申曙光、曾望峰:《健康中国建设的理念、框架与路径》,《中山大学学报》(社会科学版)2020年第1期。
刘洋:《健康管理视角下商业健康保险风险控制研究》,硕士学位论文,黑龙江中医药大学,2019。
孙向谦、宗苏秋:《商业保险公司开展健康管理服务的发展分析》,《卫生经济研究》2019年第10期。
薛寒冰:《我国健康管理与健康保险相结合的发展趋势探析》,《中国保险》2020年第3期。
[1]史孝林:《论当代资本主义向社会主义过渡中的贫困问题》,《世界社会主义研究》2021年第3期。
[2]朱艳霞:《严禁“短险长做”严禁随意停售》,《中国银行保险报》2021年1月12日。
[3]薛寒冰:《我国健康管理与健康保险相结合的发展趋势探析》,《中国保险》2020年第3期。
[4]潘世鹏:《“特药险”投保范围扩至全国》,《经济日报》2020年11月13日。
[5]王庆、于保荣:《中国长期照护保险制度试点分析及未来发展的政策建议》,《卫生经济研究》2021年第1期。
[6]朱艳霞:《“惠民保”参保率一般难超40%》,《中国银行保险报》2021年7月26日。
[7]刘淑芳:《“浙丽保”亮点纷呈,在创新中行稳致远》,《丽水日报》2020年12月17日。
[8]王芳:《让大病重病患者敢看病看得起病》,《珠海特区报》2019年6月12日。
[9]程智涛、杜达俊、鲁丽:《多维度多层次推进医疗保障 应保尽保的珠海实践》,《中国医疗保险》2021年第1期。
[10]阎建军:《国际健康保险业发展路径探讨》,《当代金融家》2015年第9期。
[11]阎建军:《国际基本医疗保障制度改革趋同:对“第三条道路”的解析》,《金融评论》2013年第3期。
[12]郑文:《多层次医保体系“浙”样构筑》,《浙江日报》2021年3月16日。
[13]《2020年12月保险业经营情况》,中国银行保险监督管理委员会,2021年1月。
[14]Kaiser Family Foundation (2005). “The 2005 Kaiser/HRET Employer Health Benefit”,www.kff.org/insurance/7315.cfm.
[15]Kaiser Family Foundation. 2010a. “Explaining Health Care Reform:Questions about Health Insurance Exchanges”,Available at www.kff.org/healthreform/7908.cfm.
[16]Kaiser Family Foundation. 2010b. “Explaining Health Care Reform:Questions about Health Insurance Subsidies”,Available at www.kff.org/healthreform/.
[17]Kaiser Family Foundation. 2010c. “Summary of Coverage Provisions in the Patient Protection and Affordable Care Act”,Available at www.kff.org/healthreform/.
[18]Kaiser Family Foundation. 2010d. “Summary of New Health Reform Law”,Available at www.kff.org/healthreform/.
[19]Kaiser Family Foundation. 2010e. “Medicare Advantage Factsheet”,Available at www.kff.org.
[20]Kaiser Family Foundation. 2010f. “Explaining Health Reform:Key Changes in the Medicare Advantage Program”,Available at www.kff.org.
[21]Kaiser Family Foundation. 2012. “Heath Care Costs:A Primer Key Information on Health Care Costs and Their Impact”,May,p.25,Available at http://www.kff.org/.
[22]Manning et al. (1984):“A Controlled Trial of the Effect of a Prepaid Group Practice on Use of Services”,
[23]Korda,Eldridge (2011):“Payment Incentive and Integrated Care Delivery:Levers for Health System Reform and Cost Containment”,
[24]Humana (2019):“Index to Annual Report on Form 10-k for the Year Ended December 31,2019”,https://www.humana.com.
[25]Kaiser Family Foundation (2021):“Health Insurance Coverage of the Total Population in the United States”,www.kff.org/other/state-indicator/total-population Report.
[26]Blumberg et al. (2021):“Cost and Coverage Implications of Five Options for Increasing Marketplace Subsidy Generosity”,www.urban.org/research/cost-and-coverage-implications-five-options-increasing-marketplace-subsidy-generosity Report.
[27]UnitedHealth Group (2021):“Annual Report on Form 10-K for Period Ended December 31,2020”,www.unitedhealthgroup.com/investors/annual-reports.html.
[28]Fortune (2021):“Fortune 500 Rankings in 2021”,www.fortune.com/fortune 500/2021search.
[29]American Hospital Association (2021):“Open Letter:AHA Urges DOJ to Investigate UnitedHealth Group’s Acquisition of Change Healthcare”,www.aha.org.
[30]Margaret Patrick (2015):“UnitedHealth Group:The History of a Health Insurance Giant”,www.finance.yahoo.com/news/unitedhealth-group-history-insurance-192731176.html.
[31]Humana (2021):“Index to Annual Report on Form 10-k for the Year Ended December 31,2020”,https://www.humana.com.
[32]The Courier Journal (2017):“How Humana Grew from a Single Nursing Home”,www.courier-journal.com/story/money/companies/2015/07/03/humana-company-timeline/29661577.
[33]Humana (2021):“Humana Completes Acquisition of Kindred at Home”,www.press.humana.com/news/news-details/2021/Humana-Completes-Acquisition-of-Kindred-at-Home.
[34]Bob Berman (2015):“Humana to Sell Concentra for $1 Billion”,
[35]Humana (2021):“Humana Announces Agreement to Acquire OneHome”,www. press.humana.com/news/news-details/2021/Humana-Announces-Agreement-to-Acquire-OneHome.
[36]Centers for Medicaid & Medicare Services:“Medicare Advantage”,www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Medicare Advantage.
[37]Aetna (2017):“Aetna Form 10-K Full Year 2017 Results”,www.aetna.com.
[38]CVS Health (2018):“CVS Health Form 10-K 2018 Results”,www.cvshealth. com/investors.
[39]Cigna (2021):“Cigna Annual Report 2020”,https://www.investors.cigna. com/financials/annual-reports.
[40]Jeff Lagasse (2021):“Cigna Won’t Receive $1.85 Billion from the Breakup with Anthem,Court Rules”,
[41]Gail Weinstein et al. (2020):“Lessons from Anthem-Cigna”,
[42]Shelby Livingston (2018):“Cigna and Express Scripts Close on $67 Billion Merger”,
[43]Drug Channels Institute (2019):“The 2019 Economic ReporT on US Pharmacies and Pharmacy Benefit Managers”,www.drugchannels.net.
[44]Bob Herman (2014):“WellPoint is Now Anthem”,
[45]Blue Cross Blue Shield (2021):“About Us:An Industry Pioneer”,www.bcbs. com/about-us/industry-pioneer.
[46]Federal Employee Program (2021):“Blue Cross Blue Shield for Federal Employees,Retirees and Their Families”,www.fedblue.org.
[47]Anthem (2012):“Press Release:WellPoint Chair and CEO Angela F.Braly Steps Down”,www.ir.antheminc.com.
[48]Anthem (2019):“Press Release:Anthem Launches IngenioRx,New Pharmacy Benefits Manager”,www.ir.antheminc.com.
[49]Anthem (2021):“Annual Reports”,www.ir.antheminc.com.