At a time when “healthy China†has risen to the national strategy, high-end medical care has become the most popular investment project for capital holders such as “coal bossesâ€, “real estate developers†and foreign investors. However, due to the lack of participation in commercial insurance, the single-paying method based on the patient's own expenses has made it difficult for the high-end medical industry to grow and develop.
Yang Yanwei, a professor at the Hospital Management Research Institute of Tsinghua University, said at the "First China International Medical Insurance Summit Forum" held on the 20th of this month that the construction of a pricing platform and the establishment of a medical insurance compensation mechanism are new problems faced by high-end medical care represented by international medical care. It is not necessary to introduce a professional third party to reasonably control the cost and establish a trust relationship between the health insurance company and the medical institution.
Han Jin, head of Haihong Holdings Insurance Business Department, said that due to the lack of effective control methods, the high compensation and high moral hazard faced by health insurance have made insurance companies very cautious when cooperating with high-end medical care. At the same time, most of the high-end medical institutions are clinics. The “real-time†of outpatient medical behavior also increases the difficulty of controlling fees. To solve these new problems, medical institutions, insurance companies and intelligent fee-paying agencies need to work together.
Middle-class medical demand drives high-end medical market
Under the hands of capital promoters and market demand, in recent years, high-end medical institutions represented by the special needs department of the top three hospitals, the international ministry, private capital, and foreign high-end clinics have sprung up in economically developed areas.
Wang Haitao, director of hospital management at Peking Union Medical College, Chinese Academy of Medical Sciences, said at the first China International Medical Insurance Summit that there are currently about 30 million to 50 million people with high-end medical services, and this demand is increasing every year.
Wang Haitao believes that the public's demand for medical services presents multiple levels of characteristics. At present, medical institutions are in a state of high-load operation, unable to meet the individualized needs of middle- and high-income people, and the development of high-end medical services can help meet diverse health needs.
According to a market research conducted by Wang Haitao, “optimized treatment planâ€, “collecting well-known experts†and “good service attitude†are the most impressive impressions of the top three by high-end medical institutions. Respondents acceptance of high-end medical and health projects top three are "regular medical examinations", "disease expert consultation services", "doctor appointment service."
Currently, Beijing high-end medical service market constitute more than foreign investment and private hospitals accounted for 40%, the top three hospitals special wards and wards foreign guests accounted for 60%, the latter accounting for 15% of the special needs of senior cadres, ordinary special needs / proportion of foreign guests 45%.
From the point of view of the type of medical institutions, subjects and unbalanced development. High-end specialist in dental, plastic surgery, and women and children mature, other types of relatively small. From the hospital scale, high-end integrated clinics and small-scale general hospital development is good.
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