ABSTRACT

Reform of China’s healthcare system has made astonishing progress since the start of the new medical reform in 2009. Commercial health insurance is a data-intensive business and has relatively high information-technology requirements. China needs to improve in both of these respects. This chapter presents maps showing China's critical illness and chronic disease distribution, based on the relevant statistics. It provides an overview of the status of building up China’s medical information systems. The chapter discusses the egg-white model of China’s commercial health insurance, with challenges it is facing and causes of the problems. After summing up the situation of commercial health insurance in China, including its positioning, principles for its development, and paths by which it can develop, it also presents the following nine main recommendations. The first three relate to top-level design. The middle three are policy recommendations regarding the industry. The last three take a micro perspective in making specific policy recommendations.