A Study On The Operational Efficiency And Its Influencing Factors Of Commercial Health Insurance In China

As an important part of the multiple medical security system,commercial health insurance plays an important role in ensuring people to enjoy high-level medical service and healthy life quality.In recent years,China’s commercial health insurance has entered a period of rapid development;since the end of 2016,insurance companies have begun to promote insurance products reforming and upgrading.Generally speaking,China’s commercial health insurance development trend is good,but also face some problems.The operating efficiency of commercial health insurance is an important factor that affects the development of commercial health insurance in China.Operational efficiency is the embodiment of an insurance company’s core competitiveness.The research on the operational efficiency of commercial health insurance and its influencing factors can provide beneficial reference for each insurance company to better allocate resources,realize each insurance company health insurance business more good development as well as our country commercial health insurance whole development.This article first makes a general introduction to the commercial health insurance.Then,the development of China’s commercial health insurance from 2010 to 2018 is summarized,including premium income and growth,indemnity expenditure and growth,and the comparison of different types of insurance companies operating commercial health insurance.Secondly,it introduces the related theories of business efficiency and its main evaluation methods.Since 2013,the growth rate of China’s commercial health insurance has increased obviously,so the technical efficiency(TE),pure technical efficiency(PTE)and scale efficiency(SE)of the sample companies operating commercial health insurance during 2013-2018 are measured and analyzed.The results show that the scale efficiency of China’s insurance companies operating commercial health insurance is at a relatively high and stable level,and the technical efficiency is gradually increasing before 2016 driven by pure technical efficiency,it’s down slightly since 2017.Thirdly,the factors which affect the operating efficiency are analyzed by qualitative analysis and quantitative analysis,and the latter is realized by constructing the panel Tobit model.The results show that the scale of company assets and the proportion of health insurance business have significant positive influence on the efficiency of health insurance,and the operating expense rate and labor input have significant negative influence on the efficiency of health insurance The effect of market share on health insurance is not significant.Finally,based on the research findings,for the insurance companies,some suggestions are put forward,such as reducing the operating expense rate by controlling the expense,allocating the labor input reasonably and efficiently,improving the specialization level,encouraging the product innovation and development,and improving the comprehensive management level and the ability of risk prevention and control In view of the policy supervision,it is proposed to strengthen the supervision and management of health insurance operators by the supervision department,promote the promotion and popularization of tax-based health insurance and other policy innovation products,and strengthen the cooperation between insurance companies,hospitals and social security institutions.