The Research Of Specialization In China’s Commercial Health Insurance

Commercial health insurance is the payment of losses due to health reasons. Inrecent years, steady and rapid economic development has brought unprecedentedopportunities and challenges to the development of commercial health insurance. Asthe continuous improvement of people’s living standards people pay more attention tohealth, commercial health insurance has become a demand in the life insurancebusiness in China. In2012, China’s health insurance premium income is86.276billion, representing an increase of24.7%over2011, is the fastest growing insurance.In2003, for guiding entire insurance industry, the China Insurance RegulatoryCommission (CIRC) issued a "guidance" on accelerating the development of healthinsurance, put forward the concept of specialization in China’s commercial healthinsurance. Since then the PICC Health, PingAn Health, KunLun Health and HeXieHealth insurance companies have been established and put into operation.However, decades of specialization of the health insurance companies are seriouslylags behind the rapid development of the entire health insurance industry, thepremium income of specialized health insurance companies accounted for only9.77%of the total premium income in2012. The superiority of specialization has not beenfully demonstrated, and yet played its due role as the main force. So, faced with thegrowing demand for health insurance, is the specialization of health insurancenecessary in China? What are the advantages of the specialization? How to betterachieve the specialization? These problems become a hotspot and difficulty of thetheory of China’s insurance sector, and its solution can not only promote thedevelopment level of the health insurance business in China, improve the competitiveness of China’s health insurance, but also give full play to the commercialhealth insurance in the importance of the social security system.At present, the research literature at home and abroad for the specializedoperation of commercial health insurance in China is extremely limited, so theresearch of specialization is not systematic. This paper intends to fill this gap. First,starts from the connotation of specialized operation, analyses the specializedoperation of the commercial health insurance with the principal-agent theory of moralhazard. And then examines the successful experiences and practices of specializationin Germany and the United States. Finally, through the analysis of the problems in thespecialized operation of commercial health insurance in China, suggests from fouraspects of philosophy, operation, products and technologies.