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医改新政下,健康保险公司将如何应对?

How will health insurers respond to new rules under health reform?

机构信息

CVS Caremark, Woonsocket, Rhode Island, USA.

出版信息

Health Aff (Millwood). 2010 Jun;29(6):1147-51. doi: 10.1377/hlthaff.2010.0421.

DOI:10.1377/hlthaff.2010.0421
PMID:20530345
Abstract

The Patient Protection and Affordable Care Act creates a host of new rules for all entities in health care, but especially for health insurers. The statute itself, and the regulations to which it gives rise, will change the nature of the insurance business, particularly in the small-group and individual markets. Regulatory proceedings and some litigation are likely to determine the final shape of the new rules. At the same time, collaborative efforts among insurers, providers, and regulators could lead to innovations that increase access to coverage while also reducing costs.

摘要

《患者保护与平价医疗法案》为医疗保健领域的所有实体(尤其是医保机构)制定了大量新规则。该法案及其所衍生的法规将改变保险业务的性质,特别是在小型团体和个人市场。监管程序和一些诉讼可能会决定新规则的最终形式。与此同时,保险公司、供应商和监管机构之间的合作努力可能会带来创新,增加保险覆盖范围,同时降低成本。

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