On October 19th, Ping An Health Insurance signed a strategic agreement with Shenzhen Medical Hospital of Southern Medical University. The strategic cooperation between the two sides means that the first large-scale professional health insurance company and public hospital management medical exploration in China officially opened, realizing payment, service and risk control. Large-scale innovation will improve the level of medical security for Shenzhen citizens.
Through this cooperation, Ping An Health Insurance will provide four core services such as medical services, expert services, health management services and value-added services to the insured persons of Shenzhen Medical University of Southern Medical University. Among them, medical services will provide insured persons with special medical services due to accidents, diseases, and fertility; expert services will use the expert resources of Shenzhen Medical University of Southern Medical University to provide medical advice, expert consultation, and remote diagnosis and treatment for the insured; Health management services will provide management and services such as medical examination, immunization, rehabilitation, and health records; value-added services will provide green channels for safe VIP customers, expert appointments, and surgical arrangements.
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It is understood that this cooperation has realized three major innovations in payment, service and risk control. In terms of payment, the two parties will try different settlement modes for different types of medical expenses, such as controlling the medical expenses according to the pattern of head-to-head and case-based payment; in terms of services, the two parties will realize real-time docking of the system to realize real-time settlement of medical expenses. And to achieve online registration, online consultation, health management, rehabilitation care; risk control, the two sides under the premise of legal compliance, jointly promote data analysis, improve operational and service efficiency, and jointly explore the establishment of advanced Medical risk management system.
Zhang Dan, secretary of the Party Committee of Shenzhen Medical Management Center, pointed out that commercial insurance, as an important supplement to the basic medical insurance for urban workers, is an important part of medical reform. Public hospitals and commercial insurance jointly create a new model of managed medical care, which is an important exploration and practice for medical reform. It has a symbolic significance on the road of medical reform and exploration.
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