Medical Insurance Policy Solutions and Business Consulting Bibliography

First basic knowledge and concepts

1. What is insurance?

2. What is medical insurance?

3. What is commercial medical insurance?

4. What is the social medical insurance system?

5. What are the basic characteristics of social medical insurance?

6. What's the difference between basic medical insurance and commercial medical insurance?

7. When was the social medical insurance system born?

8. What are the main stages of medical insurance development?

9. What are the basic principles of the social medical insurance system?

10. What mode does China's medical insurance system belong to?

1 1. What is the medical security system in China?

12. What is the symbol of the establishment of social medical insurance system in China?

13. What is basic medical insurance?

14. What are the main contents of the basic medical insurance system?

15. What is the fundamental difference between the basic medical insurance system and the past medical system of public expense and labor insurance?

16. what is the guiding ideology for establishing the basic medical insurance system for employees?

17. What is the basic idea of the basic medical insurance system?

18. what principles should be followed in establishing the basic medical insurance system?

19. Why should the level of basic medical insurance adapt to the development level of China's productive forces?

20. Why should the basic medical insurance premium be shared by both employers and employees?

2 1. What is the role of unified accounting in the basic medical insurance system?

22. Why should the basic medical insurance implement territorial management?

23. What is the overall level?

24. Why does the basic medical insurance implement municipal overall planning in principle?

25. What are the foreign medical insurance models?

26. What kind of medical insurance system does Britain implement?

27. What are the main features of British medical insurance?

28. What measures has Britain taken to improve the medical insurance system?

29. What are the main features of the Canadian medical insurance system?

30. What kind of medical insurance system does Germany implement?

3 1. What reform measures has Germany implemented to improve the medical insurance system?

32. What kind of medical insurance system does Japan implement?

33. What kind of medical insurance system does Korea implement?

34. What kind of medical insurance system does the United States implement?

35. How does Singapore implement medical insurance?

36. How does Sweden implement medical insurance?

37. How does France implement the medical insurance system?

38. What kind of medical insurance system does Australia implement?

Article 2 Insurance

1. Which units and employees must participate in the basic medical insurance system?

2. Why should the basic medical insurance system cover all employers and employees in cities and towns?

3. What obligations should the insured unit perform?

4. What obligations should the insured employees perform?

5. Can the private sector not participate in the basic medical insurance?

6 participated in the serious illness mutual insurance organized by the unit trade union. Do I still need to participate in medical insurance?

7. Can employees with hypertension or coronary heart disease participate in basic medical insurance?

8. Do retired cadres need to participate in basic medical insurance?

9. Can employees of township enterprises participate in basic medical insurance?

10. How do retired employees join the insurance?

1 1. How do retired employees join the insurance?

12. I have purchased commercial medical insurance. Do I still need to participate in basic medical insurance?

13. Do second-class and second-class disabled soldiers need to participate in basic medical insurance for employees?

14. Can urban flexible employees participate in basic medical insurance?

15. Can urban self-employed workers participate in basic medical insurance?

16. Can migrant workers participate in basic medical insurance?

17. what is the situation of migrant workers participating in the special expansion of medical insurance?

18. Can landless farmers participate in medical insurance?

19. How do railway system employers and their employees participate in basic medical insurance?

20. How can difficult enterprises participate in basic medical insurance?

2 1. How can bankrupt and restructured enterprises participate in basic medical insurance?

22. What is the military retired medical insurance system?

23. How do active servicemen participate in medical insurance?

24. How do veterans participate in medical insurance?

25. How do demobilized military cadres who choose their own jobs participate in medical insurance during unemployment?

26. How do freelancers participate in medical insurance?

27. What is medical insurance registration?

28. Why should I register for medical insurance?

29. How to apply for medical insurance registration?

30. What is the change registration of medical insurance?

3 1. Under what circumstances must I change my medical insurance registration?

32. How to change the medical insurance registration procedures?

33. How does the social insurance agency accept the change registration of medical insurance?

34. How do the insured units handle the procedures for personnel increase or decrease?

35. What is medical insurance cancellation registration?

36. How to cancel the registration?

37. How to deal with the insured units that do not apply for social insurance registration certificates?

Article 3 Payment

1. What is the insurance premium?

2. What is the insurance rate?

3. What is the basic medical insurance premium? How to form? ,

4. Why do employees have to bear part of the basic medical insurance premium?

5. What is the payment base of basic medical insurance?

6. What is the total salary of employees?

7. What is my salary?

8. What is the average social wage?

9. What is the average salary of employees?

10. What is "single radix"?

1 1. What is "double radix"?

12. Why should the medical insurance premium paid by the unit be based on the total wages of employees?

13. How to reasonably determine the financing level of basic medical insurance?

14. why does the state control the contribution rate of employers at about 6% of total wages?

15. What is the charging channel for employers to pay basic medical insurance?

16. How does the unit pay the basic medical insurance premium?

17. How do individuals pay the basic medical insurance premium?

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Fourth fixed-point mechanism

Fifth diagnosis and treatment items, drug list and medical service facilities.

Article 6 Management of medical insurance funds

Article 7 Payment and settlement of medical insurance benefits

Article 8 Supplementary medical insurance and medical assistance

Ninth basic medical insurance for urban residents and new rural cooperative medical care.

Attachment: policies and regulations related to medical insurance

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