健康发展与政策研究2026，Vol.29Issue(1)：18-23,6.DOI:10.12458/HDPR.202510023
基本医疗保险与商业健康保险数据协同的推进策略
Strategies for advancing data collaboration between basic medical insurance and commercial health insurance
摘要
Abstract
Data collaboration provides a key entry point for deepening the integration between basic medical insurance and commercial health insurance.However,addressing structural issues such as conflicting value objectives,overlapping responsibilities,and the absence of consultation and incentive mechanisms requires robust theoretical guidance.By analyzing driving mechanisms targeting demand gaps,product innovation,and regulatory resilience,this article proposes a policy framework focused on the dynamic balance of value objectives.This framework adopts incentive compatibility within collaborative structures as a starting point and establishes secure and efficient data circulation as a benchmark.Policy recommendations include refining rules for public value guidance and auditing,and integrating offline coordination with online data platforms.Furthermore,the article advocates for performance-linked mechanisms,clinical outcome data sharing,and comprehensive risk monitoring to facilitate the secure circulation of trusted data.关键词
基本医疗保险/商业健康保险/数据协同Key words
basic medical insurance/commercial health insurance/data collaboration分类
医药卫生引用本文复制引用
高红,赵宏禹,管仲军..基本医疗保险与商业健康保险数据协同的推进策略[J].健康发展与政策研究,2026,29(1):18-23,6.基金项目
国家社会科学基金一般项目(19BZZ093) （19BZZ093）
2024年度首都卫生发展科研专项项目(首发2024-1G-2013) （首发2024-1G-2013）
2023年度黑龙江省哲学社会科学研究规划项目(23JLB091) （23JLB091）
