卫管复习卫生管理Health insurance -2017.pptVIP

Solution different co-insurance lever in different health care expenditures; in different income population; in different age population. Limit: Concept: The amount that the third party reimburses for a patient’s medical expenses gets to a limit,expenditures above that limit become the responsibility of the patient. Purpose Protect the insurance company from large losses; Control the patients’s large expenditure. Results Shift the cost of very large expenditures to the patient instead of distributing them among all insured persons, decrease the risking pool ability. 补偿范围 在界定社会医