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近年来,各地商业保险“试水”医保的做法并不少见,但大都单纯针对新农合或城镇医疗保险。与之相比,广东省湛江市在实现了城镇和农村医疗保险并轨运行的基础上,从2009年引入商业保险机构参与医保管理,形成了参保群众、政府、医院和专业健康保险公司四方共赢的新局面,被誉为“湛江模式”。
In recent years, commercial insurance around the “test the water ” health insurance is not uncommon, but mostly for the new rural cooperative medical care or urban health insurance. By contrast, Zhanjiang City, Guangdong Province, has implemented the merger of urban and rural medical insurance systems. Since 2009, it has introduced commercial insurance institutions to participate in the management of medical insurance and has formed a total of four parties including the insured masses, governments, hospitals and specialized health insurance companies Won the new situation, known as “Zhanjiang mode ”.