In the operational management process of commercial health insurance business, there is a need to balance interests of insurance companies, medical service providers and the insured.
商业健康保险在经营管理过程中，存在着保险公司、医疗服务提供机构和被保险人三方的利益平衡问题。
To the commercial insurance companys, the risks should be controlled from both policy holders and medical service providers.
商业保险公司要从投保人和医疗供方两个方面进行风险控制。
Most Americans with private insurance are still horrified by thoughts of health-management organisations and prefer to pay fees for each medical service.
大多数购买了私营保险的美国民众仍对卫生管理组织们充满恐惧，倾向于对医疗保健逐一付费。
The risks commercial insurance companys face are discussed in the angles of policy holders and medical service providers.
分别从投保人和医疗供方两个角度探讨了商业保险公司面对的风险。
The relationship between commercial insurance companys and medical service providers is studied in the the "GameTheory".
运用博弈理论分析了商业保险公司和医疗供方之间的关系。
With low operating cost, American medical liability mutual insurance companies can provide flexible insurance program, effective medical risk management and multifunctional legal service.
美国非商业性的相互保险公司能为医疗风险提供弹性的保险计划，有力的风险管理，多功能的法律服务，而且低成本运作。
Birth insurance system means that during the incident happened on the birth of fertility duties undertaker, the medical service to income compensation and maternity leave social security system.
生育保险制度是指在生育事件发生期间对生育职责承担者给予收入补偿、医疗服务和生育休假的社会保障制度。
The rural medical service at public expense and medical health care may be brought into the orbit of cooperative health insurance.
可将农村的公费医疗、劳保医疗转向健康合作保险的轨道。
The purpose of the medical insurance expense control is to give fair and basic health service to a larger scope of citizens by utilizing the limited medical resources.
费用控制的目的是利用有限的医疗资源使更大范围的人群享受到公平和基本的医疗待遇。
Conclusion: the levels of purchasing power of medical insurance and the utilization of health service in migrant workers were low and their demand for health was not met in Taiyuan.
结论：太原市农民工对卫生服务购买能力低，医疗保障水平及卫生服务利用水平低，其卫生服务需要没有得到满足。
To effectively avoid the risk of infection due to compelling medical service, the special liability insurance of medical risk for the medical staff should be set up.
为有效避免强制医疗引起的感染风险，应为医护人员设立医疗风险特别责任险；
One of the various causes for the increase of medical costs is that the current means of payment for medical insurance costs are stimulating doctors to provide over-service.
适宜的医疗费用支付方式能调节医疗服务供方、需方和保险方的利益关系，影响供方行为，控制医疗费用不合理增长。
Any medical service item can be assessed on these four aspects, and reimbursement ratio in health insurance can be determined. Therefore, the cost-effectiveness of health …
任何病种病情都可以从这四方面进行评价以确定健康保险的支付比例，从而使保险政策更合理，达到最佳成本效益。
Any medical service item can be assessed on these four aspects, and reimbursement ratio in health insurance can be determined. Therefore, the cost-effectiveness of health …
任何病种病情都可以从这四方面进行评价以确定健康保险的支付比例，从而使保险政策更合理，达到最佳成本效益。
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