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本文在对商业健康保险运作方式深入分析的同时,提出了在保单条款设计方面和保险人、被保险人和医疗服务提供者三方关系方面来控制商业健康保险风险的手段。
In this paper, while analyzing the operation mode of commercial health insurance, we put forward some measures to control the risk of commercial health insurance in terms of the design of policy terms and the tripartite relationship between insurer, insured and medical service providers.