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人保健康设立非金融子公司背后, 保险公司缘何瞄准健康管理?
Xin Lang Cai Jing·2025-09-22 23:45

Core Viewpoint - The insurance industry is shifting towards health management as a response to the "Healthy China" strategy and medical insurance cost control, driven by aging population and chronic diseases, moving from a reactive compensation model to proactive health management [1][3]. Group 1: Company Developments - China People's Health Insurance Company (PICC Health) has been approved to establish a wholly-owned health management subsidiary with an investment of 200 million yuan, marking a significant step in its "big health" strategy [1][2]. - The new subsidiary aims to create a nationwide health service network and upgrade the group's health management platform, enhancing services in medical care, rehabilitation, chronic disease management, and drug supply [2][3]. - PICC Health has been planning this health management company since 2021, with the formal application submitted in 2025 and approval received in August [2]. Group 2: Market Trends - The traditional "post-compensation" insurance model is inadequate for current needs, prompting insurers to intervene in health services to shift from "insuring healthy people" to "insuring people's health" [3][4]. - The increasing elderly population and chronic disease prevalence are escalating national medical expenditure, making health management participation by insurers crucial to alleviate financial pressures [3][4]. - Public awareness of health issues is rising, creating strong demand for health management services [3]. Group 3: Policy Environment - The "Healthy China 2030" plan encourages the development of health insurance products linked to health management services, promoting collaboration between commercial insurers and healthcare providers [4][5]. - Recent regulatory updates allow insurers to integrate health management services with health insurance products, enabling services like health risk assessments and chronic disease management [5][6]. Group 4: Industry Innovations - The integration of "insurance + health management" is becoming a trend, with many insurers establishing specialized health management subsidiaries [6][7]. - Insurers are exploring various models, including "managed care" and "insurance products + health service packages," to enhance customer engagement and improve health outcomes [9][10]. - Leading insurance groups are leveraging their resources to build proprietary health service networks, while smaller firms may partner with specialized health management organizations to differentiate their services [10].