重磅！健康险新规全面深化“产品+服务”：评级良好险企可销售分红型重疾险，探索个人账户式医疗险，不拘一格满足客户所需

Core Viewpoint - The National Financial Regulatory Administration has issued the "Guiding Opinions on Promoting the High-Quality Development of Health Insurance," which aims to address challenges in various health insurance sectors and encourages the integration of commercial health insurance into the broader health and wellness ecosystem, emphasizing diverse products and services to meet customer needs [1][30]. Group 1: Development of Health Insurance Products - Support for the development of personal account-based long-term medical insurance to enrich service forms [2][11]. - Encouragement for insurance companies with good regulatory ratings to offer dividend-based long-term health insurance products [3][14]. - Promotion of the combination sales of health insurance and life insurance [4][31]. Group 2: Long-term Care and Disability Insurance - Accelerate the development of commercial long-term care insurance and disability income loss insurance, providing cash benefits combined with care services [13][31]. - Support for converting life insurance benefits into care expenses for insured individuals who become disabled [6][31]. - Expansion of coverage for disability income loss insurance [13][31]. Group 3: Disease Insurance - Steady development of disease insurance, with timely updates to disease definitions based on changes in disease patterns and medical technology [14][31]. - Support for regulatory-rated insurance companies to restart dividend-based critical illness insurance [15][31]. Group 4: Health Management and Industry Collaboration - Promotion of the integration of health insurance with health management, creating a new health service guarantee system that combines prevention, management, and protection [17][31]. - Support for collaboration with pharmaceutical and medical device companies to explore innovative payment methods based on market principles and efficacy [18][32]. - Emphasis on enhancing the health service network of insurance companies to promote the collaborative development of the health industry [32]. Group 5: Regulatory and Operational Improvements - Strengthening the regulatory framework for health insurance, including the establishment of independent accounting rules and performance evaluation systems [21][30]. - Encouragement for insurance companies to enhance operational efficiency in major illness insurance services [19][31]. - Support for the development of standardized health management service standards within the insurance industry [23][31]. Group 6: Capacity Building and Sustainable Development - Emphasis on enhancing the professional capabilities of health insurance companies and promoting the integration of health management with care services [20][31]. - Support for good regulatory-rated health insurance companies to trial higher cost-sharing limits for health management services [20][31]. - Focus on improving the digital transformation of health insurance to enhance service capabilities and operational management [33][31].