账户式医疗险、分红健康险要来了！险企如何把握健康险新规机遇？

Core Insights - The Financial Regulatory Bureau issued guidelines to promote high-quality development in health insurance, emphasizing the need for innovation in products like personal account-based long-term medical insurance and dividend-based long-term health insurance [2][3] Background - Health insurance is crucial for providing financial protection against health-related losses, linking to the broader social security network and the health of the nation [3] - The increasing demand for health insurance is driven by economic development and the Health China strategy, highlighting its growing importance [3] - Current challenges in the health insurance sector include product homogeneity, insufficient industry capabilities, and inadequate collaboration with the medical sector [3] Development Directions - The guidelines outline key development areas for major health insurance types, including commercial medical insurance, long-term care insurance, income loss insurance due to disability, and disease insurance [3][4] - For commercial medical insurance, the guidelines advocate for a comprehensive product system, inclusion of new medical technologies, and a fair pricing mechanism [4] - Long-term care insurance is encouraged to align with community and institutional care needs, offering cash benefits alongside care services [5] - Disease insurance is to be developed steadily, with regular updates to disease definitions and incidence rates [5][6] Innovation Initiatives - The guidelines support the introduction of dividend-based long-term health insurance for well-rated insurance companies [7] - A new health service guarantee system is proposed, integrating prevention, management, and post-care services [7] - Collaboration between insurance companies and pharmaceutical firms is encouraged to explore innovative payment methods based on market principles [7][8] Market Opportunities - In 2024, the total premium income for short-term and long-term commercial health insurance in China is projected to reach 977.3 billion yuan, with significant room for growth in meeting customer needs [9] - The guidelines set a 2030 target for health insurance to play a more significant role in the national health security system, promoting a multi-layered market structure [9] Strategic Recommendations - Insurance companies are advised to focus on product innovation, industry collaboration, technology empowerment, and leveraging policy benefits to drive sustainable growth [10] - Emphasis on differentiated product offerings targeting specific demographics, such as those with pre-existing conditions and the elderly, is recommended [10][11] - Companies should enhance their integration with healthcare services and pharmaceutical innovations, creating a comprehensive health management service [10][11]