健康能“变现”？政策市场齐发力 万亿健康险转型提速

Core Insights - The commercial health insurance market in China is steadily growing, with premium income reaching 759.9 billion yuan in the first eight months of 2025, marking a year-on-year increase of 2.38%, approaching a trillion yuan scale [1][8] - The industry is undergoing a transformation from a "risk compensation" model to a "health management-driven" approach, driven by the "Healthy China" strategy and the acceleration of population aging [1][3] - Leading companies like Ping An Health Insurance are pioneering this shift by integrating health services into their product offerings, creating a positive feedback loop between health behavior, rewards, and insurance coverage [3][4] Industry Challenges - Despite growth, the industry faces persistent issues such as "easy to insure, difficult to service," and significant data barriers, indicating a need for deeper transformation [1][8] - The traditional economic compensation model is insufficient to meet the comprehensive health needs of residents throughout their life cycles, necessitating a shift in operational strategies [3][8] Policy Support - The "14th Five-Year Plan" outlines a clear direction for the development of the health insurance system, emphasizing the integration of health management with insurance services [6][11] - Recent regulatory guidelines from the National Financial Supervision Administration aim to enhance the quality of health insurance, focusing on a new service system that includes prevention, management, and post-coverage [6][7] Market Innovations - Companies are enhancing service depth and density, with initiatives such as direct payment channels between public hospitals and commercial insurance, AI-driven service systems, and immediate claims processing upon discharge [5][7] - The introduction of health points systems encourages customers to engage in healthy behaviors, transforming these actions into accumulative health assets [4][10] Future Outlook - The commercial health insurance market is expected to play a crucial role in the multi-tiered healthcare system, supported by policy incentives, technological advancements, and collaborative ecosystem development [11]