Workflow
200款惠民保稳定运营,撬动20亿元创新药械赔付,新支付方来了吗?
Di Yi Cai Jing·2025-11-06 09:13

Core Insights - The "Huiminbao" insurance product, previously criticized for the "death spiral" controversy, is now entering a phase of stable operation [2] - The number of Huiminbao products has stabilized around 200, with a significant reduction in the number of products discontinued due to operational issues [3][7] - The market is questioning whether Huiminbao can serve as a reliable payment option alongside basic medical insurance [5] Product Stability and Market Dynamics - As of July 31, 2025, only 12 Huiminbao products were discontinued, marking the lowest number in three years [4][7] - The total number of operational Huiminbao products slightly increased to 202 by mid-2025, after a decrease to 199 in 2024 [7] - The main sources of premium income for Huiminbao products are Beijing and Shanghai, with Beijing's Huiminbao covering 4.34 million people, a growth of approximately 140,000 from the previous year [7] Product Innovation and Coverage - In 2025, four new critical illness insurance products were introduced under Huiminbao, reflecting a trend towards more affordable, short-term insurance options [10][11] - The average number of special drugs included in Huiminbao products is 41, with over 80% of products featuring a special drug directory [12] - The coverage of special drugs is expanding to include various diseases, with an average of 28 conditions covered [12] Pricing Strategies and Risk Management - The introduction of differentiated pricing based on age and health status is becoming a key strategy for Huiminbao products [17][19] - The average premium for standard Huiminbao products has increased to 95 yuan, up from 60 yuan in 2021 [17] - Some products are exploring family or group discounts to encourage collective enrollment, which has proven effective in increasing participation rates [20] Future Outlook - The focus on attracting participants and expanding funding is crucial for the sustainability of the Huiminbao model, with differentiated pricing seen as a potential solution to avoid the "death spiral" [21]