健康险风险减量能否破局

Core Insights - The insurance industry is transitioning from traditional financial compensation models to a customer-centric service model, driven by aging populations and diverse health needs [1][2] - The establishment of health management companies is becoming a standard configuration in health insurance, with companies like Renbao Health and China Pacific Insurance leading the way [2][3] - Health management services are essential for sustainable development in health insurance, focusing on proactive risk reduction and customer engagement [5][6] Group 1 - Renbao Health's health management subsidiary was officially established in Beijing, aiming to integrate health management services as a key method for risk reduction [1] - In the first half of 2025, Renbao Health's health management services generated revenue of 159 million yuan, serving over 4.8 million customers, reflecting a year-on-year growth of 21.4% [2] - The integration of health management services into insurance products is becoming standard, even for basic insurance offerings [2][3] Group 2 - Major insurance companies are enhancing their core business through health management, with China Pacific Insurance focusing on high-end customer needs in health management and rehabilitation [3][5] - The shift from passive claims to active health management is crucial for the health insurance sector, aiming to lower claim rates and improve customer retention [5][6] - The low user awareness and service utilization rates present significant challenges for the industry, despite the recognized importance of health management [6][7] Group 3 - Regulatory guidance has been issued to promote the integration of health insurance and health management, emphasizing a new health service guarantee system [7] - Artificial intelligence (AI) is seen as a key solution to enhance health management efficiency and effectiveness, with applications in personalized health interventions [8] - The deep integration of AI technology into health management services is expected to address challenges in service delivery and improve overall health outcomes [8]