当人工智能遇上健康管理 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, focusing on risk reduction through proactive health management [1][4] - The establishment of the Ping An Health Management Company marks a significant step in integrating health management services with health insurance, aiming to enhance customer engagement and reduce claims [1][2] Group 1: Health Management Integration - Ping An Health has reported a service revenue of 159 million yuan in the first half of 2025, providing health management services to over 4.8 million customers, reflecting a year-on-year growth of 21.4% [2] - Other companies, such as China Pacific Insurance and China Ping An, have also established health management subsidiaries to enhance their competitive edge in the health insurance market [3][4] - Health management services are becoming a standard feature in health insurance products, even in basic insurance offerings, which now include services like health consultations and chronic disease follow-ups [2][3] Group 2: Shift from Passive to Active Management - The health insurance sector is undergoing a transformation from passive risk compensation to active health management, aiming to lower claim rates and improve customer retention [4][5] - The importance of health management is recognized as a core component for product competitiveness and sustainable industry development, especially in the context of rising health demands and clearer basic insurance roles [4][5] Group 3: Challenges and Opportunities - Despite the recognized importance of health management, low user awareness and service utilization rates remain significant challenges for the industry [5] - The Chinese government has issued guidelines to promote the integration of health insurance and health management, emphasizing the need for preventive measures and improved public understanding of health insurance [6][7] - Artificial intelligence (AI) is seen as a potential solution to enhance service delivery and efficiency in health management, with applications in personalized health interventions and dynamic assessments [6][7]