保险Ⅱ：关于大力发展长期护理险的点评-长护险的探索实践与展望

Investment Rating - The investment rating for the long-term care insurance industry is "Outperform the Market" [1]. Core Viewpoints - The development of long-term care insurance is crucial for addressing the challenges posed by an aging population, rising pension costs, and imbalances in family care structures. It plays a significant role in enhancing the social security system, alleviating medical burdens, and improving the quality of life for disabled individuals [2][25]. - The long-term care insurance system in China is currently in the pilot stage, with substantial room for growth in areas such as top-level institutional construction, funding mechanisms, payment level definitions, and cost control. This is expected to encourage commercial insurance companies to increase their development efforts in long-term care insurance [2][25]. Summary by Sections Long-term Care Insurance System Overview - The long-term care insurance system in China aims to provide economic compensation and protection for basic living care and medical services for individuals with long-term disabilities. The pilot program began in 2016, with 49 cities covering approximately 145 million people by March 2022, and over 1.72 million individuals have received benefits [4][8]. Population Aging and Disability Trends - As of the end of 2023, the elderly population aged 60 and above in China reached 296.97 million, accounting for 21.1% of the total population. The number of disabled individuals aged 60 and above has increased to 46.54 million, with a disability rate of 16.2%. The annual cost of care for these individuals is approximately 1.35 trillion yuan, representing 1.07% of the national GDP [8][9]. Funding Mechanisms and Payment Standards - The funding for long-term care insurance primarily comes from contributions by employers and individuals, with a payment level generally controlled at around 70%, leaving a personal contribution of about 30%. Different regions have established varying standards for home and institutional care costs based on local economic conditions [6][7][13]. International Comparisons and Lessons - The report highlights successful long-term care insurance models from Japan and Germany. Japan's system emphasizes top-level design and a multi-funding mechanism, while Germany's model is characterized by mandatory participation and a diverse range of services. These international experiences can inform the development of China's long-term care insurance system [15][20][19]. Commercial Insurance Participation - Commercial insurance companies can engage in the long-term care insurance system through various means, including collaboration with the government for service management, developing insurance products tailored to different income levels, and creating comprehensive service platforms for care coordination and health management [22][25].