Core Viewpoint - Ping An Good Doctor has developed a pragmatic growth path through deepening the synergy between medical and insurance services, establishing a sustainable profit source while avoiding the traffic anxiety faced by purely online platforms. With the ongoing deepening of national medical insurance reforms, Ping An Good Doctor is positioned to be one of the biggest beneficiaries in the development of medical and insurance collaboration [1][18]. Policy Developments - Since 2024, the National Medical Insurance Administration has introduced several policies to promote the high-quality development of commercial health insurance, including the establishment of the first "Medical Insurance + Commercial Insurance" clearing settlement center in Beijing, which facilitates data interoperability between medical insurance and commercial insurance [2]. - The introduction of a "Commercial Health Insurance Innovative Drug Directory" aims to enhance the accessibility of innovative drugs not covered by basic medical insurance, providing a regulatory foundation for commercial health insurance to play a greater role in promoting the availability of innovative drugs [2]. Industry Trends - The trend of medical and insurance collaboration is gaining momentum, with participants expanding from traditional insurance companies to include pharmaceutical companies and technology platforms [3][4]. - Ping An Good Doctor has established a comprehensive development chain in medical and insurance collaboration, leveraging the strategic advantages of the Ping An Group's "comprehensive finance + medical care and elderly care" model [4][8]. Service Model Innovations - Unlike purely online medical platforms, Ping An Good Doctor focuses on building core hubs such as family doctors and elderly care managers, providing proactive, one-stop, full-lifecycle health and wellness services [5][9]. - The company has transitioned its service model from "post-claim reimbursement" to "full-cycle health management," enhancing the integration of medical services and insurance [16]. Financial Performance - In the first half of 2025, Ping An Good Doctor provided one-stop, 24/7 proactive medical and elderly care services to approximately 200 million personal financial customers, achieving a year-on-year growth of 34.6% in paid users [12]. - The company has also expanded its corporate health management offerings, serving over 3,500 paid corporate clients, with a year-on-year growth of 39.2% in B-end paid users [12]. Future Outlook - The ongoing collaboration between medical and insurance sectors is expected to deepen, with Ping An Good Doctor's early positioning in this ecosystem likely to yield significant benefits as the national medical insurance reform continues [18]. - The integration of advanced technologies and the standardization of products are anticipated to further enhance the growth potential of medical and insurance collaboration [17][18].
支付、服务、数据融合：医保商保协同塑造健康产业新未来