保险产品精准定价
Search documents
富德生命人寿最新行业建言:从“被动赔付”到“健康伙伴”,打开商保支付广阔空间
Sou Hu Cai Jing· 2025-10-15 06:42
Core Insights - The establishment of the Commercial Insurance Payment Committee by the China Anti-Cancer Association highlights the strategic transformation and upgrade of insurance companies, with a focus on creating a win-win situation for patients, hospitals, and insurers [1][2] Group 1: Commercial Insurance Payment Insights - The current proportion of medical expenses covered by commercial insurance in China is only about 10%, significantly lower than the at least 30% in developed countries like the United States, indicating substantial market growth potential under the "Healthy China" initiative [2] - Three key strategies proposed for achieving a win-win situation among patients, hospitals, and insurers include: 1. Early intervention in treatment to provide timely professional guidance and control unnecessary payouts due to overtreatment [2][3] 2. Standardization of diagnostic and treatment processes to ensure clarity in treatment plans and insurance coverage [3] 3. Precise pricing of insurance products based on extensive data analysis to enhance profitability [3][4] Group 2: Strategic Transformation of the Company - The company is transitioning from being a mere payer to an active participant in health management, aligning with its recent "Health Life" brand philosophy, which emphasizes comprehensive insurance protection and health service integration [3][4] - The company has launched the "Beautiful Life" brand to address aging challenges and home care needs, integrating insurance products with elderly care services [6] - The "Beautiful Life 2.0" upgrade promotes an active lifestyle for seniors, encouraging independence and social engagement, which has been positively received in the market [6] - The "Health Life" brand offers a comprehensive solution for customer needs, enhancing the insurance service experience through a one-stop approach [7] Group 3: Performance and Future Outlook - The company's premium structure has improved, with renewal premiums accounting for 71.2% of total premiums in the first half of 2025, indicating strong customer trust and business quality [8] - The strategic upgrade and role transformation are supported by ongoing capability building, aiming to create a value loop that integrates strategy, execution, funding, branding, products, and talent [8] - The company is positioned to capture significant market share in the trillion-dollar health and elderly care market, aiming for steady growth and value creation [8]