保险杠杆率

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杠杆率之变重构健康险 一张保单如何从“保健康人”到“保人健康”
Zhong Guo Zheng Quan Bao· 2025-08-26 01:51
Core Insights - The critical viewpoint of the articles indicates that the critical illness insurance (CI) market is facing challenges such as rising prices, increasing rejection rates for applicants with pre-existing conditions, and a shift in consumer interest towards medical insurance [1][2][3] Group 1: Market Trends - CI prices are expected to rise due to the upcoming switch in personal insurance product rates, leading to a decrease in insurance leverage [1][2] - The underwriting approval rates for CI are declining, making it harder for consumers, especially younger individuals with health issues, to obtain coverage [2] - The CI market has been shrinking, which is limiting the overall growth of the health insurance sector [3] Group 2: Structural Changes - The health insurance market is undergoing a structural transformation, with medical insurance gradually replacing CI as the dominant product [3][4] - By mid-2025, health insurance premium income is projected to exceed 620 billion yuan, with medical insurance expected to surpass CI in scale for the first time in 2024 [3][4] Group 3: Innovation and Development - The industry is focusing on product innovation, including the introduction of complex CI products that cover multiple conditions, which increases costs and premiums [3][6] - There is a growing emphasis on integrating health management services into health insurance products to encourage proactive health management among consumers [6][10] - The introduction of innovative drug and medical device payment models is seen as a new driving force for the development of health insurance [7][9] Group 4: Regulatory and Policy Support - Regulatory bodies are working on guidelines to enhance health insurance service levels, which may lead to better product design and data utilization [10] - The establishment of a commercial health insurance innovation drug directory is expected to help insurers refine their pricing strategies and expand coverage [9][10]