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专访众安保险陶桐桐:健康险正转向“保障+服务+支付”闭环
Nan Fang Du Shi Bao· 2026-02-09 08:12
Core Viewpoint - The health insurance industry is undergoing a significant transformation from traditional large illness coverage to a comprehensive health management model, driven by the increasing health awareness of consumers and the demands of the longevity era [2][4]. Group 1: Industry Transformation - The core transformation direction of the health insurance industry is shifting from single risk protection to a closed-loop model of "protection + service + payment" [4][6]. - The demand for health insurance is evolving from "post-event compensation" to "full-cycle management," necessitating a more integrated approach to health services [4][6]. Group 2: Product Innovation and Accessibility - The company emphasizes a user-centered design philosophy, with products like "Zunxiang eSheng" and "Zhongminbao" reflecting insights into user needs and continuous innovation [5][6]. - Three key directions for driving product innovation and accessibility in health insurance include: 1. Guiding innovation based on user needs and demographics 2. Utilizing technology to enhance efficiency and reduce operational costs 3. Improving risk control to ensure quality and long-term value for users [5][6]. Group 3: Technological Integration - Technology is enhancing the efficiency of the entire health insurance value chain, transitioning from "post-event compensation" to a model that includes "prevention, intervention, and post-event protection" [6][7]. - Key breakthroughs include personalized product design, intelligent underwriting, and streamlined digital processes for claims and service delivery [6][7]. Group 4: Social Responsibility and Market Opportunities - The health insurance industry is positioned to play a crucial role in the high-quality development of the economy, aligning with the "Healthy China" strategy while balancing commercial value and social responsibility [8]. - The company aims to deepen product innovation and service upgrades, expanding insurance coverage to more demographics and scenarios [8].