健康险发展

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万亿级健康险能否助险企突破增长瓶颈
Zhong Guo Zheng Quan Bao· 2025-06-09 21:46
Core Insights - The insurance industry is adjusting its product structure in anticipation of a decrease in the third-quarter insurance premium interest rates, focusing on two main areas: dividend insurance with interest rate flexibility and health insurance emphasizing protection functions [1][2] - Health insurance is experiencing faster growth compared to other insurance types, becoming a new growth curve for both life and property insurance companies [1][3] - The traditional savings-type insurance model is becoming unsustainable, prompting the industry to seek new growth drivers through deep transformation [2][4] Health Insurance Market Dynamics - Health insurance is a key intersection for life and property insurance companies, with life insurers focusing on long-term health insurance and property insurers on short-term medical insurance [3][4] - The demand for health insurance is increasing due to rising health awareness and medical costs, providing a broad market space for both life and property insurers [3][4] - Recent healthcare reforms have facilitated the rapid development of health insurance, particularly in the medical insurance sector [2][4] Financial Performance and Growth Potential - Health insurance premium income has shown steady growth, with a reported income of 4,557 billion yuan in the first four months of this year, a year-on-year increase of over 4% [4][5] - Despite the growth, the health insurance market has not yet reached the target of 1 trillion yuan in premium income by 2025, indicating a significant gap [5][6] - The market is characterized by notable disparities, with some companies experiencing rapid growth while others face declines in net profit and insurance revenue [5][6] Challenges and Shortcomings - The health insurance market faces challenges such as severe product homogeneity, insufficient collaboration with the medical system, and weak data foundations [6][7] - There is a mismatch between supply and demand, with high premiums and low coverage for essential groups, leading to a lack of effective product offerings for those in need [6][7] - The industry struggles with high claim thresholds and inadequate long-term coverage options, highlighting the need for improved service systems [6][7] Recommendations for Improvement - Data sharing and collaboration among insurance companies, healthcare providers, and regulatory bodies are crucial for accurate pricing and risk assessment in health insurance [7][8] - Establishing a health data platform and promoting cooperation between commercial insurance and basic medical insurance can enhance the development of health insurance [8][9] - Companies should focus on developing differentiated products for various demographics and enhancing their health management service systems to meet diverse market needs [9]