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健康险结构调整
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健康险市场持续回暖 离万亿元保费目标还有多远
Jin Rong Shi Bao· 2025-06-05 02:26
Core Insights - The health insurance market is experiencing a recovery, with a significant increase in inquiries for commercial health insurance products, particularly those covering outpatient medication [1] - Health insurance premium income reached 378.2 billion yuan in Q1 2025, growing by 4.85% year-on-year, outperforming the overall insurance industry's growth rate of less than 1% [1][2] - Major health insurance companies reported a combined insurance business income of 38.645 billion yuan in Q1 2025, with a year-on-year growth rate exceeding 12% [2] Group 1: Industry Performance - The net profit of health insurance companies doubled in Q1 2025, with a combined net profit of 3.117 billion yuan, reflecting a year-on-year increase of 103.86% [2] - Among the leading companies, PICC Health achieved an insurance business income of 28.069 billion yuan, up 14.4% year-on-year, and a net profit of 2.43 billion yuan, increasing by 134.56% [2] - Other companies like Ping An Health and Pacific Health also reported positive growth, although some faced declines in net profit [2] Group 2: Market Dynamics - The growth in health insurance is driven by increased awareness of health risks among residents and a preference for health insurance products due to compressed returns on investment-type insurance products [3] - The low interest rate environment has pressured insurance companies to expand their health insurance offerings to mitigate risks associated with interest rate spreads [3] - The National Healthcare Security Administration is promoting digital empowerment in commercial insurance, facilitating data sharing and collaboration between public and commercial health insurance [3] Group 3: Challenges and Opportunities - Despite the growth, the health insurance market has not yet reached the target of over 2 trillion yuan by 2025, with premium income remaining below 1 trillion yuan for the past three years [3] - The market faces challenges such as product homogeneity, insufficient collaboration with the medical system, and weaknesses in risk pricing capabilities [3] - The structure of health insurance products is under pressure for adjustment, with traditional products facing challenges from alternative savings products [4] Group 4: Future Outlook - The ongoing DRG/DIP reform in medical insurance is expected to create more opportunities for commercial health insurance, particularly in high-value medical needs [5] - Medical insurance is projected to continue growing, with a compound annual growth rate of 18.37% from 2018 to 2023, and is expected to account for approximately 44% of health insurance premiums in 2024 [6] - The health insurance industry is at a critical transformation stage, requiring innovation in products and enhanced collaboration with medical service providers to integrate "medical + insurance" [7]
拓宽健康险发展空间
Jing Ji Ri Bao· 2025-05-15 22:21
Group 1 - The new insurance enrollment window for customized commercial supplementary medical insurance, known as "Hui Min Bao," has opened in cities like Shanghai, Shenzhen, and Xiamen, with Shanghai's "Hu Hui Bao" achieving over 4 million enrollments on its first day, making it the largest program in terms of participants nationwide [1] - The overall development of health insurance in China is experiencing favorable opportunities, with total health expenditure growing continuously since 2011, driven by factors such as population aging, changes in disease patterns, and expansion of medical services, with health expenditure growth outpacing GDP growth by an average of over 2.5 percentage points [1] - In 2023, health expenditure accounted for 7.2% of GDP, while government health spending and basic medical insurance funding are not growing in sync, creating space for health insurance development [1] Group 2 - In the first three quarters of 2024, the insurance industry reported premium income of 4.79 trillion yuan, a year-on-year increase of 7.2%, with health insurance premiums reaching 822.52 billion yuan, up 8.56% [2] - The "Hui Min Bao" model has proven resilient over time, while traditional commercial health insurance remains stable, with million medical insurance expanding into secondary markets and high-end medical insurance integrating with health management [2] - The future of health insurance structure adjustment depends on the high-quality development of medical insurance business, which is expected to evolve towards both popularization and high-end services to meet diverse consumer needs [2] Group 3 - The aging population has led to chronic diseases becoming a major risk factor and economic burden, prompting the insurance industry to engage in chronic disease management as both a payer and a referral entity [3] - Challenges faced by the insurance industry in chronic disease management include insufficient product attractiveness, low customer reach efficiency, lack of industry integration, and inadequate policy support [3] - Recommendations for enhancing commercial health insurance include optimizing product supply structures, deepening medical collaboration mechanisms, leveraging technology for risk management, and improving policy support systems to stimulate market vitality [3]