商业保险与医药产业融合

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以医药融合打造带病体保险创新标杆 泰康在线“好效保・粉红卫士”荣获金口碑奖
Sou Hu Wang· 2025-06-18 05:40
Core Viewpoint - The article highlights the recognition of Taikang Online's "Good Effect Insurance - Pink Guardian (Drug-Free Version)" as an innovative insurance product in the field of breast cancer recurrence protection, showcasing the shift in commercial health insurance from "insuring healthy people" to "insuring people's health" [1][3]. Group 1: Product Innovation and Features - Taikang Online launched the "Good Effect Insurance - Pink Guardian" in 2022, providing specialized protection for post-operative breast cancer patients, addressing a gap in the market for insurance covering pre-existing conditions [3][5]. - The upgraded "Drug-Free Version" offers dual protection through reimbursement and lump-sum payment, with a maximum reimbursement of 1 million for recurrence medical expenses and a one-time payment of 50,000 to 500,000 upon diagnosis of recurrence or metastasis [3][4]. - The product includes a dynamic special drug directory covering 58 innovative breast cancer drugs with a 100% reimbursement rate, and it extends medical service networks to 29 quality private specialty institutions and over 1300 DTP pharmacies [4][6]. Group 2: Market Demand and Strategic Positioning - The increasing incidence of breast cancer and the high medical expenses associated with recurrence highlight a significant protection gap in the market, driving demand for comprehensive health insurance solutions [5][6]. - Taikang Online's "Good Effect Insurance" series includes specialized coverage for various cancers, such as thyroid cancer, lung cancer, colorectal cancer, and lymphoma, demonstrating a commitment to addressing the needs of patients with pre-existing conditions [5][6]. - The company aims to create a full-cycle insurance system that integrates medical services, pharmaceutical resources, and financial solutions, enhancing service efficiency and patient care [6]. Group 3: Technological and Resource Integration - Taikang Online leverages its group medical and nursing system to establish a nationwide medical network, providing various medical services and home rehabilitation support [6]. - The company has developed a digital risk control system and an AI customer service platform, enhancing operational efficiency and risk management capabilities [6]. - The integration of commercial insurance with the pharmaceutical industry is seen as a key pathway to solving the protection challenges faced by patients with pre-existing conditions [6].
“医药险”深度融合时代,泰康在线开启带病体保险新蓝海
Huan Qiu Wang· 2025-05-30 03:05
Core Viewpoint - The new "National Ten Articles" policy released by the State Council aims to enhance the development of the insurance industry over the next 5 to 10 years, focusing on improving health insurance service levels and expanding coverage, which presents new opportunities for the integration of commercial insurance and the pharmaceutical industry [1][2]. Group 1: Policy and Industry Trends - The new policy emphasizes high-quality development in the insurance sector, shifting focus from scale growth to quality, and aims to enhance risk prevention and regulatory oversight [1][4]. - The integration of commercial insurance with the pharmaceutical industry is seen as an inevitable trend, driven by the need for comprehensive health solutions and the potential for significant payment space in commercial insurance [1][4]. Group 2: Company Initiatives and Innovations - On the occasion of its 10th anniversary, Taikang Online hosted a forum to discuss the development paths for insurance products catering to individuals with pre-existing conditions, highlighting the importance of innovation in commercial insurance [1][4]. - Taikang Insurance Group is actively pursuing a comprehensive health ecosystem that addresses the needs of an aging population and the increasing demand for health services, aligning with the "Healthy China" strategy [2][4]. Group 3: Product Development and Market Needs - Taikang Online has developed a product system that covers the entire disease cycle, focusing on cancer patients with innovative insurance products like the "Good Effect Insurance" series, which has undergone multiple iterations to enhance accessibility to innovative drugs [6][7]. - The company aims to transition from being a mere financial payer to a health promoter, addressing the urgent needs of individuals in non-standard health conditions through a triad of good medicine, good drugs, and good services [6][7]. Group 4: Collaborative Ecosystem - The integration of commercial insurance with medical, health insurance, and pharmaceutical sectors is essential for creating a robust industry ecosystem, with various stakeholders emphasizing the need for collaboration to enhance service delivery and efficiency [7]. - Taikang Online is committed to exploring insurance solutions for individuals with pre-existing conditions, aiming to position commercial health insurance as a valuable payment entity within the pharmaceutical industry [7].