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当降费不再是惠民保“主流”
Bei Jing Shang Bao· 2025-09-22 16:18
Core Viewpoint - The trend in the "惠民保" (Hui Min Bao) insurance products is shifting from a focus on lower premiums to enhancing value, comprehensive coverage, and improved services, indicating a diminishing space for premium reductions [1][2][3] Group 1: Market Dynamics - The continuous price reduction strategy in the "惠民保" market is nearing its limits, leading to a shift towards optimizing product offerings and enhancing consumer experience [2][3] - The long-term low-price strategy risks attracting high-risk participants, which could lead to increased claims and potential exit of insurance companies from the market, harming consumer interests [2][3] - Regulatory guidance emphasizes the need for differentiated pricing and maintaining the commercial nature of urban commercial health insurance [2][3] Group 2: Product Design and Sustainability - Balancing the goals of inclusivity and commercial sustainability is a critical challenge for "惠民保" products, requiring careful consideration in product design [4] - The need for data sharing and precise pricing remains a significant hurdle, as barriers exist between medical institutions, insurance companies, and regulatory bodies [4][5] - Establishing consumer trust is essential, as the low-cost nature of "惠民保" may lead to higher deductibles and limited coverage, impacting consumer experience [4][5] Group 3: Future Outlook - For "惠民保" to become a sustainable option for consumers, there must be a genuine connection between data, regulation, and service [5] - The product should be viewed as a collaboration between government and market forces, requiring high operational standards and careful participation from market players [5]
四地惠民保来袭,降费不再是“主流”
Bei Jing Shang Bao· 2025-09-22 13:28
Core Viewpoint - The 2026 annual "惠民保" (Huimin Bao) products are shifting focus from price competition to value enhancement, emphasizing comprehensive coverage, improved services, and better renewal incentives rather than lower premiums [1][3][6]. Product Upgrades - Multiple regions have revealed their product upgrade directions for the 2026 "惠民保," with a focus on expanding coverage, enhancing special drug lists, and improving health management services [1][3]. - For instance, the "惠琼保" from Hainan will continue to offer four coverage plans with a minimum annual premium starting at 59 yuan, while expanding its special drug list to 115 types and implementing a one-stop settlement system [3][4]. - The "医惠保1号" from Jiangsu distinguishes between a basic and an upgraded version, with the latter including advanced therapies and optional add-ons for participants [3][4]. Service Enhancements - The "天一甬宁保" from Ningbo has increased its total coverage from 3 million to 3.2 million yuan while adding outpatient coverage and introducing a fixed compensation model [4]. - The "黄惠保" from Huanggang has reduced the annual deductible for compliant expenses and expanded its special drug list from 25 to 30 types, while also enhancing health services [4]. Market Dynamics - The shift from price competition to value competition is driven by the need for sustainable operations and the desire to attract a broader consumer base [5][6]. - The continuous price reduction has led to diminishing returns, prompting insurers to focus on product optimization and service enhancement to maintain competitiveness [6][7]. Challenges Ahead - Balancing the goals of inclusivity and commercial sustainability remains a significant challenge for "惠民保" products [9]. - Data sharing and precise pricing are identified as critical areas needing improvement, as existing barriers hinder effective collaboration among medical institutions, insurance companies, and regulatory bodies [9][10]. - Building consumer trust is essential, as lower premiums often come with higher deductibles and limited coverage, which can affect user experience [9][10].