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平安健康险朱友刚:医险协同,重构健康险价值 |保险家论道专栏
清华金融评论· 2026-01-30 09:54
Core Viewpoint - The article emphasizes the trend of "integration of payment and service" in the insurance and healthcare sectors, highlighting "medical-insurance collaboration" as a key strategy for health insurance companies to overcome homogenization and build brand advantages [4]. Group 1: Medical-Insurance Collaboration - The integration of insurance and healthcare is driven by policy guidance, upgraded demand, and industry transformation, making it essential for health insurance companies to evolve beyond being mere "payers" [6]. - Medical-insurance collaboration is seen as a strategic path for health insurance companies to build core competitiveness and ensure sustainable development [6]. - The traditional health insurance model, which focuses on post-event compensation, fails to meet customer expectations for continuous and integrated health services, necessitating a shift towards a more proactive approach [6]. Group 2: Advantages of the "Payment + Service" Model - The core advantage of the medical-insurance collaboration model lies in its ability to create a closed loop of "payment + service" and its capacity for long-term investment [9]. - This dual-driven model allows for the integration of medical expertise and insurance resources, leading to standardized operations and a comprehensive health service system [9]. - By leveraging resources such as a customer base of 250 million and extensive medical data, companies can enhance service quality and efficiency, moving from a payment role to a health management role [9][10]. Group 3: Future Trends and Recommendations - Health insurance companies should focus on user health by integrating payment advantages with service strengths, transitioning from post-event compensation to full lifecycle participation in health management [12]. - A structured, standardized, and compliant management system is essential, emphasizing value-based healthcare and maximizing patient benefits [12]. - Investment in medical talent, technology, and equipment is crucial for successful medical-insurance collaboration, ensuring high-quality healthcare services [12][13].