Core Insights - The "2025 Inclusion·Bund Conference" was held in Shanghai, showcasing the "One Code Direct Payment" platform by Meixin Health, which aims to address payment pain points in the healthcare sector and enhance patient access to medications [1][2] - The healthcare industry in China is undergoing significant transformation, moving from a single insurance payment model to a diversified payment system that includes medical insurance, commercial insurance, and other innovative methods [1] - Despite the development of a multi-payment system, challenges remain in the practical implementation, particularly in the "last mile" of payment processes, leading to a fragmented payment environment [1] Group 1 - The "One Code Direct Payment" platform allows users to access various payment methods regardless of whether they hold a commercial insurance policy, optimizing payment solutions based on individual patient needs [2] - The platform's one-stop payment solution significantly reduces the time and effort required for patients to process claims, transforming the payment experience from a week-long process to a quick 30-second transaction [2] - Meixin Health positions itself as an ecosystem platform connecting insurance companies, medical institutions, pharmaceutical companies, and patients, leveraging technology to enhance the efficiency and effectiveness of medical payments [2]

据介绍，目前一码直付服务已实现广泛覆盖合作医疗机构超两万家，适用场景不仅包括公立医院普通 部，还延伸至公立医院特需部、国际部及私立医疗机构，且已达成全国三甲医院普通部的全面覆盖。 镁信健康一码直付平台的高效运行背后，是其自主研发的医疗支付领域AI智能体ClaimMaster理赔大师 的技术支撑。据了解，该智能体通过多模态解析、动态病程建模、条款智能拆解三大核心能力，为理赔 环节提供全流程技术保障。 新浪科技讯 9月10日下午消息，"2025Inclusion·外滩大会"在上海黄浦世博园区开幕。作为此次大会的受 邀参展商，镁信健康携核心解决方案在外滩大会科技展览重磅亮相，以全景式展台呈现了医疗支付领域 的创新实践。 据介绍，在展台核心展示区，公司旗舰产品"一码直付一体机"凭借创新的支付模式，成为了现场热门打 卡点，吸引众多观众现场体验就医与购药的直付服务。 据现场工作人员介绍，镁信健康一码直付平台推出了"先就医、后付费、免材料"的商保就医直付服务， 用户仅需在就医前提交申请，即可快速获得费用授额并生成专属支付二维码，在医保报销完之后实现商 保秒级直付，全程无需用户自掏腰包垫付费用。 在购药场景，该平台同样为持有 ...

Core Viewpoint - The article emphasizes the transition of AI in healthcare from a focus on large model parameters to practical applications that solve real-world problems, particularly in the medical payment sector [2][3][4]. Industry Trends - The World Artificial Intelligence Conference (WAIC) highlighted "AI + Healthcare" as a central theme, indicating that the industry is moving towards integrating AI into real medical scenarios rather than merely competing on model performance [2][3]. - The healthcare system faces a structural dilemma known as the "medical impossible triangle," where high-quality service, broad coverage, and low costs are difficult to achieve simultaneously. AI and big data are seen as potential solutions to break this triangle and enhance healthcare accessibility [2]. Company Insights - Megxin Health, a multi-payment platform based in Shanghai, is leveraging AI to reconstruct the medical payment ecosystem, aiming to integrate the value chain of medicine, pharmaceuticals, and insurance [2][8]. - As of June 30, Megxin Health reported serving over 1.6 million patients with a total medical payment amount (GPV) of 39.7 billion yuan, collaborating with over 90 insurance companies and more than 140 pharmaceutical companies, including 90 of the top 20 global pharmaceutical firms [8]. AI Integration and Development - The article discusses the evolution of AI in healthcare from single-point breakthroughs to system integration, with a focus on creating a commercial closed loop rather than just improving algorithm performance [5][6]. - Megxin Health's AI central platform, named "mind42.ai," is designed to facilitate the integration of medical, pharmaceutical, and insurance sectors, enhancing decision-making efficiency and automating core processes [9][11]. Challenges and Solutions - The medical payment landscape is complex, requiring high precision in decision-making due to the financial implications for patients and insurance companies. AI's role is to enhance this precision through collaborative efforts of multiple AI agents [13][14]. - The article highlights the need for AI to understand medical logic and insurance calculations, which traditional methods struggle to achieve. Megxin Health's AI agent cluster aims to address this by creating a collaborative network for efficient task completion [14][16]. Future Prospects - The future of AI in healthcare payment is expected to evolve towards intelligent risk management and actuarial-driven processes, reshaping the logic of risk pricing in health insurance [19]. - Megxin Health is committed to ensuring the fairness and transparency of AI decision-making processes, addressing concerns about algorithmic bias and data privacy [20]. Conclusion - The essence of medical payment should be to safeguard patients' dignity rather than create barriers. The success of AI in this domain will be measured not just by efficiency but by its ability to alleviate anxiety for families facing health challenges [21].

Core Viewpoint - The article highlights the significant development of Shanghai Meixin Health Technology Group Co., Ltd. (Meixin Health) as it files for an IPO in Hong Kong, aiming to integrate healthcare and insurance to address financing and payment challenges in the medical system [1][11]. Company Overview - Meixin Health was founded in 2017 by Zhang Xiaodong and Shanghai Pharmaceutical Group, focusing on making innovative drugs more accessible to patients [2][3]. - The company has served approximately 1.6 million patients and collaborated with over 140 pharmaceutical companies and 90 insurance companies by the end of last year [1]. Business Model and Innovations - Meixin Health's initial product was a financial installment service for an innovative lung cancer drug, reducing monthly costs from over 50,000 RMB to 10,000 RMB [3]. - The company has launched various products, including "Yao Shen Bao" (a special drug insurance product) in 2019 and "Hui Min Bao" (a basic disease insurance) in 2020, aimed at improving patient payment solutions [4]. - In 2024, Meixin Health plans to introduce the "Yima Zhifu" platform to enhance user payment experiences and streamline insurance claims processes [4]. Market Position and Financial Performance - According to Frost & Sullivan, Meixin Health is the largest provider of innovative drug and device solutions in China, with approximately 393 million insurance policies serviced by the end of 2024 [6]. - The company reported revenues of 1.069 billion RMB in 2022, 1.255 billion RMB in 2023, and projected 2.035 billion RMB in 2024, with the "Intelligent Drug Solution" contributing 61.7%, 53.9%, and 59.3% to revenues respectively [7]. - Despite not being profitable yet, the company has shown a significant reduction in losses, from 446 million RMB in 2022 to 76 million RMB in 2024 [8]. Investment and Valuation - Meixin Health's valuation has skyrocketed from 150 million RMB in its Pre-A round in 2018 to approximately 11.678 billion RMB in its last funding round before the IPO, marking a 77-fold increase [9]. - The company has attracted investments from notable firms, including Ant Group and Innovation Works, among others [9]. Compliance and Challenges - Prior to the IPO, Meixin Health faced regulatory scrutiny, with a fine of 330,000 RMB for compliance issues related to insurance sales [11]. - The company must balance rapid growth with compliance and profitability as it transitions into a publicly traded entity [11].

Company Overview - On June 30, 2023, the company, Shanghai Magnesium Health Technology Group Co., Ltd., submitted its prospectus to the Hong Kong Stock Exchange for an IPO, with Goldman Sachs (Asia), CICC, and HSBC as joint sponsors [1] - Established in 2017, the company is the largest pharmaceutical multi-payment platform in China, aiming to address financing and payment challenges faced by patients, insurers, and pharmaceutical companies [1] - The company leverages AI technology to reconstruct the medical payment ecosystem, achieving collaboration and win-win outcomes among stakeholders in the healthcare system [1] Business Solutions - The company has developed two major industry solutions: - The Smart Drug Solution provides pharmaceutical companies with commercialization services covering the entire product lifecycle, facilitating the entry of innovative drugs into diverse payment channels and enhancing patient management efficiency [1] - The Smart Insurance Solution offers end-to-end support for insurance companies, including actuarial design, pricing consultation, marketing distribution, claims processing, and health management, promoting innovation and operational improvement in health insurance [1] - The company also launched a one-stop service platform called "Yima Zhifu," integrating resources from pharmaceuticals, healthcare, and insurance to provide users with more payment options, ultimately enhancing access to quality medical products and services for patients and their families [1] Market Position and Financial Performance - According to Frost & Sullivan, as of December 31, 2024, the company is the largest provider of innovative drug and device solutions in China, and the largest provider of innovative health insurance solutions by the number of policies served [2] - The company has served approximately 393 million insurance policies and collaborated with over 140 pharmaceutical companies, including 90% of the top 20 global pharmaceutical companies by revenue, and over 90 insurance companies, including 100% of the top 20 insurance companies in China by premium income [2] - In 2024, the company helped approximately 40% of the newly listed innovative Class 1 drugs in China, saving patients around RMB 6.7 billion in out-of-pocket expenses [2] - The company achieved a revenue of RMB 2.035 billion in 2024, with a compound annual growth rate of approximately 38% from 2022 to 2024, indicating sustainable growth potential in its innovative business model [2] Industry Outlook - The Frost & Sullivan report predicts that the market size for innovative drugs and devices in China will grow from RMB 162 billion in 2024 to RMB 410.2 billion by 2030, with a compound annual growth rate of 16.7% [3] - The commercial health insurance market in China is expected to expand from RMB 977.3 billion to RMB 2.36 trillion during the same period, with a compound annual growth rate of 15.8% [3] - This structural growth is supported by the "Healthy China 2030" national strategy, which promotes a multi-tiered medical security system, and aligns with the public's urgent demand for accessible quality healthcare services [3] - The company is positioned within the pharmaceutical multi-payment platform sector, effectively addressing public concerns regarding high medical costs and medication accessibility through AI innovation, aligning its business strategy with industry trends, policy directions, and societal needs [3]