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《保险理论与实践》2025年第7辑目录
Sou Hu Cai Jing· 2025-07-12 01:03
Group 1 - Agricultural insurance plays a crucial role in food security, poverty alleviation, and rural revitalization, necessitating the enhancement of its productivity in the context of climate change and agricultural modernization [1] - Precision meteorological services are essential for improving agricultural risk management and production efficiency, but their high costs limit accessibility for small-scale farmers [1] - Combining precision meteorological services with agricultural insurance can significantly reduce agricultural production risks and enhance the effectiveness of the insurance system [1] Group 2 - High-standard farmland construction is vital for national food security and rural revitalization, with post-construction management quality being key to sustaining its functionality [2] - Several provinces have initiated pilot programs for high-standard farmland insurance, exploring market-based solutions for economic compensation and risk management [2] - Key issues in high-standard farmland insurance include insufficient policy support, the need for improved insurance schemes, and a lack of professional capabilities [2] Group 3 - The catastrophe bond market has evolved over nearly 30 years, becoming an integral part of the global reinsurance market, characterized by diversification and digitalization [3] - The paper analyzes the operational mechanisms, development stages, and challenges of catastrophe bonds, offering policy recommendations for the market's growth in China [3] Group 4 - The continuous growth of domestic insurance funds contrasts with the pressure on investment returns, creating opportunities for investment in strategic emerging industries [4][5] - Strategic emerging industries, supported by policies, present new avenues for insurance fund allocation, despite their inherent instability and "light asset" characteristics [5] - The paper discusses strategies for deep integration of insurance funds with emerging industries to enhance investment quality and support economic transformation [5] Group 5 - The integration of health insurance and health management is seen as a promising development, yet challenges such as value misalignment and quantifying health management outcomes persist [6] - Recommendations include incorporating preventive services into insurance claims, implementing guaranteed renewal mechanisms, and developing incentive-based health products [6] Group 6 - The rapid growth of medical insurance fund expenditures necessitates exploring avenues for preserving and increasing fund value [7] - Current limitations on fund interest rates and investment strategies hinder the potential for value growth, prompting suggestions for policy adjustments and investment operations [7] Group 7 - The dual-path model for seafarers' pension insurance faces challenges such as mismatched insurance types and structural imbalances in benefits [8] - The paper advocates for a sustainable contribution mechanism for seafarers within the employee pension insurance framework, addressing legal and practical barriers [8] Group 8 - The paper addresses practical issues surrounding the insurer's disclosure obligations in marine insurance, highlighting deficiencies in current legal regulations [9][10] - It proposes a restructuring of disclosure obligations and the establishment of a tiered disclosure system to enhance fairness and transparency in marine insurance contracts [10] Group 9 - The application of the principle of reasonable expectations in insurance law often leads to inconsistent judicial outcomes, necessitating a reevaluation of its interpretation [11] - The paper argues for a redefinition of the principle's application to improve its effectiveness in promoting economic efficiency and reducing information asymmetry [11] Group 10 - The rise in litigation cases related to professional liability insurance highlights the need for clearer regulations and optimized insurance practices [12] - The paper analyzes contentious points in insurance clauses and suggests improvements to enhance the operational framework of professional liability insurance [12]
重要股东减持+新股配售 众安在线面临发展关键点
Core Viewpoint - The article discusses the recent developments of ZhongAn Online, highlighting its stock performance, capital operations, and the impact of shareholder changes on its future growth prospects. Group 1: Stock Performance and Capital Operations - ZhongAn Online's stock price surged over 74% from May 22 to May 29, 2023, influenced by new policies regarding stablecoins in Hong Kong, with a nearly 100% increase over the past month [1] - Following the stock price increase, ZhongAn Online initiated its first new share placement since its listing, raising approximately HKD 39.24 billion, with net proceeds of HKD 38.96 billion after expenses [2][3] - The share placement diluted existing shareholders' equity, with major shareholders like Ping An and Ant Group seeing their stakes reduced [3] Group 2: Shareholder Changes and Implications - Ant Group sold approximately 33.75 million shares, reducing its stake to 7.63%, thus losing its position as the largest shareholder [4] - Other founding shareholders, such as Youfu Holdings, also engaged in significant share reductions, indicating a shift in shareholder dynamics [5] - The company emphasized that these changes would not affect its operations or partnerships, maintaining a focus on innovation in insurance technology [5] Group 3: Financial Performance and Business Strategy - ZhongAn Online has diversified its business model beyond insurance, establishing a presence in various financial sectors, including banking and consumer finance [6][8] - Despite significant investments in digital banking, ZhongAn Bank has yet to achieve profitability, with ongoing losses reported [7][10] - The company reported a net profit of HKD 4.078 billion in 2023, a significant recovery from a net loss of HKD 1.112 billion in 2022, largely due to investment gains and changes in its financial structure [8][10] Group 4: Future Outlook and Collaborations - The entry of new shareholders and the exit of major ones like Ant Group raise questions about future resource support and collaboration dynamics [11] - Despite shareholder changes, ZhongAn Online's collaboration with Ant Group remains strong, with transaction limits for 2025 increased by approximately 17% compared to 2024 [11]
财报持续难产!这只保险概念股,拉响退市风险警报
券商中国· 2025-07-11 13:10
财报难产 点燃这根引线的,是迟迟难发的财务报告。 7月11日,*ST天茂继续跌停,已录得复牌后的第四个一字跌停板。7月8日,天茂集团股票简称由"天茂集 团"变更为"*ST天茂",正式被实施退市风险警示。 今年4月28日晚,天茂集团(*ST天茂,下同)发布风险提示公告,称原定于2025年4月29日披露2024年年度报 告和2025年第一季度报告。因定期报告涉及的部分信息需要进一步补充提供,公司无法在2025年4月29日披露 2024年年度报告和2025年第一季度报告,也可能无法在法定期限内(2025年4月30日)披露上述定期报告。 彼时,公司表示公司正常经营,2024年度报告编制工作仍在进行中,会尽最大努力加强与各方的沟通,组织有 关人员抓紧完成定期报告的编制工作,披露2024年年度报告及2025年第一季度报告。 天茂集团于1996年公开发行股票并上市,是"法人股大王"刘益谦资本布局中的重要一子。叱咤市场近30 年,一夕之间,天茂集团走到了退市边缘。 上述财报至今未能发布。 5月5日晚,天茂集团正式发布"关于无法在法定期限内披露定期报告暨股票停牌的公 告"。5月6日,天茂集团股票开市起停牌。同日,因涉嫌未按期披 ...
商保创新药目录调整申报启动 以协商机制推动多方联动
Core Viewpoint - The National Healthcare Security Administration (NHSA) has officially initiated the adjustment application process for the 2025 National Basic Medical Insurance, Maternity Insurance, and Work Injury Insurance drug catalog, along with a newly established commercial health insurance innovative drug catalog [1][2]. Group 1: Policy Implications - The inclusion of commercial health insurance in the national drug catalog system marks a significant breakthrough in China's multi-tiered medical security system, providing a regulatory foundation for commercial health insurance to enhance the accessibility of innovative drugs [5]. - The new commercial insurance catalog emphasizes a negotiation mechanism centered on information symmetry and professional support, which is crucial for collaboration between pharmaceutical companies and insurance providers regarding drug value recognition, pricing logic, and risk assessment [6]. Group 2: Innovative Drug Coverage - The "2025 China Innovative Drug and Medical Device Multi-Payment White Paper" indicates that currently, disease insurance accounts for 50% of commercial insurance payouts for innovative drugs, with million medical insurance at 22%, and other types making up the remainder [7]. - The key to designing products is to incorporate innovative drugs into a "sustainable protection structure" rather than treating them as merely high-priced medications [7]. Group 3: Recommendations for Improvement - Industry experts suggest focusing on three areas: introducing real-world evidence and stratified population data for better identification of payee groups, creating a combination of "basic insurance + commercial insurance + pharmaceutical company co-payment," and standardizing and automating the process from drug catalog to claims rules through a platform mechanism [7]. - There is a call for enhancing patient experience, process transparency, and claims efficiency as part of the catalog evaluation criteria to ensure that the catalog is accessible, implementable, and efficient in claims processing [8].
王国军:创新药支付体系变革的关键一步丨金融百家
Core Viewpoint - China's pharmaceutical innovation is undergoing a historic transformation, driven by the collaboration of medical insurance, healthcare, and pharmaceutical sectors, aiming to shift from a "generic drug powerhouse" to an "innovative drug stronghold" [1] Group 1: Policy Measures - The National Healthcare Security Administration and the National Health Commission released measures to support high-quality development of innovative drugs, marking a significant step in China's healthcare strategy [1][2] - A series of policy documents were issued to establish a pricing negotiation process for innovative drugs, indicating a strategic arrangement for a multi-tiered medical security system [2] Group 2: Market Dynamics - In 2024, China's basic medical insurance fund had a total income of 34,809.95 billion yuan and total expenditure of 29,675.92 billion yuan, with commercial health insurance covering less than 8% of innovative drug costs [3] - The innovative drug market in China is projected to reach 1,620 billion yuan, highlighting the underutilization of commercial health insurance in supporting innovative drug development [3] Group 3: Insurance and Pharmaceutical Collaboration - The guidelines for the insurance directory focus on "clinical value-cost effectiveness," encouraging pharmaceutical companies to shift from "Me-too" to "First-in-class" drug development [4] - The establishment of a commercial health insurance directory for innovative drugs aims to alleviate the financial burden on basic medical insurance while providing new payment channels for innovative drugs [4][5] Group 4: Benefits of the New Framework - The new insurance directory benefits pharmaceutical companies by expanding patient access and accelerating capital recovery for further innovation [5] - Commercial insurance companies can leverage shared information from medical insurance to expand their health insurance business at lower costs, ultimately benefiting patients by reducing medical expenses [5] Group 5: Future Directions - The dynamic adjustment of the commercial health insurance directory and pricing mechanisms represents a process of balancing interests among various stakeholders, including patients, pharmaceutical companies, and insurance providers [6] - The integration of medical insurance and commercial health insurance is expected to evolve towards a collaborative regulatory framework, enhancing the overall healthcare system in China [8]
7.8全国保险公众宣传日丨践行爱与责任 保险服务进乡村——中意人寿淄博中支走进九级村
Qi Lu Wan Bao· 2025-07-11 04:03
Core Viewpoint - The event on July 8, 2023, marked the 13th National Insurance Publicity Day, focusing on the theme "Love and Responsibility, Insurance Makes Life Better" to enhance public awareness of insurance and financial literacy [1] Group 1: Event Overview - The event was organized by the China Insurance Industry Association and aimed to promote insurance services and financial knowledge in rural areas, specifically in Jiuji Village, Zibo City [1][3] - Activities included setting up service consultation booths, hanging promotional banners, and distributing informative materials to educate villagers about insurance [3] Group 2: Financial Knowledge Promotion - The event emphasized the core values of insurance, including risk protection, economic compensation, and life stability, particularly focusing on health and pension insurance products relevant to villagers [3][5] - Financial literacy was promoted using simple language and relatable examples, covering basic financial concepts, savings, and rational investment ideas to help villagers manage their finances effectively [5] Group 3: Risk Prevention and Awareness - A special segment on fraud prevention was included, addressing common scams in rural areas, especially targeting the elderly, and providing tips on recognizing and avoiding such scams [5] - The event highlighted the dangers of the "agent refund" black market, warning villagers about potential loss of coverage and financial harm, and encouraged them to consult official channels for insurance matters [5][7] Group 4: Community Impact and Future Plans - The initiative fostered a better understanding of insurance functions and financial risk awareness among villagers, contributing to a supportive environment for financial literacy [7] - The company plans to continue its efforts in grassroots engagement, aiming to enhance public financial literacy and support local economic development and rural revitalization [7]
国家医保局回应:认同商保目录“以政策换价” 定向邀请保司参与价格协商
Di Yi Cai Jing· 2025-07-11 00:08
商业健康保险创新药品目录正式启动。 经过一周的征求意见,7月10日临近下班时,国家医保局正式发布《2025年国家基本医疗保险、生育保 险和工伤保险药品目录及商业健康保险创新药品目录调整工作方案》,以及相关方案的申报指南、谈判 药品续约规则、非独家药品竞价规则、常用问答(2025版)共5份文件。 在当日上午,国家医保局相关司局召开闭门会,针对近日业界关心的问题,进行了一番坦诚的交流。 2025年国谈期,将首现基本医保目录和商保创新药目录同步谈判、协商的场面。国家医保局相关负责人 表示,今年国谈开启晚、任务重,多了一项制定创新药目录的流程,时间上出现了一些不确定性。 而对商保创新药目录而言,今年的首秀格外瞩目,相关负责人坦言,对于保司而言,药品价格能降低多 少,能节约多少成本;对药企而言,市场能放量多少,目前还是未知。这是一次探险。 尽管如此,"所有东西都是要去试的,别忘了基本医保政策也是这么多年一步步发展才走到了今天,令 大家觉得有了一定的确定性。当年第一次作目录谈判时同样很难。" 认同"以政策换价", 目录或率先与惠民保类的产品衔接 商保创新药目录的第一落点,或是惠民保等社商融合类的保险产品。 在过往数年,医 ...
大利好!国家医保局,正式发布
21世纪经济报道· 2025-07-10 12:18
Core Viewpoint - The new healthcare policy aims to enhance the accessibility of innovative drugs through the establishment of a commercial insurance innovation drug directory, which is expected to include around 20 to 30 new drugs, thereby improving the overall insurance coverage for patients [6][9]. Group 1: Policy Changes - The National Healthcare Security Administration (NHSA) has released a series of documents outlining the adjustments to the 2025 National Basic Medical Insurance, Maternity Insurance, and Work Injury Insurance drug directories, as well as the commercial health insurance innovation drug directory [2][4]. - The new policy emphasizes a collaborative negotiation mechanism for the commercial insurance innovation drug directory, differing from the basic insurance directory's negotiation process [6][8]. Group 2: Market Impact - The introduction of the commercial insurance innovation drug directory is expected to allow insurance companies to negotiate prices with pharmaceutical companies, leading to lower prices compared to existing market rates [6][8]. - This policy is anticipated to expand the coverage of commercial insurance and reduce operational costs for insurance companies, ultimately benefiting patients by increasing their access to innovative drugs [6][9]. Group 3: Implementation and Future Outlook - The NHSA will begin accepting applications from eligible companies for the new drug directory starting from July 20, 2023, indicating that the preparation for the 2025 adjustments is nearly complete [9]. - The dynamic nature of the directory, which will be updated annually, suggests that more innovative drugs may be included in short-term health insurance plans in the future, providing more options for the public [8][9].
国家医保局公布2025年医保目录调整工作方案
news flash· 2025-07-10 10:55
2.2025年国家基本医疗保险、生育保险和工伤保险药品目录及商业健康保险创新药品目录调整申报指南 3.谈判药品续约规则 7月10日,国家医保局公告,根据工作安排,现将《2025年国家基本医疗保险、生育保险和工伤保险药 品目录及商业健康保险创新药品目录调整工作方案》《2025年国家基本医疗保险、生育保险和工伤保险 药品目录及商业健康保险创新药品目录调整申报指南》《谈判药品续约规则》以及《非独家药品竞价规 则》正式公布。同时,为使社会各界对政策理解更加深入,国家医保局组织编印了《国家基本医疗保 险、生育保险和工伤保险药品目录及商业健康保险创新药品目录调整常用问答》(2025年版),在此一 并发布。2025年7月11日—20日在医保局国家医保服务平台(网址:https://fuwu.nhsa.gov.cn/)开通网上 申报系统。 附件:1.2025年国家基本医疗保险、生育保险和工伤保险药品目录及商业健康保险创新药品目录调整工 作方案 4.非独家药品竞价规则 5.国家基本医疗保险、生育保险和工伤保险药品目录及商业健康保险创新药品目录调整常用问答(2025 年版) ...
富卫集团正式于香港交易所上市
Sou Hu Cai Jing· 2025-07-09 11:26
Core Viewpoint - FWD Group Limited has officially listed on the Hong Kong Stock Exchange on July 7, 2025, under stock code 1828, marking a significant milestone for the company and highlighting Hong Kong's advantages as a listing location [1][4][9] Group 1: Company Overview - FWD Group serves approximately 30 million customers across ten Asian markets, focusing on life and health insurance [9] - The company was founded in 2013 and has been operating in some of the fastest-growing insurance markets globally, emphasizing a customer-centric approach and technology-driven operations [9] Group 2: Leadership Statements - Li Ka-shing, the founder of FWD Group, stated that the listing is a crucial milestone for the company and reflects the strong appeal of its business and strategies [1][4] - Professor Mark T. H. Ma, Chairman of FWD Group, welcomed new investors and noted the enthusiastic market response to the IPO, indicating significant opportunities in meeting the unique needs of customers across Asia [4] - CEO Huang Qingfeng expressed gratitude to customers, partners, and employees for their support, emphasizing the company's commitment to creating innovative insurance experiences [6] Group 3: Use of Proceeds - FWD Group plans to use the net proceeds from the global offering to enhance capital strength and financial flexibility, including reducing overall debt to support business growth and expand customer and channel coverage [8]