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加码健康管理、加快发展护理险政策驱动 健康险再迎发展新机   
Zhong Guo Jing Ji Wang· 2025-08-20 02:14
Core Viewpoint - The recent issuance of the "Shanghai '18 Measures'" by multiple regulatory bodies marks a significant opportunity for the development of commercial health insurance and support for innovation in the biopharmaceutical industry [1][3] Group 1: Development of Commercial Health Insurance - The "Shanghai '18 Measures'" propose 18 specific measures to encourage insurance institutions to provide diverse health insurance products and services, including medical, disease, rehabilitation, and care [1] - There is a notable shift from "passive claims" to "active management" in health insurance, with a growing emphasis on health management services that extend to disease prevention and health promotion [2][3] - The increasing awareness of health insurance's importance has led to a rise in consultations for health insurance products, indicating a growing market demand [2] Group 2: Growth of Nursing Insurance - The aging population in China is driving demand for nursing insurance, with 31.03 million people aged 60 and above, representing 22% of the national population [4] - In 2023, the commercial nursing insurance sector achieved significant growth, with premium income reaching 62.74 billion yuan, a year-on-year increase of 113.16% [4] - The proportion of nursing insurance within health insurance has been steadily increasing, with a notable rise of 4.3 percentage points from the previous year [4] Group 3: Policy Support and Market Opportunities - The rapid development of commercial nursing insurance is supported by favorable policies that encourage insurance institutions to develop nursing products [5][6] - The "Shanghai '18 Measures'" also emphasize the need to accelerate the development of commercial nursing insurance and explore diverse insurance products tailored to various nursing needs [6] - Experts predict that the nursing insurance market will continue to grow rapidly due to the aging population and ongoing policy support [6] Group 4: Synergy with Biopharmaceutical Industry - The "Shanghai '18 Measures'" aim to promote collaboration between commercial health insurance and the medical, medical insurance, and pharmaceutical sectors, enhancing the interaction between insurance institutions and biopharmaceutical companies [7] - This collaboration is expected to lead to the development of health insurance products that better meet market demands and improve sales channels for pharmaceutical companies [7] - The synergy between commercial health insurance and the biopharmaceutical industry is anticipated to foster innovation in medical technology and improve patient access to quality health services [7]
上海出台健康险助力生物医药产业十八条措施
Core Viewpoint - The issuance of the "Several Measures to Promote the High-Quality Development of Commercial Health Insurance" aims to enhance the service capabilities of the insurance industry in meeting public health needs and to improve the accessibility and affordability of innovative drugs and medical devices [1][2][3] Group 1: Key Measures - The measures propose to broaden the coverage of commercial health insurance and develop a multi-tiered product system, including the acceleration of commercial nursing insurance [2] - There is encouragement for the development of health insurance products targeting specific groups such as the elderly, children, and those with chronic conditions, along with support for insurance companies to enhance health management services [2] - The initiative promotes the creation of group health insurance products that involve employer contributions and cover innovative drug costs, while exploring a "regulatory sandbox" pilot mechanism for better risk management [2] Group 2: Data Interconnectivity and Payment Mechanisms - The measures emphasize the need for deeper interconnectivity between medical, health insurance, and commercial insurance data, using clinical trial data as pricing references for insurance companies [2][3] - There is a focus on innovating payment mechanisms for innovative drugs and medical devices, ensuring their inclusion in hospital treatments and insurance coverage without being limited by disease-based payment systems [3] - The initiative also encourages tax deductions and optimized funding methods to support the development of commercial health insurance, aiming to create a comprehensive health protection system for the public [3]
上海打出“组合拳” 促进医保商保共同发展支持创新药械
Guo Ji Jin Rong Bao· 2025-08-06 17:54
Group 1 - The core viewpoint of the news is the introduction of measures by the Shanghai Financial Regulatory Bureau to promote the high-quality development of commercial health insurance, enhancing the insurance industry's ability to serve public health needs and improving the accessibility and affordability of innovative drugs and medical devices [1][2] - The measures include five main areas with 18 specific actions aimed at broadening the coverage of commercial health insurance and developing a multi-tiered product system [1] - There is a focus on developing health insurance products tailored for specific groups such as the elderly, children, and those with chronic illnesses, as well as enhancing health management services to reduce risks [1][2] Group 2 - The measures encourage the development of group health insurance products that involve employer contributions and cover innovative drug costs, aiming to establish a risk adjustment mechanism in key economic sectors [1][2] - There is an emphasis on deepening the interconnectivity of medical, health insurance, and commercial insurance data, using clinical trial data as pricing references for insurance companies [2] - The introduction of innovative payment mechanisms for new drugs and medical devices is supported, facilitating their integration into hospitals and insurance coverage, while also promoting tax deductions and funding optimization for commercial health insurance [2]
上海打出“组合拳”,促进医保商保共同发展支持创新药械
Guo Ji Jin Rong Bao· 2025-08-06 13:02
Group 1 - The core viewpoint of the news is the introduction of measures by the Shanghai Financial Regulatory Bureau to promote the high-quality development of commercial health insurance, enhancing the insurance industry's ability to serve public health needs and improving the accessibility and affordability of innovative drugs and medical devices [1][2] - The measures include five main areas with 18 specific actions aimed at broadening the coverage of commercial health insurance and enriching product forms, particularly focusing on developing commercial nursing insurance and a multi-tiered product system [1] - There is an emphasis on encouraging the development of health insurance products tailored for specific groups such as the elderly and those with chronic conditions, as well as enhancing health management services to reduce risks [1][2] Group 2 - The measures advocate for the creation of group health insurance products that involve employer contributions, covering innovative drug and device costs, and aligning with basic medical insurance for seamless settlement [1][2] - There is a push for deepening the interconnectivity of medical, health insurance, and commercial insurance data, using clinical trial data as pricing references for insurance companies, and supporting a "one-stop" settlement service [2] - The introduction of innovative payment mechanisms for new drugs and devices is encouraged, facilitating their integration into hospitals and insurance coverage, while also promoting tax deductions and optimized funding to support the growth of commercial health insurance [2]
上海:加快发展商业护理保险,加强商业护理保险与护理服务相结合
Bei Jing Shang Bao· 2025-08-06 11:59
Core Viewpoint - The document outlines measures to promote the high-quality development of commercial health insurance to support innovation in the biopharmaceutical industry [1] Group 1: Development of Commercial Health Insurance - The measures emphasize accelerating the development of commercial nursing insurance [1] - Insurance institutions are encouraged to research and develop insurance products that cater to diverse nursing needs, including home care, community care, and institutional care [1] - There is a focus on establishing standards for nursing services within commercial nursing insurance [1] Group 2: Long-term Care and Pension Services - The measures aim to continuously promote the development of commercial insurance annuity business [1] - Active participation in constructing a long-term care system is encouraged, with an emphasis on improving the quality and social benefits of long-term care services [1] - Support for the development of the elderly care service industry is highlighted, along with exploring effective connections between pension financial products and nursing guarantees [1]
扎根江苏大地,中国人保护航“经济强省”建设
Cai Jing Wang· 2025-04-07 02:51
Core Insights - China Pacific Insurance is committed to enhancing its service capabilities in Jiangsu, focusing on various sectors including technological innovation, rural revitalization, and public welfare [1][2][3] Group 1: Service Innovation and Product Development - The company plans to innovate products and optimize service models to support Jiangsu's economic development, aiming to provide robust insurance support for the province's growth [1] - In 2024, the company will launch six national first products in the technology sector, providing over 3 trillion yuan in risk coverage for 11,497 technology enterprises [1] Group 2: Support for National Strategies and Agriculture - The company has developed over 360 agricultural insurance products, providing risk coverage exceeding 1 trillion yuan for 2.959 million farming households in 2024, with a 39.2% increase in agricultural insurance payouts [2] - The agricultural insurance initiative aims to expand coverage and improve product offerings, aligning with national strategic goals [2] Group 3: Social Welfare and Financial Inclusion - The company focuses on inclusive finance, providing insurance services to over 86 million people and covering 11 million individuals under the "惠民保" program, with annual payouts exceeding 200 million yuan [2] - It has provided risk coverage of over 800 billion yuan for 580,000 new citizens, demonstrating a commitment to social welfare [2] Group 4: Commitment to Quality Development - The company emphasizes the importance of enhancing basic public services and social security systems to address community needs effectively [3] - It aims to leverage technology and innovation to improve customer service and business development, while also focusing on cost control and management efficiency [5] Group 5: Future Directions - China Pacific Insurance will continue to strengthen its role in supporting technological innovation, deepening reform, and ensuring public welfare, contributing to Jiangsu's high-quality economic development [5]