商业长期护理保险
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面向未来,中国商业健康保险的发展高地在哪里?
Sou Hu Cai Jing· 2026-01-05 13:11
发展商业健康保险不仅是满足人民群众多样化医疗需求的民生工程,更是在老龄化背景下,有效应对人口年龄结构转变、分担基本医保支出压力、实现整 个医疗保障体系财务稳健与可持续发展的战略选择。老年人口是医疗资源消耗的主要群体,其慢性病高发、照护需求长期化等特点,在一定程度上加剧了 基本医保"保基本"的筹资与支出矛盾。在此形势下,构建以基本医保为主体、商业健康保险等共同发展的多层次医疗保障体系,通过商业健康保险的市场 机制有效承接超出"基本"范围的保障需求,能够显著增强医保制度应对老龄化冲击的韧性。 有基本医保,为什么还要大力发展商业健康保险? 从学术定位上看,商业健康保险是以被保险人的身体为保险标的,保证被保险人因疾病或意外事故所致伤害产生的直接费用和间接损失获得补偿的保险。 在国家顶层设计中,其定位日益明晰且被赋予更高期望。《"健康中国2030"规划纲要》提出,"健全以基本医疗保障为主体、其他多种形式补充保险和商 业健康保险为补充的多层次医疗保障体系";2020年发布的《关于促进社会服务领域商业保险发展的意见》设定了"力争到2025年,商业健康保险市场规模 超过2万亿元,成为中国特色医疗保障体系的重要组成部分"这一量 ...
社保“第六险”迈向全面建制|展望2026
Guo Ji Jin Rong Bao· 2025-12-31 13:36
长护险在全面落地过程中,面临筹资难等诸多难题。专家建议,通过多元筹资机制缓解长护险基金 压力,引导个人、用人单位与商业保险合理分担风险。 4500万,这是国家卫健委公布的我国失能失智老人数量。 对于这些家庭而言,长期照护的重担不仅是老人难以释怀的心结,也让子女的生活重心失衡。在这 样的背景下,被称为社保"第六险"的长期护理保险(下称"长护险")应运而生,目前已在全国49个城市 开展试点。 而这仅仅是个开始。"十五五"规划建议明确提出,要"推行长期护理保险,健全失能失智老年人照 护体系,扩大康复护理、安宁疗护服务供给";中央经济工作会议在部署2026年经济工作重点任务时也 提到,要"推行长期护理保险制度"。 政策东风已至,但从局部试点迈向全面落地,长护险依旧任重道远。 "以前每个月送母亲去医院换导尿管,就像'掉一层皮'。"魏美芬家人感慨道,如今专业护理服务送 到家,家庭负担大大减轻。 作为我国积极应对人口老龄化、健全社会保障体系的关键制度安排,长护险通过政府主导的责任共 担机制,将家庭照护责任扩大为社会化互助共济,依托多方资源协同供给照护服务,为失能家庭筑起了 托举生命尊严的保障防线。 2025年,多项长护险配 ...
陕西出台十项举措 打造“一刻钟养老服务消费圈”
Zhong Guo Xin Wen Wang· 2025-12-26 07:21
人才培育方面,支持职业院校和本科高校养老相关专业毕业生对口就业,开展老年人能力评估师、 养老护理员职业技能等级认定,补齐农村养老服务人才短板。消费保障上,健全老年人照护保障制度, 鼓励有条件地区发放养老服务消费券,养老机构用水、用电、用气、用热执行居民生活类价格。金融领 域将创新养老金融产品,拓展养老信托、商业长期护理保险等服务,精准对接养老机构建设、适老化改 造等融资需求。 拓展社区养老服务,构建"一刻钟养老服务消费圈",实现优质服务"家门口可达"。加快农村养老服 务,通过组建县域养老服务联合体、改造闲置农房建设"互助幸福院"等养老服务设施,推进老年用品下 乡与适老化配送等举措,让农村老年人共享养老服务发展成果。 为保障老年人合法权益,政策明确实施养老服务领域安全生产治本攻坚行动,加强养老机构消防安 全管理,严厉查处欺老虐老、欺诈销售等违法行为,开展养老服务质量监测。强化养老机构预收费监 管,要求所有有偿服务明码标价,畅通投诉举报渠道,建立老年用品和服务消费评价机制,常态化开展 老年人防骗宣传教育,为养老服务消费营造安全放心的市场环境。 大力推动养老服务与多领域深度融合,培育消费新增长点。在"智慧+养老"领 ...
国泰海通|医药:优化集采,支持医药产业创新发展——2025年全国医疗保障工作会议点评
国泰海通证券研究· 2025-12-15 13:48
Core Viewpoint - The National Medical Security Work Conference held in December 2025 emphasizes the optimization of centralized procurement policies, the development of maternity and long-term care insurance, and the strategic purchasing role of medical insurance to support the innovative drug industry [1][2]. Group 1: Support for Commercial Health Insurance - The National Medical Security Bureau will support the integration and complementary development of commercial health insurance with basic medical insurance, encouraging the inclusion of more reasonable medical expenses outside the basic medical insurance catalog into the coverage of commercial health insurance [2]. - There will be an encouragement for commercial health insurance institutions to expand their investment in innovative drugs, promoting research and development in this area [2]. - A one-stop settlement service combining "medical insurance + commercial insurance" will be provided for eligible commercial health insurance products, aimed at improving claims efficiency [2]. Group 2: Development of Maternity and Long-term Care Insurance - The National Medical Security Bureau aims to include flexible employment personnel, migrant workers, and new employment forms in the coverage of maternity insurance [2]. - The goal is to achieve "no out-of-pocket" expenses for childbirth within the policy scope nationwide, with enhancements to prenatal examination medical expense coverage [2]. - The long-term care insurance system will be comprehensively promoted, with encouragement for commercial insurance institutions to develop commercial long-term care insurance products [2]. Group 3: Support for Pharmaceutical Industry Innovation - The National Medical Security Bureau will guide the pharmaceutical industry towards healthy competition and differentiated innovation, implementing measures to support the high-quality development of innovative drugs [3]. - New rounds of national centralized procurement for drugs and high-value medical consumables will be conducted, with a focus on improving the efficiency of enterprise returns [3]. - The multi-price discovery function of the Chinese drug price registration system will be leveraged to assist the Chinese pharmaceutical industry in expanding internationally [3].
北京将迎来又一利好!
清华金融评论· 2025-11-19 01:30
Core Viewpoint - The article outlines a comprehensive plan by the People's Bank of China and 12 other departments to enhance financial support for consumption in Beijing, aiming for significant improvements in financial services by 2030, particularly in sectors like accommodation, dining, cultural tourism, education, and elder care [5][6]. Summary by Sections Overall Goals - The plan aims to elevate the financial service level in Beijing's consumption sector by 2030, focusing on increasing loan balances and credit support in key areas such as accommodation, dining, cultural tourism, education, and elder care [6]. Key Areas of Financial Support - **Consumer Credit Support**: Emphasis on increasing auto loans, optimizing financial products for various purchasing scenarios, and promoting green consumption through financial incentives [7]. - **Cultural and Sports Consumption**: Financial institutions are encouraged to innovate financing models and increase credit for cultural and sports events, leveraging Beijing's status as a cultural center [8]. - **Accommodation and Dining Services**: Support for creating unique dining and cultural experiences, with financial incentives for businesses to enhance consumer engagement [9]. - **Elder Care and Domestic Services**: Financial institutions are urged to collaborate with service providers to offer tailored financial services for domestic workers and elder care facilities [9]. - **Infrastructure and Trade Systems**: Financial support for upgrading commercial infrastructure and optimizing loan conditions for businesses in the consumption sector [10]. Supporting Consumer Demand - **Employment and Income Support**: Initiatives to lower financing costs for small and micro enterprises, enhancing their capacity to create jobs [10]. - **Services for the Elderly**: Financial institutions are encouraged to develop services tailored to the elderly population, including payment solutions and dedicated financial products [11]. - **Foreign Consumer Services**: Enhancements in payment services for foreign visitors, including expanding the use of foreign cards and optimizing payment processes [11]. Enhancing Financial Institution Services - **Credit Support**: Financial institutions are urged to provide differentiated and convenient financial services, focusing on the consumption sector's diverse needs [12]. - **Bond Market Financing**: Encouragement for companies in cultural, tourism, and education sectors to issue bonds to raise funds [12]. - **Equity Financing**: Support for quality enterprises in the consumption industry to raise funds through equity markets [12]. Policy Coordination - **Monetary Policy**: Implementation of supportive monetary policies to encourage lending in key consumption sectors [13]. - **Fiscal Policy**: Introduction of interest subsidy policies to lower financing costs for consumers and service providers [14]. - **Insurance System**: Development of insurance products tailored to the needs of the elderly and low-income groups [14]. Financial Environment Optimization - **Payment Environment**: Initiatives to enhance the payment experience for consumers, including the promotion of digital currency [15]. - **Consumer Rights Protection**: Establishment of mechanisms to protect consumer rights and enhance financial literacy [16]. Organizational Support - **Coordination and Evaluation**: Strengthening collaboration among financial departments and relevant authorities to ensure effective implementation of the plan [17]. - **Experience Sharing**: Financial institutions are encouraged to share best practices and promote awareness of financial support policies [17].
金融发力提振消费 北京出台重磅方案
Bei Jing Shang Bao· 2025-11-18 16:01
Core Viewpoint - The People's Bank of China and 12 other departments have issued a plan to enhance and expand consumption in Beijing, aiming for improved financial services in various sectors by 2030 [1] Financing Support - The plan emphasizes increasing bond market financing for qualified enterprises in cultural, tourism, and education sectors [3] - It encourages equity financing for quality enterprises in the consumption industry through public listings and other means [3] - Social capital is urged to invest more in key service consumption areas, with a focus on private equity and venture capital for early-stage companies [3] Consumer Services Enhancement - The plan aims to enrich financial services in the accommodation and dining sectors, promoting local brands and unique cultural experiences [4] - Financial institutions are encouraged to collaborate with service providers to offer diverse consumer discounts and incentives [4] Automotive and Electronics Financing - The plan proposes to enhance financial support for automotive loans, particularly for new energy vehicles, and to optimize financing products for various purchasing scenarios [5][6] - It also encourages financial institutions to meet consumer financing needs in home appliances and electronic products [6] Support for Small and Micro Enterprises - The plan highlights the importance of reducing financing costs for small and micro enterprises, with a focus on job creation and entrepreneurship [7] - It supports innovative financial services for sectors like domestic services and elderly care, aiming to lower entry costs for service workers [7] Insurance System Improvement - The plan seeks to enhance the insurance system by developing long-term care insurance and personal pension products tailored to the needs of the elderly [8] - It promotes the expansion of commercial health insurance and encourages innovative insurance products for low-income groups [8]
多地监管发力商保年金等 银发经济迎风口
Bei Jing Shang Bao· 2025-11-18 15:54
Core Viewpoint - The third pillar of the pension insurance system is experiencing unprecedented development opportunities, with continuous improvements in its core institutional framework and pilot products, leading to a rapid advancement of "finance + pension" initiatives [1][3]. Policy Developments - Recent policies have been implemented to enhance the pension financial framework, providing clear guidance for the insurance industry to participate in the pension security system [3][4]. - The Guangdong Province's implementation plan emphasizes accelerating the innovation of commercial insurance annuity products and exploring integrated pension financial solutions that include medical, nursing, health, and housing services [3][4]. - Other regions, such as Anhui and Jiangsu, have also introduced measures to promote the development of commercial insurance annuities and long-term care insurance, enhancing risk protection for the elderly [3][5]. Market Dynamics - The release of various policy documents is expected to increase societal awareness of aging issues and attract more social capital into the construction of the pension service system [5][6]. - The focus on commercial insurance annuity products and long-term care insurance is evident across multiple regions, addressing key pain points in pension savings and disability risk protection [5][6]. Funding and Investment - Insurance funds are being guided to provide long-term financial support for the pension service system, aligning with the long-term nature of the pension industry [6][7]. - The Guangdong implementation plan specifies that insurance funds will support pension service operators and elderly meal service providers through various financial instruments [6][7]. - Insurance companies are seen as suitable investors for supporting the construction and operation of elderly facilities, ensuring project sustainability through risk management [7].
北京:发展商业长期护理保险
Bei Jing Shang Bao· 2025-11-18 08:51
Core Viewpoint - The People's Bank of China and 12 other departments have issued a plan to enhance and expand consumption in Beijing through financial support, focusing on various insurance and pension products aimed at improving the financial security of residents [1] Financial Products Development - Financial institutions are encouraged to develop personal pension products tailored to the long-term needs of participants, which should offer certain returns [1] - There is a push to accelerate innovation in commercial insurance annuity products [1] Health Insurance Expansion - The plan aims to expand the coverage of commercial health insurance and improve service levels [1] - Development of commercial long-term care insurance is also emphasized [1] - There is a focus on increasing support for innovative drugs through commercial health insurance to meet diverse health protection needs [1] Targeted Insurance for Specific Groups - Support is provided for the development of elderly travel insurance and the expansion of its coverage [1] - The plan promotes inclusive insurance for farmers and low-income urban residents, encouraging these key groups to allocate more resources to inclusive insurance [1] - There is an initiative to promote comprehensive insurance for individual businesses [1]
金改前沿|如何让养老金分享AI红利?专家学者谈多层次养老保障体系建设
Xin Hua Cai Jing· 2025-10-25 03:54
Core Insights - The article discusses the increasing importance of pension security in China, emphasizing the need for a multi-tiered pension system that involves collaboration among government, market, and society [1][4][5] Group 1: Pension System Challenges - The pension system in China faces structural challenges and transformation pressures, with various perspectives on reform including benefit levels, fiscal sustainability, investment strategies, and fairness [4] - The basic pension insurance covers the majority of retirees, but over 50% of insured individuals receive rural resident pension insurance, highlighting the need for broader coverage [4][5] Group 2: Multi-Tiered Pension Structure - The pension system consists of three pillars: the first pillar is government-led basic pension insurance, the second pillar includes enterprise annuities and occupational annuities, and the third pillar is voluntary commercial pension insurance [5] - Experts emphasize the importance of including flexible employment groups, which number over 200 million and often lack adequate pension coverage, to ensure fairness in the pension system [5][6] Group 3: Collaborative Framework - A collaborative pension system requires clear roles: the government ensures basic fairness, the market addresses diverse needs, and society provides supplementary services [6] - Suggestions for improving the second pillar include promoting automatic enrollment mechanisms and enhancing the professionalization of third-pillar pension financial services [6][8] Group 4: Innovation in Response to Change - Experts highlight the need for innovative solutions to address the impacts of AI and demographic changes on the pension system, warning that AI could exacerbate income inequality [8] - Proposed innovations include new annuity plans that align with life expectancy and the development of long-term care insurance products that offer flexible payment options [9]
贵州:鼓励保险机构丰富商业养老保险等供给
Bei Jing Shang Bao· 2025-10-21 11:25
Core Viewpoint - Guizhou has released implementation opinions aimed at promoting high-quality development of service consumption, particularly focusing on enhancing the insurance supply for different consumer groups [1] Group 1: Policy Initiatives - The provincial government encourages insurance institutions to diversify their offerings based on the needs of various consumer demographics [1] - Specific emphasis is placed on expanding commercial pension insurance and long-term care insurance products [1]