2025年11月3日，为期五天的国家医保谈判正式收官，首次纳入政策框架的商保创新药目录成为最大亮 点。据悉，121款药物顺利通过形式审查，其中备受关注的高值药物典型代表——CAR-T药物，已经有 厂家通过协商，或将成功进入商保创新药目录。 首版商保创新药目录将于12月初正式发布，并于2026年1月1日起实施。有业内专家指出，在基本医 保"保基本"定位与创新药支付需求缺口持续扩大的背景下，商保目录的落地正为团体健康险打开政策红 利窗口，对广大上班族而言，未来有望通过参与公司团险，降低创新药自付费用压力；对行业而言，团 险也被寄予厚望，或成为破解创新药支付困局的突破口。 "双目录"体系落地，商保定位再升级 "个人医疗险销售成本高、逆选择风险大，是其难以做大做强的主要原因。"上述业内人士表示，"目前 个人医疗险保费较低，大多仅为几百元，惠民保甚至低至几十元。销售人员在推销过程中需要投入大量 时间解释条款、协助参保，但佣金实际仅占保费的20%–30%。低保费、高服务成本的模式，限制了个 人险种的发展效率和发展空间。" 相比之下，团体健康险的集约化优势愈发凸显。通过企业统一参保，团险可有效降低逆选择风险、提高 筹资效率 ...

Core Insights - The event "Trends Conference" hosted by CITIC Prudential Life Insurance and the knowledge service platform "Get" aimed to outline future trends through in-depth sharing and dialogue [1] - CITIC Prudential Life Insurance upgraded its group insurance "Xinfeng" product service solutions and released a joint asset allocation report with its subsidiary CITIC Prudential Asset Management and Hanya Investment [3] Group Insurance "Xinfeng" Product Upgrade - The upgraded "Xinfeng" product service solutions focus on three core aspects: precision in solutions, differentiation in products, and ecological service [5] - The design of the solutions creates a dual-layer protection structure of "employee benefits + family safety net," extending from basic welfare to family care [5] - The product matrix will cover various needs, transitioning from basic protection to precise safeguarding [5] - The service model shifts from traditional "post-claim" to "proactive health management," integrating medical, technological, and professional resources to establish a comprehensive health management service system [5] Collaboration and Market Insights - CITIC Prudential Asset Management and Hanya Investment deepened their collaboration to explore innovative paths in asset management, launching a joint brand report system for global market outlooks [3] - The first outcome of this collaboration is the "Global Market Outlook Report for Q4 2025," focusing on asset allocation rebalancing in an era of uncertainty [3] - The investment strategies discussed emphasize a return to fundamentals, advocating for "systematic investment" as a core principle to balance returns and risks in a low-interest, high-volatility market [4] - The integration of AI technology with asset management is highlighted as a key driver for industry evolution [4]