日前，国家金融监管总局向各保险公司印发《关于推动城市商业医疗险高质量发展的通知》（以下简称 《通知》），要求城市商业医疗险（惠民保）突出普惠定位，坚守商业属性，遵循保险规律，规范精准 定价。机构分析称，预计率先开展寿险渠道及产品高质量转型，产品定价具备优势且深度布局健康险产 服体系的头部保险公司将更为受益。 国泰海通证券非银金融分析师刘欣琦认为，《通知》系统引导城市商业医疗险走向规范、可持续发展， 要求保险公司对产品规范精准定价，持续提升产品和服务的多样化水平，回归市场化、专业化经营，利 好进一步健全保险保障体系，激发居民对保障产品的需求。"预计率先开展寿险渠道及产品高质量转 型，产品定价具备优势且深度布局健康险产服体系的头部保险公司将更为受益。" 《通知》要求突出城市商业医疗险的普惠定位。保险业要坚持以人民为中心的发展思想，围绕人民群众 的优质医疗保障需求，优化城市商业医疗险产品供给，及时将医疗新技术、新药品、新器械应用纳入责 任范围，提供覆盖广泛、公平可得、保费合理、保障有效的保险服务。要努力扩大城市商业医疗险的惠 及面，推动商业医疗保险可及可信、可保可赔、可感可知。 （文章来源：广州日报） 同时，《通知 ...

Core Viewpoint - The new regulatory guidelines emphasize the importance of balancing the inclusive nature and commercial attributes of urban commercial health insurance (惠民保), aiming for sustainable development while adhering to market principles [1][5]. Group 1: Regulatory Guidelines - The Financial Regulatory Bureau issued a notification on July 31, requiring urban commercial health insurance to focus on inclusivity while maintaining its commercial nature [1]. - The notification mandates that insurance companies optimize product offerings to meet diverse health protection needs, ensuring broad coverage and reasonable premiums [2][5]. - Insurance companies are instructed to base pricing on reliable historical data, ensuring fair and differentiated pricing according to factors like age, gender, and health status [3][5]. Group 2: Market Competition - The notification prohibits "involution-style" competition, urging insurance companies to avoid chaotic price wars and maintain fair competition [4][5]. - Companies must enhance product diversity and adhere to internal control management during product development, sales, and claims processes [4]. - Sales practices must be transparent, with clear communication of product functions and obligations to prevent misleading information [4][5]. Group 3: Long-term Development - Experts believe the guidelines aim to curb unhealthy competition and ensure service quality, promoting the long-term health of 惠民保 [5]. - The focus is on transitioning from short-term expansion to long-term value creation, supporting a multi-tiered medical insurance system [5].

金融监管总局发文 要求城市商业医疗险规范精准定价 新华社北京7月31日电国家金融监督管理总局31日向各金融监管局、保险业协会、各保险公司印发《关 于推动城市商业医疗险高质量发展的通知》，要求城市商业医疗险突出普惠定位，坚守商业属性，遵循 保险规律，规范精准定价。 数据显示，2024年我国商业健康保险保费收入合计近万亿元，2025年上半年保费收入6223亿元，近10年 年均增速约20%，累计支付赔款2.6万亿元，目前还积累了超过2.5万亿元的长期责任准备金，将成为人 民群众未来健康保障的储备。 专 家 解 读新备案的产品将差异化定价 7月31日，国家金融监管总局向各保险机构下发《关于推动城市商业医疗险高质量发展的通知》（以下 简称《通知》）。 相关业内人士指出，城市商业医疗险具有低门槛、低保费、高保障等特点，自2020年以来发展迅速，在 一定程度上缓解了人民群众面对高额医疗费用的负担。然而，在快速扩张过程中，这项业务也面临较大 的可持续性风险。在此背景下，《通知》的出台有助于进一步规范经营行为，推动城市商业医疗险实现 商业可持续发展，保护保险消费者合法权益。 在产品管理方面，《通知》要求，保险公司应当围绕目标客 ...

Core Viewpoint - The Financial Regulatory Bureau issued a notice to promote the high-quality development of urban commercial health insurance, emphasizing its inclusive nature and commercial attributes to ensure sustainable growth [1][4]. Group 1: Development and Challenges - Urban commercial health insurance, known as "Hui Min Bao," has rapidly developed in recent years, with 168 million participants, effectively meeting public healthcare needs [2]. - Despite its growth, the commercial sustainability of Hui Min Bao faces challenges, including a low overall participation rate of about 5%, which may lead to adverse selection and financial instability [3]. Group 2: Regulatory Guidelines - The notice outlines several guidelines to enhance the sustainable development of Hui Min Bao, including optimizing product supply, expanding coverage, and ensuring fair pricing [4][5]. - Insurance companies are required to adopt risk-based pricing, considering factors such as age, gender, and health status to improve product fairness and adaptability [5][6]. Group 3: Market Dynamics - The notice reiterates the commercial nature of Hui Min Bao, mandating that insurance companies operate independently while ensuring consumer protection and satisfaction [6]. - It also prohibits low-price, chaotic competition among insurers to promote high-quality development in urban commercial health insurance [6].

Core Viewpoint - The National Financial Regulatory Administration has issued a notice to promote the high-quality development of urban commercial health insurance, emphasizing its inclusive nature while maintaining its commercial attributes and adhering to insurance regulations [1][2]. Group 1: Urban Commercial Health Insurance Overview - Urban commercial health insurance, known as "Hui Min Bao," is guided by local governments and operated by insurance companies, designed to complement basic medical insurance with low entry barriers, low premiums, and high coverage [1]. - The rapid development of urban commercial health insurance in various regions meets the diverse health protection needs of the population [1]. Group 2: Policy Requirements - The notice mandates that urban commercial health insurance should focus on inclusivity, optimizing product supply to ensure broad coverage, reasonable premiums, and effective protection [1]. - Insurance companies are required to operate autonomously while ensuring voluntary participation from the public, aligning premium collection with the level of coverage provided [1]. Group 3: Pricing and Data Insights - Urban commercial health insurance must implement precise pricing based on risk-sharing principles, considering factors such as age, gender, and health status for differentiated pricing [2]. - The commercial health insurance premium income in China is projected to reach nearly 1 trillion yuan in 2024, with 6.223 billion yuan collected in the first half of 2025, reflecting an average annual growth rate of approximately 20% over the past decade [2]. - Cumulative claims paid amount to 2.6 trillion yuan, with over 2.5 trillion yuan in long-term liability reserves accumulated, indicating a robust future health protection reserve for the population [2].