Core Insights - The ongoing reform of medical insurance payment methods, primarily focusing on Diagnosis-Related Groups (DRG) and Disease-Related Payment (DIP), presents both opportunities and challenges for commercial health insurance [1][3] - There is a growing consumer demand for "out-of-hospital medication coverage," leading to a shift in preferences towards mid-to-high-end health insurance products that offer fewer restrictions on hospital choices [3][4] - Traditional million medical insurance products are facing challenges due to the new payment models, highlighting gaps in coverage that do not meet evolving patient needs [4][5] Industry Trends - The transition from "fee-for-service" to "value-based payment" under DRG/DIP reforms has resulted in increased outpatient treatment costs and a rise in demand for medications purchased outside hospitals [4][5] - Many insurance companies are responding to these changes by launching new products that include coverage for out-of-hospital medications and medical devices, addressing the gaps left by traditional million medical insurance [9][10] - The introduction of a diversified commercial health insurance system aims to meet the varied health protection needs of different consumer groups [10][11] Product Development - Insurance companies are iterating their products to lower deductibles and expand coverage to include outpatient services and private hospitals, while also removing restrictions on high-value medications [8][9] - New products, such as those from ZhongAn Insurance, are now offering coverage for out-of-hospital medications without disease or treatment limitations, reflecting a significant shift in product offerings [9] - The establishment of a comprehensive drug directory for commercial health insurance is seen as a crucial step in enhancing product design and improving customer experience through direct payment models [12]