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赖晓辉:破解商业健康险困局,推动产品创新与服务升级的实践探索
清华金融评论· 2025-06-13 11:01
Core Viewpoint - The seminar emphasized the importance of commercial health insurance in supporting China's modernization process, addressing supply-demand imbalances, and proposing strategies for innovation and service upgrades in the industry [2][4]. Group 1: Product Innovation - The health insurance industry faces a supply-demand mismatch, with issues such as premium exceeding coverage for critical illness insurance and stagnant growth in medical insurance [4][6]. - To address these challenges, the company is exploring product innovation focused on three areas: deep integration of health management with insurance products, development of differentiated medical insurance, and reform of group medical products [4][6]. - A new product, "Rui Xing Bao," aims to reduce risks for insurance companies while providing access to coverage for clients with pre-existing conditions through a model centered on prevention and immediate management [5][6]. Group 2: Service Upgrade - Service upgrades are crucial for the development of commercial health insurance, with a focus on creating a comprehensive service system that covers the entire disease management process [6][8]. - The company aims to enhance service offerings by providing health management during the prevention phase and comprehensive support during treatment and recovery [6][8]. - Key areas for deepening service include improving high-frequency services like green channel access for critical illnesses and increasing awareness of disease prevention [8][9]. Group 3: Ecological Collaboration - The company advocates for the integration of internal and external resources to create a closed-loop health insurance ecosystem [7][9]. - By leveraging open medical insurance data, the company seeks to enhance risk assessment and pricing through intelligent underwriting and refined cost control [7][8]. - The focus is on developing a dual-track design for medical insurance that caters to both basic and high-end medical needs, ensuring broader access to essential healthcare [7][8].