“惠民保(bao)(bao)”又一次迎來高光時刻。5月25日(ri),上海(hai)城市(shi)定制型商業補充醫(yi)療保(bao)(bao)險(xian)——“滬惠保(bao)(bao)”開啟2022年預(yu)約(yue)投保(bao)(bao)。開放預(yu)約(yue)投保(bao)(bao)首日(ri),預(yu)約(yue)人(ren)數就突破100萬(wan)。 作為商業醫療保(bao)(bao)(bao)(bao)險(xian)(xian),“惠(hui)民(min)保(bao)(bao)(bao)(bao)”執行的(de)(de)策(ce)略是(shi)保(bao)(bao)(bao)(bao)本微利。這意(yi)味著絕大多數保(bao)(bao)(bao)(bao)費(fei)最終要轉化為賠(pei)付(fu)(fu)金(jin),支付(fu)(fu)給被保(bao)(bao)(bao)(bao)險(xian)(xian)人。以“滬惠(hui)保(bao)(bao)(bao)(bao)”去年739萬投保(bao)(bao)(bao)(bao)人計算(suan),累計保(bao)(bao)(bao)(bao)費(fei)8.5億元(yuan),去掉已經(jing)賠(pei)付(fu)(fu)的(de)(de)6億元(yuan),在(zai)剩下的(de)(de)理(li)賠(pei)周期里仍有(you)經(jing)營(ying)(ying)空間,實現保(bao)(bao)(bao)(bao)本微利的(de)(de)目標已是(shi)大概率事件。此前(qian),市(shi)場(chang)上對“滬惠(hui)保(bao)(bao)(bao)(bao)”賠(pei)穿、甚至賠(pei)本賺吆喝的(de)(de)擔心(xin)大可不(bu)必。從運營(ying)(ying)情況(kuang)來看,各地“惠(hui)民(min)保(bao)(bao)(bao)(bao)”的(de)(de)首席承保(bao)(bao)(bao)(bao)人多是(shi)大型(xing)保(bao)(bao)(bao)(bao)險(xian)(xian)公司(si),還引入了其他保(bao)(bao)(bao)(bao)險(xian)(xian)公司(si)形成共(gong)保(bao)(bao)(bao)(bao)體,最后(hou)還要經(jing)過再保(bao)(bao)(bao)(bao)險(xian)(xian)公司(si)分散風險(xian)(xian)。可以說,“惠(hui)民(min)保(bao)(bao)(bao)(bao)”在(zai)風險(xian)(xian)管理(li)方面(mian)已經(jing)做足(zu)了功課(ke),經(jing)營(ying)(ying)模式基(ji)本成型(xing)。 從(cong)產(chan)(chan)品形態來(lai)看(kan),“惠(hui)民保(bao)”為一(yi)年期產(chan)(chan)品,財產(chan)(chan)險(xian)(xian)公(gong)(gong)司(si)、人(ren)身險(xian)(xian)公(gong)(gong)司(si)均可參(can)與。此前,市場上對“惠(hui)民保(bao)”模式是否(fou)可持續一(yi)直存在擔憂。不過,從(cong)實際情況來(lai)看(kan),短期健康(kang)險(xian)(xian)因(yin)為迭代(dai)升級速度快,每(mei)一(yi)次(ci)迭代(dai)都是一(yi)次(ci)涅槃重生的機遇(yu)。例如(ru),保(bao)險(xian)(xian)公(gong)(gong)司(si)可以通(tong)過調整費率來(lai)應對醫(yi)療(liao)(liao)通(tong)脹,化解經(jing)營風險(xian)(xian);還可以通(tong)過擴展保(bao)障責任,納入新的治(zhi)療(liao)(liao)方案和最新的創新藥成果,更好惠(hui)及被保(bao)險(xian)(xian)人(ren)。此外(wai),人(ren)身險(xian)(xian)公(gong)(gong)司(si)的穩健經(jing)營能力、財產(chan)(chan)險(xian)(xian)公(gong)(gong)司(si)的產(chan)(chan)品創新能力在市場競爭中也得到了充分發揮。這對于(yu)“惠(hui)民保(bao)”更好地(di)銜接基本醫(yi)療(liao)(liao)保(bao)險(xian)(xian)具(ju)有(you)促進作用。 不過,“惠(hui)(hui)民(min)保(bao)”在(zai)運行中也有(you)一(yi)些問題(ti)需要注意。例如,有(you)的(de)(de)城(cheng)市(shi)有(you)兩個“惠(hui)(hui)民(min)保(bao)”產(chan)品(pin),部分省份既有(you)面(mian)向全(quan)省社保(bao)參保(bao)人(ren)的(de)(de)“惠(hui)(hui)民(min)保(bao)”,也有(you)面(mian)向地(di)級市(shi)戶(hu)籍人(ren)群的(de)(de)“惠(hui)(hui)民(min)保(bao)”。產(chan)品(pin)雖然豐富了(le)(le),但是同一(yi)產(chan)品(pin)的(de)(de)投保(bao)率有(you)所降低,容易(yi)陷入低投保(bao)、高賠(pei)付的(de)(de)“死亡螺旋”。此外,部分地(di)區在(zai)“惠(hui)(hui)民(min)保(bao)”定價(jia)過程中,政府部門簡(jian)單把“低保(bao)費(fei)”與(yu)“普(pu)惠(hui)(hui)”畫等號,忽(hu)略了(le)(le)當地(di)被保(bao)險人(ren)的(de)(de)年齡結構與(yu)既往(wang)癥情況,導(dao)致(zhi)低價(jia)產(chan)品(pin)難以(yi)持續。 保(bao)險產(chan)(chan)品(pin)說到底(di)依據(ju)的是(shi)大數(shu)法則(ze),做(zuo)大蛋糕才(cai)能更好地積累數(shu)據(ju),進而(er)實現(xian)精準定(ding)價和產(chan)(chan)品(pin)創新。絕大部(bu)分“惠民保(bao)”均有政府來(lai)背書(shu),政府部(bu)門(men)應該(gai)加(jia)(jia)強(qiang)統籌協調,不讓同類產(chan)(chan)品(pin)遍地開花;金融(rong)監管(guan)部(bu)門(men)應加(jia)(jia)強(qiang)監管(guan),避(bi)免低價產(chan)(chan)品(pin)形成惡性競爭。這樣才(cai)能讓“惠民保(bao)”真正惠民,以免變(bian)成地方(fang)的面子(zi)工程和保(bao)險公司圈地賺流量的工具。 疫情持續之(zhi)下,傳統的重(zhong)疾險(xian)(xian)(xian)(xian)(xian)、壽險(xian)(xian)(xian)(xian)(xian)業務(wu)已(yi)經受到沖擊(ji),健(jian)(jian)康(kang)險(xian)(xian)(xian)(xian)(xian)業務(wu)卻出現了逆勢增長。“惠民(min)保(bao)(bao)(bao)”也是(shi)傳播正確保(bao)(bao)(bao)險(xian)(xian)(xian)(xian)(xian)理(li)念,幫(bang)助保(bao)(bao)(bao)險(xian)(xian)(xian)(xian)(xian)公司獲客(ke)的重(zhong)要渠道(dao)。特別是(shi)不斷壯大(da)的新市(shi)民(min)群(qun)體,低(di)保(bao)(bao)(bao)費(fei)、低(di)費(fei)用率、高保(bao)(bao)(bao)障的“惠民(min)保(bao)(bao)(bao)”甚至可以成(cheng)為(wei)他(ta)們在(zai)城市(shi)中的兜底(di)保(bao)(bao)(bao)障。從百萬醫療險(xian)(xian)(xian)(xian)(xian)到“惠民(min)保(bao)(bao)(bao)”,健(jian)(jian)康(kang)險(xian)(xian)(xian)(xian)(xian)產(chan)品已(yi)經有了長足(zu)進步。在(zai)從“保(bao)(bao)(bao)健(jian)(jian)康(kang)人”到“保(bao)(bao)(bao)人健(jian)(jian)康(kang)”的過(guo)程中,保(bao)(bao)(bao)險(xian)(xian)(xian)(xian)(xian)產(chan)品越(yue)來越(yue)回歸保(bao)(bao)(bao)障本源,發揮(hui)社會減震器的作(zuo)用。
版權聲明:呼倫貝爾擔保網為開放性信息平臺,為非營利性站點,所有信息及資源均是網上搜集或作交流學習之用,任何涉及商業盈利目的均不得使用,否則產生一切后果將由您自己承擔!本站僅提供一個參考學習的環境,將不對任何信息負法律責任。除部分原創作品外,本站不享有版權,如果您發現有部分信息侵害了您的版權,請速與我們聯系,我們將在48小時內刪除。 |