Forum on Primary Care Integration of Medical Treatment and Prevention with Health Insurance Payment: Building a New Paradigm

China is currently grappling with the social realities of an aging population and declining birth rates, which have intensified the overall healthcare burden and directly impacted the medical service system. It is therefore imperative to reverse the longstanding emphasis on treatment over prevention. Compounded by the effects of the pandemic, the healthcare service system underwent multifaceted changes in 2022, driving active innovation across all segments to increase resource supply and promote the restructuring and integration of resources. With the continuous advancement of primary healthcare policies, health management innovations empowered by digital tools have become a dominant trend in the post-pandemic era, with digital therapeutics, oncology care, and chronic disease management emerging as the industry’s primary focal points.

The concept of lifestyle management is gaining further momentum. In the future, China will undoubtedly place greater emphasis on the development of lifestyle medicine. As the healthcare entities closest to residents, primary care institutions will become the primary practitioners of disease prevention and management.

In recent years, a wave of innovative insurance products has emerged, providing enhanced coverage for individuals with pre-existing conditions and further improving access to advanced medical care. By leveraging the aggregated payment and efficiency-enhancing roles of health insurance, these developments will serve as the foundation for the sector’s continued existence and growth. As we enter the era of Health Insurance 3.0, business models have become multidimensional, with technology emerging as a new growth driver. Insurers are not only offering insurance products but also actively delivering digital services, facilitating a shift from payment for treatment to payment for prevention, and providing diverse services and equitable protection for both individuals with pre-existing conditions and healthy populations.

In this context,YunqueyiCombinationVCBeat VB100HostIntegration of Primary Care and Public Health Prevention with Health Insurance PaymentForum. Together, we will build a full-cycle health industry, boost economic development and industrial structural transformation, and contribute to the construction of a Healthy China. This forum will focus on trend insights, practical exploration, and ecological integration, bringing together representative enterprises and capital to create a multi-party platform for exchange, cooperation, and integration. Leveraging keen industry insights and continuous innovative practices, we aim to jointly create a premier industry exchange event.

I. Forum Highlights

(1)Trend Insights: Filling Gaps and Refining the Health Insurance System

(2)Practical Exploration: Continuous Innovation in Digital Health Insurance

In the era of the digital economy, digital technologies have begun to permeate every aspect of Chinese society and the economy, accelerating their integration with various sectors. However, addressing the urgent need for supplementary upgrades in grassroots healthcare remains a top priority. In the realm of primary care, leveraging the power of digitization and platforms enables the comprehensive accumulation of medical data generated by grassroots institutions during daily public health services, basic diagnosis and treatment, and prevention of serious diseases. This capability allows for the provision of higher-quality, more convenient medical and pharmaceutical services to the public, laying the foundation for the integration of medical care and disease prevention at the grassroots level and propelling primary healthcare into a new stage. Innovation in health insurance is no longer confined to “innovative payment” models; rather, it shifts the focus from paying for treatment to paying for prevention. By upgrading services, actively promoting medical digitization, and enhancing the quality and efficiency of grassroots medical and health institutions, a solid foundation has been established for national holistic health.

(3)Ecological Integration: Integrating Primary Care Prevention with Health Insurance Payment

Healthcare and insurance have long been recognized for their shared characteristics, and as the industries evolve, the demand for their mutual integration has grown increasingly strong. In the face of intensifying market competition, a growing number of healthcare enterprises are crossing over into the insurance sector, propelling the “healthcare + insurance” model into a new stage of development. The integration of primary care prevention with health insurance payment mechanisms can enable precision medicine and personalized diagnosis and treatment. When coupled with the financial support provided by insurance, this approach can maximize the delivery of superior medical and health solutions to every individual in this era. It facilitates the deep integration of commercial health insurance with cancer prevention and control, thereby more effectively improving the public’s health outcomes.

II. Forum Agenda Planning