Ping An’s Strategy
Transcript of Ping An’s Strategy
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Ping An’s Strategy on
Health & Medical Business
Dec. 2015
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World-leading
Personal Financial Services
Provider
Asset
Management
Health
& Medical
Health Food House Auto Entertain
ment
Insurance Banking Investment
Health and medical business will become Ping An’s core strategy in the future
• The outlook of health and
medical industry is optimistic.
• It is closely related to Ping An’s
core businesses.
• It adapts to the trend of finance
industry from performance-
oriented model to service-
oriented model
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The business scale of health service industry is projected to reach
RMB 8 trillion in 2020
Rapid growth of
economy
• Stable growth of GDP
• Increasing residents’
income
Aging
• Increasing aged
population
• High medical expense
per capita for aged
population
Policy support
• New health care reform
• Promote the
development of health
service industry
Change in health
status
• High proportion of sub-
health population
• Higher morbidity of chronic
illnesses
2.6
5.0
8.0
2011 2012 2013 2014 2015E 2016E 2017E 2018E 2019E 2020E
• Data source: Several Opinions on Promoting the Development of Health Service Industry
in RMB trillion
Business scale of
health service industry from
2011 to 2020
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• HMO: Health Maintenance Organization; PBM: Pharmacy Benefit Management; SMI: Social Medical Insurance
Health & Medical Industry’s Current Situation and Future
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Insureds/Consumers Convenient, inexpensive, healthy
SMI/Commercial Insurance Impact the whole industry chain
Enhance efficiency and control costs
HMO
PBM
SMI
Commercial
Insurance
Information
Third-party
Service Transparent
information
Convenient
services
Other services
Drug/Equipment Separation of
clinic from
pharmacy
Reduce
circulation
Retail Production Distribution
Health/Medical
Care Enhance
efficiency and
control costs
Private
medical
institution
Public
medical
institution
Health Management
Institutions
Insureds/Consumers Difficult , expensive
SMI/Commercial
Insurance Passive payment
Low efficiency
SMI
Commercial
Insurance
Information Third-party
Services Information is not
transparent
Other services
Retail drug store
Drug/Equipment Unified
operations of
clinics and
pharmacies
High cost in
circulation
Hospital’s
dispensary Produ
ction
Distrib
ution
Health/Medical
Care Public hospitals’
dominant status
Waste of
medical
resources
Private
medical
institution
Public medical
institution
Health Management
Institutions
Now Future
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Retail Production
Private
medical
institution
Public
medical
institution
Health Management
SMI
Commercial
Insurance Other
services
Distribution
Information
Insureds/Consumers
SMI/Commercial Insurance
Drug/Equipment
Health/Medical care
Third-party service
Strategic Layout of Ping An’s Health & Medical Business
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Important
Sub-important
Not involved
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Insureds/Consumers Service provider Payer
Ping An Good Doctor
SMI: Intelligent and efficient
managed care service provider
Commercial insurance:
professional and innovative health insurance provider
Risk control
Health Cloud Platform
Self-established
clinics
Certified clinics
Franchise
clinics
Private Clinics
Health management and medical services:
One-stop, whole-process, O2O service platform
Smart
management
Smart
services
Smart
guarantees
Expanded
services
One-stop
payment
Optimized
guarantees
Enhance the competiveness
of the product
Customer diversion
Provide medical
resources
Provide services
for insureds Support product innovation
enhance risk control
Health cloud: accurate and professional service provider of medical data operations
1 2
3
4
Overview of Ping An’s Health & Medical Business
on
lin
e
off
lin
e
Payment platform: Ping An Pay Account platform: The One Account Supporting
platforms
referral
5
Pa
rtne
r ho
sp
itals
Ch
ec
ku
p c
en
ter
Te
stin
g c
en
ter
Ph
arm
ac
y
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Health & Medical Services:
One-stop, Whole-process, O2O (“Ping An Good Doctor” as the online port )
Online port
Family
Doctor
Consultation
By
Specialists
Registration Easy
Medicine
Purchase
Health
Community
Health
Plan
Medical
visit
Health
check-up
Medicine
purchase Exercises
TCM
physiotherapy
Offline network of
medical & health
services
Provide health
consultation services
Provide offline
medical services
Ping An Good
Doctor APP
Online health service platform
Offline health service platform
Private
clinic
Hospital Health check-up/
Test Center
Pharmacies Health
partners
One-stop
Whole-process O2O Network
of doctors
1
Individual
& group
clients
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SMI: Smart and Efficient Managed Care Service Provider
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2
Smart
Management
Smart
guarantees
Smart
services
Knowledge
base
Big Data
Mobile
• Actuarial support
• Evaluation of hospitals’
performance
• Intelligent review of
medical expenses
• Administration system
targeting critical
diseases
• Customized
guarantees
• Mobile services given
to insureds
• Intelligent support
given by doctors
Smart Health Insurance
Platform
Core capabilities
Accurate actuarial model
System of assessing
hospitals and doctors
Standards for reviewing
medical expenses
Multi-level medical
resources
Insured’s individualized
requirements
One-stop payment
combining commercial
insurance and SMI
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Commercial Health Insurance:
Professional and Innovative Health Insurance Provider
PA Health PA Life PA Annuity
Commercial Health Insurance:
Leading in the market
Middle and low end
health insurance for
individuals
Middle and high end
health insurance
Optimized guarantees Risk control One-stop payment Expanded services
•Special medicine
insurance
•Chronic illness
insurance
•Nursing insurance
•Big data-based risk
screening
•Control medical costs to
lower the compensation
amount
•Real-time claims
settlement
•One-stop payment
combining SMI and
commercial insurance
•Orientation
•Health Management
Ping An’s managed care commercial health insurance model
based on SMI’s core capabilities
3
Middle and low end
health insurance for
groups
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Health Cloud:
Accurate and Professional Service Provider of Medical Data Operations
4
Commercial
insurance
To
Counter-fraud
model
Analysis of the
trend of the
disease
Patient
administration
Facilities for clinical
diagnosis and
treatment
Product innovation
Targeted service
Risk assessment
Health record
Health report
Health check-up
management
Individual
SMI Doctor
Intelligent analysis
Security
Big Data
All-round information
B
To
C