Ping An’s Strategy on
Health & Medical Business
Dec. 2015
1
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
2
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
• HMO: Health Maintenance Organization; PBM: Pharmacy Benefit Management; SMI: Social Medical Insurance
Health & Medical Industry’s Current Situation and Future
3
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
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
4
Important
Sub-important
Not involved
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
6
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
SMI: Smart and Efficient Managed Care Service Provider
7
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
8
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
9
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