The Evolution Logic, Realistic Dilemma and Promotion Path of the Sustainable Operation of Huimin Insurance

As a city-customized supplementary medical insurance bridging basic medical insurance and commercial health insurance, Huimin Insurance has expanded to 30 provinces and served 168 million people within four years, emerging as a phenomenal success in China's inclusive insurance landscape. This paper examines its evolution, operational mechanisms, and effectiveness, identifying core challenges including declining participation and renewal rates, adverse selection, uneven benefit compensation, and insufficient information disclosure. It proposes sustainable development pathways across five dimensions: government role, financing and payment, product stratification, service value-added, and technology empowerment. The study demonstrates that the future of Huimin Insurance will likely evolve towards a model characterized by provincial-level co-ordination, stratified benefit design, dynamic pricing, and integrated health management. Its success or failure will ultimately determine the integration depth of China's multi-tiered medical security system and significantly impact the realization of common prosperity goals.