Ant Group bets on AI healthcare as next growth driver in China's $69 billion digital health market

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Jack Ma-backed Ant Group has elevated its health unit to match Alipay's status, betting AI-powered healthcare will fuel its next decade of growth. The company aims to reach 1.4 billion Chinese users within three years using AI Doctor Agents and its AQ healthcare app, which already handles 10 million daily questions. But profitability remains uncertain in a competitive digital health sector.

Ant Group Elevates AI Healthcare to Core Business Strategy

Five years after its initial public offering derailed, Ant Group is charting a dramatically different path forward. The Jack Ma-backed company has elevated its health unit to the same organizational level as Alipay and its lending operations, signaling that AI healthcare has become central to its growth strategy

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. This strategic shift positions digital health as the company's primary focus for the next decade, moving beyond its roots in digital payments and financial services.

Source: PYMNTS

Source: PYMNTS

Zhang Junjie, head of Ant Group's health unit, outlined the company's evolution: "In our first decade, Ant focused on making payments easier. The second was about inclusive finance. Now, we hope helping people live healthier lives can be the driver for the next decade"

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. The company plans to reach most of China's 1.4 billion people with its AI-powered healthcare services within three years, an ambitious target that leverages its massive user base built through Alipay

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AI Doctor Agents Handle Millions of Patient Inquiries

Central to Ant Group's approach are AI Doctor Agents—digital avatars trained by physicians to handle routine patient inquiries in China's online healthcare market, estimated at 480 billion yuan ($69 billion) annually in 2025

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. These digital avatars draw on individual doctors' expertise to answer questions, flag urgent cases for human review, and compile patient histories ahead of in-person visits.

More than 1,000 doctors have contributed to training the AI Doctor Agents, which handled over 27 million inquiries in 2025

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. Shanghai obstetrician-gynecologist Duan Tao, who typically sees about 20 patients each morning, reported his digital counterpart answered more than 700,000 questions for 160,000 people in six months

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. Doctors train their avatars using written responses, social videos, notes, audio recordings, and filmed consultations, with patient identities stripped to protect privacy.

AQ Healthcare App Connects Users to Medical Services

Launched last June, the AQ healthcare app aggregates health data and answers general questions while serving as a gateway to medical services

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. The app handles 10 million questions per day and allows users to book consultations, purchase prescription drugs, and pay using insurance through Alipay

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. Rather than providing diagnosis directly, AQ routes users to a network of more than 5,000 hospitals and 300,000 licensed physicians

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Source: Bloomberg

Source: Bloomberg

The app's integration with Alipay has proven advantageous. More than 800 million users have linked their basic medical insurance information to Alipay, which began handling hospital payments over a decade ago

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. This synergy helped AQ become the most-downloaded medical app on Apple iPhones in China since early December, according to research platform Diandian.com

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Profitability Questions and Competitive Landscape

The digital health sector presents significant challenges around monetization. Ming Yii Lai, a senior consultant at Daxue Consulting, noted that "past tech giants' internet health pursuits often failed to find a profitable model beyond selling advertisements or health products," adding that "achieving sustainable monetization will be key"

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. Ant Group has invested hundreds of millions of dollars into digital healthcare but hasn't disclosed revenue or profit figures for its online health business

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The competitive landscape includes Tencent Holdings and model developer DeepSeek, both expanding their healthcare expertise, along with established players like Ping An Healthcare and Technology Co.

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. Ant Group also faces competition from its own affiliate, Alibaba Health

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. Roughly 400 million Chinese already used digital healthcare services as of 2024, indicating both opportunity and saturation in certain segments

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Ethical Considerations Shape AI Implementation

The deployment of AI Doctor Agents raises important questions about responsibility and accountability in healthcare. Liver specialist Fan Haining emphasized that "diagnosis and prescriptions must remain human decisions"

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. Doctors review cases gathered by their digital counterparts and step in when issues require direct attention, maintaining human oversight over critical medical decisions. This approach attempts to balance efficiency gains from AI with ethical considerations around patient safety and care quality, though the long-term implications of this model remain to be seen as adoption scales across China's massive population.

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