Core Viewpoint - Shanghai has introduced a series of measures to enhance the development of commercial health insurance, aiming to improve accessibility to innovative medical products and support the biopharmaceutical industry [1][2][3]. Group 1: Policy Measures - The measures include 18 specific initiatives across five areas to stimulate the commercial health insurance market and enhance public health coverage [1][2]. - Key innovations mentioned include the establishment of a "regulatory sandbox" for innovative health insurance products and the exploration of a "co-insurance" model to support key sectors in Shanghai [2][3]. - The measures emphasize the importance of innovative medical products, with "innovative drugs and devices" mentioned 11 times, highlighting their significance in the commercial health insurance market [2][3]. Group 2: Payment Mechanisms - The measures propose innovations in payment mechanisms for innovative medical products, facilitating their entry into hospitals, directories, and prescriptions [3]. - Insurance companies are encouraged to develop health insurance products that cover a wider range of innovative medical products, enhancing accessibility and affordability [3][4]. - The 2023 measures build upon previous initiatives, marking a systematic approach to integrating commercial health insurance with biopharmaceutical innovation [3][4]. Group 3: Market Growth - Shanghai's commercial health insurance market has shown steady growth, with premium income increasing from 26.5 billion yuan in 2019 to 40.468 billion yuan in 2024 [4]. - In the first half of 2025, health insurance premium income reached 24.403 billion yuan, reflecting a year-on-year growth rate of 5.8%, surpassing the national average [4]. - The introduction of these measures is expected to further stimulate the market, positioning commercial health insurance as a crucial component of the public health system and a key player in the multi-payment system for innovative medical products [4].
上海18条措施激活商业健康险动能 “创新药械”被提及11次
Di Yi Cai Jing·2025-08-06 13:36