上海出台健康险助力生物医药产业十八条措施

Core Viewpoint - The issuance of the "Several Measures to Promote the High-Quality Development of Commercial Health Insurance" aims to enhance the service capabilities of the insurance industry in meeting public health needs and to improve the accessibility and affordability of innovative drugs and medical devices [1][2][3] Group 1: Key Measures - The measures propose to broaden the coverage of commercial health insurance and develop a multi-tiered product system, including the acceleration of commercial nursing insurance [2] - There is encouragement for the development of health insurance products targeting specific groups such as the elderly, children, and those with chronic conditions, along with support for insurance companies to enhance health management services [2] - The initiative promotes the creation of group health insurance products that involve employer contributions and cover innovative drug costs, while exploring a "regulatory sandbox" pilot mechanism for better risk management [2] Group 2: Data Interconnectivity and Payment Mechanisms - The measures emphasize the need for deeper interconnectivity between medical, health insurance, and commercial insurance data, using clinical trial data as pricing references for insurance companies [2][3] - There is a focus on innovating payment mechanisms for innovative drugs and medical devices, ensuring their inclusion in hospital treatments and insurance coverage without being limited by disease-based payment systems [3] - The initiative also encourages tax deductions and optimized funding methods to support the development of commercial health insurance, aiming to create a comprehensive health protection system for the public [3]