资深医改专家蔡江南：打通“最后一公里”，实现创新药物可及

Group 1 - The core viewpoint emphasizes that innovative drugs are essential for advancing the medical field, providing new treatment hopes for patients with difficult diseases, and driving the pharmaceutical industry towards higher levels of development [1] - China has prioritized the development of innovative drugs, implementing various policies that have led to significant progress in drug research, development, and market access [1] - The "New 18 Measures" policy, jointly developed by multiple Shanghai government departments, aims to enhance the collaboration between basic medical insurance and commercial insurance, addressing key pain points in innovative drug application and patient payment [1] Group 2 - The development of innovative drugs to better serve patients is a complex and systematic project, with recent policies encouraging the growth of commercial insurance, particularly group insurance, which has a stronger risk-bearing capacity compared to individual insurance [2] - The observation that some innovative drugs may not be included in medical insurance but have entered local benefit insurance programs suggests that the development of commercial health insurance could provide new opportunities for these drugs [2] - A multi-channel approach is proposed to improve drug accessibility, allowing for a combination of medical insurance, commercial insurance, charity, and personal payments to support the costs of innovative drugs [3] Group 3 - In the field of gene and cell therapy, the high costs of treatments, which can reach millions, highlight the need for flexible insurance policies that could share the financial burden between medical insurance and commercial insurance [3] - The successful implementation of innovative drugs requires collaboration across the entire chain, from research and approval to medical insurance and clinical use, indicating the importance of exploring multiple channels to facilitate this process [3]