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Xin Hua Cai Jing·2025-10-15 10:37

Core Insights - The Chinese innovative drug sector is experiencing significant opportunities, with a surge in business development (BD) transactions and supportive policies for commercial health insurance [1][2] Group 1: Business Development Transactions - The total amount of external licensing transactions for innovative drugs in China is expected to reach nearly $66 billion in the first half of 2025, surpassing the total of $51.9 billion for the entire year of 2024, indicating BD's role as a major growth accelerator for the industry [1] - The current period is characterized as a "harvest season" for BD transactions in the innovative drug sector [1] Group 2: Policy Support for Innovative Drugs - The National Financial Regulatory Administration released guidelines on September 30 to promote high-quality development of health insurance, emphasizing flexible and effective payment support for innovative drugs and devices [1] - The establishment of a commercial insurance innovative drug directory, led by the National Medical Insurance Administration, aims to create a "second channel" for innovative drug payments, with the first version of expert review results already published [1] Group 3: Challenges in Payment Systems - Experts highlight that the diversification of drug payment solutions, while alleviating economic burdens on patients, has introduced challenges such as inconsistent application processes and settlement cycles across different payment channels [1] - Traditional commercial insurance claims processes are complicated, with issues like excessive documentation, long waiting periods, and significant upfront payment pressures on patients [1] Group 4: Innovations in Payment Solutions - The industry is accelerating innovation, with a focus on one-stop settlement solutions for medical insurance and commercial insurance [2] - Ping An Group has developed "Ping An Medical Health Payment," the first product in China utilizing medical insurance data for seamless claims processing, eliminating the need for patients to make upfront payments [2] - The "One Code Direct Payment" platform by Meixin Health expands the direct payment network to major hospitals nationwide, integrating various payment methods into a single interface, significantly simplifying the payment process for patients [2] Group 5: Systematic Development of Payment Framework - The trend of policy guidance and platform integration signifies a new phase in the construction of the innovative drug payment system, transitioning from mere policy guidance to systematic and institutional development [3] - Third-party management platforms, already a mature model in international commercial health insurance, are expected to provide standardized services in areas such as eligibility verification, medication management, payment settlement, compliance tracking, cost control, and fraud prevention [3]