其他热点还有：美国会通过"大而美"法案，国家医保局增设商保创新药目录。 美取消相关对华经贸限制措施，商务部回应 近日有报道称，相关企业已接到美国商务部通知，恢复EDA软件、乙烷、飞机发动机等产品对华出 口。7月4日，商务部新闻发言人回应表示，中美伦敦经贸会谈后，双方于近期确认了落实两国元首6月5 日通话重要共识和巩固日内瓦经贸会谈成果的具体细节。目前，双方团队正在加紧落实伦敦框架有关成 果。中方正依法依规审批符合条件的管制物项出口许可申请。美方也采取相应行动，取消对华采取的一 系列限制性措施，有关情况已向中方作了通报。 综合媒体报道，目前美国已解除3家芯片设计软件供应商的对华出口限制，允许两家乙烷生产商恢复向 中国出口乙烷。GE航空航天集团等美国相关飞机零部件企业，也恢复向中国供应飞机发动机等关键零 部件。4月份一度暂停接收的波音飞机，目前也已恢复交付中国的航空公司。 【点评】专家分析认为，美方此举是落实中美日内瓦会谈和伦敦磋商的具体举措，是符合中美经贸磋商 共识的积极信号，有助于中美两国以此为基础，达成更多的成果。商务部新闻发言人也表示，伦敦框架 来之不易，对话合作才是正道，讹诈胁迫没有出路。希望美方深刻认 ...

商保创新药目录呼之欲出，内需市场有望迎来明显改善，持续推荐创新药及产业链。 投资要点： 利好不断，持续推荐创新药及产业链 [Table_Industry] 医药 ——HTI 医药 2025 年 7 月月报 [Table_subIndustry] 细分行业评级 本报告导读： 请务必阅读正文之后的免责条款部分 股 票 行 研 究 报 告 股票研究 /[Table_Date] 2025.07.02 [Table_Invest] 业 月 报 证 券 研 究 [table_Authors] 2025-07-03 [Table_Summary] 利好不断，持续推荐创新药及产业链。维持以下 A 股标的优于大市 评级并将其纳入 HTI 医药 2025 年 7 月月度组合：恒瑞医药、科伦药 业、华东医药、药明康德、凯莱英、泰格医药、惠泰医疗。维持以 下 H 股标的优于大市评级：科伦博泰生物、翰森制药、信达生物、 药明合联、映恩生物、百济神州，相关标的：药明康德、康哲药业。 商保创新药目录呼之欲出，内需市场有望迎来明显改善。经国务院 同意，7 月 1 日国家医保局、国家卫健委联合发布《支持创新药高 质量发展的若干措施》，重点提出 ...

Core Viewpoint - The pharmaceutical and biotechnology industry is experiencing moderate performance, with the introduction of the commercial insurance innovative drug catalog and the deepening application of artificial intelligence in healthcare presenting structural opportunities for growth [1][3]. Group 1: Commercial Insurance Innovative Drug Catalog - The National Healthcare Security Administration and the National Health Commission have jointly released measures to support the high-quality development of innovative drugs, establishing a commercial insurance innovative drug catalog that focuses on innovative drugs with significant clinical value but outside the scope of medical insurance [1]. - The catalog aims to eliminate barriers for high-value innovative drugs through a "three exclusions" policy, which does not count towards the self-pay rate of medical insurance, monitors alternative products, and limits payment by disease type [1]. - The actual effectiveness of the catalog depends on the payment capabilities of commercial insurance and the collaboration with medical institutions, with the current payment proportion for innovative drugs being less than 8%, while the policy aims to increase this to 44% over the next decade [1][2]. Group 2: AI in Healthcare - Artificial intelligence is rapidly penetrating the entire pharmaceutical industry chain, significantly shortening drug development cycles and reducing costs through target screening, molecular design, and clinical trial optimization [3]. - The National Science and Technology Major Project has allocated 1.75 billion yuan for AI-assisted new drug development projects, focusing on breakthroughs in infectious diseases and rare diseases by 2025 [3]. - The intelligent transformation of medical services is also accelerating, with AI-assisted diagnostic systems becoming more mature in applications such as imaging recognition and pathological analysis [3]. - Despite optimism about the long-term potential of AI technology, challenges such as data fragmentation, privacy protection, and the lack of interpretability of AI models remain significant barriers to large-scale application [3].

7月1日，在《支持创新药高质量发展的若干措施》发布之后，国家医保局发布《2025年国家基本医疗保 险、生育保险和工伤保险药品目录及商业健康保险创新药品目录调整工作方案（征求意见稿）》（以下 简称《工作方案》）等文件，向社会公开征求意见。公众可于2025年7月7日（星期一）17:00前提出意 见和建议。 这意味着2025年的国谈即将到来。而与往年不同的是，今年商业健康保险创新药品目录（以下简称"商 保创新药目录"）也将同步启动申报，重点纳入创新程度高、临床价值大、患者获益显著且超出基本医 保保障范围的创新药，推荐商业健康保险、医疗互助等多层次医疗保障体系参考使用。 上海市卫生和健康发展研究中心主任金春林向21世纪经济报道记者表示，与往年相比，今年的目录调整 有诸多不同，首先，今年增设商保创新药目录后，企业就有了两种选择，对创新药的发展具有重要的推 动作用；其次，今年评审所需的材料全部由线上提交，这样对材料的准确性要求也更强了；再次，今年 也更强调差异化，也就是除了真创新之外，药品是否能够满足差异化的临床需求，这是很加分的一项。 "此外，当前医保资金持续'紧平衡'，再加上有较多的新药上市，所以从医保资金总量来看， ...

7月1日，业界期盼许久的两份重磅文件，终于发布亮相。 上午，国家医保局、国家卫健委联合印发的《支持创新药高质量发展的若干措施》（下称《若干措施》）挂网，明确将通过"协商"合理确定商保创新药目 录内药品结算价。 下午，《2025年国家基本医疗保险、生育保险和工伤保险药品目录及商业健康保险创新药品目录调整工作方案》（下称《工作方案》）公开征求意见，制 定了价格协商的基本流程，但仍未确定具体细则。 无论如何，被热议大半年、备受瞩目的丙类目录，最终以"商业健康保险创新药品目录"（下称"商保创新药目录"）的名称正式官宣落地，国家医保局同步 明确第一版商保创新药目录的制定，将与2025年国谈同步进行。 至此，此前业界多次披露和猜测的关于商保创新药目录的部分信息，得以确认：不仅与国谈同步进行，药企还可采取"双轨申报"医保+商保的模式，即自 主选择申报纳入基本医保目录或纳入商业保险创新药目录，也可同时申报双目录。 而确认之外，还有一些较大的变化和政策的含蓄演变，一改市场此前预期。 变化主要集中在关于价格谈判、保司参与、政策落地等方面。过去一段时间，业界关心的核心问题有三：商保创新药目录会进行药品价格谈判？保司是否 参与谈判？ ...

Core Insights - The National Healthcare Security Administration and the National Health Commission issued measures to support the high-quality development of innovative drugs, focusing on a comprehensive support system from research and development to clinical application [1][3][4] Group 1: Policy Measures - The measures include establishing a commercial health insurance directory for innovative drugs and utilizing healthcare data for drug research and development, addressing industry challenges such as payment bottlenecks and homogenized competition [1][2][3] - A total of 16 initiatives across five areas were proposed to enhance support for innovative drug development, including encouraging clinical application and improving multi-channel payment capabilities [3][4] Group 2: Market Dynamics - The approval of Class 1 innovative drugs in China has significantly increased, with 48 drugs expected to be approved in 2024, a fivefold increase from 2018 [3] - The commercial health insurance market is growing rapidly, with over 95% fund utilization in basic medical insurance compared to a lower level in commercial health insurance, indicating room for development [2] Group 3: Payment Mechanisms - The dynamic adjustment mechanism for the medical insurance directory has improved, with the proportion of new drugs approved within the same year rising from 32% in 2019 to 98% in 2024 [5] - The time for new drugs to be included in the medical insurance directory has decreased from approximately five years to around one year, with about 80% of innovative drugs being included within two years of market approval [5] Group 4: International Expansion - Chinese innovative drugs are increasingly entering international markets, with over 90 overseas licensing transactions completed in 2024, totaling over $50 billion [8] - The measures encourage the establishment of global trading platforms for innovative drugs, particularly targeting Southeast Asia and Central Asia [8] Group 5: Pricing Strategies - The current pricing of innovative drugs in China is considered low globally, with discussions on implementing strict price confidentiality mechanisms for drugs in the commercial health insurance directory [9] - The policy aims to create a closed-loop system supporting the high-quality development of innovative drugs, facilitating China's transition from a generic drug powerhouse to an innovative drug leader [9]

Group 1 - The core viewpoint of the news is the release of the "Several Measures to Support the High-Quality Development of Innovative Drugs" by the National Medical Insurance Administration and the National Health Commission, which includes 16 initiatives aimed at supporting the entire chain of innovative drug development, access, and payment [1][2] - The measures emphasize the importance of supporting innovative drugs to go global, encouraging regions to explore building global trading platforms for innovative drugs, particularly targeting Southeast Asia, Central Asia, and other Belt and Road countries [1][5] - The new "1+" drug approval mechanism in Hong Kong, effective from November 2023, aims to streamline the registration process for innovative drugs, allowing for faster market entry and enhancing Hong Kong's role as a bridge for innovative drugs to reach global markets [7][8] Group 2 - The establishment of a commercial health insurance innovative drug directory is a significant highlight of the measures, which will include innovative drugs that exceed basic insurance coverage and have high clinical value [3][4] - The commercial health insurance innovative drug directory will be developed by the National Medical Insurance Administration, allowing companies to apply for inclusion in either the insurance directory or the basic medical insurance directory [3][4] - The measures also aim to enhance the multi-layered payment capabilities for innovative drugs, addressing the challenges of price expectations from innovative drug companies and the payment capabilities of insurance [2][3] Group 3 - The measures propose to support the expansion of investment in innovative drugs by commercial health insurance, fostering a patient capital environment for innovative drug companies [5][6] - The collaboration between Hong Kong and Shenzhen aims to establish a "Real-World Research and Application Center" to promote data sharing and expedite drug approval processes [6][8] - The National Medical Insurance Administration plans to implement more effective measures to support the pricing of innovative drugs going abroad, including exploring stricter price confidentiality mechanisms for drugs in the commercial health insurance directory [10]

Group 1 - The establishment of a "Commercial Health Insurance Innovative Drug Directory" aims to address the payment challenges for high-priced innovative drugs outside of basic medical insurance [1][2][3] - The new policy signals a shift in the role of commercial insurance in supporting innovative drug payments, creating a multi-tiered medical security system [2][4] - The commercial health insurance sector is expected to develop specialized insurance products to support innovative drug payments, leveraging standardized drug lists and pricing mechanisms [3][4] Group 2 - The current basic medical insurance system has limitations in funding, particularly for high-cost treatments like CAR-T therapy, which can exceed one million yuan [4][5] - Commercial health insurance has a small market share in innovative drug payments, with only 7.7% of the innovative drug market being covered by commercial health insurance expenditures [5][6] - The "Hui Min Bao" program has made significant contributions to innovative drug payments, but its compensation for innovative drugs remains low compared to the overall market size [6][5] Group 3 - The implementation of the new policy presents challenges for insurance companies, including directory management, payment negotiations, cost impacts, risk control, and market education [7][8] - A robust evaluation system is necessary for assessing the clinical value and cost-effectiveness of innovative drugs, which poses a significant challenge for insurers [7][8] - The lack of historical data and the need for effective risk management strategies complicate the pricing and compensation models for innovative drugs [9][10] Group 4 - Data sharing between basic medical insurance and commercial health insurance is crucial for enhancing the effectiveness of innovative drug payment systems [11][13] - The development of specialized data interfaces and standardized coding for diseases and drugs is recommended to facilitate better collaboration between insurance sectors [14][13] - The focus on improving data collaboration can lead to more precise product development and risk management in the commercial health insurance market [13][14]

Core Viewpoint - The new commercial health insurance innovative drug directory will respect the market position of commercial health insurance companies, with the first synchronization of the commercial and basic medical insurance directories set for 2025 [1][2]. Group 1: Overview of the Innovative Drug Directory - The first version of the commercial health insurance innovative drug directory will include innovative drugs that are not covered by the basic directory but have high innovation and clinical value, benefiting patients significantly [2]. - The directory will undergo dynamic adjustments based on the development of medical technology, clinical needs, and the evolution of commercial health insurance [2]. Group 2: Application and Review Process - The application process for the commercial health insurance innovative drug directory began in July, with a formal review phase to follow [1][3]. - The review process consists of five stages: preparation, application, expert review, negotiation, and public announcement, with the application phase completed in July and expert review scheduled for August to September [3][6]. Group 3: Expert Involvement and Decision-Making - Experts from various fields, including commercial insurance management, will participate in the review and price negotiation processes, ensuring that commercial health insurance companies have significant decision-making power [7]. - The expert groups will include those responsible for reviewing drug applications, calculating prices, and negotiating with pharmaceutical companies [7]. Group 4: Coordination Between Basic and Commercial Insurance - The establishment of the commercial health insurance innovative drug directory aims to clarify the boundaries of basic medical insurance, allowing for more development space for commercial health insurance [8]. - The National Medical Insurance Administration plans to enhance coordination between basic medical insurance and commercial health insurance through collaborative efforts in coverage, data sharing, settlement, and regulation [9][10].

Core Viewpoint - The National Healthcare Security Administration and the National Health Commission have issued measures to support the high-quality development of innovative drugs, focusing on enhancing R&D support, integrating innovative drugs into insurance directories, and encouraging clinical applications [1][2][3]. Group 1: Support for Innovative Drug R&D - The measures emphasize the organization and implementation of national major science and technology projects for innovative drug R&D, targeting major infectious diseases, chronic diseases, pediatric medications, and rare diseases [1][3]. - The proportion of innovative drugs among new drugs in the medical insurance directory is expected to rise significantly, from 32% in 2019 to 98% by 2024 [2]. Group 2: Integration into Insurance Systems - The policy allows for the inclusion of eligible innovative drugs into the medical insurance directory while maintaining a focus on basic coverage [3][4]. - Commercial health insurance and mutual medical assistance are encouraged to include innovative drugs in their coverage, with a notable growth in the commercial health insurance market, projected to reach 977.3 billion yuan in 2024, an 8.2% increase year-on-year [5][6]. Group 3: Clinical Application and Accessibility - The measures promote the rapid entry of innovative drugs into designated medical institutions, ensuring timely adjustments to drug availability based on clinical needs [4][11]. - Medical institutions are supported in autonomously applying for special cases for innovative drugs that do not fit standard payment models, enhancing the flexibility of drug usage [5][12]. Group 4: Global Market Development - The measures aim to facilitate the global development of innovative drugs, with over 90 overseas licensing transactions completed by Chinese pharmaceutical companies in 2024, totaling over 50 billion USD [9][10]. - The establishment of platforms to assist in expanding overseas markets and providing price support for innovative drugs is a key focus [10].