Core Insights - The article discusses the challenges and opportunities faced by innovative drug companies in China, particularly in relation to pricing strategies and market access for CAR-T therapies [1][2][3] Pricing Strategies - Innovative drug companies are experiencing a significant pricing gap between domestic and international markets, with some drugs priced 20 to 30 times higher abroad compared to China [1][2] - The introduction of a dual directory system for insurance coverage, including a commercial insurance directory for innovative drugs, aims to enhance pricing confidentiality and improve patient access [9][11] Market Dynamics - There is a trend of local innovative drug companies shifting their focus to overseas markets, which may impact their competitiveness in China and the benefits to domestic patients [2][7] - The average time for innovative drugs to be included in the national insurance directory has decreased from around 5 years to approximately 1 year, with 80% of new drugs entering the directory within two years of launch [6][8] Regulatory Environment - The National Healthcare Security Administration (NHSA) has been implementing a price confidentiality mechanism since 2019, with the proportion of companies requesting non-disclosure of negotiation prices rising from under 50% in 2019 to over 70% in 2022 [3][4] - Despite the introduction of price confidentiality, there are concerns about the effectiveness of these measures in practice, particularly during the distribution and procurement phases [4][5] Future Outlook - The article highlights the need for improved regulatory frameworks to support innovative drug pricing strategies, especially as China becomes a more prominent market for new drug launches [7][10] - The potential for innovative payment models, such as risk-sharing agreements, is discussed as a way to enhance the sustainability of innovative drug pricing while maintaining confidentiality [10][11]