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创新药目录申报破百,药企为何“想进又不想进”?
Hu Xiu· 2025-08-07 03:57
Core Viewpoint - The article discusses the complexities and varying attitudes of pharmaceutical companies towards the newly introduced innovative drug directory in the context of commercial health insurance, highlighting the potential market impact and the challenges faced by companies in navigating pricing and inclusion in the directory [3][4][31]. Group 1: Innovative Drug Directory and Market Dynamics - Over 100 drugs have been reported for inclusion in the innovative drug directory, indicating a significant interest from pharmaceutical companies [1][4]. - The innovative drug directory is seen as a bright spot in the policy landscape, with the Hang Seng Innovative Drug Index rising by 60.27% and the Wind Innovative Drug Index increasing by 23.93% in the first half of 2025 [4]. - The expectation of market growth driven by the innovative drug directory may be overly optimistic, as the actual sales impact of the commercial health insurance and the "policy for price" approach remains uncertain [5][6]. Group 2: Pharmaceutical Companies' Attitudes - Pharmaceutical companies exhibit three main attitudes towards the innovative drug directory: "participation-focused," "minimum guarantee," and "wanting to enter but hesitant" [17][19]. - Many companies are cautious about entering the directory due to concerns over pricing negotiations and the uncertain volume of sales from the commercial health insurance [19][20]. - The perception that entering the directory may not significantly enhance sales, especially for companies that have already penetrated the market, contributes to their hesitance [22][23]. Group 3: Financial Implications and Market Size - The commercial health insurance, known as Huiminbao, has a scale of nearly 20 billion, but its contribution to innovative drug sales is viewed as minimal, akin to "a drop in the ocean" [6][7]. - Huiminbao's reimbursement for innovative drugs is estimated to be around 2 billion, translating to approximately 4 to 6 billion in sales for pharmaceutical companies [7][8]. - The distribution of the reimbursement "cake" among the drugs included in the innovative drug directory is expected to be competitive, with a limited number of drugs likely to capture the majority of the funds [8][10]. Group 4: Challenges in Market Access - The innovative drug directory aims to facilitate market access through policies like direct listing and "three exclusions," but the actual implementation and effectiveness of these policies remain in question [29][30]. - Companies express skepticism about whether the proposed policies will lead to significant changes in market access, especially given the complexities involved in hospital procurement processes [30][31]. - The article highlights the ongoing challenges faced by pharmaceutical companies in navigating the regulatory landscape and achieving meaningful market penetration despite the introduction of supportive policies [24][25].
国家医保局章轲:目前已有逾百个品种药品申请纳入商保创新药目录
news flash· 2025-07-24 03:39
国家医保局局长章轲在7月24日举行的"高质量完成'十四五'规划"系列主题新闻发布会上透露,目前通 过单目录申报和双目录申报,一共有超过100个品种的药品申请纳入创新药目录。接下来国家医保局会 按照规定的程序做好后续的工作。(上证报) ...
创新药支付困局转机已现
Wind万得· 2025-03-20 22:36
Core Viewpoint - The 2025 government work report emphasizes the importance of "innovative drug catalog" and the need for diversified payment mechanisms to support the development of innovative drugs, highlighting the government's commitment to this sector [1][6]. Group 1: Innovative Drug Catalog - The innovative drug catalog is a key list established by the government to support and promote drugs with significant innovation value, aiming to reduce patient medication costs and help companies recover R&D costs [2][3]. - The National Medical Insurance Administration plans to release the first version of the Class C catalog in 2025, focusing on highly innovative drugs that provide substantial clinical value but cannot yet be included in the basic medical insurance catalog [2][3]. - The drug catalog is crucial for both medical insurance and commercial insurance, as it defines which drugs are reimbursable and the reimbursement rates, thereby ensuring basic medication needs for insured individuals [2][3]. Group 2: Commercial Health Insurance - Since the launch of national negotiations in 2019, spending on innovative drugs from the medical insurance fund has increased from 6 billion yuan in 2019 to approximately 90 billion yuan in 2023, with 149 innovative drugs included in the medical insurance catalog [4][5]. - The commercial health insurance sector currently contributes only 7.7% to the payment for innovative drugs, indicating a significant reliance on basic medical insurance and out-of-pocket payments by patients [4][9]. - The development of commercial health insurance is essential to alleviate the financial burden on both the medical insurance fund and patients, especially for high-value innovative drugs that are still in early R&D stages [5][6]. Group 3: Current Status of Commercial Insurance in China - Traditional commercial health insurance primarily covered medical expenses within the insurance catalog, but recent innovations have expanded coverage to include out-of-catalog responsibilities and innovative drug responsibilities [8]. - As of October 2024, 298 types of inclusive commercial insurance products have been launched, covering approximately 150 million people annually [8]. - Despite progress, challenges remain in the commercial health insurance sector, including low sales efficiency, limited coverage for innovative drugs, and operational management issues [9][10]. Group 4: Capital Market Dynamics - The innovative drug sector is currently the hottest area for investment in the medical field, with 159 financing cases totaling 20.629 billion yuan in 2024 [11]. - Ongoing reforms in medical insurance are addressing patient burden but are also impacting the pricing and financing environment for innovative drugs, leading some foreign capital to exit the Chinese market [11][12]. - The potential for innovative drugs in China remains strong, with supportive policies being introduced to encourage investment in this sector [12].
巨爽!大快人心!
猫笔刀· 2025-03-10 14:19
最近有一件大事,可能会对我们国家全体打工人都产生决定性的影响,我不吊你们胃口,先说了,是大好事。 欧盟通过了《禁止强迫劳动法案》,去年底已经签署生效,但是有3年的过渡期: 这法案到底是干嘛的 呢? 就是欧盟规定,如果企业 一旦强迫员工劳动, 那么 将禁止 进口 该产品到欧盟 。 注意,该法案非常严苛 ,比如你出口 一个空调,哪怕空调里 有一个 零件 强迫员工劳动也不行, 会 导致整台空调 被欧盟拒绝入关。 所以欧盟是怎么定义"强迫员工劳动"的呢?呵呵, 超时加班(每日>8小时、每周>40小时)即视为强迫劳动 ,"员工自愿"也不行。 写到这你们应该已经意识到,这个《禁止强迫劳动法案》会对我们打工人带来什么样的影响了,只要企业生产的产品还想出口到欧盟(未来很可能也包含 美国),他就必须严格落实员工每周工作低于40小时,否则生意就别做了。 因为某些原因,我们国家的《劳动法》长期无法落实,打工人的权益无法保障,好吧,现在轮到欧盟来整顿中国的用工市场了。 有用吗?当然,已经开始起效了。 上面的是海尔,美的最近也启动了针对性工时改革: 昨天我就在网上看到美的现在已经强制下班,18:20以后hr会催促所有员工离岗,不准"自 ...