多元支付体系

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多元支付如何破解创新药“价格悖论”
2 1 Shi Ji Jing Ji Bao Dao· 2025-07-02 22:49
Core Viewpoint - The recent policy document issued by the National Healthcare Security Administration and the National Health Commission aims to support the high-quality development of innovative drugs in China, addressing the "price paradox" faced by the industry and promoting a multi-channel payment system to balance reasonable pricing and patient accessibility [1][2][3]. Group 1: Policy Measures - The policy includes 16 specific measures across five areas, focusing on creating a multi-payment system to alleviate the financial burden on patients while ensuring reasonable market prices for innovative drugs [1][2]. - The measures aim to establish a diversified cost-sharing mechanism involving basic medical insurance, commercial insurance, personal payments, and corporate assistance, ensuring that no single entity bears excessive financial pressure [2][5]. Group 2: Industry Context - The innovative drug sector in China has transitioned from being a "follower" to a "runner," with significant growth since 2015, evidenced by the approval of 39 new drugs in 2024, accounting for nearly 40% of global first approvals [4]. - The policy reflects a systemic approach to supply-side structural reform in the innovative drug industry, encouraging companies to focus on clinical needs and enhance their innovation capabilities [4][5]. Group 3: Societal Impact - The ultimate goal of the innovative drug policy is to improve public welfare by ensuring patients can access high-quality treatments at reasonable prices, emphasizing a shift from price thinking to value thinking [3][5]. - The social value of innovative drugs extends beyond treatment effectiveness to include cost savings in healthcare and improved quality of life, highlighting the importance of comprehensive benefits over mere pricing [3]. Group 4: Future Outlook - The successful implementation of the 16 measures will depend on balancing innovation incentives with cost control, establishing a stable policy environment, and ensuring continuity in the regulatory framework [5]. - The future development of China's innovative drug industry is expected to shift from scale expansion to quality enhancement, from imitation to original innovation, and from a domestic focus to a global market presence [5].
两部门聚焦创新药:增设商保创新药目录,构建多元支付体系
2 1 Shi Ji Jing Ji Bao Dao· 2025-07-01 09:40
Core Viewpoint - The introduction of the "Several Measures to Support the High-Quality Development of Innovative Drugs" by the National Healthcare Security Administration and the National Health Commission aims to address key issues in the innovative drug sector in China, providing comprehensive support across the entire chain from research and development to payment systems [1][5]. Summary by Relevant Sections Support for Innovative Drug Development - The measures include 16 specific actions to enhance the research and development of innovative drugs, improve access to insurance, and promote clinical application [1][2]. - The number of original innovative drug pipelines in China has increased significantly, from 124 in 2015 to 704 by 2024, making China the global leader in this area [3]. - The measures emphasize the importance of data sharing, particularly using healthcare insurance data to guide innovative drug development, thereby improving efficiency [4]. Commercial Health Insurance and Payment Systems - The establishment of a commercial health insurance innovative drug directory is a key highlight, allowing for better integration of commercial insurance with innovative drug access [2][5]. - The measures encourage collaboration between healthcare insurance and commercial health insurance to alleviate the financial burden on basic insurance funds, especially given the high costs associated with innovative drugs [9]. - The new policies aim to create a multi-tiered payment system that supports innovative drug development and encourages the exploration of international markets [9][10]. Clinical Application and Training - The measures promote the training of medical institutions and industry associations to enhance the clinical use of innovative drugs, ensuring that healthcare providers are well-equipped to utilize these new treatments [2][3]. - The focus on real-world research and the integration of clinical experience into the approval and reimbursement processes is expected to improve the overall effectiveness of innovative drugs in clinical settings [2][4]. Regulatory and Policy Framework - The measures propose optimizing the interaction between innovative drug companies and healthcare insurance departments, facilitating smoother communication and policy guidance [5][6]. - The commercial health insurance directory will allow for a more flexible approach to pricing and reimbursement, potentially leading to better access for patients [6][7]. Future Outlook - The implementation of these measures is anticipated to accelerate the development of innovative drugs in China, enhancing the overall healthcare landscape and improving patient access to advanced treatments [10].
中原粮仓“上新”多元支付
Jin Rong Shi Bao· 2025-07-01 04:59
Core Insights - The article highlights the advancements in payment systems for grain transactions in Zhoukou City, Henan Province, enhancing efficiency and security for farmers and grain merchants [1][2][3][4]. Group 1: Payment System Enhancements - The People's Bank of China in Zhoukou has guided local banks to develop a multi-channel payment system, integrating mobile payments, bank cards, and cash, facilitating over 233.57 million yuan in transactions for grain purchases [1]. - A significant increase in transaction efficiency has been noted, with banks providing 21.35 million payment services totaling 32.67 million yuan during the summer grain purchase period [2]. Group 2: Support for Farmers - A three-tier cash service network has been established, including banks, rural cash withdrawal points, and mobile service teams, catering to the diverse needs of 236 million grain farmers [3]. - During the summer grain purchase season, banks provided encrypted deposit services to 163,100 farmers, amounting to 407 million yuan, and conducted over 45,600 payment transactions worth 42.06 million yuan [3]. Group 3: Financial Education and Security - The introduction of mobile financial service vehicles has enabled on-site banking services and fraud prevention education, reaching over 90,000 individuals through various outreach programs [4]. - The implementation of a "dual-line education" model has effectively raised awareness about payment security and fraud prevention among farmers, with over 5 million views on online resources [4].
两办发文保障民生:强基工程、商保目录,如何推动优质医疗资源共享
2 1 Shi Ji Jing Ji Bao Dao· 2025-06-10 11:00
Group 1 - The core viewpoint of the article emphasizes the importance of the "Medical and Health Strong Foundation Project" and the "Commercial Health Insurance Innovative Drug Catalog" to enhance the accessibility and quality of healthcare services for the public [1][2] - The "Medical and Health Strong Foundation Project" aims to address the shortcomings of grassroots medical services, ensuring that citizens can access fair, systematic, and high-quality healthcare services nearby [1][2] - The document highlights the need for resource sharing among medical institutions to optimize the use of limited resources and avoid redundancy in healthcare infrastructure [3][4] Group 2 - The Commercial Health Insurance Innovative Drug Catalog is expected to meet diverse medical insurance needs and significantly address the payment challenges for innovative drugs, thereby promoting their development [2][6] - As of the end of 2024, the innovative drug market in China is projected to reach a sales scale of 162 billion yuan, with medical insurance covering approximately 44%, personal cash payments at 49%, and commercial health insurance at only 7.7% [6][8] - The establishment of a multi-level drug catalog system is crucial for commercial health insurance, allowing for a broader range of drug coverage compared to basic medical insurance [7][8] Group 3 - The article discusses the role of medical communities and networks in the strong foundation project, with over 18,000 medical alliances established nationwide by the end of 2023 [4][5] - The government aims for over 90% of county-level medical communities to meet tight-knit standards by the end of 2027, emphasizing the need for high-level medical talent to support grassroots healthcare [5][8] - The document also stresses the importance of developing a remote medical service network and promoting a "distributed examination, centralized diagnosis" model to enhance service capabilities at the grassroots level [5][8]