Core Viewpoint - The recent policies from Shanghai and the National Medical Insurance Administration signify a transformative shift in China's healthcare payment system from a "single cost control" model to a "multi-coordination" approach, which is expected to benefit innovative medical devices and pharmaceuticals significantly [1][2][12]. Policy Changes - Shanghai's new regulations allow high-priced innovative products to enter the medical insurance reimbursement framework after patients pay a certain percentage out-of-pocket, breaking the previous "solely centralized procurement" model for coronary stents [1][2]. - The National Medical Insurance Administration released two policy documents supporting the development of innovative drugs and medical devices, reinforcing the shift towards a multi-coordinated payment system [2][14]. Market Dynamics - The coronary stent market in China has completed domestic substitution due to multiple rounds of centralized procurement, and the new payment policies are expected to foster industry growth [4][10]. - The demand for coronary stents is projected to grow, driven by an aging population and changes in dietary habits, with the number of coronary artery disease patients expected to rise from 25.27 million in 2020 to 31.67 million by 2030, reflecting a CAGR of approximately 2.28% [5]. PCI Procedure Insights - Percutaneous coronary intervention (PCI) is a key treatment for coronary heart disease, with a significant gap in procedure penetration rates compared to the U.S. (690.9 procedures per million in China vs. 3022.1 in the U.S.) [7][9]. - The number of PCI cases in China grew by 26.44% in 2023, indicating a rising acceptance and demand for these procedures [7]. Competitive Landscape - Following centralized procurement, the domestic market for coronary stents has achieved an 80% localization rate, with leading domestic companies like MicroPort, Lepu, and Jiwei holding a combined market share of 45% [10][12]. - The policies encourage companies to focus on high-end innovation, with a shift from merely reducing prices to ensuring quality and sustainability in the industry [12][13]. Company Performance - MicroPort, a leading player in high-value medical consumables, has diversified its product lines across various medical fields and reported a research and development investment of $115 million in 2024, with expectations of revenue growth of 10%-11% in 2025 [15][16]. - The company anticipates a recovery in growth rates in the second half of 2025, with international business expected to grow by 80%, reaching over $170 million [16].