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上海打出“组合拳”,促进医保商保共同发展支持创新药械
Guo Ji Jin Rong Bao· 2025-08-06 13:02
Group 1 - The core viewpoint of the news is the introduction of measures by the Shanghai Financial Regulatory Bureau to promote the high-quality development of commercial health insurance, enhancing the insurance industry's ability to serve public health needs and improving the accessibility and affordability of innovative drugs and medical devices [1][2] - The measures include five main areas with 18 specific actions aimed at broadening the coverage of commercial health insurance and enriching product forms, particularly focusing on developing commercial nursing insurance and a multi-tiered product system [1] - There is an emphasis on encouraging the development of health insurance products tailored for specific groups such as the elderly and those with chronic conditions, as well as enhancing health management services to reduce risks [1][2] Group 2 - The measures advocate for the creation of group health insurance products that involve employer contributions, covering innovative drug and device costs, and aligning with basic medical insurance for seamless settlement [1][2] - There is a push for deepening the interconnectivity of medical, health insurance, and commercial insurance data, using clinical trial data as pricing references for insurance companies, and supporting a "one-stop" settlement service [2] - The introduction of innovative payment mechanisms for new drugs and devices is encouraged, facilitating their integration into hospitals and insurance coverage, while also promoting tax deductions and optimized funding to support the growth of commercial health insurance [2]
上海:加大对新市民及新产业、新业态等特定人群的健康保障力度
Bei Jing Shang Bao· 2025-08-06 11:59
Group 1 - The core viewpoint of the article is the issuance of measures to promote the high-quality development of commercial health insurance to support innovation in the biopharmaceutical industry [1] Group 2 - The measures aim to broaden the service population of commercial health insurance, focusing on the needs of the elderly, children, and patients with chronic diseases [1] - Insurance institutions are encouraged to include elderly individuals and those with pre-existing conditions in their coverage, based on controllable risks and commercial sustainability [1] - The use of big data and industry experience data is recommended to reasonably determine insurance product rates and to relax underwriting conditions [1] - There is an emphasis on providing diversified customized services and increasing health coverage for specific groups such as new citizens and those in emerging industries and business formats [1]
“散装”与“整装”(人民论坛)
Ren Min Ri Bao· 2025-06-15 21:45
Core Viewpoint - The recent popularity of the Jiangsu Province city football league, referred to as "Su Super," highlights the competitive yet collaborative spirit among the 13 cities in Jiangsu, showcasing both regional pride and economic strength [1][2]. Group 1: Regional Competition and Collaboration - The phrase "scattered" emphasizes the unique strengths of each city, while "integrated" signifies the importance of collaboration, leading to a healthy competitive environment that stimulates economic vitality across Jiangsu [2][3]. - Jiangsu's cities, such as Nanjing in digital economy and Suzhou in smart manufacturing, have all entered the top 100 cities by GDP in China, demonstrating the province's collective economic prowess [2]. Group 2: Development Strategies - Jiangsu's development model reflects a gradient approach, with "Southern Jiangsu leading, Central Jiangsu rising, and Northern Jiangsu catching up," fostering deep industrial collaboration and integration into the new development landscape [2][3]. - The concept of "scattered" and "integrated" serves as a framework for understanding the balance between regional uniqueness and collective growth, essential for enhancing county economies and promoting regional integration [3]. Group 3: National Economic Context - The challenges faced by China's economy, such as regional resource disparities, highlight the need for a rational layout of industries, where distinctive strengths can be combined to create a cohesive economic structure [3]. - The successful integration of various regional economies into a unified market is crucial for achieving high-quality development, as illustrated by the collaborative efforts in the Yangtze River Delta and other regions [3].