基本医保药品
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120家企业参与2025年药品目录谈判协商
Xin Hua Wang· 2025-11-05 09:28
Core Insights - The National Healthcare Security Administration (NHSA) has initiated negotiations for the 2025 National Basic Medical Insurance (BMI) drug list and the commercial insurance innovative drug list from October 30 to November 3, with participation from 120 domestic and foreign enterprises [1] - This year marks a significant change as the commercial insurance innovative drug list has been added to the directory adjustment process, running concurrently with the basic medical insurance directory work [1] - The new basic medical insurance drug list and the first version of the commercial insurance innovative drug list are expected to be released online and offline in Guangzhou on the first weekend of December, with implementation set for January 1, 2026 [1] Summary by Categories Negotiation and Participation - A total of 127 drugs outside the directory participated in the BMI drug list negotiations, while 24 drugs were involved in the price negotiations for the commercial insurance innovative drug list [1] Changes in Drug Listing Process - The inclusion of the commercial insurance innovative drug list in the directory adjustment process represents a new approach compared to previous years, indicating a shift towards integrating commercial insurance with basic medical insurance [1] Timeline for Implementation - The NHSA plans to complete the necessary technical, administrative, and legal procedures before the release of the new drug lists, which will be officially implemented starting January 1, 2026 [1]
新版医保药品目录调整“上新” 满足群众多层次、多元化用药需求
Yang Shi Wang· 2025-11-05 07:55
Core Points - The new basic medical insurance drug catalog and the first version of the commercial insurance innovative drug catalog are set to be released in Guangzhou on the first weekend of December, with implementation starting on January 1, 2024 [1] - The recent negotiations involved 120 domestic and foreign enterprises, with 127 drugs outside the basic medical insurance catalog participating in the negotiations, and 24 drugs involved in price negotiations for the commercial insurance innovative drug catalog [3] - The commercial insurance innovative drug catalog was organized by the National Medical Insurance Administration, allowing companies to apply for inclusion in either the basic medical insurance catalog or the commercial insurance innovative drug catalog, or both [5] Industry Insights - The addition of the commercial insurance innovative drug catalog aims to better meet the diverse medication needs of the population, with 1.326 billion people covered by basic medical insurance in 2024, maintaining a coverage rate of 95% [6] - Total expenditure for the basic medical insurance fund is projected to reach 2.97 trillion yuan in 2024, providing solid support for healthcare access [6] - The commercial health insurance market is experiencing rapid growth, with premium income reaching 977.3 billion yuan in 2024, an increase of 8.2% year-on-year, although there remains significant room for improvement in coverage levels compared to basic medical insurance [6] - Challenges exist in synchronizing medical insurance and commercial insurance settlements across provinces, but initiatives like the "commercial insurance + medical insurance" one-stop settlement payment platforms have been launched in various regions [6]
国家医保局:2025年药品目录谈判协商顺利结束
Xin Jing Bao· 2025-11-04 10:25
Core Insights - The National Healthcare Security Administration (NHSA) is organizing negotiations for the 2025 National Basic Medical Insurance (BMI) drug list and the commercial insurance innovative drug list from October 30 to November 3, with participation from 120 domestic and foreign companies [1] - A total of 127 drugs outside the current BMI list are involved in the negotiations, while 24 drugs are participating in the price negotiations for the commercial insurance innovative drug list [1] - The new BMI drug list and the first commercial insurance innovative drug list are expected to be released online and offline in Guangzhou during the first weekend of December, with implementation starting on January 1 of the following year [1]