Shanghai Eyes Commercial Insurance Push To Address Drug Firms’ Pricing Concerns

Policy Changes Urged

As Shanghai seeks to develop into an international biopharma hub, the local government is encouraging commercial medical insurers to cover more innovative drugs in their products. The policy aims to provide an alternative solution to dominant pricing by the national public payer, which often imposes deep discounts on novel drugs in exchange for reimbursement coverage.

Shanghai scene
Shanghai is rapidly approaching status as international biopharma hub • Source: Shutterstock

To pharma firms operating in China, it is stale news that in an upcoming annual pricing negotiation their newly approved innovative drugs are likely to be subject to an average price reduction of 60% in exchange for reimbursement coverage under the national basic medical insurance scheme. (Also see "China’s Payer Keeps Deep Price Cuts Steady in Latest NRDL Listing" - Scrip, 20 January, 2023.)

During a week-long industry event held recently in Shanghai, however, the topic was freshened up with the latest initiative from the authorities of the city, a leading biopharma hub in China, to promote the expansion of commercial medical insurance on top of the

Meanwhile, both domestic pharma companies and their foreign peers are expecting that Shanghai's effort, albeit on a local level, will to some degree offer an alternative solution to the national

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