Commercial Health Insurance

Policies and emerging models shaping commercial health insurance innovation and expanding funding capacity for innovative medical technologies.
Apr
02
China’s Insurance Industry Moves to Standardize Drug Coverage: Draft Commercial A-List Now Open for Feedback

China’s Insurance Industry Moves to Standardize Drug Coverage: Draft Commercial A-List Now Open for Feedback

As NHSA pilots C-List reimbursement models, a parallel effort by the Insurance Association of China has produced its first national formulary draft—offering a framework that could define future specialty drug access under Huiminbao and beyond.
3 min read
Mar
05
China’s Commercial Insurance Catalog Accelerates Expanding Beyond Category C Drug List

China’s Commercial Insurance Catalog Accelerates Expanding Beyond Category C Drug List

Led by the Insurance Association of China, this initiative alongside the NHSA-led Category C Drug List, is reshaping funding pathways, pricing strategies, and market access for innovative medicines.
5 min read
Feb
12
NHSA Fast-Tracks China's First Category C Drug List to Expand Commercial Funding for Innovative Medicines

NHSA Fast-Tracks China's First Category C Drug List to Expand Commercial Funding for Innovative Medicines

The launch of the Category C Drug List marks a major milestone in China’s reimbursement landscape for innovative therapies. Its success will hinge on transparent selection criteria, fair pricing strategies, and broad market adoption.
4 min read
Feb
05
Pioneering Value-Based Care in China: A Conversation with Dr. Felix Lee, Co-CEO of The GBA Healthcare Group

Pioneering Value-Based Care in China: A Conversation with Dr. Felix Lee, Co-CEO of The GBA Healthcare Group

This success story emphasizes the importance of aligning healthcare innovation with a nation's infrastructure and social security framework to ensure practical, scalable, and sustainable care delivery and payment models.
15 min read
Jun
26
China Aims to Establish a High-Quality All-Inclusive Commercial Health Insurance System in Five Years

China Aims to Establish a High-Quality All-Inclusive Commercial Health Insurance System in Five Years

Executive Summary City Commercial Health Insurance ("Huiminbao") has been rapidly advancing, focusing on protecting the entire population against
4 min read
Jun
12
China's Commercial Health Insurance Formulary Development: Current State and Future Directions

China's Commercial Health Insurance Formulary Development: Current State and Future Directions

Executive Summary The commercial health insurance sector in China presents substantial opportunities for growth, with the development of commercial insurance
9 min read
May
29
Fostering Medical Innovation: How China's Social and Commercial Insurance Can Work Together

Fostering Medical Innovation: How China's Social and Commercial Insurance Can Work Together

A healthy innovation ecosystem for medicines in China requires effective integration between basic and commercial health insurance. Success hinges on stakeholders operating within China's social security framework and focusing first on tackling the low-hanging fruit.
5 min read
Apr
03
Key Direction for Huiminbao Drug Formulary at China's National Two Sessions

Key Direction for Huiminbao Drug Formulary at China's National Two Sessions

During China's 2024 National Two Sessions in March, Wu Fan, a member of the National Committee of the
2 min read
Feb
28
Policy Push for Long-Term Huiminbao: The Impact on Innovative Medicine

Policy Push for Long-Term Huiminbao: The Impact on Innovative Medicine

In early January, the National Administration of Financial Regulation (NAFR) issued a draft titled "Notice on Promoting the Smooth
6 min read
Jan
17
Closing the Affordability Gap: Can China’s Commercial Health Insurance Deliver?

Closing the Affordability Gap: Can China’s Commercial Health Insurance Deliver?

At the end of 2021, individual out-of-pocket (OOP) spending in China constituted 27.7% of total healthcare expenditure (THE), soaring
5 min read