新药研发资助与价格谈判

Research funding and price negotiation for new drugs

Health Economics · 2020
被引 9
人大 A-

中文导读

分析了受监管医保市场中新药基础研究的资助方式(私人、公共或独立实验室)如何影响药品价格和效率,发现基础研究整合到商业化企业时价格和效率更高,但公共整合在某些条件下能实现最低价格和最高效率。

Abstract

This paper analyzes the negotiation process, which leads to basic research funding and price setting for new drugs in regulated health insurance markets. Its results bring answers to the following questions: Should basic research be privately funded, publicly funded, or produced by an independent lab? Under which conditions is public integration of basic research efficient? How do pharmaceutical prices respond to different organizations of basic research? We show that efficiency and prices are higher when basic research is integrated in the firm that commercializes the drug as compared with independent basic research. In both organizations, the higher the negotiation power of the research labs relative to the one of the public health authority is, the higher the prices and the efficiency are. We thereby confirm the traditional trade-off between price containment and dynamic efficiency. We identify one important exception to this trade-off. Indeed, public integration of basic research can result in lowest prices and highest efficiency, as compared with the other possible organizations, in particular when basic and applied research are highly complementary.

新药研发资助药品价格谈判基础研究组织动态效率