医疗保险报销是否推高了药品上市价格?

Does Medicare Reimbursement Drive Up Drug Launch Prices?

Review of Economics and Statistics · 2019
被引 14
人大 AFT50ABS 4

中文导读

研究美国联邦医疗保险基于历史价格的报销方式如何激励制药公司提高新药上市价格,利用1999-2010年数据发现该政策导致价格显著上涨。

Abstract

Medicare reimburses health care providers for the drugs they administer. Since 2005, it has reimbursed based on the past price of the drug. Reimbursement on past prices could motivate manufacturers to set higher launch prices because providers become less sensitive to price and because provider reimbursement is higher if past prices were higher. Using data on drug launch prices between 1999 and 2010, we estimate that reimbursement based on past prices caused launch prices to rise dramatically. The evidence is consistent with the 2018 claim from Medicare's administrator that it “creates a perverse incentive for manufacturers to set higher prices.”

医疗保险药品定价卫生经济学激励