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来源类型Working Paper
规范类型报告
DOI10.3386/w16879
来源IDWorking Paper 16879
A Primer on the Economics of Prescription Pharmaceutical Pricing in Health Insurance Markets
Ernst R. Berndt; Thomas G. McGuire; Joseph P. Newhouse
发表日期2011-03-14
出版年2011
语种英语
摘要The pricing of medical products and services in the U.S. is notoriously complex. In health care, supply prices (those received by the manufacturer) are distinct from demand prices (those paid by the patient) due to health insurance. The insurer, in designing the benefit, decides what prices patients pay out-of-pocket for drugs and other products. In this primer we characterize cost and supply conditions in markets for generic and branded drugs, and apply basic tools of microeconomics to describe how an insurer, acting on behalf of its enrollees, would set demand prices for drugs. Importantly, we show how the market structure on the supply side, characterized alternatively by monopoly (unique brands), Bertrand differentiated product markets (therapeutic competition), and competition (generics), influences the insurer's choices about demand prices. This perspective sheds light on the choice of coinsurance versus copayments, the structure of tiered formularies, and developments in the retail market.
主题Microeconomics ; Market Structure and Distribution ; Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance ; Industry Studies
URLhttps://www.nber.org/papers/w16879
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/574556
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Ernst R. Berndt,Thomas G. McGuire,Joseph P. Newhouse. A Primer on the Economics of Prescription Pharmaceutical Pricing in Health Insurance Markets. 2011.
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