全球智库信息集成服务系统(G2TT): Heterogeneity in Cost-Sharing and Cost-Sensitivity, and the Role of the Prescribing Physician

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w19186
来源ID	Working Paper 19186
	Heterogeneity in Cost-Sharing and Cost-Sensitivity, and the Role of the Prescribing Physician
	Mariana Carrera; Dana Goldman; Geoffrey Joyce
发表日期	2013-06-28
出版年	2013
语种	英语
摘要	In this paper, we use individual level data on purchases of one of the most prescribed categories of drugs (cholesterol-lowering statins) to study the responses of physicians and patients to variation in the cost of drugs. In a sample of first-time statin prescriptions to employees from a group of Fortune 500 firms, we find that copay variation across plans has a relatively small effect on the choice of drug, and this effect does not vary with patient income. After the highly-publicized expiration of the patent for Zocor (simvastatin), however, prescriptions for this drug increased substantially, especially for lower-income patients. Our analysis suggests that physicians can perceive the adherence elasticity of their patients and adjust their initial prescriptions accordingly, but only in response to a large and universal price change. Using prescriber identifiers, we present suggestive evidence that physicians learn about a patient's price sensitivity through their own experience of prescribing to that patient.
主题	Health, Education, and Welfare ; Health
URL	https://www.nber.org/papers/w19186
来源智库	National Bureau of Economic Research (United States)
引用统计
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/576860
推荐引用方式 GB/T 7714	Mariana Carrera,Dana Goldman,Geoffrey Joyce. Heterogeneity in Cost-Sharing and Cost-Sensitivity, and the Role of the Prescribing Physician. 2013.