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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. |
条目包含的文件 | 条目无相关文件。 |
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