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来源类型Working Paper
规范类型报告
DOI10.3386/w30053
来源IDWorking Paper 30053
Bargaining and International Reference Pricing in the Pharmaceutical Industry
Pierre Dubois; Ashvin Gandhi; Shoshana Vasserman
发表日期2022-05-16
出版年2022
语种英语
摘要The United States spends twice as much per person on pharmaceuticals as European countries, in large part because prices are much higher in the US. This fact has led policymakers to consider legislation for price controls. This paper assesses the effects of a US international reference pricing policy that would cap prices in US markets by those offered in reference countries. We estimate a structural model of demand and supply for pharmaceuticals in the US and reference countries like Canada where prices are set through a negotiation process between pharmaceutical companies and the government. We then simulate the counterfactual equilibrium under such international reference pricing rules, allowing firms to internalize the cross-country externalities introduced by these policies. We find that in general, these policies would result in much smaller price decreases in the US than price increases in reference countries. The magnitude of these effects depends on the number, size and market structure of references countries. We compare these policies with a direct bargaining on prices in the US.
主题Econometrics ; Estimation Methods ; Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance ; Firm Behavior
URLhttps://www.nber.org/papers/w30053
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/587727
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GB/T 7714
Pierre Dubois,Ashvin Gandhi,Shoshana Vasserman. Bargaining and International Reference Pricing in the Pharmaceutical Industry. 2022.
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