| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w30231 |
| 来源ID | Working Paper 30231 |
| The Value of Pharmacy Benefit Management | |
| Casey B. Mulligan | |
| 发表日期 | 2022-07-11 |
| 出版年 | 2022 |
| 语种 | 英语 |
| 摘要 | In theory, equilibrium profits for drug patent holders would not involve significant restraints on production and patient utilization if the market had a mechanism for two-part pricing (Oi 1971) or quantity commitments (Murphy, Snyder, and Topel 2014). In fact, patent expiration has little effect on drug utilization especially when those drugs are delivered through insurance plans. This paper provides a quantitative model consistent with the theory and evidence in which pharmacy benefit management on behalf of insurance plans serves these and other purposes in both monopoly and oligopoly provider settings. Calibrating the model to the U.S. market, I conclude that pharmacy benefit management is worth at least $145 billion annually beyond its resource costs. PBM services add at least $192 billion annually in value to society compared to a manufacturer price-control regime. Requiring all PBM services to be self-provided by plan sponsors would forgo about 40 percent of the net value of PBM services largely by increasing management costs. Due to changes in the incidence of PBM services over the drug life cycle, the services encourage innovation even though they reduce the profits of incumbent manufacturers. |
| 主题 | Microeconomics ; Market Structure and Distribution ; Welfare and Collective Choice ; Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance |
| URL | https://www.nber.org/papers/w30231 |
| 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/587902 |
| 推荐引用方式 GB/T 7714 | Casey B. Mulligan. The Value of Pharmacy Benefit Management. 2022. |
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| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w30231.pdf（1368KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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