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Price transparency for medical devices.

Mark V Pauly1, Lawton R Burns

  • 1Wharton School, University of Pennsylvania, in Philadelphia, USA.

Health Affairs (Project Hope)
|November 11, 2008
PubMed
Summary

Manufacturers use price discrimination for medical devices, influenced by hospital-physician relationships. Price transparency could improve hospital negotiations and restructure these dynamics.

Area of Science:

  • Health economics
  • Medical device market analysis
  • Healthcare policy

Background:

  • Medical device manufacturers possess market power and sell differentiated products.
  • Hospital purchasing decisions are significantly influenced by medical staff.
  • Secrecy surrounding medical device transaction prices is common, despite policy proposals for greater transparency.

Purpose of the Study:

  • To explore the reasons behind manufacturers charging different prices to different hospitals for medical devices.
  • To analyze the role of price secrecy in the medical device market.
  • To evaluate the consequences of price secrecy versus disclosure on market dynamics and hospital bargaining power.

Main Methods:

  • Economic analysis of pricing strategies in the medical device market.

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  • Discussion of the influence of hospital-physician relationships on purchasing decisions.
  • Examination of the potential impacts of price transparency legislation.
  • Main Results:

    • Manufacturer price discrimination is linked to hospital-physician relationships.
    • Secrecy allows manufacturers to leverage these relationships for pricing advantages.
    • Price disclosure can lead to a restructuring of hospital-physician dynamics.

    Conclusions:

    • Hospital-physician relationships are central to understanding medical device pricing and manufacturer gains from price discrimination.
    • Mandating price disclosure can empower hospitals by altering these relationships and improving their bargaining position.
    • Increased transparency in medical device pricing can foster a more equitable market.