支付人的处方药支出:对托管护理的影响
Yousef Chavehpour1, Rajesh Balkrishnan2, Joel E Segel3
1Department of Health Policy and Administration, Pennsylvania State University (YC, JES), State College, PA, USA.
Exploratory research in clinical and social pharmacy
|February 5, 2024
概括
十大处方药对美国的支出产生重大影响,每年占834亿美元. 医疗保险承担了最高的支出负担,每个处方的成本在不同支付方之间差异很大.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 医疗保健支出分析
背景情况:
- 品牌药物是处方药支出的主要贡献者.
- 了解支付者之间的差异性支出负担对于政策制定至关重要.
- 关于最销药物对各种付款人的影响的数据有限.
研究的目的:
- 量化十大处方药的支出影响.
- 分析医疗补助,医疗保险,商业保险和自费支出的差异性成本负担.
- 为高成本药物提供支付者特定的政策策略提供信息.
主要方法:
- 2017-2019年利用的医疗支出小组调查数据.
- 计算出支出百分比,总成本,处方量和每处方的平均成本.
- 分析了在特定的付款人类别中销售最多的处方药的十大数据.
主要成果:
- 前十大药品的平均年度支出为834.4亿美元 (占总支出的19%).
- 医疗保险对这些药物支出的比例最高.
- 平均处方费用差异很大,从500美元 (Advair) 到7,400美元 (Tecfidera).
结论:
- 销量最高的药物在很大程度上影响了美国整体处方药支出.
- 成本和付款人的贡献的变化凸显了针对性政策的需要.
- 付款人特定的政策可能需要显著的差异化,即使是最销的药物.
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