药物定价管理来自马克·古巴的成本加仿制药计划
Snigdha Gulati1, Mohak Gupta2, TingTing Yan3
1Department of General and Thoracic Surgery, Cleveland Clinic, Cleveland, OH, USA.
PharmacoEconomics
|August 21, 2024
概括
通过采用低成本定价,美国医疗保险D部分可以在仿制药上节省86亿美元. 针对特定医疗专业的有针对性的干预可以最大限度地节省处方药的成本.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 医疗保健管理的管理
背景情况:
- 美国处方药支出很高,部分原因是无效的仿制药分销和补偿.
- 对仿制药处方者来说,潜在的节省和干预领域尚未得到充分理解.
研究的目的:
- 分析2021年医疗保险D部分的仿制药支出.
- 为了将这一支出与马克古巴成本加药公司 (MCCPDC) 的定价进行比较.
- 估计潜在的可实现的节约.
主要方法:
- 追溯,观察性研究分析医疗保险D部分数据 (2021) 和MCCPDC定价 (2023年8月).
- 使用MCCPDC通用定价对潜在节省的系统分析.
- 结果包括处方量,节省药物的比例,医疗保险总节省,以及按医疗/外科子专业分层的单位价格降低.
主要成果:
- 估计使用90天MCCPDC定价的医疗保险D部分节省了86亿美元.
- 手术药物为潜在的储蓄贡献了超过9亿美元.
- 几乎80%的药物通过MCCPDC变得更便宜;心脏病学,精神病学,神经学,移植学和泌尿学领域的绝对节省最高.
- 在瘤学,妇科,传染病,移植手术和结直肠手术中相对于体积的不成比例的节省.
结论:
- 通过解决对仿制药的系统性过度支付问题,可以大大节省Medicare Part D.
- 确定了改革仿制药定价和分销的关键领域.
- 特定的医疗和外科小专业是干预的首要目标,以实现大幅节省.
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