对ICER报告无支持价格上的通胀调整分析:将药品支出变化置于背景
Tyer D Wagner1, Kimberly D Westrich1, Robert J Nordyke2
1National Pharmaceutical Council, Washington, DC, USA.
Journal of medical economics
|December 3, 2024
概括
通货膨胀调整显示,临床和经济审查研究所 (ICER) 报告的药物价格上可能会夸大医疗保健支出影响. 对通货膨胀的计算显著改变了对不支持的价格上 (UPI) 的解释.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床和经济审查研究所 (ICER) 每年发布不支持的价格上 (UPI) 报告,影响政策和利益相关方的决策.
- ICER的UPI报告分析了处方药的净价格变化,而没有对通胀进行调整.
- 这种方法可能会导致高估药品价格上对医疗保健开支的实际经济影响.
研究的目的:
- 评估ICER UPI报告中报告的药物价格上的经济背景.
- 将通货膨胀调整用于ICER对医疗保健支出估计的影响.
- 评估通胀调整如何影响药品价格上数据的解释.
主要方法:
- 使用医疗消费者价格指数 (医疗CPI) 和所有城市消费者的消费者价格指数 (CPI-U) 进行了通胀调整.
- 分析了来自最近四份UPI报告的数据 (2018-2019至2021-2022年的定价数据).
- 专注于被归类为"没有支持"价格上的处方药.
主要成果:
- 经通货膨胀调整后的分析始终显示,与ICER未经调整的数据相比,对医疗保健支出实际变化的估计较低.
- 在分析的UPI报告中,支出估计的平均差异在53% (医疗CPI) 到80% (CPI-U) 之间.
- 在2023报告年度,未调整的13亿美元支出增加被调整为1.34亿美元的下降 (医疗CPI) 或151亿美元的下降 (CPI-U).
结论:
- 通货膨胀调整大大改变了UPI报告中药物支出变化的调查结果和解释.
- 来自UPI报告的未经调整的数字可能会夸大处方药实际价格变化的实际影响.
- 纳入通胀调整对于有关药品定价和医疗保健支出的基于证据的政策决策至关重要.
关键词:
E3131 是一种食物.经济学 经济学 经济学第113章 这是什么?药品成本 药品成本 药品成本经济 经济 经济 经济 经济卫生政策 卫生政策通货膨胀的情况.制药公司的药品.处方药是指处方药的药物.更多相关视频
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