是什么推动了340B的增长:利用率还是价格?
Shanyue Zeng1, William Sarraille2, Rory Martin3
1Market Access Technology Solutions, IQVIA, New York, NY 10022, United States.
Health affairs scholar
|June 26, 2025
概括
使用,而不是制造商的价格上,推动了340B药品定价计划.
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:
- 340B药品定价计划 (340B计划) 经历了显著的增长,在2023年达到66亿美元的折扣购买额.
- 关于340B计划增长的驱动因素的研究有限,利益相关方的解释是相互矛盾的.
- 倡导者将增长归因于制造商价格上,而批评者则引用340B医院的使用率增加.
研究的目的:
- 通过分析价格和利用的相对贡献来调查340B计划增长的主要驱动因素.
- 提供经验证据,为正在进行的关于影响340B计划扩展因素的辩论提供信息.
主要方法:
- 采用了价格-数量-组合分解分析.
- 利用国家数据集,从2018年到2024年,国家药物法规药物超过28,000种.
- 基于目录价格和340B折扣价格的研究增长.
主要成果:
- 基于目录价格的340B增长中,利用率平均占79.6%.
- 在考虑340B折扣价格时,利用占增长的近100%.
- 使用率是最销药品和价格上超过通货膨胀的药品的主要因素.
结论:
- 增加药物使用率,而不是制造商定价策略,是340B计划增长的主要驱动因素.
- 这些发现对公共政策和340B计划的未来监管产生了重大影响.
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