制药供应链中错位激励的成本
1Leonard D. Schaeffer Center for Health Policy & Economics, University of Southern California, Los Angeles, CA 90089, United States.
Health affairs scholar
|July 25, 2025
概括
药房福利管理人员 (PBM) 通过支持高清单价药物来影响药品成本. 将PBM支付与药品价格脱而出,每年可以节省超过950亿美元,促进低成本的仿制药和生物仿制药.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
背景情况:
- 药品价格上是一个重大问题.
- 药房福利管理人员 (PBM) 在制药供应链中发挥着关键作用.
- PBM补偿模式往往鼓励高成本的药物.
研究的目的:
- 分析PBM补偿结构对药物支出的影响.
- 在制药供应链中识别潜在的成本节约机会.
- 评估将PBM补偿与药品清单价格脱的效果.
主要方法:
- 对年度药物支出数据的分析.
- 检查PBM合同结构及其财务激励.
- 模拟补偿改革对药物总体开支的影响.
主要成果:
- 药品制药合同通常将补偿与药品清单价格联系在一起,有利于高成本药物.
- 制品行业是集中和垂直集成的,使监督复杂化.
- 将PBM补偿与清单价格脱而出,可以使年度药物支出减少950多亿美元 (近15%).
结论:
- 改革PBM补偿模式为药物成本节省提供了巨大的潜力.
- 将PBM激励与成本较低的药物相结合,可以提高可负担性.
- 拟议的变化不会对制造商的创新激励产生负面影响.
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