公平地重新定价:平衡MFN和国内改革
1Neurology Department, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509.
The American journal of managed care
|January 9, 2026
概括
美国处方药的成本很高. 混合政策方法将国际定价 (最受青国家或最受青国家) 与国内改革相结合,可以降低成本,而不损害创新或获取.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 药品定价 药品定价 药品定价
背景情况:
- 美国的处方药费用是全球最高的.
- 现有提案包括国际价格基准 (最受青的国家定价) 和基于国内市场的改革.
- 每种方法都有潜在的好处和缺点,包括成本,创新和访问.
研究的目的:
- 评估最受青国家 (MFN) 定价模型的潜在影响.
- 探索基于国内市场的药品定价改革在药品定价中的作用.
- 为平衡药物负担能力,创新和公平提出混合政策方法.
主要方法:
- 政策分析和评论.政策分析和评论.
- 关于药品定价模型的现有文献的审查.
- 讨论以股权为重点的估值框架,如一般化风险调整的成本效益和严重性调整的支付意愿.
主要成果:
- 虽然MFN模式可以快速降低成本,但它可能会阻碍创新,并推迟患者获得医疗服务.
- 国内改革重点是谈判,竞争和透明度,但可能会产生更慢的结果.
- 建议采用混合方法,将MFN效率与国内改革相结合.
结论:
- 均衡的药品定价政策对于实现可负担性至关重要.
- 将国际基准分析与国内改革相结合,可以减轻创新和公平的风险.
- 以股权为重点的估值框架应指导政策决策,以实现可持续的药物定价.
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