By Domenico Esposito

Expanding prescription drug cost-sharing by means of sufferers - within the kind of expanding copayments - is among the so much outstanding, and arguable, advancements within the healthiness zone over contemporary years. the precise nature and use of copayments by way of healthiness care insurers is still scorching subject of dialogue. This exact and meticulously researched learn is without doubt one of the first of its style: its effects recommend that adjustments in copayments effect selection, moving marketplace percentage for those medications. Differential copayments for medically identical choices is one procedure insurers use to impact the alternative of 1 drug over one other while confronted with differing costs. Relative copayments for therapeutically an identical medicines, imposed through insurers, are proven to have an important influence on shopper selection – the implication being that physicians are performing in sufferers’ monetary, in addition to scientific curiosity. not like a lot paintings during this region, Copayments and the call for for prescribed drugs isn't really backed through any drug corporation; and its up to date effects, validated on an organization clinical foundation, are fullyyt impartial. Its effects have functions for the personal assurance and pharmaceutical sectors in addition to the general public quarter, and it'll be of significant curiosity to execs and researchers within the fields of health and wellbeing economics, monetary and healthcare policy-making, and microeconomics: its basic findings are specially serious to the us public wellbeing and fitness area that's at the cusp of delivering a prescription drug profit to just about 40 million aged americans.

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Additional info for Copayments And The Demand For Prescription Drugs (Routledge International Studies in Health Economics)

Sample text

Cost-effectiveness Treatment of the symptoms and consequences of coronary heart disease (CHD) can be costly; the average cost per episode of care in 2000 has been estimated at more than $22,000 (Managed Care Measures, 2001). 2 Statin direct-to-consumer advertising (1997–1999). Source: Comptetitive Medical Research. nearly 75 percent of the cost of a CHD episode while outpatient care, emergency room services and pharmacy expenditures make up the remaining portion at 20, 2, and 4 percent, respectively.

Patient selection into plans with favorable drug coverage With the multitude of drug management options available at many different health plans, one may suspect that a patient could choose to enroll in a plan with benefits favorable to him. For example, it is possible that an insured patient using a statin to manage high cholesterol may choose a health plan where his drug copayment would be lower. As a result, it is possible that a person’s copayment may not be exogenous but endogenous to the patient.

Prior to demonstrating that preferences can be aggregated, a representation of any individual’s demand function is needed. Suppose the consumer faces a finite set of discrete alternatives B ʦ B. A vector of measured attributes, zi ϭ (qi, h, wi) ϭ ␰(k), consistent with earlier terminology is associated with alternative k ʦ B, and income y is a component of the vector S of consumer characteristics. The unconditional indirect utility function of the consumer is then V*( y Ϫ qB, h, wB, B; U˜ ) ϭ max V(y Ϫ qk, h, wk, k; U˜ ), kʦB where y Ϫ qB denotes a vector with component y Ϫ qj, and wB a vector with component wj, for each j ʦ B.

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