← ireadpaper · 顶刊中的公共政策研究

价格飞涨:论通过保险销售的药品定价

Going through the roof: On prices for drugs sold through insurance
Games and Economic Behavior · 2025 · Kamphorst, Jurjen、Karamychev, Vladimir A.

中文摘要

本文研究了公众对治疗罕见且使人衰弱疾病的药品高昂价格的担忧是否有依据。我们提出一种理论,解释药品不可分割性、个人预算约束与保险如何相互作用以推高药价,尤其是治疗罕见和严重疾病的药品价格。在较宽泛的药品生产成本与收入分布范围内,我们的模型预测:药品价格要么被设定在保险覆盖的最高水平,要么与疾病的患病率呈反向关系。在后一种情形下,生产者利润随患病率上升而下降。生产成本对价格和利润的影响是非单调的。

Abstract

This paper studies public concern grounds for high prices of drugs treating rare and debilitating diseases. We offer a theory that explains how drug indivisibility, individual budget constraints, and insurance interact to drive up drug prices, especially for drugs treating rare and severe diseases. For a broad range of drug production costs and income distributions, our model predicts that drug prices are either set at their highest levels covered by insurance or inversely related to the prevalence of the disease. In the latter case, producer profits decrease with prevalence. The effect of production costs on prices and profits is non-monotonic.
在 ireadpaper 查看全部 →