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以支出促节省:路易斯安那州根除丙型肝炎的订阅模式

Spending to Save: The Subscription Model for Eradicating Hepatitis C in Louisiana
NBER Working Papers · 2026 · Kevin Callison、Rena M. Conti、Jonathan Gruber、Jacob Wallace

中文摘要

支付方应如何在财政可持续性与变革性医疗技术的可及性之间取得平衡?我们研究了路易斯安那州2019年针对丙型肝炎(HCV)推出的医疗补助订阅模式,这是美国首次有州采用两部收费制来确保对治愈性药物的无限获取权。我们采用双重差分设计,将HCV受益人的支出与糖尿病或HIV受益人的支出进行比较,发现治疗量增至原来的三倍,医疗支出下降,新增HCV诊断减少23%。该州在抗病毒药物上新增支出3700万美元,由此在五年内产生了2.66亿美元的节省。创新融资模式能够为支付方带来健康收益和近期节省。

Abstract

How should payers balance fiscal sustainability with access to transformative medical technology? We study Louisiana’s 2019 Medicaid subscription model for hepatitis C (HCV), the first example of a U.S. state employing a two-part tariff to secure unlimited access to curative medicines. Using a differences-in-differences design comparing spending on beneficiaries with HCV to those with diabetes or HIV, we find that treatment volume tripled, medical spending fell, and new HCV diagnoses declined 23 percent. The state’s $37 million in incremental spending on antivirals generated $266 million in five-year savings. Innovative financing models can generate health benefits and near-term savings for payers.
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