FACTORS AFFECT THE BARGAINING BETWEEN PHARM AND INSURERS

影响制药公司和保险公司之间讨价还价的因素

• 批准号: 2616539
• 负责人: JOHN M BROOKS
• 金额: $ 7.35万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-01 至 1998-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2616539
• 关键词: behavioral /social science research tag; clinical research; health care cost /financing; health economics; health insurance; health services research tag; pharmacy; pharmacy administration

The medical care marketplace has changed dramatically over the last decade. In the face of escalating costs, insurers have taken a more active role in bargaining with providers over the prices of health care services. Retail pharmacy trade organizations argue that the new insurer bargaining strategies are causing pharmacies to close or curtail services, which may lead to increased overall health care costs. As a result, these organizations have asked for various forms of legislative relief. Unfortunately, there has been little previous research to guide legislators in weighing the pros and cons of these proposals. To fill this information gap, this research will model the bargaining power of pharmacies and insurers in price negotiations and test whether bargaining power varies with characteristics of the pharmacy, insurer, and pharmacy market structure. An empirical model derived from bargaining theory will relate insurer/pharmacy bargaining power to a set of variables that describe characteristics of the pharmacy, insurer, and the pharmacy market. A variant of this model was originally used in Brooks, Dor, and Wong (1997a) to describe hospital and insurer bargaining power. A unique and unprecedented combination of data sources will be used to estimate this model. These sources include the universe of pharmacy claims for the 1994 Medstat Marketscan Database; a database containing average retail pharmacy cash prices and costs at the three-digit zip code-level in 1994 from Source Informatics, inc,; a database containing the name and address of all licensed pharmacies in the U.S. in 1994 from the National Council of Prescription Drug Programs (NCPDP); and zip code level socioeconomic data from the Census Bureau.

医疗保健市场在过去发生了巨大的变化

项目成果

Factors affecting bargaining outcomes between pharmacies and insurers.

影响药店和保险公司之间讨价还价结果的因素。

• 发表时间: 1999
• 期刊: Health services research
• 影响因子: 3.4
• 作者: Brooks,JM;Doucette,W;Sorofman,B
• 通讯作者: Sorofman,B