Association of Reference Pricing with Drug Selection and Spending.
Background In the United States, prices for therapeutically similar drugs vary widely, which has prompted efforts by public and private insurers to steer patients toward the lower-priced options. Under reference pricing, the insurer or employer establishes a maximum contribution it will make toward...
| Publicado en: | New England Journal of Medicine Vol. 377; no. 7; pp. 658 - 666 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
New England Journal of Medicine
8/17/2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124894230&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 124894230 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00284793 NEJ jtl: New England Journal of Medicine issn: 00284793 maglogo: N pubinfo: dt: 8/17/2017 vid: 377 iid: 7 pid: 388 pub: New England Journal of Medicine place: Waltham, Massachusetts artinfo: ui: 124894230 124894230 NLM28813219 124894230 10.1056/NEJMsa1700087 NLM28813219 124894230 ppf: 658 ppct: 8 formats: tig: atl: Association of Reference Pricing with Drug Selection and Spending. aug: au: Robinson, James C Whaley, Christopher M Brown, Timothy T affil: From the School of Public Health, University of California at Berkeley, Berkeley (J.C.R., C.M.W., T.T.B.), and RAND, Santa Monica (C.M.W.) - both in California sug: subj: Insurance Drugs, Prescription Economics Prescriptions, Drug Statistics and Numerical Data Fees and Charges Prescriptions, Drug Trends Prescriptions, Drug Economics Health Benefit Plans, Employee Economics Human Regression United States Validation Studies Comparative Studies Evaluation Research Multicenter Studies Funding Source ab: Background In the United States, prices for therapeutically similar drugs vary widely, which has prompted efforts by public and private insurers to steer patients toward the lower-priced options. Under reference pricing, the insurer or employer establishes a maximum contribution it will make toward the price of a drug or procedure, and the patient pays the remainder. Methods We used difference-in-differences multivariable regression methods to analyze changes in prescriptions and pricing for 1302 drugs in 78 therapeutic classes in the United States, before and after implementation of reference pricing by an alliance of private employers. We assessed trends for the study group relative to those for an employee group that was not subject to reference pricing. The study included 1,122,741 prescriptions that were reimbursed during the period from 2010 through 2014. Results Implementation of reference pricing was associated with a higher percentage of prescriptions that were filled for the lowest-priced reference drug within its therapeutic class (difference in probability, 7.0 percentage points; 95% confidence interval [CI], 4.0 to 9.9), a lower average price paid per prescription (-13.9%; 95% CI, -23.8 to -2.7), and a higher rate of copayment by patients (5.2%; 95% CI, 0.2 to 10.4) than in the comparison group. During the first 18 months after implementation, spending for employers was $1.34 million lower and the amount of copayments for employees was $0.12 million higher than in the comparison group. Conclusions Implementation of reference pricing was associated with significant changes in drug selection and spending for a population of patients covered by employment-based insurance in the United States. (Funded by the Agency for Healthcare Research and Quality and the Genentech Foundation.). pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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