Health insurance and diversity of treatment : a policy mix perspective
We determine the optimal health policy mix when the average utility of patients increases with the supply of drugs available in a therapeutic class. Health risk coverage rely on two instruments, copayment and reference pricing, that affect the supported risk composed by health expenses and diversity...
- Autores:
-
Bardey, David
Jullien, Bruno
Lozachmeur, Jean-Marie
- Tipo de recurso:
- Work document
- Fecha de publicación:
- 2013
- Institución:
- Universidad de los Andes
- Repositorio:
- Séneca: repositorio Uniandes
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.uniandes.edu.co:1992/8376
- Acceso en línea:
- http://hdl.handle.net/1992/8376
- Palabra clave:
- Diversity of treatments
Drugs' price regulation
Health insurance
Seguros de salud
Servicios de salud - Precios
I18, L11, L15, L51
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-nd/4.0/
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Health insurance and diversity of treatment : a policy mix perspective |
| dc.title.alternative.none.fl_str_mv |
Seguros de salud y diversidad de tratamientos : una perspectiva de política mixta |
| title |
Health insurance and diversity of treatment : a policy mix perspective |
| spellingShingle |
Health insurance and diversity of treatment : a policy mix perspective Diversity of treatments Drugs' price regulation Health insurance Seguros de salud Servicios de salud - Precios I18, L11, L15, L51 |
| title_short |
Health insurance and diversity of treatment : a policy mix perspective |
| title_full |
Health insurance and diversity of treatment : a policy mix perspective |
| title_fullStr |
Health insurance and diversity of treatment : a policy mix perspective |
| title_full_unstemmed |
Health insurance and diversity of treatment : a policy mix perspective |
| title_sort |
Health insurance and diversity of treatment : a policy mix perspective |
| dc.creator.fl_str_mv |
Bardey, David Jullien, Bruno Lozachmeur, Jean-Marie |
| dc.contributor.author.none.fl_str_mv |
Bardey, David Jullien, Bruno Lozachmeur, Jean-Marie |
| dc.subject.keyword.none.fl_str_mv |
Diversity of treatments Drugs' price regulation Health insurance |
| topic |
Diversity of treatments Drugs' price regulation Health insurance Seguros de salud Servicios de salud - Precios I18, L11, L15, L51 |
| dc.subject.armarc.none.fl_str_mv |
Seguros de salud Servicios de salud - Precios |
| dc.subject.jel.none.fl_str_mv |
I18, L11, L15, L51 |
| description |
We determine the optimal health policy mix when the average utility of patients increases with the supply of drugs available in a therapeutic class. Health risk coverage rely on two instruments, copayment and reference pricing, that affect the supported risk composed by health expenses and diversity of treatment. For a fixed supply of drugs, the reference pricing policy aims at minimizing expenses in which case, the equilibrium price of drugs is independent of the copayment rate. However, with endogenous supply of drugs, diversity of treatment may susbtitute for insurance so that the reference pricing may depart from maximal cost-containement to promote entry. We then analyse the determinents of the optimal policy. While an increase in risk aversion or in the side effect loss increases diversity and decreases the copayment rate, an increase in entry cost both decreases diversity and the copayment rate. |
| publishDate |
2013 |
| dc.date.issued.none.fl_str_mv |
2013 |
| dc.date.accessioned.none.fl_str_mv |
2018-09-27T16:52:38Z |
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2018-09-27T16:52:38Z |
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Documento de trabajo |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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info:eu-repo/semantics/workingPaper |
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http://purl.org/coar/resource_type/c_8042 |
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Text |
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https://purl.org/redcol/resource_type/WP |
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http://purl.org/coar/resource_type/c_8042 |
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1657-5334 |
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http://hdl.handle.net/1992/8376 |
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1657-7191 |
| dc.identifier.doi.none.fl_str_mv |
10.57784/1992/8376 |
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instname:Universidad de los Andes |
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reponame:Repositorio Institucional Séneca |
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1657-5334 1657-7191 10.57784/1992/8376 instname:Universidad de los Andes reponame:Repositorio Institucional Séneca repourl:https://repositorio.uniandes.edu.co/ |
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http://hdl.handle.net/1992/8376 |
| dc.language.iso.none.fl_str_mv |
eng |
| language |
eng |
| dc.relation.ispartofseries.none.fl_str_mv |
Documentos CEDE No. 08 Febrero de 2013 |
| dc.relation.repec.SPA.fl_str_mv |
https://ideas.repec.org/p/col/000089/010549.html |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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info:eu-repo/semantics/openAccess |
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openAccess |
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38 páginas |
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application/pdf |
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Universidad de los Andes, Facultad de Economía, CEDE |
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Universidad de los Andes, Facultad de Economía, CEDE |
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Universidad de los Andes |
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Al consultar y hacer uso de este recurso, está aceptando las condiciones de uso establecidas por los autores.http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Bardey, Davideb5d55eb-0c4d-4330-b74c-b4e0ef0037ac500Jullien, Bruno6e1ab6d1-3bb4-41b3-b093-daf1dbad049d500Lozachmeur, Jean-Marie36ea56fa-f40c-418f-b9e6-b0ae0f82b70a5002018-09-27T16:52:38Z2018-09-27T16:52:38Z20131657-5334http://hdl.handle.net/1992/83761657-719110.57784/1992/8376instname:Universidad de los Andesreponame:Repositorio Institucional Sénecarepourl:https://repositorio.uniandes.edu.co/We determine the optimal health policy mix when the average utility of patients increases with the supply of drugs available in a therapeutic class. Health risk coverage rely on two instruments, copayment and reference pricing, that affect the supported risk composed by health expenses and diversity of treatment. For a fixed supply of drugs, the reference pricing policy aims at minimizing expenses in which case, the equilibrium price of drugs is independent of the copayment rate. However, with endogenous supply of drugs, diversity of treatment may susbtitute for insurance so that the reference pricing may depart from maximal cost-containement to promote entry. We then analyse the determinents of the optimal policy. While an increase in risk aversion or in the side effect loss increases diversity and decreases the copayment rate, an increase in entry cost both decreases diversity and the copayment rate.Se caracteriza la regulación óptima del sistema de salud cuando la utilidad promedio de los pacientes aumenta con el número de tratamientos disponibles en una clase terapéutica. La cobertura del riesgo de salud consiste en un mecanismo de copagos y una regulación de los precios de los medicamentos que afectan ambos el riesgo enfrentado compuesto por los gastos de bolsillo y la diversidad de tratamientos. Para un número fijo de tratamientos, la regulación vía precios de referencia busca minimizar los gastos, lo que implica que, en el equilibrio, los precios de los tratamientos sean independientes de los copagos. Sin embargo, en un contexto de oferta de tratamientos endógena, la diversidad de tratamientos interviene como un sustituto del seguro de salud, lo que implica que la regulación por precios de referencia se puede alejar del objetivo de minimización de los gastos para promover la entrada de nuevos tratamientos. Se analizan entonces los determinantes de la política óptima. Mientras que un aumento de la aversión al riesgo o de las consecuencias de los efectos secundarios disminuye la tasa de copago, un incremento de los costos de entrada disminuye la diversidad de los tratamientos como la tasa de copago.38 páginasapplication/pdfengUniversidad de los Andes, Facultad de Economía, CEDEDocumentos CEDE No. 08 Febrero de 2013https://ideas.repec.org/p/col/000089/010549.htmlHealth insurance and diversity of treatment : a policy mix perspectiveSeguros de salud y diversidad de tratamientos : una perspectiva de política mixtaDocumento de trabajoinfo:eu-repo/semantics/workingPaperhttp://purl.org/coar/resource_type/c_8042http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttps://purl.org/redcol/resource_type/WPDiversity of treatmentsDrugs' price regulationHealth insuranceSeguros de saludServicios de salud - PreciosI18, L11, L15, L51Facultad de EconomíaPublicationORIGINALdcede2013-08.pdfdcede2013-08.pdfapplication/pdf1121202https://repositorio.uniandes.edu.co/bitstreams/ab70bca7-dc54-44c1-b085-e07807143ff8/download4f8729bbc79d2eef22c1b3daf79be6ffMD51TEXTdcede2013-08.pdf.txtdcede2013-08.pdf.txtExtracted texttext/plain234196https://repositorio.uniandes.edu.co/bitstreams/00d072d3-88ed-4d71-b82e-ef08e9f540a8/downloadbbbc1a8ce98cb62805338f7b5a72d3ffMD54THUMBNAILdcede2013-08.pdf.jpgdcede2013-08.pdf.jpgIM Thumbnailimage/jpeg31972https://repositorio.uniandes.edu.co/bitstreams/b1aec226-3b2b-43e7-b3f0-4cf97a5356c2/download82c6d41edd4c7690d1d10687567ecc17MD551992/8376oai:repositorio.uniandes.edu.co:1992/83762024-06-04 15:51:09.327http://creativecommons.org/licenses/by-nc-nd/4.0/open.accesshttps://repositorio.uniandes.edu.coRepositorio institucional Sénecaadminrepositorio@uniandes.edu.co |