Tiered co-payments, pricing, and demand in reference price markets for pharmaceuticals

B-Tier
Journal: Journal of Health Economics
Year: 2017
Volume: 56
Issue: C
Pages: 19-29

Score contribution per author:

1.005 = (α=2.01 / 2 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

Health insurance companies curb price-insensitive behavior and the moral hazard of insureds by means of cost-sharing, such as tiered co-payments or reference pricing in drug markets. This paper evaluates the effect of price limits – below which drugs are exempt from co-payments – on prices and on demand. First, using a difference-in-differences estimation strategy, we find that the new policy decreases prices by 5 percent for generics and increases prices by 4 percent for brand-name drugs in the German reference price market. Second, estimating a nested-logit demand model, we show that consumers appreciate co-payment exempt drugs and calculate lower price elasticities for brand-name drugs than for generics. This explains the different price responses of brand-name and generic drugs and shows that price-related co-payment tiers are an effective tool to steer demand to low-priced drugs.

Technical Details

RePEc Handle
repec:eee:jhecon:v:56:y:2017:i:c:p:19-29
Journal Field
Health
Author Count
2
Added to Database
2026-01-29