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ABSTRACT: Objective
This article examines the relationship between drug price and drug quality and how it varies across two of the most common regulatory regimes in the pharmaceutical market: minimum efficacy standards (MES) and a mix of MES and price control mechanisms (MES + PC).Data sources
Our primary data source is the Tufts-New England Medical Center-Cost Effectiveness Analysis Registry which have been merged with price data taken from MEPS (for the United States) and AIFA (for Italy).Study design
Through a simple model of adverse selection we model the interaction between firms, heterogeneous buyers, and the regulator.Principal findings
The theoretical analysis provides two results. First, an MES regime provides greater incentives to produce high-quality drugs. Second, an MES + PC mix reduces the difference in price between the highest and lowest quality drugs on the market.Conclusion
The empirical analysis based on United States and Italian data corroborates these results.
SUBMITTER: Atella V
PROVIDER: S-EPMC3447248 | biostudies-literature | 2012 Feb
REPOSITORIES: biostudies-literature
Atella Vincenzo V Bhattacharya Jay J Carbonari Lorenzo L
Health services research 20111018 1 Pt 1
<h4>Objective</h4>This article examines the relationship between drug price and drug quality and how it varies across two of the most common regulatory regimes in the pharmaceutical market: minimum efficacy standards (MES) and a mix of MES and price control mechanisms (MES + PC).<h4>Data sources</h4>Our primary data source is the Tufts-New England Medical Center-Cost Effectiveness Analysis Registry which have been merged with price data taken from MEPS (for the United States) and AIFA (for Italy ...[more]