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Regolazione, innovazione e ciclo di vita dei prodotti - per una riforma del pricing al lancio e della governance della spesa nella farmaceutica pubblica

Author Info

Listed author(s):
  • Chiara Bonassi

    (Autorità Garante della Concorrenza e del Mercato)

  • Fabio Pammolli

    ()

    (Politecnico di Milano and CERM Foundation - Competitività, Regole, Mercati)

  • Massimo Riccaboni

    ()

    (IMT Lucca Institute for Advanced Studies and Department of Managerial Economics, Strategy and Innovation, K.U. Leuven)

  • Nicola Carmine Salerno

    ()

    (Ufficio parlamentare di bilancio)

Abstract

All'indomani della pubblicazione della bozza di Finanziaria-2008, il Quaderno invita a riflettere su alcuni aspetti critici dell'articolo 5 in tema di spesa farmaceutica pubblica. L'analisi comparata delle dinamiche di settore/mercato induce a suggerire che: (a) le modalità di pricing al lancio distinguano chiaramente tra tipologie di prodotti (innovazioni significative, innovazioni incrementali, copie); (b) il pay-back segua regole meno discrezionali e distorsive di quelle proposte in Finanziaria; (c) maggior rilievo sia dato alla costruzione della cornice regolatoria (lato offerta e domanda) e al coordinamento Stato-Regioni nell'individuazione dell'agenda (non solo la responsabilizzazione finanziaria) e nella sua implementazione. Ci si augura che il Quaderno possa positivamente contribuire al dibattito lungo l'iter della Finanziaria.

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File URL: http://www.cermlab.it/wp-content/uploads/cerm/wp/wpcerm-2007-02.pdf
File Function: First version, 2007
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Paper provided by Competitività, Regole, Mercati (CERM) in its series Working Papers CERM with number 02-2007.

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Length: 50 pages
Date of creation: Oct 2007
Handle: RePEc:ern:wpaper:02-2007
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Keywords: spesa farmaceutica pubblica; pricing;

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References listed on IDEAS
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  1. Patricia M. Danzon & Jonathan D. Ketcham, 2004. "Reference Pricing of Pharmaceuticals for Medicare: Evidence from Germany, the Netherlands, and New Zealand," NBER Chapters,in: Frontiers in Health Policy Research, Volume 7, pages 1-54 National Bureau of Economic Research, Inc.
  2. Fabio Pammolli & Nicola Carmine Salerno, 2007. "La distribuzione al dettaglio dei farmaci - tra regolazione efficiente e mercato," Working Papers CERM 01-2007, Competitività Regole Mercati (CERM).
  3. J. Kornai & E. Maskin & G. Roland., 2004. "Understanding the Soft Budget Constraint," VOPROSY ECONOMIKI, N.P. Redaktsiya zhurnala "Voprosy Economiki", vol. 12.
  4. James W. Hughes & Michael J. Moore & Edward A. Snyder, 2002. ""Napsterizing" Pharmaceuticals: Access, Innovation, and Consumer Welfare," NBER Working Papers 9229, National Bureau of Economic Research, Inc.
  5. Drummond, Michael & Jonsson, Bengt & Rutten, Frans, 1997. "The role of economic evaluation in the pricing and reimbursement of medicines," Health Policy, Elsevier, vol. 40(3), pages 199-215, June.
  6. Danzon, Patricia M. & Chao, Li-Wei, 2000. "Cross-national price differences for pharmaceuticals: how large, and why?," Journal of Health Economics, Elsevier, vol. 19(2), pages 159-195, March.
  7. Grabowski, Henry G & Vernon, John M, 1992. "Brand Loyalty, Entry, and Price Competition in Pharmaceuticals after the 1984 Drug Act," Journal of Law and Economics, University of Chicago Press, vol. 35(2), pages 331-350, October.
  8. Patricia M. Danzon & Mark V. Pauly, 2002. "Health Insurance and the Growth in Pharmaceutical Expenditures," Journal of Law and Economics, University of Chicago Press, vol. 45(S2), pages 587-613.
  9. Desmond Sheridan & Jim Attridge, 2006. "The Impact of Therapeutic Reference Pricing on Innovation in Cardiovascular Medicine," PharmacoEconomics, Springer, vol. 24(2), pages 35-54, December.
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