Price Indices and the Value of Innovation with Heterogenous Patients

J Health Econ. 2022 Jul:84:102625. doi: 10.1016/j.jhealeco.2022.102625. Epub 2022 May 11.

Abstract

Many countries use uniform cost-effectiveness criteria to determine whether to adopt a new medical technology for the entire population. This approach assumes homogeneous preferences for expected health benefits and side effects. We examine whether new prescription drugs generate welfare gains when accounting for heterogeneous preferences by constructing quality-adjusted price indices in the market for colorectal cancer drug treatments. We find that while the efficacy gains from newer drugs do not justify high prices for the population as a whole, innovation improves the welfare of sicker, late-stage cancer patients. A uniform evaluation criterion would not permit these innovations despite welfare gains to a subpopulation.

Keywords: Cost-of-living; Healthcare cost; Heterogeneity; Innovation.

MeSH terms

  • Cost-Benefit Analysis
  • Drug Costs
  • Humans
  • Insurance Benefits
  • Prescription Drugs*

Substances

  • Prescription Drugs