Pricing, spending, and shortages in US biopharmaceutical markets

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Abstract/Contents

Abstract
In this era of national concern about the availability and affordability of prescription drugs, policymaking is moving quickly, although critical gaps persist in the supporting evidence base. This dissertation is a collection of three essays written on economic and policy issues related to biopharmaceutical markets in the United States. The first chapter, "Price Elasticity of Demand for Prescription Drugs: Evidence from Medicare Part D's Low-Income Subsidy Program, " measures consumers' behavioral response to changes in the out-of-pocket price of prescription drugs by tracking Medicare Part D beneficiaries as they change Low-Income Subsidy status. In my second chapter, titled "Spending on Unapproved Drugs and Impact of the FDA Unapproved Drugs Initiative on Drug Utilization in the US, " I quantify spending on and utilization of certain marketed, unapproved prescription drugs for Medicare patients in the US and estimate how utilization changes when previously unapproved drugs gain FDA approval. In my third chapter, titled "Biopharmaceutical Market Shortages: Causes and Cures, " I explore primary causes of shortages in the biopharmaceutical space, with a particular focus on how forces at work in common generic sterile injectable drug shortages may be applicable to biologics; I also evaluate potential avenues for strategic regulatory reforms to prevent or mitigate shortages, examining proposed policy and non-policy solutions that could help address the factors contributing to biopharmaceutical shortages in the US.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2019; ©2019
Publication date 2019; 2019
Issuance monographic
Language English

Creators/Contributors

Author Lei, Catherine
Degree supervisor Mello, Michelle M
Thesis advisor Mello, Michelle M
Thesis advisor Baker, Laurence Claude, 1968-
Thesis advisor Polyakova, Maria A. (Maria Alexandrovna)
Degree committee member Baker, Laurence Claude, 1968-
Degree committee member Polyakova, Maria A. (Maria Alexandrovna)
Associated with Stanford University, Department of Health Research and Policy.

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Catherine Lei.
Note Submitted to the Department of Health Research and Policy.
Thesis Thesis Ph.D. Stanford University 2019.
Location electronic resource

Access conditions

Copyright
© 2019 by Catherine Lei

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