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Category: Drug Prices & Regulations

Prior Authorization Seems to Work for Drugs

Posted on August 9, 2023August 17, 2023 by John C. Goodman

We study the trade-off between bureaucratic costs and reductions in moral hazard induced by managed care tools in healthcare…. Prior authorization reduces a drug’s utilization by 26.8%. Half of marginal beneficiaries are diverted to another related drug, while the other half are diverted to no drug. These policies reduced drug spending by $96 per beneficiary-year (3.6% of drug spending), while generating approximately $10 in paperwork costs. Revealed preference approaches suggest that the net cost savings exceed beneficiaries’ willingness to pay for foregone drugs.

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Tuesday Links

Posted on August 8, 2023August 7, 2023 by John C. Goodman
  • Last week’s most disturbing headline: “Former Gov. Andrew Cuomo’s health director hired by CDC.”
  • Contributing to the infant formula shortage: over-regulation, restrictive trade barriers and ridiculous welfare rules.
  • The time cost of care may be greater than the money cost of care, and may make care not worth it.
  • Why ChatGPT could make bioterrorism a lot easier.
  • The downside of personalized medicine: Patients can face the agonizing decision to forgo treatment or suffer financial ruin. (NYT)
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Monday Links

Posted on August 7, 2023August 6, 2023 by John C. Goodman
  • After a heart attack your odds of survival are greater when the heart surgeons are away from the ER.
  • Spending down assets in the last years of life? Only 1 n10 seniors has purchased long term care insurance.
  • Scott Adams has a solution for male loneliness: get an AI girlfriend.
  • 45% of all adults say they are interested in weight loss drugs.
  • “At nearly one in three births, our rate of cesarean section deliveries is considerably above the 10 to 20 percent level that public health experts consider an acceptable benchmark.”(NYT)
  • Where your ham comes from. It’s so awful, I couldn’t finish reading it.
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Saturday Links

Posted on August 5, 2023August 5, 2023 by John C. Goodman
  • In defense of drug decriminalization: what Oregon and Portugal got wrong: Jacob Sullum and  Jeffrey Singer.
  • Biden’s attack on Short-term insurance is not only bad policy, it’s cruel.
  • Cato: Extend OTC status to all birth control pills, not just one.
  • Why it ls hard to know whether you own your own cells.
  • If you give people a free 10k, what will they do with it? HT: Tyler
  • Dylan Scott asks: Why doesn’t health insurance pay for more mental heath therapy?
  • I answered this question more than two decades ago: here, here and here.
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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

Visit www.goodmaninstitute.org

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