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The Effect Of Pricing Policies And Cost-Containment Measures In Albanian Health Insurance Scheme

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  • Enkelejda Avdi

    (Faculty of Economy, Tirana University)

Abstract

This paper presents and analyses the evolution of pharmaceutical expenditure, to see the effect of policy measures targeting pharmaceutical expenditure in Health Insurance Scheme in Albania.Quantitative analysis of time series data, comparing and controlled before-after measures are undertaken. In order to answer the research question concerning Albanian pharmaceutical expenditures on HIS are used official data from Health Insurance Institute and other institutions’ statistics. Based on this analysis, the appropriate model of regulation in Albanian health scheme, may involve a combination of positive list, restriction on prescribing and reimbursement systems, price control, reference pricing, expenditures drugs control, mark-up scheme and generic substitution. The controlling of health care costs requires a more effective and efficient health care system. The high level of expenditures on pharmaceuticals is likely due to the lack of rules and regulations to control this sector and the lack of a significant policy for using generic drugs as substitutes for expensive products with the same active substances. In the economic and social conditions of Albania, it is important the continual expansion of the list of generic reimbursable drugs, as well as the strengthening the control and monitoring of the financial impact. Is necessary an increasing of accountability of policy makers at all levels of the management health scheme and to strengthen the role of the HII as the sole purchaser of health services in Albania.

Suggested Citation

  • Enkelejda Avdi, 2013. "The Effect Of Pricing Policies And Cost-Containment Measures In Albanian Health Insurance Scheme," Romanian Economic Business Review, Romanian-American University, vol. 8(3), pages 61-78, September.
    • Handle: RePEc:rau:journl:v:8:y:2013:i:3:p:61-78
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    References listed on IDEAS

    as
    1. Lopez-Casasnovas, Guillem & Puig-Junoy, Jaume, 2000. "Review of the literature on reference pricing," Health Policy, Elsevier, vol. 54(2), pages 87-123, November.
    2. Joshua Cohen & Laura Faden & Susan Predaris & Brian Young, 2007. "Patient access to pharmaceuticals: an international comparison," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 8(3), pages 253-266, September.
    3. Zweifel, Peter & Manning, Willard G., 2000. "Moral hazard and consumer incentives in health care," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 8, pages 409-459, Elsevier.
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