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Effects of price cap regulation on pharmaceutical supply chain under the zero markup drug policy

Author

Listed:
  • Yu Xia

    (University of Electronic Science and Technology of China)

  • Jing Li

    (Shanghai University of Political Science and Law)

  • Zhongyang Zhang

    (Affiliated Sport Hospital of Chengdu Sport University)

Abstract

In 2009, China initiated a zero-markup for drugs (ZMD) policy to prevent profit-oriented behaviors among the healthcare providers and alleviate the financial burden on patients. However, overtreatment still prevails because pharmaceutical producers barrage the doctor-patient relationship with promotional activities. This study considered a pharmaceutical supply chain composed of one pharmaceutical producer and one healthcare provider in the context of the ZMD policy, seeking to derive the optimal decisions of the supply chain by considering three scenarios: (1) no promotional activities or price cap regulation; (2) promotional activities but no price cap regulation; and (3) promotional activities and price cap regulation. By comparing the equilibria of these scenarios, we evaluated the impacts of the producers' promotional activities on supply chain members' decisions, profits, and social welfare, as well as the intervention role played by price cap regulation. Our results indicate that the producers' promotional activities contribute to overtreatment, thereby negatively affecting social welfare and patients with low to moderate financial resources. However, the implementation of price cap regulation can effectively reduce the extent of producers' promotional activities, curb overtreatment, and mitigate the associated harm to social welfare.

Suggested Citation

  • Yu Xia & Jing Li & Zhongyang Zhang, 2023. "Effects of price cap regulation on pharmaceutical supply chain under the zero markup drug policy," Operational Research, Springer, vol. 23(4), pages 1-27, December.
    • Handle: RePEc:spr:operea:v:23:y:2023:i:4:d:10.1007_s12351-023-00796-4
    DOI: 10.1007/s12351-023-00796-4
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    1. Ting Liu, 2011. "Credence Goods Markets With Conscientious And Selfish Experts," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 52(1), pages 227-244, February.
    2. Daniel Bennett & Wesley Yin, 2019. "The Market for High-Quality Medicine: Retail Chain Entry and Drug Quality in India," The Review of Economics and Statistics, MIT Press, vol. 101(1), pages 76-90, March.
    3. Brekke, Kurt R. & Konigbauer, Ingrid & Straume, Odd Rune, 2007. "Reference pricing of pharmaceuticals," Journal of Health Economics, Elsevier, vol. 26(3), pages 613-642, May.
    4. Godager, Geir & Wiesen, Daniel, 2013. "Profit or patients’ health benefit? Exploring the heterogeneity in physician altruism," Journal of Health Economics, Elsevier, vol. 32(6), pages 1105-1116.
    5. World Bank, 2010. "Financing, Pricing, and Utilization of Pharmaceuticals in China," World Bank Publications - Reports 27598, The World Bank Group.
    6. Sher, Mikhail M. & Kim, Seung-Lae & Banerjee, Avijit & Paz, Michael T., 2018. "A supply chain coordination mechanism for common items subject to failure in the electronics, defense, and medical industries," International Journal of Production Economics, Elsevier, vol. 203(C), pages 164-173.
    7. Olivella, Pau & Siciliani, Luigi, 2017. "Reputational concerns with altruistic providers," Journal of Health Economics, Elsevier, vol. 55(C), pages 1-13.
    8. Weraikat, Dua & Zanjani, Masoumeh Kazemi & Lehoux, Nadia, 2016. "Two-echelon pharmaceutical reverse supply chain coordination with customers incentives," International Journal of Production Economics, Elsevier, vol. 176(C), pages 41-52.
    9. Valletti, Tommaso M, 2000. "Minimum Quality Standards under Cournot Competition," Journal of Regulatory Economics, Springer, vol. 18(3), pages 235-245, November.
    10. Ma, Ching-to Albert & McGuire, Thomas G, 1997. "Optimal Health Insurance and Provider Payment," American Economic Review, American Economic Association, vol. 87(4), pages 685-704, September.
    11. Baojun Jiang & Jian Ni & Kannan Srinivasan, 2014. "Signaling Through Pricing by Service Providers with Social Preferences," Marketing Science, INFORMS, vol. 33(5), pages 641-654, September.
    12. Blomqvist, Ake, 1991. "The doctor as double agent: Information asymmetry, health insurance, and medical care," Journal of Health Economics, Elsevier, vol. 10(4), pages 411-432.
    13. Karen Eggleston & Winnie Yip, 2004. "Hospital Competition under Regulated Prices: Application to Urban Health Sector Reforms in China," International Journal of Health Economics and Management, Springer, vol. 4(4), pages 343-368, December.
    14. Xiaojing Dong & Pradeep Chintagunta & Puneet Manchanda, 2011. "A new multivariate count data model to study multi-category physician prescription behavior," Quantitative Marketing and Economics (QME), Springer, vol. 9(3), pages 301-337, September.
    15. Yunzhen He & Guanshen Dou & Qiaoyun Huang & Xinyu Zhang & Yingfeng Ye & Mengcen Qian & Xiaohua Ying, 2018. "Does the leading pharmaceutical reform in China really solve the issue of overly expensive healthcare services? Evidence from an empirical study," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    16. Zhou, Xu Dong & Li, Lu & Hesketh, Therese, 2014. "Health system reform in rural China: Voices of healthworkers and service-users," Social Science & Medicine, Elsevier, vol. 117(C), pages 134-141.
    17. Panos Kouvelis & Yixuan Xiao & Nan Yang, 2015. "PBM Competition in Pharmaceutical Supply Chain: Formulary Design and Drug Pricing," Manufacturing & Service Operations Management, INFORMS, vol. 17(4), pages 511-526, October.
    18. Chen, Xu & Li, Shanshan & Wang, Xiaojun, 2020. "Evaluating the effects of quality regulations on the pharmaceutical supply chain," International Journal of Production Economics, Elsevier, vol. 230(C).
    19. He, Alex Jingwei, 2014. "The doctor–patient relationship, defensive medicine and overprescription in Chinese public hospitals: Evidence from a cross-sectional survey in Shenzhen city," Social Science & Medicine, Elsevier, vol. 123(C), pages 64-71.
    20. Dranove David & Spier Kathryn E., 2003. "A Theory of Utilization Review," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 2(1), pages 1-19, August.
    21. Dranove, David, 2011. "Health Care Markets, Regulators, and Certifiers," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 639-690, Elsevier.
    22. Raza, Syed Asif, 2018. "Supply chain coordination under a revenue-sharing contract with corporate social responsibility and partial demand information," International Journal of Production Economics, Elsevier, vol. 205(C), pages 1-14.
    23. Hu, Jia & Mossialos, Elias, 2016. "Pharmaceutical pricing and reimbursement in China: When the whole is less than the sum of its parts," Health Policy, Elsevier, vol. 120(5), pages 519-534.
    24. Dranove, David, 1988. "Demand Inducement and the Physician/Patient Relationship," Economic Inquiry, Western Economic Association International, vol. 26(2), pages 281-298, April.
    25. Yu, Xuan & Li, Cheng & Shi, Yuhua & Yu, Min, 2010. "Pharmaceutical supply chain in China: Current issues and implications for health system reform," Health Policy, Elsevier, vol. 97(1), pages 8-15, September.
    26. Bates, Laurie J. & Santerre, Rexford E., 2013. "Does the U.S. health care sector suffer from Baumol's cost disease? Evidence from the 50 states," Journal of Health Economics, Elsevier, vol. 32(2), pages 386-391.
    27. Modak, Nikunja Mohan & Panda, Shibaji & Sana, Shib Sankar, 2016. "Three-echelon supply chain coordination considering duopolistic retailers with perfect quality products," International Journal of Production Economics, Elsevier, vol. 182(C), pages 564-578.
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