The economics of medical procedure innovation

被引：3
|
作者：
Dranove, David [1 ]
Garthwaite, Craig [1 ]
Heard, Christopher [2 ]
Wu, Bingxiao [3 ]
机构：
[1] Northwestern Univ, Kellogg Sch Management, 2211 Campus Dr, Evanston, IL 60208 USA
[2] Northwestern Univ, Dept Econ, 2211 Campus Dr, Evanston, IL 60208 USA
[3] Rutgers State Univ, Dept Econ, 75 Hamilton St, New Brunswick, NJ 08901 USA
来源：
JOURNAL OF HEALTH ECONOMICS | 2022年 / 81卷
关键词：
Medical procedure innovation; CPT Codes; Diffusion of medical innovation; Property rights; DIAGNOSTIC CT COLONOGRAPHY; RESEARCH-AND-DEVELOPMENT; MARKET-SIZE; PART D; INDUSTRY; SURGERY; TRENDS; POLICY; DRUGS; CARE;
D O I：
10.1016/j.jhealeco.2021.102549
中图分类号：
F [经济];
学科分类号：
02 ;
摘要：
This paper explores the economic incentives for medical procedure innovation.Using apropri-etarydatasetonbillingcodeapplicationsforemergingmedicalprocedures,wehighlighttwomechanismsthatcouldhinderinnovation.First,theadministrativehurdleofsecuringpermanent,reimbursablebillingcodessubstantiallydelaysinnovationdiffusion.WefindthatMedicareuti-lizationofinnovativeproceduresincreasesnearlynine-foldafterthebillingcodesarepromotedtopermanent(reimbursable)fromprovisional(non-reimbursable).However,only29percentoftheprovisionalcodesarepromotedwithinthefive-yearprobationperiod.Second,medicalprocedureslackintellectualpropertyrights,especiallythosewithoutpatenteddevices.Whenappropriabilityislimited,specialtymedicalsocietiesleadtheapplicationsforbillingcodes.Weindicatethattheadhocprocessforsecuringbillingcodesforprocedureinnovationscreatesuncertaintyaboutboththedevelopmentprocessandtheallocationandenforceabilityofpropertyrights.Thisstandsinstarkcontrasttothemore deliberate regulatory oversight for pharmaceutical innovations.
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页数：30
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