Aligning Prices With Value

2021 ◽  
pp. 213-239
Author(s):  
Neumann Peter J. ◽  
Cohen Joshua T. ◽  
Ollendorf Daniel A
Keyword(s):  
Treated Patient ◽  
Cost Recovery ◽  
New Drugs ◽  
P Value ◽  
Value Assessment ◽  
Private Companies ◽  
Lump Sum ◽  
Drug Companies ◽  
The Government ◽  
Internal Costs

Value-based pricing aims to optimize incentives for pharmaceutical companies making drug development investment decisions. To promote alignment of prices and value, this chapter recommends that Medicare, Medicaid, and commercial insurers build value assessment into their coverage decisions. Before doing so, it explores alternatives that purport to make this alignment unnecessary. The first, cost-recovery pricing, reimburses drug companies for only their costs, rather than for value. While cost-recovery prices can be low, they reward high internal costs rather than better drugs. Prizes and subscription plans pay a lump sum, rather than paying for each treated patient, but they still require value assessment to set the size of the prize or subscription fee. Radical alternatives suggest having the government develop new drugs. Whether the government would be effective remains unknown. Nonetheless, it would, like private companies, have to prioritize investments, requiring something like value assessment to do so.

Improving Value Measurement

2021 ◽  
pp. 175-212
Author(s):  
Neumann Peter J. ◽  
Cohen Joshua T. ◽  
Ollendorf Daniel A
Keyword(s):  
United States ◽  
Risk Sharing ◽  
The United States ◽  
P Value ◽  
Value Assessment ◽  
Pricing Decisions ◽  
Private Organization ◽  
Drug Companies ◽  
Life Years ◽  
Value Measurement

Value assessment is becoming more prominent in the United States, but challenges remain. First, should assessments include only impacts pertinent to payers or take a broader, “societal” perspective? Second, should quality adjusted life years (QALYs) be used to measure benefits? Critics complain that QALYs discriminate against people with health conditions and fail to capture aspects of health. Third, should assessments account for drug price reductions anticipated to accompany patent expirations? Prices do not always follow the expected pattern, but assuming they will not can lead to an overstatement of a drug’s true long-term cost. Fourth, how should data gaps be addressed? Outcome-based risk sharing agreements let payers and drug companies amend pricing decisions as additional data become available. Finally, who should conduct value assessments? Government agencies do so in many other countries, but that seems unlikely in the United States. For now, the Institute for Clinical and Economic Review, a private organization, has stepped into this role.

Russia in 2000-2004: Heading towards State Capitalism?

2004 ◽  
pp. 42-65 ◽  
Author(s):  
A. Radygin
Keyword(s):  
The State ◽  
Private Business ◽  
Private Companies ◽  
State Capitalism ◽  
The Government

The paper deals with one of the characteristic trends of the 2000s, that is, the government's property expansion. It is accompanied by attempts to consolidate economic structures controlled by the state and state-owned stock packages and unitary enterprises under the aegis of holdings. Besides the government practices selective severe enforcement actions against a number of the largest private companies, strengthens its control over companies with mixed capital and establishes certain informal procedures of relationships between private business and the state. The author examines the YUKOS case and the business community's actual capacity to protect its interests. One can argue that in all likelihood the trend to the 'state capitalism' in its specific Russian variant has become clearer over 2003-2004.

Analisis Faktor Determinan Pelaksanaan Inisiasi Menyusu Dini Oleh Bidan Di Rumah Sakit Umum Anutapura Palu

2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad
Keyword(s):  
Emergency Room ◽  
Peer Support ◽  
Statistical Tests ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Implementation Processes ◽  
Chi Square Test ◽  
The Government

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD

COVID-19 Related Web Search Behaviors: An Analytical Study of Google Trends-based Query Volumes in Indonesia (Preprint)

2020 ◽  
Author(s):  
Vita Widyasari ◽  
Karisma Trinanda Putra ◽  
Jiun-Yi Wang
Keyword(s):  
Web Search ◽  
Public Awareness ◽  
Relevant Information ◽  
Community Response ◽  
Google Trends ◽  
P Value ◽  
Basic Information ◽  
First Case ◽  
The Government ◽  
Economic Anxiety

BACKGROUND The volume of search keywords on Google can be used as a reference to an ongoing online trend during COVID-19 pandemic. OBJECTIVE This study was aimed to estimate the responsiveness and public awareness in early days of the COVID-19 outbreak in Indonesia using Google Trends relative search volumes (RSV). METHODS Sixty terms or keywords forming six topics included in the analysis were basic information, prevention, government policy, socio-economic, anxiety, and other issues related to COVID-19. All these keywords were checked for surveillance purposes between January 1 and May 4, 2020. The Python programming language was used for data mining from Google Trends databases. Correlation analysis was conducted to examine the correlations between the incidence of COVID-19 and the search terms. RESULTS Community response and awareness in the six topics were associated with the number of COVID-19 cases (r range between 0.570-0.825, P-value<.005). Before the first case announced in Indonesian, the prominent topics were basic information and other issues. One month after the first case, all topics experienced an increase in RSV. In the phase of outbreak, socio-economic and anxiety got much more attentions. CONCLUSIONS The government should consider to optimize the internet as a media for timely delivering most relevant information and dynamically respond massive queries, and improve health communications to increase public awareness and intention to prevent the disease.

scholarly journals Kuzbass Development Strategy: Past Lessons and Future Wrongs

2020 ◽  
Vol 174 ◽  
pp. 04038
Author(s):  
Yuri Fridman ◽  
Galina Rechko ◽  
Ekaterina Loginova
Keyword(s):  
Strategic Planning ◽  
Development Strategy ◽  
Living Standards ◽  
The Political ◽  
Business And Society ◽  
Private Companies ◽  
Standards Of Living ◽  
Economic Reality ◽  
The Government

The article discusses the place and role of strategic planning in ensuring that Kemerovo Oblast – Kuzbass develops comprehensively. For over thirty years, we have been studying the region with one of the leading national territorial-production centers established in the 20th century, how it emerged and functioned. Studies suggest that without regard to the economies of Russia as a whole and Kuzbass’s neighboring regions in particular, its issues cannot be satisfactorily resolved. At large, when strategic planning followed this assumption, it contributed to how fast and holistically the territory developed. Considering that, in the 21st century, strategy makers diverged from this concept and started to search for new approaches, the region’s economy has slowed down and its living standards have declined sharply. The momentum can be reversed with an active state socio-economic policy. Its previous forms, however, when the state gave preferences to private companies and did not require corresponding growth in standards of living in return, became unacceptable. It is necessary to work out a system of effective solutions and measures with mechanisms for reconciling the interests of the government, business and society within approaches that are adequate to the political and economic reality of today’s world.

scholarly journals Radio Spectrum Management and RFI in the United States

1991 ◽  
Vol 112 ◽  
pp. 174-175
Author(s):  
R. Marcus Price
Keyword(s):  
United States ◽  
Department Of Defense ◽  
Government Regulation ◽  
The United States ◽  
Radio Spectrum ◽  
Spectrum Management ◽  
Federal Communications Commission ◽  
Private Companies ◽  
The Government ◽  
Government Body

ABSTRACTIn the United States, civil common carrier telecommunications are provided by private companies, not by any agency of the government. Regulation of these services and spectrum management oversight is provided by the Federal Communications Commission (FCC), an agency of the government. Government telecommunications are operated by individual agencies, e.g. the Department of Defense, under the overall regulation of the Office of Spectrum Management of the National Telecommunications and Information Administration (NTIA), a government body separate from the FCC. In bands shared by the civil and government sectors, liaison and coordination is effected between the FCC and the NTIA.

Grey-based model for forecasting Mauritius international tourism from different regions

2017 ◽  
Vol 7 (2) ◽  
pp. 259-271 ◽  
Author(s):  
Medha Pirthee
Keyword(s):  
System Theory ◽  
Grey System Theory ◽  
International Tourism ◽  
Grey System ◽  
Private Companies ◽  
Content Type ◽  
System Models ◽  
Economic Decision Making ◽  
Tourism Sector ◽  
The Government

Purpose The purpose of this paper is to understand the trend and forecast the number of tourists from different regions of the world to Mauritius. Design/methodology/approach The paper adopts two grey system models, the even model GM(1,1) and the non-homogeneous discrete grey model (NDGM), to forecast the total number of international tourism to Mauritius and its structure from different regions tourist arrivals to Mauritius for the next three years. Grey system theory models were used to account for uncertainties and the dynamism of the tourism sector environment. The two models were applied as a comparison to obtain more reliable forecasting figures. Findings The results demonstrate that both of the grey system models can be successfully applied with high accuracy for Mauritian tourism prediction, and also the number of tourist arrivals to Mauritius shows a continued augmentation for the upcoming years. Practical implications Forecasting is meaningful since the Government of Mauritius, private companies or any concerned authority can adopt the forecasting methods exposed in this paper for the development of the tourism sector through managerial and economic decision making. Originality/value Mauritius is a charming travel destination. Through this paper, it can be seen that future tourism travel to Mauritius has been successfully predicted based on previous data. Moreover, it seems that the grey system theory models have not been utilised yet as forecasting tools for the tourism sector of Mauritius as opposed to other countries such as China and Taiwan.

scholarly journals CORRELATION BETWEEN SMOKE-FREE AREAS AND SMOKING BEHAVIOR IN INDONESIA

2020 ◽  
Vol 8 (2) ◽  
pp. 117
Author(s):  
Mohamad Anis Fahmi
Keyword(s):  
Public Awareness ◽  
Smoking Behavior ◽  
Secondary Data ◽  
Computer Application ◽  
P Value ◽  
Cross Sectional ◽  
Positive Correlation ◽  
The Government ◽  
Cross Sectional Design ◽  
The Impact

Background: Low public awareness of the impact of smoking makes the implementation of smoke-free areas (KTR) difficult. Smoke-free areas aim to protect the public from the direct and indirect effects of smoking. Purpose: This study aimed to analyze the correlation between the application of smoke-free areas and the prevalence of active and ex-smokers in Indonesia. Method: This study implemented a cross-sectional design, using secondary data from the Riskesdas 2018 on active and ex-smokers. KTR application data were obtained from the Profile of Non-Communicable Diseases in 2016. A Pearson product-moment test was conducted by a computer application to determine the correlation coefficient (r). This coefficient was used to describe the level of correlation between the two variables; significance was determined as a p value of 5%. Results: This study showed that the average application of KTR throughout Indonesia was 50.83%, active smokers comprised 23.49% of the population, and ex-smokers comprised 4.94%. Most active smokers were in Java and Sumatra, while the majority of ex-smokers were in Java and Sulawesi and the majority of KTR was in Java. This study shows that there is a positive correlation between KTR application and the percentage of ex-smokers (r = 0.46; p value = 0.01). Conclusion: There is a positive correlation between the application of KTR and an increase in ex-smokers. The government needs to increase the application of KTR policies.

scholarly journals Ownership And Firm Performance: The Experience Of Saudi Arabias Emerging Economy

2011 ◽  
Vol 8 (8) ◽  
Author(s):  
Abuzar M. A. Eljelly
Keyword(s):  
Saudi Arabia ◽  
Firm Performance ◽  
Stock Market ◽  
Market Performance ◽  
Return On Assets ◽  
Private Companies ◽  
Return On Equity ◽  
Net Profit ◽  
The Government ◽  
The Relationship

This study examines the relationship between firm ownership and corporate performance in Saudi Arabia, using a sample of Listed Private Companies (LPCs) and Listed Government Related Companies (LGRCs). The study compares the operating and market performance of the LPCs and LGRCs during the period 2000-2003 and found that, in general, LGRCs outperform or match the performance of LPCs. More specifically, the study finds that LGRCs tend to mostly outperform LPCs in terms of profitability, as measured by Return on equity (ROE) and Net Profit Margin (NPM), operating efficiently, as measured in terms of Return on assets (ROA), and match them in their stock market risk adjusted performance. The study concludes that these results may have implications for the issue of privatization programs which the government has recently started.

scholarly journals Analisis Hubungan Sikap dan Pengetahuan Keluarga dengan Penerapan Program Indonesia Sehat dengan Pendekatan Keluarga

2020 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Ifon Driposwana Putra ◽  
Ulfa Hasana
Keyword(s):  
Public Health ◽  
The Other ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Family Approach ◽  
Low Degree ◽  
The Government ◽  
The Relationship ◽  
Improve Health

<p><em>The government has proclaimed Healthy Indonesia Program with Family Approach (PIS-PK), aiming to improve health level of its people; howeverthe implementation is far from satisfying and not equally distributed so that there is still a low degree of public health. This study aims to analyze the relationship between attitudes and family knowledge with the adoption of the Healthy Indonesia Program with a family approach in Pekanbaru. The type of research is descriptive correlation with cross sectional approach. The sample in this study was 100 families. The result of bivariate analysis showed that there was a significant correlation between family’s attitudes toward PIS-PK, with p value of 0.018. On the other hand, it also showed that there was no significant correlation between family’s knowledge toward PIS-PK, with p value only 0.159. It is hoped that this study can be used as leaning materials, references for health officers, as well as suggestions regarding the implementation of PIS-PK</em></p><p><em><em>Pemerintah telah membuat Program Indonesia Sehat melalui penedekatan keluarga (PIS-PK) dengan tujuan agar meningkatnya derajat kesehatan masyarakat, namun dalam penerapannya masih belum maksimal dan merata sehingga masih terdapat derajat kesehatan masyarakat yang masih rendah. Penelitian ini bertujuan untuk menganalisis hubungan sikap dan pengetahuan keluarga dengan penerapan Program Indonesia Sehat dengan pendekatan keluarga di Pekanbaru. Jenis penelitian desktiptif korelasi dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah 100 Keluarga. Hasil analisis bivariat didapatkan bahwa ada hubungan yang signifikan antara sikap keluarga dengan penerapan PIS-PKmdengan p value adalah 0,018. Didapatkan juga bahwa tidak ada hubungan yang signifikan antara pengetahuan keluarga dengan penerapan PIS-PK dengan nilai p value adalah 0,159. Hasil penelitian ini dapat dijadikan bahan ajar dan menjadi acuan oleh petugas kesehatan serta menjadi masukan untuk dalam penerapan PIS-PK</em></em></p>

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