Monopoly Johan Stennek 1 Monopoly Q: Examples of monopoly? SJ on - - PowerPoint PPT Presentation

monopoly johan stennek 1 monopoly q examples of monopoly
SMART_READER_LITE
LIVE PREVIEW

Monopoly Johan Stennek 1 Monopoly Q: Examples of monopoly? SJ on - - PowerPoint PPT Presentation

Monopoly Johan Stennek 1 Monopoly Q: Examples of monopoly? SJ on the route Stockholm Linkping? Pharmaceu@cal companies with patent? District hea@ng? Hemnet? 2 Monopoly Q: How do you define monopoly?


slide-1
SLIDE 1

1


 Monopoly


Johan Stennek

slide-2
SLIDE 2

2

Monopoly

  • Q: Examples of monopoly?

– SJ on the route Stockholm – Linköping? – Pharmaceu@cal companies with patent? – District hea@ng? – Hemnet?

slide-3
SLIDE 3

3

Monopoly

  • Q: How do you define monopoly?
  • Defini@on – supply side

– One firm producing the product – No close subs@tutes – Barriers to entry

  • Defini@on – demand side

– Many “small” buyers (consumers, small firms)

  • Implica@on: Firm can set price without thinking about

– Other firms (exis@ng or not) – Individual consumers

Same reason: Barriers to entry

slide-4
SLIDE 4

Barriers to entry

  • Q: Examples of entry barriers?
  • Legal

– Patents to protect R&D: pharmaceu@cals (subs@tutes?) – Copy rights: Books (subs@tutes?) – Consump@on control: liquor – Fiscal: gambling

  • Economies of scale / market size

– District hea@ng in ci@es – Food retailing in rural areas – Telecom networks

  • Exclusive access to essen@al resource

– Natural resource – Exclusive distribu@on agreement

  • Network effects

– Hemnet

4

slide-5
SLIDE 5

5

Q: Why study monopoly?

  • S@ll some important monopolies

– Pharmaceu@cals, district hea@ng, …

  • Policy evalua@ons

– compe@@on policy: ban on exclusion + merger control – press subsidies – deregula@on

  • Prepara@on for studying compe@ng firms
slide-6
SLIDE 6

6

Examples

  • Pharmaceu@cals

– Huge costs for R&D – Patents for 20 years => Monopoly

  • Striking stylized fact

– Prices for the same drug differ hugely between countries

slide-7
SLIDE 7

7

Examples

  • Lipitor

– Reduces cholesterol – Manufacturer prices per dosage in 1998 (10 mg tablets)

  • US: $ 1.46
  • Sweden: $ 0.94
  • Losec

– Ulcer treatment – Manufacturer prices per dosage in 1998 (20 mg tablets)

  • US: $ 2.99
  • Sweden: $ 1.74
slide-8
SLIDE 8

8

Examples

slide-9
SLIDE 9

9

Examples

  • Ques@ons

– Why are prices for the same good different in different geographical markets? – Why do prices differ from costs (= similar in all countries)? – Is this pajern good or bad?

slide-10
SLIDE 10

The monopoly model

slide-11
SLIDE 11

Monopoly model

  • Behavioral assump@on

– Firm wants to maximize profits

  • Choice

– Price – Quan@ty

  • Exogenous condi@ons

– Demand func@on [P(q) or Q(p)] – Cost func@on [C(q)]

11

slide-12
SLIDE 12

Monopoly model

12

Price Quan@ty

Choice variables

slide-13
SLIDE 13

Monopoly model

13

Price Quan@ty Marginal cost

Exogenous condi5ons

slide-14
SLIDE 14

Monopoly model

14

€ Quan@ty

Note: Demand constrains the monopolist Wants to charge p = 9, can only sell q = 1 Want to sell q = 8, can only charge p = 2

9 1 8 2

slide-15
SLIDE 15

Monopoly model

15

€ 9 1 8 2 1 € 9 1 8 2 1 π = (9 – 1)*1 = 8 π = (2 – 1)*8 = 8 Very high margin: 8 = 9 – 1 Very low sales: 1 => low profit: 8 Very low margin: 1 = 2 – 1 Very high sales: 8 => low profit: 8

slide-16
SLIDE 16

Monopoly model

  • Demand constrains the monopolists behavior

– Trade-off between margin and sales – Need to strike a balance

  • Now let’s try to find this balance

– Profit = Revenues - Cost – Need to study how revenues depend on sales

16

slide-17
SLIDE 17

How do revenues depend on sales?

17

slide-18
SLIDE 18

Revenues

18

10 10 p q 9 1

slide-19
SLIDE 19

Revenues

19

10 10 p q 9 1

q p 10 1 9 2 8 3 7 4 6 5 5 6 4 7 3

slide-20
SLIDE 20

Revenues

20

10 10 p q 9 1

q p R=pq 10 1 9 9 2 8 3 7 4 6 5 5 6 4 7 3

slide-21
SLIDE 21

Revenues

21

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 3 7 4 6 5 5 6 4 7 3

Marginal revenue: Change in revenues from selling one unit more

slide-22
SLIDE 22

Revenues

22

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 16 ? 3 7 4 6 5 5 6 4 7 3

8 2

slide-23
SLIDE 23

Revenues

23

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 16 7 3 7 4 6 5 5 6 4 7 3

8 2

Exercise: P = 8, but MR = 7 < p Why?

slide-24
SLIDE 24

Revenues

24

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 16 7 3 7 4 6 5 5 6 4 7 3

8 2

+8

slide-25
SLIDE 25

Revenues

25

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 16 7 3 7 4 6 5 5 6 4 7 3

8 2

+8

  • 1

the “inframarginal” consumer now pays 8 wherefrom the marginal revenue decreases with

  • ne unit
slide-26
SLIDE 26

Revenues

26

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 16 7 3 7 21 ? 4 6 5 5 6 4 7 3

8 2 3 7

slide-27
SLIDE 27

Revenues

27

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 16 7 3 7 21 5 4 6 5 5 6 4 7 3

8 2 3 7

Exercise: P = 7, but MR = 5 < p Why?

slide-28
SLIDE 28

Revenues

28

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 16 7 3 7 21 5 4 6 5 5 6 4 7 3

8 2

  • 2

+7

3 7

the inframarginal consumers now pay 7 and the marginal revenue decreases with 2 more units

slide-29
SLIDE 29

Revenues

29

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 16 7 3 7 21 5 4 6 24 3 5 5 6 4 7 3

8 2

  • 3

+6

3 7 4 6

slide-30
SLIDE 30

Revenues

30

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 16 7 3 7 21 5 4 6 24 3 5 5 25 1 6 4 7 3

8 2

  • 4

+5

3 7 4 6 5 5

slide-31
SLIDE 31

Revenues

31

10 10 p q 9 1

q p R=pq MR 10

  • 1

9 9 9 2 8 16 7 3 7 21 5 4 6 24 3 5 5 25 1 6 4 7 3

8 2

  • 4

+5

3 7 4 6 5 5

The more I sell, the more costly it is to lower price by €1 => MR is falling (normally)

slide-32
SLIDE 32

32

Quan@ty Price P(q)

Revenues

Revenues

TR = P q

( )q

slide-33
SLIDE 33

33

Quan@ty Price

MR = P q

( )+ P' q ( )q

If I sell one unit more:

P(q)

Revenues

Revenues

TR = P q

( )q

Price of addi@onal unit

slide-34
SLIDE 34

34

Quan@ty Price

MR = P q

( )+ P' q ( )q

P(q)

Revenues

Revenues

TR = P q

( )q

Price of addi@onal unit Reduc@on in price on all units

If I sell one unit more:

slide-35
SLIDE 35

35

Quan@ty Price

MR = P q

( )+ P' q ( )q < P q ( )

P(q)

Revenues

Revenues

TR = P q

( )q

If I sell one unit more:

MR < P

slide-36
SLIDE 36

36

Quan@ty Price Marginal revenue

MR = P q

( )+ P' q ( )q

P(q)

Revenues

Revenues

TR = P q

( )q

If I sell one unit more:

slide-37
SLIDE 37

37

Quan@ty Price Marginal revenue

MR = P q

( )+ P' q ( )q

P(q)

Revenues

Revenues

TR = P q

( )q

If I sell one unit more:

P(q) MR(q)

slide-38
SLIDE 38

Monopolist’s choice of quan@ty

38

slide-39
SLIDE 39

Choice of quan@ty

  • Exercise: Set up monopoly problem and solve

for op@mal quan@ty!

– Cost func@on: C(q) – Inverse demand: P(q)

39

slide-40
SLIDE 40

40

Choice of quan@ty

Profit π q

( ) = P q ( )⋅q − C q ( )

First order condition π q q

( ) = P q ( )+ P

q q

( )⋅q − Cq q ( ) = 0

Rewrite P q

( )+ P

q q

( )⋅q = Cq q ( )

Interpreta@on?

slide-41
SLIDE 41

41

Choice of quan@ty

Profit π q

( ) = P q ( )⋅q − C q ( )

First order condition π q q

( ) = P q ( )+ P

q q

( )⋅q − Cq q ( ) = 0

Rewrite P q

( )+ P

q q

( )⋅q = Cq q ( )

Interpreta@on?

slide-42
SLIDE 42

42

Choice of quan@ty

Profit π q

( ) = P q ( )⋅q − C q ( )

First order condition π q q

( ) = P q ( )+ P

q q

( )⋅q − Cq q ( ) = 0

Rewrite P q

( )+ P

q q

( )⋅q = Cq q ( )

Interpreta@on?

slide-43
SLIDE 43

43

Quan@ty Price qm pm Marginal cost Marginal revenue

Profit maximiza@on

  • 1. p = P(q)
  • 2. MR(q) = MC(q)

Choice of quan@ty

Note:

Price > Marginal cost

slide-44
SLIDE 44

Monopoly

  • Defini@on

– A firm has market power if it can set a price above marginal cost, without losing all sales

44

slide-45
SLIDE 45

45

Choice of quan@ty

First order condition π q q

( ) = P q ( )+ P

q q

( )⋅q − Cq q ( ) = 0

Second order condition π qq q

( ) = 2⋅P

q q

( )+ P

qq q

( )⋅q − Cqq q ( ) < 0

Example: Marginal cost constant or increasing ⇔ Cqq ≥ 0 Demand linear or concave ⇔ Pqq ≤ 0

slide-46
SLIDE 46

Choice of quan@ty

  • Exercise: Set up monopoly problem and solve

for op@mal quan@ty and price!

– Constant unit cost: c – Linear inverse demand: p = a – b · q (No need to check 2nd order condi@on)

46

slide-47
SLIDE 47

47

Choice of quan@ty

Profit π q

( ) = P q ( )⋅q − C q ( ) = a − b⋅q [ ]⋅q − c⋅q

First order condition π q q

( ) = a − b⋅q [ ]− b⋅q − c = 0

Solve for q q = a − c 2⋅b Find p P q

( ) = a − b⋅q = a − b⋅ a − c

2⋅b ⎡ ⎣ ⎢ ⎤ ⎦ ⎥ = a + c 2

Q P

(a+c)/2

c a

D MR (a-c)/2b

slide-48
SLIDE 48

What determines price?

48

slide-49
SLIDE 49
  • 1. Cost

49

slide-50
SLIDE 50

What determines price?

Exercise: Assume marginal cost increases from € 1 to € 2. What happens to price?

slide-51
SLIDE 51

What determines price?

Solu5on: Cost increase € 1 Monopolists wants to produce 50 units less Price increase € .5

slide-52
SLIDE 52

What determines price?

  • Conclusion: Price is increasing in cost

– Marginal cost (but not fixed cost) – Pass through = 1/2 (but only in linear case) – In general: pass through 0 - ∞ – By symmetry

  • If cost reduced, firms reduce price
  • but not necessarily by same amount

52

slide-53
SLIDE 53

What determines price?

  • Ques@ons

– So, don’t fixed costs majer at all for prices?

  • Answer

– Short term: No!

  • Only marginal cost.

– Long run: Yes!

  • If average costs are not covered => exit => less

compe@@on => higher prices

53

slide-54
SLIDE 54

54

Formal analysis

Profit π q

( ) = P q ( )− c

( )⋅q

First order condition π q q

( ) = P q ( )− c

( )+ P

q q

( )⋅q = 0

Rewrite P q

( )+ P

q q

( )⋅q = c

Differentiate to study effect of change in cost 2⋅P

q q

( )⋅dq + P

qq q

( )⋅q⋅dq = dc

Rewrite dq dc = 1 2⋅P

q q

( )+ P

qq q

( )⋅q < 0

(Second order condition for maximization)

slide-55
SLIDE 55
  • 2. Demand

55

slide-56
SLIDE 56

What determines price?

Exercise: Assume WTP falls by € 2. What happens to price?

slide-57
SLIDE 57

What determines price?

Solu5on: WTP falls by € 2 Price falls by € 1

slide-58
SLIDE 58

What determines price?

Exercise: Assume demand elas@city falls? What happens to price?

slide-59
SLIDE 59

What determines price?

Solu5on: Price is increased!

slide-60
SLIDE 60

What determines price?

60

v1

H

v1

L

v2

H

v2

L

Quan@ty €

  • Green market
  • High demand
  • Elas@c demand
  • Need not reduce price much to sell 2nd unit
  • Op@mal price = v1

L

  • Red market
  • Low demand (Q equal or lower at every price)
  • Inelas@c demand
  • Need reduce price much to sell 2nd unit
  • Op@mal price = v2

H > v1 L

slide-61
SLIDE 61

Welfare & Efficiency

slide-62
SLIDE 62

Welfare

  • Q: How much welfare is created in a market?

– Firm owners?

  • = profit

– Consumers? – = consumer’s surplus (Q: define CS) – consumer’s surplus = WTP – p – Employees?

  • = no gain if w = cost of working (which is assumed)

62

slide-63
SLIDE 63

63

Monopoly

Welfare

qm pm Profit

slide-64
SLIDE 64

64

Monopoly

Welfare

qm pm Profit

Consumer surplus

slide-65
SLIDE 65

65

qm pm Profit

Consumer surplus

Total surplus: Profit + CS

  • Since CS measured in €
  • If we don’t care about distribu@on

Monopoly

Welfare

Are there any ways to measure the “total welfare” in this market? Compe@@on authori@es?

  • Only care about CS!
slide-66
SLIDE 66

Efficiency

  • Is it possible to increase welfare in this

market?

– Q: Define Pareto efficiency

  • Alloca@on is in-efficient if it is possible to improve

situa@on for one agent without making it worse for somebody else

– Q: Define Compensa@on principle

  • Alloca@on is in-efficient if it can be changed in such a

way that those who gain could compensate those who lose

  • Akin to “Total Surplus”

66

slide-67
SLIDE 67

Efficiency

  • Q: Is it possible to increase welfare in this

market?

– Pareto efficiency – Compensa@on principle

67

slide-68
SLIDE 68

68

DWL qm pm Profit

Consumer surplus

Welfare loss

  • There are un-served customers,

who are willing to pay more than cost

Efficiency

slide-69
SLIDE 69

69

DWL qm pm Profit

Consumer surplus

Q: There is “money on the table”

  • Why doesn’t the firm sell more?

Efficiency

slide-70
SLIDE 70

70

TR = P q

( )q

MR = P q

( ) + P' q ( )q < P q ( )

A: To sell one more unit, the monopolist has to lower price, not only on the last unit, but on all units

Efficiency

Quan@ty Price Marginal revenue P(q) P q

( )

P q

( ) + P' q ( )q

slide-71
SLIDE 71

Efficiency

  • Q: Other inefficiencies caused by monopoly?

– Dead weight loss – Cost: Can pass on cost increases to consumers – Rent-seeking: Monopoly profit worth lobbying for – Other

  • Choice of quality
  • Investment

71

slide-72
SLIDE 72

Price se~ng

Same ques@on as before – slightly different analysis Derive convenient formula

slide-73
SLIDE 73

Price se~ng

  • Previously
  • Q: How do we rewrite as decision over p?

73

maxq π q

( ) = P q ( )⋅q − C q ( )

π p

( ) = p⋅ D p ( )− C D p ( )

( )

Here we use the demand func@on D(p) not the indirect demand func@on P(q) Composite func@on: C(D(p))

slide-74
SLIDE 74

74

Price se~ng

Profit π p

( ) = p⋅ D p ( )− C D p ( )

( )

Q: First order condition?

slide-75
SLIDE 75

75

Price se~ng

Profit π p

( ) = p − c ( )D p ( )

First order condition π p p

( ) = D p ( )+ p⋅ Dp p ( )− Cq D p ( )

( )⋅ Dp p

( ) = 0

Recall: Chain rule

slide-76
SLIDE 76

76

Price se~ng

Profit π p

( ) = p − c ( )D p ( )

First order condition π p p

( ) = D p ( )+ p⋅ Dp p ( )− Cq D p ( )

( )⋅ Dp p

( ) = 0

Factor out Dp p

( )

π p p

( ) = D p ( )+ p − Cq D p ( )

( )

⎡ ⎣ ⎤ ⎦⋅ Dp p

( ) = 0

slide-77
SLIDE 77

77

Price se~ng

Profit π p

( ) = p − c ( )D p ( )

First order condition π p p

( ) = D p ( )+ p⋅ Dp p ( )− Cq D p ( )

( )⋅ Dp p

( ) = 0

Factor out Dp p

( )

π p p

( ) = D p ( )+ p − Cq D p ( )

( )

⎡ ⎣ ⎤ ⎦⋅ Dp p

( ) = 0

Rewrite p − Cq p = − D p

( )

p⋅ Dp p

( )

slide-78
SLIDE 78

78

Price se~ng

Rewrite p − Cq p = − D p

( )

p⋅ Dp p

( )

Q: What is this?

slide-79
SLIDE 79

79

Price se~ng

Rewrite p − Cq p = − D p

( )

p⋅ Dp p

( )

Elasticity of demand η p

( ) ≡ p⋅ Dp p ( )

D p

( )

Market power (Lerner index) L ≡ p − MC p

slide-80
SLIDE 80

80

Price se~ng

Rewrite p − Cq p = − D p

( )

p⋅ Dp p

( )

Interpretation L = − 1 η p

( )

Elasticity of demand η p

( ) ≡ p⋅ Dp p ( )

D p

( )

Market power (Lerner index) L ≡ p − MC p

Inverse elas5city rule Monopolist’s market power determined by consumers’ price sensi@vity Cau5on This expression “hides” the fact that the level of demand also majers

slide-81
SLIDE 81

3rd degree price discrimina@on

slide-82
SLIDE 82

3rd degree price discrimina@on

  • Conclusion: Price depends on demand

– High demand ⇔ high WTP ⇒ high price (typically) – Low price sensi@vity ⇒ High price (typically)

  • 3rd degree price discrimina@on

– Recall pharmaceu@cal market

  • Low prices in Greece, Spain, Portugal
  • High prices in Switzerland, Germany, UK

– Defini@on of P.D:

  • Charge different price for same product to different consumers

82

slide-83
SLIDE 83

3rd degree price discrimina@on

  • Q: Under what condi@ons can firms charge

different prices from different consumers based

  • n WTP?
  • Informa@on about WTP
  • No arbitrage (but internal market)

83

slide-84
SLIDE 84

3rd degree price discrimina@on

  • Q: Is it a good or a bad thing that prices of

pharmaceu@cals is lower in Greece than in Sweden? – Bad: Inefficient distribu@on of given amount of goods – Good: If price discrimina@on illegal, firms may set high price, and not sell in poor countries

84

But: Even bejer if pGreece = pSwitzerland = mc

slide-85
SLIDE 85

3rd degree price discrimina@on

  • What if firm must earn p > c to finance R&D.

Are price differences then good or bad?

– Good: It may be fair that countries with low income pays less – Good: To minimize total global welfare loss, charge high price in country with low price sensi@vity (Ramsey pricing)

85

slide-86
SLIDE 86

Price Regula@on

slide-87
SLIDE 87

Price Regula@on

  • Q: Current regula@on

– Compe@@on law

  • Abuse of dominant posi@on
  • Dominant firms may not “impose unfair prices”
  • Never used

– Sector specific regula@on

  • Rental apartments
  • Telecom; District hea@ng (has been discussed)
  • On-patent medicines; Pharmacies

– Ra@oning and price regula@on during crisis

  • If Sweden cut off from imports (food, oil, … )
  • Removed?

87

slide-88
SLIDE 88

Price Regula@on

  • Q: Why so lijle price regula@on?
  • Q: Problems with price regula@on?
  • 1. P = MC may not work when there are fixed costs
  • 2. Informa@on
  • 3. Incen@ves for innova@on
  • 4. Regulatory uncertainty
  • 5. Administra@ve costs

88

slide-89
SLIDE 89

Price Regula@on

  • Fixed costs

– DWL overes@mates poten@al gain from regula@on – P > MC to finance fixed costs – Alterna@ve: subsidize & use taxes ⇒ DWL moved

89

slide-90
SLIDE 90

Price Regula@on

  • Q: What informa@on would regulator need?

– If no fixed costs only MC – Otherwise

  • Cost func@on
  • Demand func@on

90

slide-91
SLIDE 91

Price Regula@on

  • Incen@ves for innova@on

– Monopoly: High WTP ⇒ high price – Firms incen@ves to invent new products that people are willing to pay for

91

slide-92
SLIDE 92

Price Regula@on

  • Regulatory uncertainty

– 2013 Swedish Market Court decided a case about what prices TeliaSonera was allowed to charge for broadband services in 2000

92

slide-93
SLIDE 93

Price Regula@on

  • Administra@ve costs

– Example: TeliaSonera’s external legal advice at least €1mn

93

slide-94
SLIDE 94

Case study:

Value-Based Pricing of Medicines

slide-95
SLIDE 95

VBP

  • Dilemma

– Efficient use of exis@ng medicines

  • p = MC

– Incen@ves to develop new medicines

  • Huge fixed costs ⇒ p > MC
  • Efficient incen@ves ⇒ p must be related to WTP

95

slide-96
SLIDE 96

VBP

  • Solu@on: Patents ⇒ p > MC

– Pros: Investment incen@ves – Cons: Large DWL, since

– WTP high – MC low

  • Solu@on 2: Subsidize medicines

– Average subsidy in Sweden 80% – People will consume despite high price!

96

slide-97
SLIDE 97

VBP

  • Exercise: Compute monopoly price

– Demand: q = v – pConsumer – Cost: C = c·q – Subsidy: pConsumer = λ·pProducer,

  • Exercise: Compare

– No subsidy λ = 1 and λ = 0.2 – Assume: v = 10; c = 1

97

slide-98
SLIDE 98

VBP

  • Monopoly solu@on
  • Comparison

98

π = (pP − c)⋅ v − λ ⋅ pP

( )

∂π ∂pP = v − λ ⋅ pP

( )− λ ⋅(p p − c) = 0

pP = v λ + c 2 pC = v + λ ⋅c 2 q = v − v + λ ⋅c 2 = v − λ ⋅c 2 pP = 10 +1 2 = 5.5 pC = 10 +1 2 = 5.5 q = 10 −1 2 = 4.5 pP = 10 0.2 +1 2 = 25.5 pC = 10 + 0.2⋅1 2 = 5.1 q = 10 − 0.2⋅1 2 = 4.8

slide-99
SLIDE 99

VBP

  • Subsidy + Monopoly pricing

– Subsidy turned into gi„ to firms – Lijle effect on DWL – Lijle insurance to ci@zens

99

slide-100
SLIDE 100

VBP

100

€ q v v v/λ

80% subsidy => people willing to pay 5 @mes higher prices

slide-101
SLIDE 101

VBP

  • Solu@on: VBP (= form of price regula@on)

– Company apply to be included in the subsidy – Tandvårds- och Läkemedelsförmånsverket (TLV)

101

slide-102
SLIDE 102

VBP

  • Company provides informa@on about value of drug

– People with different deceases – People with different side-effects

102

slide-103
SLIDE 103

VBP

  • Company provides informa@on about value of drug

– People with different diseases – People with different side-effects

103

Value Users

slide-104
SLIDE 104

VBP

  • Note 1

– Value is for average individual (Income differences are assumed away)

104

slide-105
SLIDE 105

VBP

  • Note 2

– Companies must undertake substan@al research to prove value

  • Medical effects
  • Economic value of medical effects

105

slide-106
SLIDE 106

VBP

  • Price

– Company sets price – TLV decides which users get the drug subsidized

106

slide-107
SLIDE 107

VBP

107

Value Users Price

Firm sets price

slide-108
SLIDE 108

VBP

108

Value Users Price Included Not

TLV sets quan@ty

slide-109
SLIDE 109

VBP

  • Conclusion

– Value-based pricing = normal “monopoly” pricing – But the firm cannot “steal” the subsidy

  • Mo@va@on

– P = “social value of drug” gives firms incen@ves to develop drugs crea@ng value

109