TY - JOUR AU - Lichtenberg,Frank TI - Benefits and Costs of Newer Drugs: An Update JF - National Bureau of Economic Research Working Paper Series VL - No. 8996 PY - 2002 Y2 - June 2002 UR - http://www.nber.org/papers/w8996 L1 - http://www.nber.org/papers/w8996.pdf N1 - Author contact info: Frank R. Lichtenberg Columbia University 504 Uris Hall 3022 Broadway New York, NY 10027 Tel: 212/854-4408 Fax: (212) 854-9895 E-Mail: frl1@columbia.edu M2 - featured in NBER digest on 2002-10-01 AB - We update and extend our previous study of the effect of drug age -- years since FDA approval -- on total medical expenditure, in several respects. The estimates indicate that, in the entire population, a reduction in the age of drugs utilized reduces non-drug expenditure 7.2 times as much as it increases drug expenditure. In the Medicare population, a reduction in the age of drugs utilized reduces non-drug expenditure by all payers 8.3 times as much as it increases drug expenditure; it reduces Medicare non-drug expenditure 6.0 times as much as it increases drug expenditure. About two-thirds of the non-drug Medicare cost reduction is due to reduced hospital costs. The remaining third is approximately evenly divided between reduced Medicare home health care cost and reduced Medicare office-visit cost. We also found that the mean age of drugs used by Medicare enrollees with private Rx insurance is about 9% lower than the mean age of drugs used by Medicare enrollees without either private or public Rx insurance. ER -