Keyword: drug plan management

503 results found
Health Canada delaying drug pricing reforms until July

Health Canada says it’s delaying the implementation of long-awaited changes to Canada’s drug-pricing regime by another six months. A spokesman for the department, says the amendments to patented medicine regulations, which were set to take effect Jan. 1, will now come into force on July 1. Geoffroy Legault-Thivierge says the postponement is intended to give pharmaceutical manufacturers […]

How plan sponsors can contain rising drug costs in 2021

With drug costs for plan sponsors steadily rising in recent years, keeping budgets down is top of mind as they plan for 2021. “The biggest concern for plan sponsors is sustainability,” said Shawn O’Brien, principal of data enablement and drug, health, dental product roadmap for Telus Health, in a press release. “They have to find a […]

  • By: Staff
  • December 18, 2020 April 23, 2021
  • 09:03
A legislative update on provincial biosimilar policies

When the City of Toronto switched benefits plan insurers in 2017, it changed its coverage for biologics and biosimilars. Under its previous plan, the City reimbursed employees for the drugs their doctors recommended and prescribed; now, it follows its new insurer’s mandatory biosimilars policy, while grandfathering any plan member who was already taking a biologic […]

Telus Health, Canada Life, Innomar taking drug prior authorization online

Telus Health is partnering with Canada Life Assurance Co. and Innomar Strategies Inc. to launch Canada’s an electronic drug prior authorization solution. The pilot program will test the digitized process to fulfill prior authorization submissions for real prescription cases and evaluate its impact on process efficiency, consistency of adjudication results and the overall plan sponsor and member […]

  • By: Staff
  • November 11, 2020 November 11, 2020
  • 15:00
Group health plan costs expected to rise in 2021: report

The costs of employer-provided health plans in Canada are expected to rise seven per cent next year, outpacing general inflation by more than five per cent, according to a new report by Aon Canada. Contributing factors include higher drug prices, the impact of non-communicable health risks and the continued introduction of new and expensive therapies. Indeed, […]

  • By: Staff
  • October 29, 2020 October 29, 2020
  • 15:15
PMPRB publishes new guidelines on drug pricing in Canada

The Patented Medicine Prices Review Board published its new guidelines on Friday. The guidelines, which will take effect on Jan. 1, 2021, aim to modernize Canada’s pricing framework for patented medicines. They explain the steps that will typically be taken by the PMPRB’s staff in assessing whether a patented medicine appears to be priced excessively in Canada. The […]

  • By: Staff
  • October 23, 2020 October 23, 2020
  • 15:15
Medavie Blue Cross launching drug management solution

Medavie Blue Cross is launching a new drug management solution that will offer broader drug coverage while aiming to lower costs for group benefits plan members. The program, Rxperience, offers plan members open access to traditional drug benefits and specialty drug management via increased standardized core benefits, according to a press release. Read: Medavie Blue Cross […]

  • By: Staff
  • October 14, 2020 October 14, 2020
  • 15:15

Benefits by Design Inc. and PocketPills are partnering on a digital pharmacy platform. Through the partnership, group plan members will be able to instantly connect with pharmacists and manage their medications online. PocketPills’ platform includes automation technology that improves the pharmacy workflow, making pharmacists more accessible to patients via phone or live chat, seven days a […]

  • By: Staff
  • October 6, 2020 December 6, 2020
  • 15:15
How are insurers using block-level contract amendments to control drug costs?

An upcoming Sun Life Canada drug plan change that will be implemented outside of plan sponsors’ renewal periods is calling attention to the practice of block-level contract amendments. Sun Life is set to implement the first phase of its reference drug program on Oct. 1, which the insurer says will help plan sponsors with drug plan sustainability by creating categories […]

Over the past four years, total drug costs adjudicated by HBM+ have risen from about $1.2 billion to $1.5 billion, while the number of claimants has increased from 1.7 million to more than two million. The inaugural drug trends and strategic insights report by the health benefits manager, a division of Green Shield Canada, examined drug […]

  • By: Staff
  • September 18, 2020 November 17, 2020
  • 15:00