Keyword: drug plan management

503 results found
A look at the benefits of hybrid health plans

While the move to more defined contribution-style health benefits plans provides greater clarity and flexibility to plan sponsors, it would be natural to wonder whether or not the available options are limited to the two extremes alone. The continuum of benefits plan design includes fully insured plans, fully self-insured (administration services-only or ASO) plans and hybrid […]

  • September 4, 2018 September 13, 2019
  • 08:30
New PMPRB rules could impact patients with rare diseases: study

The federal government’s plan to increasingly regulate pharmaceutical costs could mean Canadians with rare diseases may lose access to new innovative drug treatments, according to a new study by the Fraser Institute. In 2019, the Patented Medicine Prices Review Board is planning to use new rules for establishing drug prices with the goal of lowering costs. “Drugs for […]

  • By: Staff
  • August 30, 2018 September 13, 2019
  • 10:08
A look at how some ASO plan sponsors are impacting stop-loss premiums

As September approaches, activity in the catastrophic stop-loss insurance market will start to heat up for self-insured plan sponsors. This is when the annual dance of plans obtaining their proposed premium for the coming year, and trying to find ways to mitigate the increase, hits a fever pitch. Imagine a province, without a single provincial insurer, […]

  • August 28, 2018 September 13, 2019
  • 08:15

High-cost drugs accounted for 41.6 per cent of patented medicine sales in 2017, up from 8.3 per cent a decade earlier, according to the Patented Medicine Prices Review Board’s latest annual report. Federal Health Minister Ginette Petitpas Taylor tabled the report, which also illustrated a rise in the sales of patented medicines in 2017. Sales […]

  • By: Staff
  • August 24, 2018 March 31, 2021
  • 09:15
Knowledge of private coverage affects doctors’ prescribing behaviour: survey

The vast majority (87 per cent) of physicians said the knowledge that a patient has private drug coverage affects their prescribing behaviour, according to a survey by Merck Canada Inc. More specifically, the survey found 26 per cent of general practitioners and 28 per cent of specialists believe this knowledge widens the treatment options available to the patient. Other effects […]

  • By: Staff
  • August 20, 2018 September 13, 2019
  • 09:15
Editorial: Creative covers, a prognosis for the future and a note of thanks

How do the following sound as headlines for the cover of Benefits Canada? Are they likely to make the cut any time soon? • “My boss is 89” • “Remember when we went to the doctor’s office?” • “On-the-job diagnosis” • “Machines don’t need benefits” • “Artificial benefits” • “Shareholders elect first AI CEO (actuary’s […]

There were almost 4,000 opioid-related deaths in Canada in 2017, according to Health Canada statistics released in June. Meanwhile, in the United States, a new survey by the National Business Group on Health found 60 per cent of large employers had experienced at least one issue stemming from prescription opioid misuse or abuse in the workplace. Forty […]

Should employers share potential tax burden for pharmacare?

While a national pharmacare program is likely to come with a tax hike, will that cost be balanced out by savings on prescription drugs and private drug spending? In a presentation to be delivered Friday to provincial and territorial premiers, former parliamentary budget officer Kevin Page is expected to be straightforward about the costs of a cross-country, publicly […]

Tax hike inevitable if Canada wants national pharmacare, former PBO warns

Former federal budget watchdog Kevin Page will deliver a blunt message to premiers this week about the costs of a future national pharmacare program: if Canadians want one, taxes will have to go up. Page, who now heads a University of Ottawa think tank, will walk through the numbers Friday when he gives a presentation […]

Ontario government to become second payer under OHIP+ changes

Ontario’s new Conservative government has announced changes to the province’s youth pharmacare program to make it second payer for Ontarians under age 25 who have coverage through private benefits plans. “Today, our government is announcing our intent to fix the OHIP+ program by focusing benefits on those who do not have existing prescription drug benefits,” […]