Stay updated with breaking news from Tara anstey. Get real-time updates on events, politics, business, and more. Visit us for reliable news and exclusive interviews.
Canadian Leadership Council on Drug Plan Partnerships 2021 benefitscanada.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from benefitscanada.com Daily Mail and Mail on Sunday newspapers.
In Western Canada, specialty drugs’ share of private plans’ costs is 23%, due to pharmacare programs in three provinces automatically acting as first payer for prescription drugs after an income-based out of-pocket deductible, climbing to 38% in Atlantic Canada. As much as 60% of the current pipeline is focused on specialty medications, according to a 2020 report from Express Scripts Canada, with about 50% of drugs in the pipeline designed for oral administration, continuing a shift in costs from provincial to private plans. This framework is two-tiered, as a Green Shield Canada report notes each insurer places eligible high-cost drug claims from their fully-insured plans into their proprietary extended health-policy protection plan pools. The pooling threshold, typically upwards of $10,000, is negotiated between plan sponsor and carrier. ....