National Pharmacare and Private Drug Plan Sponsors

Current Issues:

Drugs administered outside of a hospital setting are paid by private plans;
Many high-cost drugs (and life-sustaining) are administered outside a hospital setting;

Oncology drugs
Orphan drugs
Anti-inflammatory drugs (Arthritis, Crohn’s/Colitis, Plaque Psoriasis)
The high-cost drugs financially impact private and public benefit plans;

Most private drug/health plans are priced based on claims experience; businesses are increasingly unable to afford to offer benefits comparable to government organizations.
Employers are changing their plans to offload high-cost drugs back onto public plans (most of which were designed to be supplemental to private plans).
Publicly funded drug coverage for certain conditions (i.e. Cancer) varies across the country;

BC has a very robust cancer strategy v. NS or ON.
The trend in drug development is for medications administered outside a hospital setting;

70% of the oncology drug pipeline are orally administered (and therefore largely outside public funding guidelines).

Solutions:

Modernize Medicare;

High-cost drugs treating life sustaining conditions;

Oncology and related treatments
Orphan drugs
Curative treatments
Stop differentiating between pharmacological treatment and traditional hospital-based treatments for the same conditions.
Standardize definition of covered treatment under Medicare across all jurisdictions that include drug treatments.
Maintain private payor supplemental coverage for maintenance/lifestyle medications.
Require manufacturers to maintain a ‘one price’ policy regardless of dispensing source and regulate national supply requirements for domestic use (i.e. restrict sale/export to US).

October is Small Business Month

BDC Small Business Week is a national celebration of Canadian entrepreneurs and their contribution to Canada’s economy. The Business Development Bank of Canada (BDC) has been organizing Small Business Week since 1979. It takes place every year during the third full week of October (October 20th to October 26th, 2019). Events held during the week bring together entrepreneurs—and prospective entrepreneurs—at conferences, workshops, luncheons and trade fairs across Canada. The goal is to provide them with opportunities to learn, network, share ideas and socialize with their peers. Visit the Business Development Bank of Canada (BDC) Small Business Week website, to find out what events are taking place in your province; some are free to attend!