Finance strategies for adaptation. Presentation for CANCC
Pharmacare 2.0 initiative
1. CPhA Pharmacare 2.0 Initiative
Presentation CCSN Roundtable on Pharmacare
June 1, 2016
2. Overview
What is Pharmacare 2.0?
What Canadians are Saying
CPhA’s Principles & Priorities
Pharmacare Models: Costs, Benefits & Drawbacks
A Canadian Consensus
3. Pharmacare 2.0
CPhA’s Pharmacare 2.0 initiative is designed to build a
Canadian Consensus:
Status Quo is Not Acceptable
PharmaCARE vs. PharmaCOSTS
Pharmacy Service & Optimal Drug Use
Incremental & Longer Term Solutions
4. Pharmacare 2.0
CPhA’s Pharmacare Principles & Priorities
Defining the Issues: Member & Public Opinion
Research on the Costs/Benefits/Drawbacks of
Pharmacare Models
Developing Broader Consensus on Pan-Canadian
Pharmacare Plan/Strategy
5. Have you ever been prescribed a medication for a medical condition or illness
that you have either not filled, not taken as you were directed, or stopped
taking?
30%
26%
26%
70%
74%
74%
0% 20% 40% 60% 80% 100%
Stopped taking the medication before you were advised to
Not filled a prescription you were given
Took less medication than you were instructed to take
Yes No
What Canadians are Saying:
Why Did Not Fill
6. What Canadians are Saying:
Why Did Not Take as Prescribed
Thinking of the medication(s) that you have been prescribed but did not take as directed,
which of the following best describes the reason for not taking the amount of medication
as prescribed or for stopping the use of it?
8%
1%
18%
18%
8%3%
45%
I couldn’t afford to keep taking the drug
It was removed from my drug plan
I didn’t think it was working well
It made me sick
There was an interaction with the other
medications I was taking
I felt embarrassed to tell people I was taking
it
I felt that that I no longer needed to take it
9. CPhA Principles & Priorities
A pan-Canadian pharmacare framework must address
three key principles:
1. ACCESS & EQUITY
2. SAFETY & EFFECTIVENESS
3. INNOVATION & SUSTAINABILITY
10. CPhA Principles & Priorities
PRIORITY 1: No Canadian left out
PRIORITY 2: More than just drugs
PRIORITY 3: Coverage when and where it’s needed
PRIORITY 4: Evidence-based coverage
PRIORITY 5: E-prescribing
PRIORITY 6: Drug supply and quality
PRIORITY 7: Evolution not Revolution
PRIORITY 8: Cost-Sharing
PRIORITY 9: Investment in Innovation
11. Models of Pharmacare
National Pharmacare Model
Pan-Canadian Approaches:
1. Modified Quebec Model
2. PEI Generic Model
3. Private Payer Variation
Pan-Canadian Catastrophic Program
14. Access to Cancer Drugs: NZ
New Zealand ranks last out of 20 comparable OECD
countries for access to innovative medicines.
Out of 13 countries, New Zealand has the lowest ranking for
access to cancer medicines.
“There is little doubt among medical oncologists and
cancer scientists that New Zealanders cannot access
many state-of-the-art cancer medicines through our
public healthcare system.” -- Dr. Francis Hunter is the
John Gavin Postdoctoral Fellow at the Auckland Cancer
Society Research Centre at the University of Auckland
15. Access to Cancer Drugs: UK
The UK has one of the lowest rankings for access to cancer
medicines in Europe.
UK cancer survival rates lag more than 2 decades behind
many European countries with similar health systems, while
the use of recently launched cancer drugs is half the
international average.
In 2015, 25 cancer treatments were delisted, affecting nearly
8000 patients – including those with breast, prostate and
bowel disease.
16. A Canadian Consensus
Evolution vs. Revolution: Incremental change to address
gaps & catastrophic costs
Patient Focused Approach: Government focus on reducing
drug prices to improve affordability and access to drugs must
not come at the expense of improving care and health
outcomes or value for health dollars
PharmaCARE: An effective pharmacare system must not
only address gaps in patient coverage, it must address gaps
in access to services that support safe and effective drug
therapy for patients