Bending the Cost Curve in Health Care: Canada's Provinces in International Perspective

Bending the Cost Curve in Health Care: Canada's Provinces in International Perspective

Bending the Cost Curve in Health Care: Canada's Provinces in International Perspective

Bending the Cost Curve in Health Care: Canada's Provinces in International Perspective

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Overview

Through Canadian and international perspectives, Bending the Cost Curve in Health Care explores the management of growing health costs in an extraordinarily complex arena. The book moves beyond previous debates, agreeing that while efficiencies and better value for money may yet be found, more fundamental reforms to the management and delivery of health services are essential prerequisites to bending the cost curve in the long run. While there is considerable controversy over direction and details of change, there also remains the challenge of getting agreement on the values or principles that would guide the reshaping of the policies, the structures, and the regulatory environment of health care in Canada.


Leading experts from around the world representing a range of disciplines and professional backgrounds come together to organize and define the problems faced by policy-makers. Case studies from the United States, the United Kingdom, Australia, the Nordic countries, and industrialized Asian

countries such as Taiwan offer useful reform experiences for provincial governments in Canada. Finally, common Canadian cost factors, such as pharmaceuticals and technology, and paying the health workforce, are explored.


This book is the first volume in The Johnson-Shoyama Series on Public Policy, published by the University of Toronto Press in association with the Johnson-Shoyama Graduate School of Public Policy, an interdisciplinary centre for research, teaching, and executive training with campuses at

the Universities of Regina and Saskatchewan.


Product Details

ISBN-13: 9781442609761
Publisher: University of Toronto Press, Higher Education Division
Publication date: 11/17/2014
Series: Johnson-Shoyama Series on Public Policy Series
Pages: 479
Product dimensions: 6.30(w) x 9.00(h) x 3.90(d)

About the Author

Gregory P. Marchildon is a professor and Ontario Research Chair in Health Policy and System Design at the Institute of Health Policy, Management and Evaluation, University of Toronto.


Livio Di Matteo is Professor of Economics at Lakehead University. His articles have appeared in many academic international health journals, including the Journal of Health Economics, Health Policy, European Journal of Health Economics, and Health Economics, Policy and Law.

Table of Contents

List of Illustrations



Introduction and Overview



Part I: General Considerations on Bending the Cost Curve

1. Why We Should Bend the Cost Curve and How We Could Do It

Uwe Reinhardt

2. Financial Incentives and Pay-for-Performance

Jeremiah Hurley and Jinhu Li

3. Tax Burdens and Aging

John Richards and Colin Busby



Part II: Pan-Canadian Cost Drivers and Political Considerations

4. Common Provincial Determinants and Cost Drivers

Livio Di Matteo and J. C. Herb Emery

5. Pharmaceuticals

Steven G. Morgan, Jamie R. Daw, and Paige A. Thomson

6. Paying the Health Workforce

Phil Leonard and Arthur Sweetman

7. Three Federal Approaches to Cost Containment in Health Care

Katherine Fierlbeck

8. The Federal Role in Health Care

Pierre-Gerlier Forest



Part III: Provincial Experiences in Canada

9. Ontario: Changing Policies, Changing Categories

Raisa Deber and Sara Allin

10. Québec: Sustainability—Perception and Reality

François Béland and Claude Galand

11. British Columbia: Cost Control in the Country of the Red Queen

Kimberlyn M. McGrail and Robert G. Evans

12. Alberta: Health Spending in the Land of Plenty

Stephen Duckett

13. Saskatchewan and Manitoba: Managing Down

Gregory P. Marchildon

14. Atlantic Canada: The Impact of Aging on the Cost Curve

Joe Ruggeri



Part IV: What Can Canada Learn from the International Evidence?

15. The United States

Gerard Anderson

16. Australia

Stephen Duckett

17. England

Alan Maynard

18. Nordic Countries

Jon Magnussen

19. Taiwan and Other Advanced Asian Economies

Tsung-Mei Cheng



Index

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