Lab Testing Misuse Costs Billions

Tuesday, February 19th, 2019

“Reducing inappropriate use requires careful considerations of the trade-off between the effectiveness of interventions and their acceptability to physicians,” said Rosalie Wyonch. “Incorporating laboratory services in physician compensation formulas would be an effective tool to discourage unnecessary lab tests.” …  The report proposes a number of options for policymakers to reduce inappropriate laboratory testing:

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Pharmacare and Politics

Friday, January 25th, 2019

Rather than going for an expensive single-payer model, we think Ottawa would be far better off with a “gap-filling” model. Under that approach, each province and territory would create a public pharmacare plan that would automatically cover anyone who wasn’t already covered by an existing public plan, or by a government-approved private plan. As an inducement, the federal government could offer a modest enhancement of the Canada Health Transfer, or offer to pay part of the incremental cost that each province would incur by offering such a plan.

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Hallway Medicine and Value-based Funding

Friday, January 25th, 2019

Fundamentally, the payment system is too complex and incoherent. This often creates perverse incentives and makes it difficult for policymakers to achieve desired outcomes… Value-based funding pays healthcare providers for outcomes, not for each siloed service individually… Competition based on value for money will allow the Ontario health system to do more with less.

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Ottawa Wins from Ontario’s Proposed Childcare Rebate

Saturday, January 19th, 2019

The newly elected government in Ontario pledged in its electoral platform to implement a childcare rebate program, which would reimburse up to 75 percent of the childcare expenses of low-income families, with the childcare subsidy rate gradually declining as family income grows… Over the first few years, we expect about 60,000 stay-at-home mothers to enter the workforce.

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