Evidence map›Paper›PMID 23968672›Full record

ArticleHealthcare policy = Politiques de sante2013

Cost-control mechanisms in Canadian private drug plans.

Jillian Kratzer, Kimberlyn McGrail, Erin Strumpf, Michael R Law

Abstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Inequity in insurance coverage for prescription drugs in New Brunswick, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2022
    Article
  5. Trends in Canadian prescription drug purchasing: 2001-2020.Journal of pharmaceutical policy and practice · 2022
    Article
  6. It's Time to Finally Kill the Zombies Comment on "Universal Pharmacare in Canada".International journal of health policy and management · 2020
    Article
  7. Pharmacare in Canada: The paediatric perspective.Paediatrics & child health · 2020
    Review
  8. Impact of brand drug discount cards on private insurer, government and patient expenditures.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Article
  9. Should national pharmacare apply a value-based insurance design?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. The increasing inefficiency of private health insurance in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014
    Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jillian KratzerResearch Assistant, Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC.
Kimberlyn McGrail
Erin Strumpf
Michael R Law

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Approximately 68% of Canadians receive prescription drug coverage through an employer-sponsored private plan. However, we have very limited data on the structure of these plans. This study aims to identify and describe the use of cost-control mechanisms in private drug plans in Canada and describe what private coverage looks like for the average Canadian. Using 2010 data from over 113,000 different private drug plans, provided by Applied Management Consultants, we determined the overall use of key cost-control measures, and the cost-control tools that appear to be gaining currency compared to a report on benefits coverage in 1998. We found that the use of common cost-control measures is relatively low among Canadian private benefits programs. Co-insurance is much more common in private coverage plans than co-payments. Deductibles are uncommon in Canada and, when in place, are very small. The use of annual and lifetime maximums is increasing. Canadian private benefits programs use few cost-control measures to respond to increasing costs, particularly in comparison to their public counterparts. These results suggest there are ample opportunities for greater efficiency in private sector drug coverage plans.

Indexed as

CanadaCost AllocationCost ControlDrug CostsDrugs, GenericHumansInsurance, Pharmaceutical ServicesPrescription DrugsDrugs, GenericPrescription Drugs

Identifiers

PMID23968672
PMCPMC3999546

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.