The Stakeholder Steering Committee on Private Drug

PlansJeff May, Co-Chair, CACDS

Peter Zawadzki, Co-Chair, CPhAPharmacy Advisory Committee for

the Stakeholder Steering Committee on Private Drug Plans

Solutions in Drug Plan Management Conference Toronto, ON

September 8, 2011

Backgrounder/Introduction

The Canadian Stakeholder Steering Committee on Private Drug Plans

• Multi-stakeholder group• “We need to learn about each others businesses”• Developing solutions in collaboration• Improving health outcomes for beneficiaries• Improving the plan member experience - examples

− Resolving birthdate errors− Can’t adjudicate annual plan maximum− Special authorizations not online

• It’s all about timing – committee will be re-established & restructured to meet the current economic & healthcare climate

Pharmacy Advisory Committee (PAC)

Purposes: Initiate the steps to create the Steering Committee, define activities, create the mandate, identify issues, and ensure representation

Representation: • Co-Chair – CPhA: Peter Zawadzki, Pharmasave National• Co-Chair – CACDS: Jeff May, Shoppers Drug Mart Ltd.• Provincial Pharmacy Association (PPA): Allison Bodnar (NS)• Provincial Pharmacy Association: Parkesh Ragsdale (BC)• Provincial Pharmacy Association and Independent Pharmacist: Janet

McCutchon (ON)• Pharmacy Operations: Jim Beaumariage, Rexall• Former SSCPDP Member: Ruth Ackerman, MediResource• CPhA Staff Support – Jeff Morrison• CACDS Staff Support – Steve Wilton

Steering Committee (SSCPDP)

A strategic multi-stakeholder partnership Provides strategic direction and accountability Focuses on identifies issues, seeks collaboration, and

develops constructive solutions Representation to include:

CACDS CPhA

PPA Insurer

Benefit Consultant Adjudicator

Plan Sponsor Employee/ Patient

Canadian Health and Life Insurance Association

First meeting, yet to be determined

Pharmacy Operations Working Group

Mandate is to act as a bridge between pharmacy / pharmacists and the third party payer sector to enhance operational efficiencies and logistical processes

Issues can be identified by the Steering Committee, or the working group can develop tactics and/or solutions

Representation to include:

CPhA CACDS,

PPO Insurer

Adjudicator Plan Sponsor

CHLIA

Outcome: to enhance efficiencies that lower costs and improve the beneficiaries’ experience

Enhanced Pharmacy Services Working Group Mandate: to educate the private sector on the value and

benefits of new services and to jointly advocate for publically funded enhanced pharmacy services leveraging the CPSF

Representation to include: CPhA CACDS PPO

Insurer Adjudicator Benefits Consultant Plan Sponsor CHLIA Employee/Patient

Provincial Gov’t (TBD)

Outcome: to ensure all beneficiaries/patients benefit for expanded pharmacy services

Work Plan and Next Steps

Follow up on Action Items from Sep. 7, 2011 meeting of the Pharmacy Advisory Committee• Issues identification for operations and enhanced services• Stakeholder surveys and engagement

PAC – next meeting Dec. 2011 to develop work plans Establish the Steering Committee (SSCPDP) Feb 2012

• Identify and recruit private sector representatives as outlined

Set Meeting Date for SSCPDP Face-to-Face Meeting• Draft Terms of Reference, Mandate and Work Plan

Establish the Working Groups• Identify and recruit private sector representatives as outlined• Let the real work begin – develop constructive solutions•

The Definition of Insanity

“Doing the same thing over and over again, and expecting change…”

The only constant is change!