Cubic Health Inc.
FROM THE TEAM

Managing Diabetes - Time to Follow the Government's Lead?

On October 20, 2006, Ontario's Health and Long-Term Care Minister announced $18.1 million in funding for 25 new community diabetes education programs and the creation of new diabetes clinics. This 51% funding increase over last year's amount is part of the provincial government's chronic disease management strategy. Furthermore, the government announced the addition of another diabetic drug, Actos®, to the Ontario Drug Benefit Formulary as part of Bill 102's new conditional listing mechanism.

These initiatives, and even more importantly, the presence of a longer-term strategy for dealing with such chronic conditions, indicate a clear appreciation of the substantial financial burden of diabetes and its complications. This burden is felt by both people with the disease, and those picking up the tab for treatment, namely the healthcare system in general and third party payers.

Consider that, on an individual basis, a person with diabetes incurs medical costs that are two to three times higher than that of a person without diabetes. Then, we need to factor in the sheer number and growth in the number of individuals with diabetes in our aging population. According to the Canadian Diabetes Association (CDA), more than two million Canadians currently have diabetes, a number that is expected to rise to three million by the end of the decade. Finally, if we then factor in the development and availability of novel therapies, such as Januvia™ (detailed in our Drug & Disease News section this month), which are up to 10 times the cost of traditional therapies, we can see just how quickly these factors add up to an enormous expense.

Yet, do Canadian employers, who cover a majority of the drug benefit costs for diabetic plan members, have this same appreciation and understanding of the impact of diabetes within their plan? Do they understand:

  • How much they are spending in this area?
  • How many plan members are claiming for diabetic products?
  • How many are claiming for diabetic medications and insulin, yet are not claiming for any supplies required for testing or monitoring their blood sugars?
  • Are year-over-year diabetes-related trends in the plan reflecting what is being seen on the public side?
  • How diabetes will directly impact their plan costs in both the short- and long-term?
  • It is widely recognized that diabetes is a chronic disease that cannot be cured, only prevented or managed. Unless employers follow the government's lead with a strategic approach that considers both prevention and management, the impact of this area will explode for their plans in the near future.

    To pass along any comments on Cubic Health Monthly, or to see back issues of our publication, please visit our website at http://www.cubichealth.ca.

    Sincerely,

    Chris von Heymann
    Senior Vice President, Consulting Services


    IN THIS ISSUE...
    First Regulations for Ontario's Transparent Drug System for Patients Act 2006 Come into Effect
    Cubic Health Canadian Employer Benchmarks Now Available
    Novel Diabetes Drug Approved in U.S.
    NOC Watch
    Plan Sponsors Concerned with Drug Plan Costs but Unsure of the Underlying Cost Drivers - What Now?


    LATEST NEWS
    First Regulations for Ontario's Transparent Drug System for Patients Act 2006 Come into Effect
    After the Transparent Drug System for Patients Act, 2006 (Bill 102) received Royal Assent on June 20, 2006, the process of defining the regulations to the Act took place over three months and considered the feedback of stakeholders including pharmacies, manufacturers, and consumers.
    Click here to read more...
    Cubic Health Canadian Employer Benchmarks Now Available
    Cubic Health is pleased to announce the availability of our Cubic Health Canadian Employer Benchmarks for our clients after successfully securing bulk claims data from the Canadian third-party payer industry. At the same time, Cubic Health has completed another series of enhancements to our information technology infrastructure and reporting applications to allow for the integration of these tens of millions of claims into our client-specific analyses.
    Click here to read more...


    DRUG & DISEASE NEWS
    Novel Diabetes Drug Approved in U.S.
    The Food and Drug Administration (FDA) has just approved a novel oral drug therapy for the control of elevated blood sugar in patients with Type 2 diabetes. Januvia™ (sitagliptin phosphate), manufactured by Merck and Co. Ltd., is the first in a new drug class called "DPP-IV Inhibitors".
    Click here to read more...
    NOC Watch:
  • Tygacil® (tigecycline) for injection

  • Alvesco® (ciclesonide)

  • Click here to read more...


    FOR THE PLAN SPONSOR
    Plan Sponsors Concerned with Drug Plan Costs but Unsure of the Underlying Cost Drivers - What Now?
    For many groups, identifying the cost and utilization drivers that currently exist within the plan, as well as those that loom on the horizon, is a more difficult task than would appear at first glance. It is not always expensive claims for biological agents or a material increase in the number of claimants within the plan that account for significant year-over-year (YOY) cost and utilization differences.
    Click here to read more...
    October 2006
    Issue No. 17
    QUICK FACTS
  • 7th: Ranking of diabetes treatment among other general therapeutic areas by total amount paid by Canadian employers


  • 9th: Ranking of diabetes by number of claims




  • 6.0%: Percentage of total amount paid by Canadian employers for all drugs and products to manage diabetes


  • 2.6%: Percentage of total amount paid by Canadian employers for products used in diabetic monitoring/administration


  • Read more...
     
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