Cadth 2015 a7 can top 10 list - april 2015

In this presentation, we highlight 10 drivers of healthcare costs in the US. The US spends over $2.6 trillion on healthcare or about 18% of GDP. Other nations are able to provide healthcare services for considerably less: U.K. – 9.6% GDP, Germany – 11.6% GDP and Japan – 9.5% GDP. Despite our high level of spending on healthcare, the US lags in healthcare quality. This level healthcare spending is an unsustainable burden on the United States economy, more specifically businesses, employees and consumers. Businesses who provide health insurance are less competitive internationally, employees experience stagnation of wages and consumers spend more on healthcare and less on other necessities.

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The Canadian Top 10 Watch List of
New and Emerging Health
Technologies
Alain Boisvert, M.Sc (Pharm.)
Vice-President, Market Access & Public Affairs
April 13, 2015

Why is the CNESH List Important for Industry?
2
 Health Authorities rely on HTA to guide investment decisions.
 Health Authorities must invest where there are high unmet health needs.
 Innovation and Value.
 Choices must be made for all health technologies, not just drugs.
 Programs (CDR, pCODR, PCPA) are more advanced in drug therapy, but
decisions must span all health technologies.
 CNESH provides this broad perspective to both decision makers and
manufacturers.

Where does a Top-10 HT List Fit in Business Planning?
3
 HT discovery and development aimed at creating value for unmet needs.
 A top-10 List reinforces these aims.
 A List provides a user/investor perspective.
 Value in a list developed by an independent authority.
 Development processes increasingly influenced by “Payers” perspective.

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Capital investment in health typically refers to large expenditures in construction of hospitals and other facilities, investment in diagnostic and treatment technologies, and information technology platforms. These investments are characterized by their longevity and they are critical to efforts to improve healthcare quality and efficiency. Contrary to developed countries where there is well documented experience on capital investment in the health sector, including use of public private partnerships for the investment; there is little evidence on capital investment in health from low and middle income countries. This work was undertaken to add to the HFG’s knowledge and learning strategy by clarifying what good practice guidance exists in capital benchmark in LMICs health sectors, as well as the HFG project’s experience in the area. This brief will be of value to all those interested in the planning and financing the capital investment in the health sector. This includes politicians, planners, managers, health professionals, architects, designers, and researchers in both the public and private sectors.

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