Uhc june 2013 cpm

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Uhc june 2013 cpm

  1. 1. Medicines. Health Systems. Universal Health Coverage. Smart Governance. Remarks from James A. Rice, Ph.D. Project Director, USAID Project for Leadership, Management, Governance
  2. 2. UHC Coverage Design Provider Contracting Pharma Quality Pharma Supply Chain Pharma Retail Access Governing the Many Facets of Pharma in UHC What are the key issues/challenges? How to mitigate and manage these challenges? Many Instruments in “Governance” 1. Regulations 2. Law Suits 3. Market Forces 4. Contract Obligations 5. Oversight by Governing Bodies 6. Ethics of Players
  3. 3. Our Panel: Catalysts and Guides for Smart Conversation on Issues and Initiatives Moderator: Jim Rice, MSH  Gilles Forte (WHO)  Julio Siede (PAHO)  John Simon (PharmAccess and Total Impact Advisors)
  4. 4. 4 The Focus of Smart Governance in UHC Pharma
  5. 5. Smart Governance. Governance at All Levels:  Macro: Cross National. Patents, Policies, Intellectual Property and Trade Regulations (WTO & WHO)  Meso: Within a National State (Ministry of Health, FDA equivalent, Ministry of Finance & Economics)  Micro: Within Public and Private Health Insurance Organizations, Service Delivery Systems, Manufacturers, Distribution Companies, Retail Units/Enterprises But what is to be governed, and what is Smart Governance?
  6. 6. UHC Coverage Design Provider Contracting Pharma Quality Pharma Supply Chain Pharma Retail Access Governing the Many Facets of Pharma in UHC What are the key issues/challenges? How to mitigate and manage these challenges?
  7. 7. The Governance in UHC Challenge is Complicated: 1. Who is covered 2. What is covered 3. How much is covered 4. What is available & how to access what is covered 5. Cost/price of what is covered 6. Quality of what is delivered 7. How much out-of- pocket
  8. 8. Smart Governance at All Levels
  9. 9. Smart Governance at All Levels Many Resources
  10. 10. Smart Governance at All Levels Four Essential Governance Practices
  11. 11. Need Clarity on All Dimensions  Medicines.  Health Systems.  Universal Health Coverage.  Smart Governance. WHO Provides Common Concepts.
  12. 12. Smart Decision Making Principles, Practices and Infrastructure.
  13. 13. Smart Governance. Governance at All Levels:  Macro: Cross National. Patents, Policies, Intellectual Property and Trade Regulations (WTO & WHO)  Meso: Within a National State (Ministry of Health, FDA equivalent, Ministry of Finance & Economics)  Micro: Within Public and Private Health Insurance Organizations, Service Delivery Systems, Manufacturers, Distribution Companies, Retail Units/Enterprises But what is Smart Governance?
  14. 14. Smart Governance at All Levels
  15. 15. Governing the Supply Chain
  16. 16. Smart Governance at All Levels
  17. 17. Smart Governance at All Levels
  18. 18. One Example to Illustrate Governing Framework: Australia
  19. 19. Smart Governance at All Levels
  20. 20. Smart Governance at All Levels
  21. 21. Smart Governance at All Levels
  22. 22. Smart Governance at All Levels
  23. 23. Smart Governance at All Levels
  24. 24. Transparency and Information Coherent Decision Making Structures Consistency and Stability Stakeholder Participation Supervision and Regulation Assessing Nation’s Governance
  25. 25. Many Players Expected in The Governance Landscape
  26. 26. Govern UHC Design Top 1-3 Factors Frustrating Smart Governance Top 1-3 Factors Facilitating Smart Governance
  27. 27. Govern Financing of UHC Top 1-3 Factors Frustrating Smart Governance Top 1-3 Factors Facilitating Smart Governance
  28. 28. Govern Pharma Supply Chain Top 1-3 Factors Frustrating Smart Governance Top 1-3 Factors Facilitating Smart Governance
  29. 29. The Leadership, Management & Governance (LMG) Project Thank you! Questions/Comments

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