Managing the Cost of Healthcare for an Aging Population: How Do the - - PowerPoint PPT Presentation

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Managing the Cost of Healthcare for an Aging Population: How Do the - - PowerPoint PPT Presentation

Managing the Cost of Healthcare for an Aging Population: How Do the Provinces Compare? Colin Busby Senior Policy Analyst C.D. Howe Institute Public Healthcare Budgets In Canada Three Major Eras xx body Bullet 1 Bullet 2


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Managing the Cost of Healthcare for an Aging Population: How Do the Provinces Compare?

Colin Busby Senior Policy Analyst C.D. Howe Institute

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Public Healthcare Budgets In Canada – Three Major Eras body

  • Bullet 1
  • Bullet 2

Source: Author’s calculations

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An Aging Population

20 66 14 19 58 23 18 56 26 16 57 27

10 20 30 40 50 60 70 Youth (17 and under) Working Age (18-64) Old Age (65 and up)

Share of the total poulation (percent) 2010 2030 2050 2050 - BC

Source: Author’s calculations

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Canada - Average Per Capita Public Health Spending By Age Group, 1998 and 2010

2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000 28,000 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 <1 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90+ 2010 Average Per Capita Spending ($nominal) 1998 Average Per Capital Spending ($nominal) Age Group

1998 (left axis) 2010 (right axis)

Source: CIHI and Author’s calculations

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British Columbia - Average Per Capita Public Health Spending By Age Group, 1998 and 2010

2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000 28,000 30,000 32,000 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 2010 Average Per Capita Spending ($nominal) 1998 Average Per Capital Spending ($nominal) Age Group

1998 (left axis) 2010 (right axis)

Source: CIHI and Author’s calculations

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Expenditures on Prescription Drugs by Source of Financing and Province, 2001 and 2011, ($2011) per capita

2001 2011 Average growth rate, 2001-2011 BC Provincial Government $198 $210 0.6 BC Other Sources $215 $366 5.5 BC Total $413 $575 3.4 ON Provincial Government $228 $335 3.9 ON Other Sources $323 $450 3.4 ON Total $551 $785 3.6 QC Provincial Government $217 $301 3.3 QC Other Sources $360 $612 5.5 QC Total $577 $912 4.7

Source: Morgan et al. upcoming

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Percentage of Adults Reporting Cost-Related Non- Adherence for Drug Prescriptions, by Jurisdiction.

0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20% 22% BC ON QB CAN US AU GER NZ UK NL

Source: Morgan et al. upcoming

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Percentage of Households Reporting Out-of-Pocket Expenses for Prescription Medicines exceeding $1,000 USD, by Jurisdiction.

0% 2% 4% 6% 8% 10% 12% 14% BC ON QB CAN US AU GER NZ UK NL

Source: Morgan et al. upcoming

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Private Charges for Government Subsidized Facility- Based Care, Single Individual

11,200 16,200 28,200 36,200 12,600 17,600 19,400 19,400

$0 $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 OAS/GIS Max (~15,000) 20,000 35,000 70,000 Private Charges (annual) Annual Income ($) BC (net income) AB (gross income) ON (gross income)

Source: Various government documents; author’s calculations

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Current Funding System for Long-term Care in Canada

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Ownership of Nursing Home Facilities: The Public/Private Mix, 2008

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% NL PE NS NB QC ON MB SK AB BC Canada

% of All Facilities (Homes for the Aged)

Public Private

Source: Various government documents; author’s calculations

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Publicly Funded For-Profit Nursing Home Beds, 2008

41 30 5 23 53 26 8 30 31 35 10 20 30 40 50 60 NL PE NS NB QC ON MB SK AB BC Canada For-Profit Facilities as a percentage of total

Source: CUPE (2009)

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Funding System For Long-Term Care in France and Nordic Countries – Money Follows the Patient

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Managing the Cost of Healthcare for an Aging Population: How Do the Provinces Compare?

Colin Busby Senior Policy Analyst C.D. Howe Institute