Print Page

Agenda and Speakers

Healthy Canada: Financial Models and Fiscal Incentives in Health and Health CareDec 1, 2015 Toronto

> Show Me: Full Agenda | Speakers Only

Tuesday, December 01, 2015

7:45 AM Registration and Continental Breakfast
8:15 AM Opening Remarks from the Chair

Picard <br />  
Public Health Reporter
The Globe and Mail
8:30 AM Plenary Session 1
Fiscal Health: Canada's Economic Outlook

The Conference Board estimates total provincial spending on health care will reach $397 billion by 2034-35, in contrast to $137 billion in 2013-14, under a "business as usual" scenario. Louis Thériault will discuss the factors that impact health care spending and what it means for the economy and social wellness as a whole.

Thériault <br />  
Vice-President, Public Policy
The Conference Board of Canada
9:00 AM Plenary Session 2
Bending the Cost Curve in Canadian Health Care

Expenditure growth on public health care in Canada appears to be slowing. What's unclear however is whether this slowdown is the result of the provinces success in sustainably bending the cost curve, or more short-term cost-cutting in response to slower economic growth or future federal health transfers.

In his presentation, Greg Marchildon will discuss how although efficiencies and better value for money need to emerge, fundamental reforms to the management and delivery of health services are also required, even if there is considerable controversy over the direction and details of the changes needed. The basis for this presentation comes from Bending the Cost Curve in Health Care: Canada's Provinces in International Perspective, a book he co-edited with Dr. Livio Di Matteo.

Marchildon <br />  
Professor and Ontario Research Chair in Health Policy and System Design Institute of Health Policy, Management and Evaluation
University of Toronto
9:45 AM Networking and Tri Fit Energizer Break
10:15 AM Plenary Session 3
Funding Models in Health Care Delivery

The face of health care service delivery in Canada has changed significantly over the past decade. The Conference Board of Canada reported that funding models and financial incentives within the health care system can help or hinder effective and efficient health care delivery, especially within the primary care sector. This brings into greater light the challenges that traditional compensation models for health service providers pose in an era of greater service integration, collaboration, and expanded scopes of practice. This panel will discuss how funding models impact quality and quantity of care and the consequences for health system sustainability. Discussion will include:

  • Financial Incentives and Disincentives in Interprofessional Primary Care
  • Ontario's Experience with Introducing a New Funding Model for Health Service Providers
  • A Compensation Model for the Expanded Scope of Pharmacy Practice

Adams <br />  
Chief Policy Advisor
Canadian Medical Association
Darby <br />  
Chief Executive Officer
Ontario Pharmacists Association
Dinh <br />  
Associate Director, Health Economics
The Conference Board of Canada
Pollard <br />  
Director, Health System Funding Policy Branch
Ontario Ministry of Health and Long-Term Care
11:15 AM Plenary Session 4
The Movement Towards Integrated Funding Models

There has been much research on the topic of funding models in the context of hospitals, physicians, and pharmaceuticals. Although there is a better understanding of the intended and unintended consequences of different funding models in different silos of the health care system, there remain many challenges in aligning funding and financial incentives to the outcomes we want. There appears to be a shift internationally towards integrated funding models, but Canada appears to be slow to the uptake.

Dr. Jason Sutherland will discuss the use of integrated funding models internationally and will address the question "is Canada's silo-based health care doomed to bankrupt us?"

Sutherland <br />  
Associate Professor, School of Population and Public Health
The University of British Columbia
12:00 PM Networking Luncheon
12:45 PM Plenary Session 5
Financial Incentives in Health Innovation

The reimbursement and adoption of health innovations has been long identified as a significant challenge within the Canadian healthcare system. Although seen more often as a cost driver, health innovations have been shown to generate significant returns on investment. According to the Conference Board's "How Canada Performs", compared to other OECD countries, Canada gets an overall B-grade in health and a C-grade in innovation, contributing to our decline in overall international rankings. Canada needs population health strategies that include incentives to improve appropriate access and use of innovative health services, pharmaceuticals, and technologies in health. This panel discussion will include different points of view regarding the challenges and opportunities in health innovation reimbursement and adoption with a focus on precision medicine, speciality drugs, and medical devices.

Prada <br />  
Director, Health Innovation, Policy and Evaluation
The Conference Board of Canada
Hazel <br />  
Manager, Health Economics and Market Access
Johnson & Johnson Medical Companies
Oman-Ganes <br />  
Chief Medical Director
Sun Life Financial Inc.
Polygenis <br />  
Senior Vice-President, Purchasing and Manufacturer Solutions
McKesson Canada
1:45 PM Plenary Session 6
Financial Incentives to Promote Healthy Behaviours

Levers of health system sustainability go beyond design and function of the health care system. The Conference Board's work in the area of healthy active living estimated that investing in prevention could save the health care system millions of dollars while boosting the economy. Research from the Conference Board's Canadian Alliance for Sustainable Health Care estimates that just getting 10 per cent of the Canadian population to move more and sit less today could result in a cumulative cost savings of $2.6 billion to the health care system over the next 25 years. Financial incentives in promoting healthy behaviours from a public policy perspective include looking at how our tax and subsidies system financially incentivizes healthy behaviours.

This panel will discuss how tax policies and subsidies "nudge" Canadians to live healthier lives. Discussion will include:

  • Tax Credit or Subsidy? Fiscal Policies to Increase Physical Activity
  • The Impact of Prices and Taxes on the use of Tobacco Products
  • The Skinny on the Impact of Fat Taxes and Food Prices on Obesity

Thériault <br />  
Vice-President, Public Policy
The Conference Board of Canada
Guindon <br />  
Centre for Health Economics and Policy Analysis/Ontario Ministry of Health and Long-Term Care Chair in Health Equity and
Assistant Professor, Department of Clinical Epidemiology and Biostatistics
Powell <br />  
Professor and Director, Health Policy and Administration, University of Illinois at Chicago and
Director, Illinois Prevention Research Center
Spence <br />  
Associate Dean, Research, Physical Education & Recreation Faculty
University of Alberta
2:45 PM Refreshment and Tri Fit Energizer Break
3:00 PM Plenary Session 7
Rewarding Consumers and Businesses to Promote Healthy Active Living

The private sector has long used rewards systems to "nudge" consumers to engage with them. More recently rewards have been used by different organizations to motivate people and businesses to promote healthy living. This panel will discuss Canada's private and public sectors' experiences and plans with using rewards systems to motivate changes in behaviour including physical activity and healthy eating.

Discussion will include:

  • Carrot Rewards: Policy Innovation for Public Health Impact
  • Change4Life: Encouraging and Rewarding Employee Healthy Living
  • Financial incentives to encourage healthy living—an employer and insurer perspective

MacDonald <br />  
Director, Workplace Health and Wellness Research
The Conference Board of Canada
Gaudry <br />  
Senior Manager, Group and Business Markets Strategy
RBC Insurance
Hartnell <br />  
Acting Senior Director, Partnership and Strategies Division
Public Health Agency of Canada
Willows <br />  
Vice-President, Strategic Market Solutions
Green Shield Canada
4:00 PM Plenary Session 8
Next Generation Healthcare—An Innovative Approach to Sustainability

The Canadian healthcare system is not economically sustainable as healthcare costs are rapidly outpacing provincial incomes (the sustainability gap). Despite slower growth in health care spending, healthcare system reforms will have limited impact and will not structurally change the cost curve. Health system stakeholders in the public and private sector must more proactively shape the next generation of healthcare by supporting and embracing a more innovative healthcare environment. The authors of this research will discuss the research findings and insights from a collaborative project between the Canadian Alliance for Sustainable Health Care and A.T. Kearney. The presentation will highlight types of innovation necessary in Canada, the key factors that enable innovation, and how funding models can be better leveraged to support it.

Wing <br />  
A.T. Kearney Ltd.
4:45 PM Closing Remarks from the Chair

Picard <br />  
Public Health Reporter
The Globe and Mail
5:00 PM Conference Adjourns

Sponsored by

We’d like to thank our generous sponsors for their contribution to this event.

McKesson Canada logo

Medtronic Canada logo

GCI Communications logo

Public Health Agency of Canada logo

Marketing Partners

Canadian Coalition for Green Health Care logo

Canadian College of Health Leaders logo

Canadian Health Information Management Association logo

Canadian Psychological Association logo

Canadian Society of Physician Leaders logo

Gallant HealthWorks & Associates logo

Healthy Minds Canada logo

Special Contributors

DOTS logo

Trifit logo

The details of this event are subject to change. Please revisit this page periodically for updated information.