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The Canadian Alliance for Sustainable Health Care (CASHC)

All Canadians have a relationship with the health system in one way or another. Despite significant increases in public funding and ongoing efforts to reform services all across the country, the state of health and health care is a top concern for Canadians. An absence of clear goals, a system designed for a previous era, inadequate use of innovative technologies and modern management tools, and a misalignment with the needs of an aging population are just some of the weaknesses of the status quo. The Canadian Alliance for Sustainable Health Care (CASHC) was created to respond to the reality that Canada’s current public health care system is fiscally unsustainable.

Through CASHC, The Conference Board of Canada researches and analyzes the full range of issues and possible solutions for both governments and employers. This dual focus sets this initiative apart from other health care research, as does its scope. The research framework includes health care systemic challenges, as well as challenges related to institutional and professional competencies, and to governance. We leverage the quantitative analysis skills of our economic and forecast analysis team, together with the organizational performance and public policy expertise in other divisions of the Conference Board.

What’s New

Community Wellbeing: A Framework for the Design Professions, July 2018

A literature review, interviews, and case studies inform the development of the new Framework for Community Wellbeing, a collaborative research project between DIALOG and The Conference Board of Canada.

In Brief: Community Wellbeing for Design Professionals, July 2018

A literature review, interviews, and case studies inform the development of the new Framework for Community Wellbeing, a collaborative research project between DIALOG and The Conference Board of Canada.

Aging Well: Implications of an Aging Population for Canada’s Physiotherapists, May 2018

Aging Canadians may not have access to the physiotherapy services they need. This briefing indicates that addressing the gaps in the demand for and supply of physiotherapy services is essential.

Multiple Sclerosis in the Workplace: Making the Case for Enhancing Employment and Income Supports, April 2018

This briefing estimates the costs of expanding income support programs for Canadians living with MS and the potential economic benefit from their increased participation in the labour force.

Absent Without Leaving: The Economic Impact of Early, Optimized Treatment for Depression, January 2018

This briefing examines the health care and economic impact of early, optimized treatment for patients with depression using specific ways to increase access to optimal treatment.

Understanding the Gap: A Pan-Canadian Analysis of Prescription Drug Insurance Coverage, December 2017

The comprehensive analysis in this report describes the design of public programs for prescription drug coverage in Canada, and how their design in each province leads to widely varying out-of-pocket spending.   

Healthy Brains at Work: Creating the Conditions for Healthy Brains in the Workplace, November 2017

This final briefing in the series explores the conditions that support addressing mental health and illness in the workplace and presents a scenario where mental health supports are optimized among working Canadians.

Health Technology Assessment in Canada: Opportunities for Optimization and Redesign, July 2017

This report shines light on the contemporary health technology assessment (HTA) landscape in Canada and documents the challenge of HTA functions. Comparison with the U.K. and Germany reveals potential lessons for Canada.

A Road Map to Health System Sustainability: CASHC Compendium Report, 2011–16, May 2017

This report summarizes the activities and contributions of the Canadian Alliance for Sustainable Health Care (CASHC) in its first mandate, and sets a framework within which CASHC will function in coming years.

Palliative Care Matters: Fostering Change in Canadian Health Care, May 2017

This report synthesizes the key themes of the recommendations developed through the Palliative Care Matters initiative, provides insights on the strategies that could be adopted, and identifies next steps.

Reducing Cardiovascular Disease in Canada: The Impact of PCSK9 Inhibitors in High-Risk Populations, April 2017

This report examines the savings generated by increasing access to a new medication category—proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9i)—which effectively manages dyslipidemia (high cholesterol) in two populations at high risk for cardiovascular disease.

Getting the Most Out of Community Pharmacy, April 2017

This briefing focuses on the policy and practice implications for getting the most out of community pharmacy and elaborates on the guiding principles from a research, program, and policy perspective. 


The Value of Expanded Pharmacy Services in Canada, April 2017

The Scope of pharmacy services has expanded in many Canadian jurisdictions in recent years. This report estimates the health and economic impact of three community pharmacy services that have the potential to be expanded.

The Economic Burden of Pneumonia in Canada: A Status Quo Forecast, April 2017

This briefing estimates the future economic burden of pneumonia in Canada up to 2025 for the population aged 65 and over.

The Market Profile of Physiotherapists in Canada, March 2017

This briefing—the second in a series of three that explores the role, value, and potential of physiotherapy services—aims to present a profile of the physiotherapy market in Canada and quantify the demand and supply of physiotherapy services.

The Role of Physiotherapy in Canada: Contributing to a Stronger Health Care System, March 2017

This report—the first in a series of three that explores the role, value, and potential of physiotherapy services—aims to provide an understanding of the role of physiotherapy in the health care system and provides a review of various areas of practice.

Future Care for Canadian Seniors: A Primer on Nursing Supply and Demand, March 2017

Given the increase in Canadian seniors who will need continuing care supports over the next 30 years, growth in demand for nursing will far outstrip general labour force growth and therefore require changes to the health system and nursing practices.

Value of Consumer Health Products: The Impact of Switching Prescription Medications to Over-the-Counter, March 2017

This report examines the economic impact of switching three categories of drugs from prescription to over the counter, and the impact on stakeholders including private insurers, individuals, employers, and the health care system.

The Implications of Taxing Employer-Paid Health and Dental Benefits, February 2017

The federal government is reviewing the taxation of employer-paid health and dental benefits. This briefing looks at financial implications for Canadian tax payers who receive these benefits.

The Value of Radiology in Canada, January 2017

Radiology is an integral component of the health system. This report presents a framework for better establishing the value of radiology in improving population health and the health care system. 

Moving Ahead: School-Based Interventions to Reduce Physical Inactivity and Sedentary Behaviour, November, 2016

Decreased physical activity and increased sedentary behaviour are linked to overweight, obesity, and chronic diseases. This report evaluates school-based interventions to address these issues among children and youth. 

Managing Mobility: Transportation in an Aging Society, October, 2016

Canada's population is aging rapidly, creating more pressing transportation challenges and risks. This briefing discusses some key challenges and opportunities for improving transportation policy for seniors. 

Healthy Brains at Work: Estimating the Impact of Workplace Mental Health Benefits and Programs, September, 2016

This third briefing in a four part Healthy Brains at Work series presents an estimate of the potential impact on the economy if effective mental health benefits and workplace programs were enhanced in Canada.

Feeling at Home: A Survey of Canadians on Senior Care, July 28, 2016

This briefing looks at the results of a survey on future health care for Canada's growing population of seniors and draws important conclusions for government policy-makers, service providers, and individuals.

Financial Models and Fiscal Incentives: Proceedings From the Healthy Canada Conference, June 2016

This report summarizes the presentations and discussion from the first Healthy Canada conference—Financial Models and Fiscal Incentives in Health and Health Care—organized by the Canadian Alliance for Sustainable Health Care

Improving Access to Canadian Health Care: The Role of Tax Policies, May 2016

This research assesses several Canadian fiscal and tax policies related to health care. It examines their role in providing access to uninsured or underinsured health care services, and their costs in terms of foregone federal revenues.

Multiple Sclerosis in the Workplace: Supporting Successful Employment Experiences, May 2016

This report provides a high-level understanding of the MS experience in Canada as it pertains to employment issues, and describes the relative success of treatments and strategies to mitigate the impacts of the disease in the workplace. 

Canada’s Seniors Population Projection, April 2016

Canada’s Seniors Population: A 35 Year Projection by Province shows how the senior population and senior care—spending, employment, and caregivers—is expected to change in each province between 2011 and 2046.

Funding Canadian Health Care in 2035: Strategic Foresight Scenarios, March 2016

Based on two key drivers—technology uptake and funding expectations—this briefing lays out four divergent funding scenarios for 2035 and considers how a Canadian health care strategy might be shaped within the context of each of these futures.

Inclusive Growth: A New Approach to Economic Evaluation of Health Policy, March 2016

This report discusses the OECD's “inclusive growth” methodology—developed to evaluate policies based on their effects on aggregate living standards. This entails constructing an index of living standards that incorporates income, life expectancy, unemployment rates, and inequality. Unlike many indexes of well-being, the weighting between factors is based on willingness to sacrifice income to achieve a benchmark life expectancy and unemployment rate.

Healthy Brains at Work: Employer-Sponsored Mental Health Benefits and Programs, February 2016

The second report in CASHC's four-part Healthy Brains at Work research series explores employer-sponsored benefits and programs in Canada that address mental health conditions. It explores the guidelines and standards employers are using to implement their mental health strategy, reveals how these offerings differ among both employers and industries, and discusses the barriers and challenges employers encounter in implementing a mental health strategy or policy.

CASHC Brochure

CASHC Brochure Download the CASHC Brochure (PDF)

A Healthy Contribution

CASHC Brochure Download the CASHC Impact Report (PDF)

Spring 2018 Meeting

Integrating for Outcomes: Scaling Digital Solutions Across the Health and Health Care System

March 26, 2018
MaRS Discovery District, CR3 Room, 101 College Street, Toronto, Ontario

Fall 2017 Meeting

November 8, 2017
Ottawa, Ontario

Spring 2018 Conference

Healthy Canada Conference 2018: Personalized Health and Wellness
March 27 and 28, 2018 | Toronto, Ontario

Previous Healthy Canada conferences:


Canada’s Seniors Population Projection Data Visualization

Interprofessional Primary Health Care Teams: Interview