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The use of drugs responsible for the increase in claims, says a study


Andrea Lubeck

15 August 2018 13:30

Photo : Unsplash

The increase of medication use is responsible for 75 % of the increase of claims to private insurance plans medicine, indicates a study of innovative Drugs Canada. The report says the increase in the cost of the medicines is responsible for only 25 % of this increase.

From 2012 to 2016, it is estimated that the claims have increased by 4.7% on average, of which 3.5 % is attributable to an increase in the use (the number of claimants and the number of claims by claimant), and 1.2% is due to the growth in the cost of the medication. In 2016, the total cost average annual per claimant was $ 596 $, while it was 538 $ in 2012.

Increase in the number of claimants

For the same period, the average increase in the number of claimants stood at 2.1 %, which contributed 45 % to the growth, adds the study. In addition, the number of claims for each of the claimants has also increased 1.4% and the cost of claims of up to 1.2 %, representing 30 % and 25 % of the total growth in the cost.

In addition to a larger number of claimants, innovative Drugs Canada explains that these increases are influenced by various factors, including the age of the claimants and the effects of drugs for chronic diseases and therapeutic drugs, including.

Invest in prevention

“Although the growth is primarily influenced by an increase in the use of drugs, costly due to a rise in chronic diseases in the context of an ageing workforce, the payers need to pay attention to the fact that many of these chronic diseases can be prevented, and that some are even reversible with the adoption of good lifestyle habits,” noted the authors.

They even suggest that the benefits programs to invest in programs wellness and prevention encouraging good habits of nutrition, sleep, exercise and stress management as a tool to control costs.

A study criticized

The second part of the study, which focuses on factors external to the experiment claim, however, is criticized, notably by thecanadian Association of insurance companies of persons (CLHIA). Its chairman and managing director, Stephen Frank, said in the Journal of insurance that some of the data that were used were ” misleading “.

Read the account of the interview with Mr. Frank in the edition of Monday, 20 August

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