Public/private partnerships for prescription drug coverage

Policy formulation and outcomes in Quebec's universal drug insurance program, with comparisons to the medicare prescription drug program in the United States

Marie Pascale Pomey, Pierre Gerlier Forest, Howard A. Palley, Elisabeth Martin

Research output: Contribution to journalArticle

Abstract

In January 1997, the government of Quebec, Canada, implemented a public/private prescription drug program that covered the entire population of the province. Under this program, the public sector collaborates with private insurers to protect all Quebecers from the high cost of drugs. This article outlines the principal features and history of the Quebec plan and draws parallels between the factors that led to its emergence and those that led to the passage of the Medicare Prescription Drug, Improvement and Modernization Act (MMA) in the United States. It also discusses the challenges and similarities of both programs and analyzes Quebec's ten years of experience to identify adjustments that may help U.S. policymakers optimize the MMA.

Original languageEnglish (US)
Pages (from-to)469-498
Number of pages30
JournalMilbank Quarterly
Volume85
Issue number3
DOIs
StatePublished - Sep 2007
Externally publishedYes

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Pharmaceutical Services Insurance
Public-Private Sector Partnerships
Prescription Drugs
Quebec
public private partnership
Medicare
insurance
medication
coverage
drug
Insurance Carriers
Drug Costs
Public Sector
Social Change
Canada
modernization
public sector
act
history
costs

Keywords

  • Drug insurance
  • Health care reform
  • Medicare
  • Quebec

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Public/private partnerships for prescription drug coverage : Policy formulation and outcomes in Quebec's universal drug insurance program, with comparisons to the medicare prescription drug program in the United States. / Pomey, Marie Pascale; Forest, Pierre Gerlier; Palley, Howard A.; Martin, Elisabeth.

In: Milbank Quarterly, Vol. 85, No. 3, 09.2007, p. 469-498.

Research output: Contribution to journalArticle

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