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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
Author(s) -
POMEY MARIEPASCALE,
FOREST PIERREGERLIER,
PALLEY HOWARD A.,
MARTIN ELISABETH
Publication year - 2007
Publication title -
the milbank quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 101
eISSN - 1468-0009
pISSN - 0887-378X
DOI - 10.1111/j.1468-0009.2007.00496.x
Subject(s) - prescription drug , medical prescription , government (linguistics) , principal (computer security) , public administration , modernization theory , private sector , parallels , business , private insurance , drug , health insurance , political science , medicine , economics , law , pharmacology , health care , philosophy , linguistics , computer science , operating system , operations management
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.