GROUP INSURANCE

donnee

MARKET
TRENDS

This page provides you with recent data that will help you better understand current and future key industry issues as well as the necessity for tightly-managed drug plans.

Sourced from Express Scripts Canada’s 2015 Drug Trend Report.

Percentage of claimants with chronic conditions

Chronic conditions require taking maintenance drugs that can sometimes be very expensive. Since 51% of Canadian claimants suffer from two chronic conditions or more, tight plan management and plan member education are more important than ever.

1 chronic disease

2 or 3 chronic diseases

4 chronic diseases or more

No chronic disease

  • Percentage of claimants with chronic diseases

Traditional and specialty drugs: Annual spend projections

Specialty drug annual total spend soared from 17.5% in 2010 to 30% in 2015. In 2020, the continuing increase is expected to reach 42%. Since traditional drug spend is also increasing, failing to implement strict cost control measures could quickly prove to be disastrous.

Specialty

Drug spend
2010

Specialty

Drug spend
2015

Specialty

Drug spend
2020

  • Specialty drugs
  • Traditional drugs

Specialty drugs: Percentage of claims versus total spend

Even though specialty drugs only represented 2% of total claims in 2015, they accounted for 30% of total spend. This shows once more how important tight drug management is to preserving the viability of insurance plans.

Total Claims

Specialty

Total spend

Specialty
  • Specialty drugs
  • Traditional drugs