uhc june 2013 cpm

Medicines. Health Systems. Universal Health Coverage.

Smart Governance.Remarks from James A. Rice, Ph.D.Project Director, USAID Project for Leadership, Management, Governance

UHC Coverage

Design

Provider Contracting

Pharma Quality

Pharma Supply Chain

Pharma Retail Access

Governing the Many Facets of Pharma in UHC

What are the key issues/challenges?How to mitigate and manage these challenges?

Many Instruments in “Governance”

1. Regulations2. Law Suits3. Market Forces4. Contract Obligations5. Oversight by Governing Bodies6. Ethics of Players

Our Panel: Catalysts and Guides for Smart Conversation on Issues and Initiatives

Moderator: Jim Rice, MSH Gilles Forte (WHO) Julio Siede (PAHO) John Simon (PharmAccess and Total Impact Advisors)

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The Focus of Smart Governance in UHC Pharma

Smart Governance.Governance at All Levels:

Macro: Cross National. Patents, Policies, Intellectual Property and Trade Regulations (WTO & WHO)

Meso: Within a National State (Ministry of Health, FDA equivalent, Ministry of Finance & Economics)

Micro: Within Public and Private Health Insurance Organizations, Service Delivery Systems, Manufacturers, Distribution Companies, Retail Units/Enterprises

But what is to be governed, and what is Smart Governance?

UHC Coverage

Design

Provider Contracting

Pharma Quality

Pharma Supply Chain

Pharma Retail Access

Governing the Many Facets of Pharma in UHC

What are the key issues/challenges?How to mitigate and manage these challenges?

The Governance in UHC Challenge is Complicated:

1. Who is covered2. What is covered3. How much is covered4. What is available &

how to access what is covered

5. Cost/price of what is covered

6. Quality of what is delivered

7. How much out-of-pocket

Smart Governance at All Levels

Smart Governance at All Levels

Many Resources

Smart Governance at All Levels

Four Essential Governance Practices

Need Clarity on All Dimensions

Medicines. Health Systems. Universal Health Coverage. Smart Governance.

WHO Provides Common Concepts.

Smart Decision Making Principles, Practices and Infrastructure.

Smart Governance.Governance at All Levels:

Macro: Cross National. Patents, Policies, Intellectual Property and Trade Regulations (WTO & WHO)

Meso: Within a National State (Ministry of Health, FDA equivalent, Ministry of Finance & Economics)

Micro: Within Public and Private Health Insurance Organizations, Service Delivery Systems, Manufacturers, Distribution Companies, Retail Units/Enterprises

But what is Smart Governance?

Smart Governance at All Levels

Governing the Supply Chain

Smart Governance at All Levels

Smart Governance at All Levels

One Example to Illustrate Governing Framework: Australia

Smart Governance at All Levels

Smart Governance at All Levels

Smart Governance at All Levels

Smart Governance at All Levels

Smart Governance at All Levels

Transparency and Information

Coherent Decision Making Structures

Consistency and Stability

Stakeholder Participation

Supervision and Regulation

Assessing Nation’s

Governance

Many Players Expected in The Governance Landscape

Govern UHC Design

Top 1-3 Factors Frustrating Smart Governance

Top 1-3 Factors Facilitating Smart Governance

Govern Financing of UHC

Top 1-3 Factors Frustrating Smart Governance

Top 1-3 Factors Facilitating Smart Governance

Govern Pharma Supply Chain

Top 1-3 Factors Frustrating Smart Governance

Top 1-3 Factors Facilitating Smart Governance

The Leadership, Management & Governance (LMG) Project

Thank you!Questions/Comments