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Irene Jansen

PM yanks ball from Wall again - 0 views

  • innovation in health care - including private delivery under public funding - is something worth pursuing
  • Wall and Prince Edward Island's Robert Ghiz would co-chair a Health Care Innovation Working Group that will work collaboratively on health-care delivery, with specific emphasis on "the needs of seniors, patients with chronic diseases and Northern populations."
  • Wall said Friday that ensuring health-care spending did not outpace economic growth was one of the many new goals that should be part of a health innovation agenda.
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  • Wall also called for performing all surgeries within three months (a goal Saskatchewan is on track to achieve partly due to private medical clinics), connecting all people to a health-care team that includes a family physician, ensuring that all patients have access to a specialist and diagnoses within one week, and no waits for anyone in emergency rooms.
Irene Jansen

Wall wants health innovation cash - 0 views

  • While some provinces have denounced the new formula, Wall said Saskatchewan is "not panicking," particularly if the federal government is willing to be a financial partner in specific projects, such as efforts to address wait times or to increase the focus on digital health records. Wall also cited the progress the province has made by undertaking "Lean" management principles to reduce waste in the health system.
  • Wall also said private involvement within the public health-care system makes sense only when it's tied to specific objectives aimed at better outcomes, such as the province's use of private surgery clinics to help reduce a surgical backlog.
Irene Jansen

Wall upset by PM's stance - 0 views

  • Wall and Prince Edward Island Premier Robert Ghiz have been named co-chairs of a health care innovation working group that will report in July on possible improvements that can be made in the system. One of the areas of focus will be an examination of existing clinical guidelines.
  • "Every province in the country probably would have a very similar list of high volume procedures. Are they all needed? Are people getting procedures that are arguably not the best standard of care, clinical care, not purposefully but just as part of the system and what it's grown into be?" Wall said."The converse is true. Are there certain things the health care system is not delivering that would be a standard of care, that might be preventative, that might prolong good health?"
  • Wall said Saskatchewan also plans to move on several goals laid out by the provincial government in a news release issued last week
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  • Details and timelines will be laid out "soon," he said.
Irene Jansen

Sask. weighs in on health funding plan - Saskatchewan - CBC News - 0 views

  • Premier Brad Wall says the federal government’s new health care funding plan is frustrating.
  • "I think the process is unfortunate," he said. "I think the finance ministers were hoping for a beginning of a round of consultations and at least on the transfer piece it does not appear to be what the federal government is doing."
  • Wall said he would like a chance to negotiate a separate stream of money coming from Ottawa that is based on results. "Our province has always said it can't just be about money, it's got to be about better outcomes for patients," Wall said. "That will be our message to the federal government." Wall said there could be other opportunities to get more money based on innovation, such as reducing wait times.
Irene Jansen

Health ministers mull more home care | The Chronicle Herald - 0 views

  • TORONTO — Provinces and territories will likely have to expand home care as a way to deal with the demographic deluge of aging Canadians, two premiers said Friday during a gathering of provincial health ministers.
  • Provinces and territories will likely have to expand home care as a way to deal with the demographic deluge of aging Canadians, two premiers said Friday during a gathering of provincial health ministers.
  • An aging population was at the top of the working group’s agenda as a major concern because it’s consuming more health-care dollars, said P.E.I. Premier Robert Ghiz.
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  • There aren’t enough nursing home beds to accommodate the surge of seniors needing care, so home care may be the solution, said Saskatchewan Premier Brad Wall.
  • The working group, which Ghiz and Wall both lead, is also making progress on lowering the cost of prescription drugs, they said.
  • Several provinces and territories reached a deal in January to team up when purchasing six widely used generic drugs, which will collectively save them about $100 million a year, Wall said.
  • They’re also looking at brand-name drugs and will have more to say about it in July at the Council of the Federation meeting in Niagara-on-the-Lake
  • The provinces have agreements for seven brand-name drugs and they’re negotiating prices for 13 others, said Ontario Health Minister Deb Matthews.
    • Irene Jansen
       
      bulk purchasing agreement among the provinces covering 27 prescription drugs. There are approximately 6500 prescription drugs on the Canadian market, with about 80 new drugs coming on to the market each year. So only about 6475 drugs to go - this year. CF
  • The working group also talked about “appropriateness of care” — ways to make the health-care system more efficient and cut down on soaring costs. “The radiologists in this country have said 10 to 20 per cent of diagnostic imaging is probably not required,” Wall said.
  • There might be other suggestions from providers, in terms of cataracts
Irene Jansen

Sask. Premier seeks funding for health innovation - 0 views

  • Saskatchewan is looking to partner with Ottawa on health “innovation” projects aimed at improving patient care, Premier Brad Wall says.
  • While some provinces have denounced the new formula, Wall said Saskatchewan is “not panicking,” particularly if the federal government is willing to be a financial partner in specific projects, such as efforts to address wait times or to increase the focus on digital health records. Wall also cited the progress the province has made by undertaking “Lean” management principles to reduce waste in the health system.
  • Wall also said private involvement within the public health care system makes sense only when it’s tied to specific objectives aimed at better outcomes, such as the province’s use of private surgery clinics to help reduce a surgical backlog.
Govind Rao

Mandryk: Wall handling lean issue poorly - 0 views

  • By Murray Mandryk, The Starphoenix
  • March 28, 2014
  • Premier Brad Wall's formula for political success is simple: Deal with issues in a forthright, honest and thoughtful way. Remain good humoured and humble in the process.In fact, we saw the best of Wall in his handling of the rather harsh and bizarre criticism from Quebec Premier Pauline Marois, who essentially called him a weasel (a "ratoureaux," which is an unflattering Quebec term for troublemaker) who always tries to trip her up.Admittedly, the Parti Québécois leader is a great foe for any premier in Western Canada. Nevertheless, a lesser-skilled politician might have allowed temper and ego to dictate a poor response. Instead, Wall opted for his greatest tool - his humbleness and humour - suggesting he doesn't have enough command of the subtleties of English to trip anyone up.
Heather Farrow

When You Dial 911 and Wall Street Answers - The New York Times - 0 views

  • A Tennessee woman slipped into a coma and died after an ambulance company took so long to assemble a crew that one worker had time for a cigarette break.
  • Paramedics in New York had to covertly swipe medical supplies from a hospital to restock their depleted ambulances after emergency runs.
  • The business of driving ambulances and operating fire brigades represents just one facet of a profound shift on Wall Street and Main Street alike, a New York Times investigation has found. Since the 2008 financial crisis, private equity firms, the “corporate raiders” of an earlier era, have increasingly taken over a wide array of civic and financial services that are central to American life.
Irene Jansen

Saskatchewan premier to push health-care reform at national conference - Winnipeg Free ... - 2 views

  • Saskatchewan's premier is pushing for reforms to health care that he says include bold targets and new ways of delivering services.
  • isn't sustainable," Wall said
  • He'll speak to the group and take part in a panel discussion with economist Don Drummond and Globe and Mail journalist Andr� Picard.
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  • Wall wants to talk about reforms being made to improve care in Saskatchewan, including the delivery of publicly funded services by private surgical clinics.
  • lean management techniques
Irene Jansen

Saskatchewan sets high bar for health care - Saskatchewan - CBC News - 0 views

  • "When I go to Victoria, I won't have an alliance with any other province. My alliance will be with the people of the province of Saskatchewan. I work for them,"
  • Wall has said that's "not unreasonable"
  • Flaherty said Ottawa plans to continue increasing health-transfer payments at six per cent annually for the next six years.
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  • The premier has repeatedly used the word "innovation" in health care since December
  • we're going to be going there to talk about better health care, not just wrangle over dollars."
  • Saskatchewan will be pushing for Ottawa to pony up money for a so-called Innovation Fund.
Irene Jansen

Premiers unveil go-it-alone health-care plan - 0 views

  • Ghiz and Saskatchewan Premier Brad Wall will cochair the working group on health care innovation. It is tasked with looking at how provinces are already innovating in medicare, and attempting to clone ideas for other provinces to save money and improve patient care.
  • Wall pointed to an example in Saskatchewan, which has reduced surgical wait times by as much as 83 per cent by booking procedures in private clinics, covered by the public health-care system. He acknowledged the controversy of private clinics, but said: "Given a choice between ideology and surgery, people in pain will pick surgery."
Irene Jansen

Premiers take on health care, sans Ottawa - 0 views

  • On innovation, Wall said his group will look at issues ranging from labour costs to the way patients are treated.Pointing to the success of adding private clinics into Saskatchewan's publicly delivered surgical system, Wall signalled that innovation is likely to mean a different approach to how services are delivered."Even though we're using private clinics, nobody has spontaneously combusted, no one burst into flames; we've actually delivered more surgeries more quickly in the public system," he said. "I think given a choice between ideology and surgery, people in pain will pick surgery."
Irene Jansen

Premiers craft own health agenda, hoping Ottawa joins later - Yahoo! News - 0 views

  • 95 per cent of all federal transfer funding arrangements expire in 2014, and that includes the health transfer.
  • Equalization funding and infrastructure and training funding agreements also expire in 2014
  • Wall, who came to Victoria extolling health innovation as a best practice and money-saver, said the newly-formed Health Care Innovation Working Group will focus on the provinces and territories finding and sharing new ways to meet health challenges, including the needs of seniors, patients with chronic diseases and northern populations.
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  • He joked that he and Ghiz won't employ a good-cop-bad-cop routine
  • The working group will focus on saving dollars while providing the best and most up-to-date health services to Canadians.
  • "We're going to do our work," said Wall. "The federal government is not needed for this work. They don't deliver health care. The expertise is in the provinces and the territories."
  • Wall told reporters in Saskatchewan following the meetings he was disappointed that Ottawa hasn't backed health innovation with federal dollars.He said federal Health Minister Leona Aglukkaq expressed support for an innovation fund, but that appears to have dried up.
Irene Jansen

Health funding plan contains 'positives' - 0 views

  • Premier Brad Wall says the release of the federal government's new health-care funding plan is frustrating and the results aren't what he'd hoped for.
  • "There's a frustration with the process and a concern about post-2017, there's no question," Wall told reporters Monday. "But we asked for extension of the six per cent (past 2014). It's there - not as long, but it's there. We'd asked for a longer-term view. It's there - not the way we wanted it, but there's room for changes, especially when we're six years out."
  • "We're not talking about a cut," Wall said. "We're talking about a reduction in an increase."
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  • other types of federal financial support for health care, particularly innovative initiatives, might be possible.
  • there are opportunities for Saskatchewan to negotiate some additional funding for innovation ... That's what we'll be working toward."
  • The Saskatchewan government is preparing its own proposal around extra funding for innovation in health care, he noted, pointing out "we've seen flexibility from the federal government on other files." That's partly why he isn't joining other premiers in sounding the alarm, he said.
Govind Rao

Settlements suggest unions losing - Infomart - 0 views

  • The Leader-Post (Regina) Tue Jan 28 2014
  • Moreover, we are also seeing renewed militancy among the teachers, who initially rejected their recent contract. And the membership of the Canadian Union of Public Employees - which waged a surrogate war against the Wall government in last fall's City of Regina referendum on public-private partnerships (P3s) - recently voted 86 per cent in favour of job action, But the real way to measure union success is in contract settlements. In that sense, it sure doesn't look like the unions are winning.
  • The old law was a problem for unions and a huge benefit to the Wall government. Since the 2007 election, only seven of 67 government contract settlements have resulted in any loss of work time - largely due to the draconian implementation of the stand-alone Essential Services Act that has now been rewritten in a more moderate form.
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  • Such settlements clearly indicate that even its friends in the unions don't think the NDP will be back anytime soon, meaning that they will have to contend with the Wall government's P3/privatization agenda. Contracting out is already hammering laundry workers in SEIU-West, which also represents LPNs, janitorial, clerical and foodservices staff in hospitals.
Govind Rao

Allowing Private MRI Clinics Does Not Shorten Wait Times in Public Healthcare... - 1 views

  • 10/28/2014
  • Last week, Saskatchewan Premier Brad Wall took to Twitter to ask the question "Is it time to allow people to pay for their own private MRIs in Saskatchewan like they can do in Alberta?" This came after a radio show in which he'd received a call from a patient who's been waiting three months for an MRI -- one of many Saskatchewan patients who are, understandably, frustrated by long waits for essential imaging services. It's a real problem. For that reason we should be very wary of false solutions, and look first to evidence before rhetoric takes over.
  • The best place to look for evidence is the province Wall references as a model: Alberta. Many Saskatchewan residents have sought out care in Alberta's private MRI clinics, giving the impression that the experiment there has been a success. It turns out, when we take a closer look, that things are not so wildly rosy in the land of private MRIs after all. Perhaps the most surprising fact is that the wait list for an MRI in Alberta, rather than having been shortened by the presence of private imaging clinics, is actually the longest in the country.
Govind Rao

Coalition to Wall: Don't turn your back on Tommy's legacy | Canadian Union of Public Em... - 0 views

  • REGINA - Today, on Tommy Douglas’s birthday, concerned groups are joining together to raise awareness about the creeping privatization of health care in Saskatchewan. “Tommy Douglas was born 110 years ago today. His contributions to this province and this country are remembered as some of the great achievements in Canadian history,” said Stan Rice, president of the Saskatchewan Health Coalition. “But in Saskatchewan, his greatest legacy – public Medicare – is being attacked.” Since elected in 2007, Brad Wall has been slowly chipping away at public health care.
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    Oct 20 2014
Govind Rao

Brad Wall takes a hard, pre-election turn to the right - Infomart - 0 views

  • The Leader-Post (Regina) Tue Dec 22 2015
  • Whether the Saskatchewan government is choosing the right course with public private partnerships (P3s) or rejecting changes to the Canada Pension Plan (CPP) seems debatable ... or at least, a matter of one's political perspective. Notwithstanding (or perhaps because of ) the government's staunch defence of P3s - there were no fewer than four ministers recently touting a pricey Ernst and Young report on the $90 million taxpayers are allegedly saving on the new Saskatchewan Hospital at North Battleford - there are those who point to publicsector auditors who totally disagree with their private-sector accountant brethren on the value of such P3s.
  • Similarly, Saskatchewan Finance Minister Kevin Doherty appeared to be the lone voice at Monday's national finance ministers' meeting, where he opposed the federal Liberal campaign promise to change Canada Pension Plan contributions and benefits. "It's a payroll tax on the business community," Doherty said last week. "In very, very tight economic times like this, it might not mean the difference of laying offa staffperson or two. It might mean shutting down the entire restaurant."
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  • The thing is, though, the Saskatchewan Party government opposed such "tax increases" in boom times as well, leaving one to wonder whether this government ever sees a time when low-salaried workers or the self-employed should get additional government support for their retirements. At a time of minimal wage increases, rising unemployment and growing part-time and service sector jobs found necessary by many trying to make ends meet, it does cause one to wonder whether now might be a time to set aside one's philosophical opposition to an improved CPP. In a somewhat similar vein, Doherty said he does support the Liberals' campaign promise to double infrastructure spending, but under the caveat that the Saskatchewan government be able to spend its share on P3 highways, water treatment facilities and even bypass projects and not on transit projects as the federal government would prefer.
  • It's common sense that Doherty should advocate Saskatchewan deciding for itself how best to spend infrastructure dollars. Furthermore, he has a point that while public transit may be more important for cities like Vancouver, Toronto, Montreal or even Regina and Saskatoon, "transit's not the top of our list" in Saskatchewan. But what Doherty and the Sask. Party seem to really be defending is the old federal government system under Stephen Harper's Conservatives that rewarded/subsidized governments for simply using P3 models (see: Regina sewage treatment plant) - whether the concept made any practical sense or not.
  • Doherty denies his government is "stuck" on P3s for ideological reasons, but the lengths his government has gone to demonstrate P3s work suggests quite the opposite. In fact, Premier Brad Wall seems to be swinging the Sask. Party hard to the right, just months before the April 4 vote. Be it his government's push for liquor store privatization or his recent caution on federal Liberal plans to quickly bring thousands of Syrian refugees to Canada (after being among the first leaders last summer to call on Ottawa to do more) or his hard line oil-sector support before and during the Paris climate summit, or Doherty's pronouncements on P3s and the CPP, this is a government marking its right-wing territory. It's odd timing for any government, given that in the months before an election most governing parties go out of their way to demonstrate how inclusive they are. Making it even odder is the fact that elections across the country this year - including that national vote we had on Oct. 19 - suggest an electorate that's moving to the left.
  • Wall and the Sask. Party's defence of the Canadian Federation of Independent Business (CFIB) dictates on the CPP, Harper's view on P3s or even pandering to the right's view on Syria at a time when the pendulum seems to be swinging the other way is a curious political strategy. We'll know about four months from now whether it was the right approach - or the one that gives the NDP the opening it has needed. Mandryk is the political columnist for the Regina Leader-Post.
healthcare88

Former Valeant executives focus of probe; U.S. investigating charges of accounting frau... - 0 views

  • Toronto Star Wed Nov 2 2016
  • U.S. prosecutors are focusing on Valeant Pharmaceuticals International Inc.'s former CEO and CFO as they build a fraud case against the company that could yield charges within weeks, according to people familiar with the matter. Authorities are looking into potential accounting fraud charges related to the company's hidden ties to Philidor Rx Services, a specialty pharmacy company that Valeant secretly controlled, the people said. Federal prosecutors in Manhattan and agents at the FBI in New York have been investigating the company for at least a year.
  • No charging decisions have been made and the case remains fluid, the people said. The U.S. Justice Department could settle with the company and later take action against individuals, one person said. Valeant shares dropped more than 12 per cent to $17.84 in New York, the lowest closing pricing since June 2010. The company's most actively traded debt, $3.25 billion of 6.125-per-cent notes due in 2025, dropped 2 cents to 77 cents at 4:09 p.m. in New York according to Trace, the bond price reporting system of the Financial Industry Regulatory Authority. Prosecution of top corporate executives over accounting fraud allegations is a rare step, and the complexity of such cases can make them hard to bring. More recently, enforcement efforts shifted toward Wall Street in the wake of the financial crisis. Top officials at the U.S. Securities and Exchange Commission (SEC), where many accounting fraud investigations begin, have called for a renewed focus on corporate accounting improprieties over the past few years, but so far few cases involving companies as large as Valeant have emerged. Laval, Quebec-based Valeant, once a darling of Wall Street, has drawn scrutiny in recent years for its practice of acquiring drugs and dramatically increasing their prices.
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  • "We are in frequent contact and continue to co-operate" with U.S. authorities, Valeant said in a written statement. "We do not comment on rumours about investigations, and cannot comment on or speculate about the possible course of any ongoing investigation. Valeant takes these matters seriously and intends to uphold the highest standards of ethical conduct." A Pearson lawyer, Bruce Yannett, declined to comment. Dan K. Webb, a lawyer for Schiller, didn't immediately comment. Spokespeople for the FBI and Preet Bharara, the U.S. attorney in Manhattan, declined to comment. Jonathan Rosen, a lawyer for Philidor, didn't respond to requests for comment.
  • Prosecutors are examining the actions of J. Michael Pearson, Valeant's former CEO, and Howard Schiller, the ex-CFO who became interim CEO during a medical leave by Pearson, according to the people, who discussed the confidential proceedings on the condition of anonymity. Prosecution of individual executives could go beyond just those two, one person said, adding that Philidor executives could also be charged.
  • While the precise contours of the government's case against Valeant aren't clear, allegations of questionable company practices have emerged in the past year as lawsuits and government investigations mounted. Pearson, the former CEO, was a key architect of Valeant's growth over the years. He stepped down from his role last spring and continues to work as a consultant to the company from a Valeant office near his home, according to the people familiar with the matter. Schiller was blamed by Valeant for "improper conduct" that led the company to restate its earnings for 2014 and 2015, an assertion disputed by Schiller. He stepped down as CFO in 2015 and left the company board this year.
  • U.S. prosecutors in Boston and Philadelphia are also said to be conducting separate inquiries of Valeant. Boston's investigation, according to a person familiar with the matter, focuses on Valeant's payments to charities that then helped patients make co-payments for the soaring cost of Valeant drugs, some of the most expensive on the market. The Philadelphia case is examining Valeant's billing of government health-care programs for the company's drugs, another person said. The U.S. Attorney's Office in Boston didn't respond to a request for comment. Michele Mucellin, a spokesperson for the U.S. attorney in Philadelphia, declined to comment. Valeant said in October 2015 that federal prosecutors in New York had issued subpoenas seeking information on the company's drug distribution and pricing decisions. It later disclosed an investigation by the SEC. Judy Burns, an SEC spokesperson, declined to comment. Short-sellers first raised questions about Valeant's accounting practices and relationship with Philidor a year ago. As it turned out, Valeant had offered Philidor executives tens of millions of dollars in incentives to sell its products at a time when the relationship between the companies was still secret, according to hundreds of pages of evidence released by U.S. Senate investigators this year. Though they were nominally separate companies, Valeant was Philidor's only client, a class-action lawsuit in New Jersey alleges. Valeant ultimately acknowledged its financial control of Philidor.
  • In February, Valeant restated its results for 2014 and 2015, disclosing it recorded $58 million in revenue from Philidor earlier than it should have.
Heather Farrow

Millions Face Pension Cuts Thanks to Wall Street Recklessness - BillMoyers.com - 0 views

  • The big bank executives who gambled away working Americans' benefits are still getting lavish packages as the social safety net collapses.
  • April 29, 2016
  • By Jake Johnson
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  • In October of 2008, while the economy was in the early stages of what the IMF called “the worst recession since World War II,” The Washington Post reported that the “stock market’s prolonged tumble has wiped out about $2 trillion in Americans’ retirement savings in the past 15 months, a blow that could force workers to stay on the job longer than planned.”
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