Professional Documents
Culture Documents
Overview
Context: Bermuda’s health situation
Standard Premium Rate status
BHB funding change
Health financing reform
Bermuda Health Strategy update
3
THE CONTEXT
Bermuda’s health situation
4
Bermuda:
3rd most
expensive,
13th life
expectancy
6
SOURCE: BHeC
12
STANDARD PREMIUM
RATE 2019
13
“Status Quo”
Scenario: An $84
actuarial premium
increase
unacceptable to
the public and
employers.
SPR of
$355.31 vs $439.32
Dialysis
funding
No premium increase
Healthcare $ are protected for healthcare
Mutual
MRF Reinsurance Fund
(MRF) Premium
$101.97 ($331.97)
22
HEALTH FINANCING
REFORM
25
Grant
INSURERS
Claims Reimb.
Financial
LCCA
Assistance HIP
Premiums BNTB BF&M
Veterans FutureCare
Fund
HSBC Colonial
Fixed budget
Premium
Transfer
Claims
Claims
Mutual Reinsurance
Reinsurance Fund Kidney
Claims & Out of pocket payments PROVIDERS
Patient Care KEMH Local
Subsidies
Overseas Providers
NOTES:
Hospitals 1. Insurers light = SHB
MWI dark = supplemental
benefits.
2. Excludes Public
Health Services and
Version 5– Jan2019 Residential Care Homes
30
Q4 Implement in
phases with
Q3 Develop a Working Groups
roadmap with
Q2 Finalize consultation
Government’s
Q1 Consider policy direction
Stakeholder
Consultation
Group Report and
updating modelling
Update Health Strategy for 2020 – 2025 to create unifying vision for health
35
THANK YOU
Current Health Insurance Financing System
Repayments
Government Taxes RESIDENTS
Employers
Consolidated Fund Funding Premium
Standard Premium Rate
Individuals
MOH
Funding
Grant
Grant
INSURERS
Claims Reimb.
Financial
LCCA
Assistance HIP
Premiums BNTB BF&M
Veterans FutureCare
Fund
HSBC Colonial
Fixed budget
Premium
Transfer
Claims
Claims
Mutual Reinsurance
Reinsurance Fund Kidney
Claims & Out of pocket payments PROVIDERS
Patient Care KEMH Local
Subsidies
Overseas Providers
NOTES:
Hospitals 1. Insurers light = SHB
MWI dark = supplemental
benefits.
2. Excludes Public
Health Services and
Version 5– Jan2019 Residential Care Homes
Government Taxes
Employers
Consolidated Fund Premium
Funding New Standard Premium
Individuals
INSURERS
Argus
Grants
Claims
Transfer
Reinsurance
RISK
EQUALIZER PROVIDERS
Local
KEMH Providers
Overseas NOTES:
MWI Hospitals
1. Insurers Blue= SHB
Green= supplemental
benefits.
2. Excludes Public
Health Services37and
Version 2.1 8 May 14 Residential Care Homes
Government Taxes / Health levies
Employers
Consolidated Fund Funding New Standard Premium Rate Premium
Individuals
Administration
for premium INSURERS
exemptions Argus
Grants
Supplemental Benefits
Including premiums for
indigent, DOH, Veterans,
BF&M
Prisons
Colonial
GEHI
supplemental
Supplemental
Claims
Claims
SHB
Reinsurance
PROVIDERS
Local
KEMH Providers
Overseas NOTES:
MWI Hospitals
1. Insurers Blue= SHB
Green= supplemental
benefits.
2. Excludes Public
Health Services38and
Version 2.1 8 May 14 Residential Care Homes
39
40