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Health Insurance in Ireland – Drivers and Influencers

Health Insurance in Ireland – Drivers and Influencers. D.O. O’Connor Deputy MD Laya Healthcare. MASS EXODUS FROM PMI MARKET. 47,000 in 2013. 45% OF POPULATION INSURED. ONLY 1/3 INSURED BY 2015. The private health insurance market is critically ill.

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Health Insurance in Ireland – Drivers and Influencers

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  1. Health Insurance in Ireland – Drivers and Influencers D.O. O’Connor Deputy MD Laya Healthcare

  2. MASS EXODUSFROM PMI MARKET 47,000 in 2013 45% OF POPULATION INSURED ONLY 1/3 INSURED BY 2015 The private health insurance market is critically ill Continued acceleration of dropout and downgrading will create HUGE problems for the Government’s proposed reform agenda. Market in a cost spiral, the more people drop out the more the cost goes up and the more the cost goes up the more drop out of the market

  3. The Road to Universal Health Insurance Clearer picture is needed of UHI model. Meaningful consultation to effect positive change. Industry-led solution critical to underpin future of Irish healthcare system. Stakeholder collaboration is key to driving reform agenda. We need a fully regulated and sustainable market before UHI can be achieved. Laying the foundations THE ROAD TO UNIVERSAL HEALTH INSURANCE SUSTAINABLE MARKET

  4. eCLAIMING FULLY REGULATED MARKET- VHI/DOH RELATIONSHIP LIFETIME COMMUNITY RATING DATA TRANSPARENCY FAIR RISK EQUALISATION MONEY FOLLOWS THE PATIENT THE ROAD TO UNIVERSAL HEALTH INSURANCE The Road to Universal Health Insurance

  5. What can we do ? Lobbying Health Insurance Council Independent review of the market by Pat McLoughlin Challenging providers on all practices Utilisation reviews across all providers of care Constant feedback from members on all aspects of care What are we doing? What can you do? • Corner stone of the community rated market • Great degree of influence • 25,000 jobs

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