VHI

Report
Irish Medical Device Association
John O’Dwyer, Chief Executive
9th April 2014
About Vhi Healthcare
Ireland’s leading health insurer with 1.17 million customers and almost
8,000 corporate schemes
On-going focus on product Innovation & added value for customers
– Comprehensive range of plans ,offering tailored benefits including excellent back up
services supported by online systems
– New Innovative services - Vhi SwiftCare Clinics in 2005 , Vhi Homecare in 2010 , Vhi
Screening Centres in 2010
– Employer-focused services such as EAP and Occupational Health.
2
Funding Our Customers’ Healthcare Needs
€1.3 billion paid out annually on our
customers healthcare needs
•
Industry Pays out €1.9 billion on claims
costs.
-
Vhi Healthcare pays out c. €1.35 billion
i.e. 70% of all claims in the market
c. €220m on cancer and
related care
•
Partnership Approach – PHI spends c.
€180 million on medical implantable
devices
c. €160m on orthopaedic care
incl. hip replacements etc.
•
Cover provided for new innovative drugs,
techniques and therapies which are
clinically effective and which are aimed at
improving healthcare outcomes for
patients.
•
During 2013 these included:
c. €110m on Heart and
Circulatory System
-
Subcutaneous delivery of
chemotherapy
-
Vhi Healthcare was the first insurer to
offer cover for Cyberknife in 2013
3
Healthcare Reform and Innovation
Cost containment initiatives:
• Total savings of €300 million since 2009
• Additional savings of €100 million a year for the next
three years will be delivered through:
- further rate reductions; utilisation management;
clinical audits; clinical reviews; claims management –
Special Claims Investigation Unit , public hospital
reimbursement system
Key Enablers
People
• Implement Pat McLoughlin recommendations
Reform & innovation:
• New procurement models and pricing for providers
and medical personnel
• Driving innovative models of care – day care; side
room procedures – 80% of procedures now in a daycare setting.
Analytics
E-Commerce
• Length of stay reductions
4
Key Healthcare Affordability Challenge is Ageing
5
The Relative Affordability of PMI
Ireland
UK
Netherlands Australia
USA
Average
Premium
€1,300
€1,434
€1,680
€1,172
€4,363
Average
Salary
€35,127
€38,322
€44,412
€37,855
€37,871
3.7%
3.7%
3.8%
3.1%
11.5%
Insurance as
% of average
salary
Source
Insurance
Ireland; CSO
Laing &
Buisson /
Pay Scales
inc.
Dutchnews.
nl; Statistics
Netherlands
Australian
Dept of
Health;
Bureau of
Statistics
KFF
Employer
Health
Benefits
2013; Dept
of Labour
6
Thank you

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