#Providenciales, April 29, 2019 – Turks and Caicos – The nation’s social healthcare plan is projecting a surplus for the fiscal year 2019-2020 and that surprising excess was explained as due to an expected increase in income and little change when it comes to staffing costs.
Chief Financial Officer of the Board, Riyad Rahamad, with a team
from the National Health Insurance Board was reporting to the Appropriations
Committee of the House of Assembly this past week.
“Revenue has been increasing over the last couple of years and
this year we took a three percent increase to bring us up a little bit more. We
try to keep the subvention as low as possible, keeping it consistent with what
was budgeted for in 2018-19. This is the subvention from the TCIG, but
again that is also depends on what the Ministry of Health and Ministry of
Finance will also put on their budgets so we are also guided by that… overall
we are still projecting an increase to about $70.4 million.”
It is projected that the NHIP will chart an overall increase of
three percent or $412,000 for the new financial year. In the last budget cycle, income was $68.5
million.
There is a slight rise in the cost for staff. Cost
of staffing this fiscal year is just over $2 million.
“There were a lot of vacancies that existed at NHIB and we have
started the process and we expect that most of these will be filled in this
financial year, if not all.”
This however is only a projection and could easily be negatively
affected by emergency medical care or unexpected demands likely linked to the
Treatment Abroad Program, TAP.
“We sort of looked at trends over the last couple of years; the
dollar value as well as the number of cases that we see of people going abroad
under the different specialties. Using those things we came up with the
figures in terms of what we are looking at, trying to keep it as realistic as
possible. With
medical expenses, you can never be accurate because you always have emergency
cases and situations that we have to death, life threatening situations but we
tried our best to keep our medical expenses as low as possible but as realistic
as possible.”
Mr. Rahamad informed Committee member, Hon Royal Robinson that the
addition of U.S. medical centers as a part of the approved list for TAP remains
unconcluded.
“We have a list of approved provided, but from my knowledge, I am
not sure that the United States has been put onto that approved list. However,
we have been seeing more cases and more requests being made to go to the United
States and I know that our operations department is looking at it.”
Build institutional capacity, strengthen outreach programs and IT
systems, improve compliance of participants in the Plan and a three-year
strategic plan are steering the efforts of the NHIB, said the CFO. A
completion of over $500,000 in capital projects is also anticipated to be
completed this fiscal year.
Income at the NHIB is projected to be $70.3 million this financial year.
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