#GrandTurk, Turks and Caicos Islands – September 25, 2019 — In a matter of just four years, the National Health Insurance Plan is expected to bust its own budget to the tune of $43.1 million dollars according to Premier and Finance Minister, Sharlene Robinson.
The National Health Insurance Board this month made a final presentation
to Cabinet on its latest Actuarial Review and during House of Assembly meeting
on Monday, Premier Robinson laid the review including its recommendations on
the table.
“Coming out of this actuarial review are various recommendations
for the national health insurance program to implement in order to address the
estimated accumulated deficit of $43.1 million over financial year 2018 to 2022.”
The National Health Insurance Plan has grown over 40 percent
since it started in 2010; from under 24,000 to now over 35,000 beneficiaries
which accounts for 84 percent of the taxable population according to the Finance
Minister. The need for medical care paid for by the social health care plan has
also grown significantly.
“To this end Mr. Speaker, an actuarial review of the period
April 1, 2014 to March 31, 2017 was conducted.
I will provide a status update of the responses to the recommendations
from the review. As mentioned already
Mr. Speaker, a new actuarial review for the period post April 1. 2017 to March
31, 2019 has been commissioned and of course this will advise the minister and
the board on the sustainable health care financing strategies to be pursued in
the short, medium and long term.”
The NHIP actuarial of 2018 is a forensic review; aiming to expose
whether or not the plan is adequately supported by the salary-deducted and
employer-matched contributions; in other words, it gauges whether the plan is
financially able to do what it promises it will do.
The revelation on Monday by the Premier confirms that the National
Health Insurance Plan is falling short by an average $10 million, plus each
year but she said the next Actuarial Review is when the Minister and the Board
will determine the way forward.
“The evaluation is to take into account, health are financing
strategies under consideration by the Board as well as any need to increase the
stipulated reserve as outlined in Section 28 of the NHI ordinance,” the Premier
explained that the new review will likely commence in the third quarter of 2019
and added, “The 2019-2020 budget catered for sums to address these recommendations
such as the development of a funding policy and a risk management policy which
are detailed among the recommendations listed below.”
Among the recommendations are enhanced staff efficiency
measures, a human resources study, creation of a three-year strategic plan, renegotiated
fees for more competitive treatment abroad services prices and a Claims
Verification Officer has been hired.