About Interim HealthCare
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Interim Healthcare CEO Jennifer Sheets: CMS, OIG Should Want Longer Hospice Stays When Interim HealthCare and Caring Brands International CEO Jennifer Sheets speaks about hospice length of stay, it “strikes a nerve.” A disconnect exists between the ways providers perceive hospice lengths of stay and the views of regulators.
Generally, providers point out theshowing that stays of six months or longer correlate with improved patient outcomes, as well as a recent showing an annual $3.5 billion in cost savings. But government agencies and their contractors tend to see longer stays as potential indicators of fraud or abuse, including the U.S.
Centers for Medicare & Medicaid Services (CMS) and the U.S. Department of Health and Human Services Office of the Inspector General (OIG). “That is a big miss on the part of CMS and the government,” Sheets told Hospice News. “We should want to see an increase in lengths of stay on the benefit.” Interim Healthcare is a subsidiary of Caring Brands International (CBI).
- The franchise company offers a continuum of care in the home, including home health, senior care, hospice, palliative care, pediatric care and health care staffing services.
- The company’s footprint includes more than 330 locations in the United States and internationally.
- The private equity firm Wellspring Capital Management CBI in 2021 for an undisclosed amount.
Hospice News spoke with Sheets about the issues around lengths of stay, the 2024 proposed hospice rule and how to define a “good” hospice. Interim Healthcare Jennifer Sheets, CEO, Interim HealthCare and Caring Brands International I’m sure that you saw the hospice proposed rule for 2024. What were your big takeaways? With any proposed rule, we have to make sure that we’re looking at the whole picture, not a couple of states where there may be some concerning trends popping up.
- We really have to advocate against any reduction in annual payment now or going forward.
- But we also have to think about really pushing for expanding that length of stay, which is something else that’s on the table.
- Because in reality, if you look at the current stats and the data, it very much shows that even with long lengths of stay patients have better outcomes with reduced costs to the overall health care system.
I agree completely with the idea of standardized compliance and quality measures. My hope is that CMS will work with providers to see what “good” should look like. We’re doing a lot of work, and and the are as well, on helping define exactly what those should be.
I think the idea of expanding telehealth for certification is going to be wonderful. But I also think we need to stop expanding it a year at a time. It’s really hard to plan when you have no idea what the future is going to look like beyond a short period of time. I think that should just become permanent.
It’s already used in almost every other care setting. Can you say a little more about the work that Interim is doing to define “good care”? When you think about the quality of care, there are a few things that we should be looking at. Obviously, it’s around symptom management; it’s around comfort; it’s around support.
- That’s always been a big part of the philosophy and the measurement of hospice — but it goes beyond that.
- It goes to measuring the length of stay.
- So many people do not receive hospice nearly long enough.
- So how can we start measuring it in a way that’s similar to what we do on home health with timely initiation of care? Transitioning patients to hospice at the right time makes all the difference in the world, and we have to figure out how we do that.
I think we also have to think about some kind of an, So if there is a deficiency noted, just like in every other setting, there’s an ability to speak with the regulator to say, “Hey, here’s something you missed. This is why this patient needed hospice services.” Hospice really hasn’t had any major changes to some of the regulations or quality standards since the 80s.
- So we’re long overdue.
- I think we have to think about, again, how we look at lengths of stay, transitioning patients on time, allowing them to get the full benefit and ensuring that hospices are providing that support for families, for example.
- That’s a big differentiator for that benefit that the family has — that extra 13 months of service, and not all hospices are doing that.
So we need to make sure they’re actually providing that service. I think we need to monitor hospices’ ability to fluctuate between routine home care and a more inpatient level of service so that we are managing those symptoms, and of course, readmissions, trips to the ER, all of those kinds of things.
That’s a lot of the work that we’re doing, focused on what “good” looks like. It’s more about the experience and the care that’s provided, whether the care needs to be personalized, needs to be innovative or needs to be delivering better outcomes. We need to be able to show that we’re doing those things and then be able to educate the referral sources of future patients and seniors on what that means.
It’s interesting that length of stay comes up when you talk about how we define good care, considering that those long stays are considered red flags for regulators. How do you bridge that kind of disconnect between quality as it’s defined by the provider in terms of patient outcomes versus it’s perceived by these other stakeholders? Here’s the reality: The value of hospice is really undisputed, or it for darn sure should be.
Hospice improves the quality of care and quality of life for patients, especially as you think about people that are entering that last phase of life. All the research out there shows that hospice admissions in the last six months of life not only kind of correlate with increases in patient satisfaction, better symptom control, fewer hospital days, fewer deaths in the hospital, all of those great things.
That’s why I want to focus on the outcomes rather than on that six-month magic number because you say this is when the benefit stops If you look at the last year of life just for Medicare, the total cost of Medicare beneficiaries was somewhere around $3.5 billion less if they used hospice compared to those that did not.
- If they stayed on a year or longer, it’s still more than a 3% reduction in cost.
- That should be a positive thing, The hospice benefit, in my opinion, is one of the rare phenomena in our health care delivery system.
- Because you get a benefit that is bundled, that supports the patient and family, which no other benefit really does.
There’s a lot of support for families in the hospice benefit. But it also produces significant savings by avoiding unwanted and burdensome treatments during the last phase of a person’s life. So when you think about things like the length of stay, and the penalties around that, for me, that’s a really big sticking point.
- Even if a patient is on service for longer than 190 days, the spending is still lower.
- They have a better quality of life.
- They’re surrounded by their families.
- The other metric we really need to focus on is the opposite side of that.
- When you look at the need for eligible patients to enroll earlier in hospice, it’s huge.
More than a quarter of the folks that are enrolled receive care for only one week. It’s not near long enough to take advantage of all that hospice offers. Regarding the proposed 2.8% rate increase for next year, Is there an extra layer of complexity for a company like Interim that uses that franchise model, in light of the geographic adjustments? In general, when you think about the right adjustments for large companies, even the increase is nowhere near what’s needed.
- When you think about things like the fact that on average folks in our sector are seeing about an 8% increase in the cost of labor, to keep their current labor and to recruit.
- That’s huge.
- Recruiting costs are through the roof, as are things like mileage rates.
- Especially in hospice, mileage rates that are going from 55 cents to 63 cents, for example, that’s millions of dollars for large organizations.
It can be crippling. We appreciate rate increases. But until they start really taking into account the cost of care, it’s still disproportionate. We’re talking about hospice here, but when you think about the home health side of the world, they’re looking at the largest cut in the history of the benefit right now.
And so when you think about companies that provide both home health and hospice services, which is often the case, you’re getting punched in the face on one side and a little bit of an increase on the other. How is the relationship shaping up between Interim, CBI and Wellspring since the acquisition? How’s that integration going? The thing I most appreciate about Wellspring as our current PE partner is that they have experience in the health care space.
There’s a lot of private equity coming into our space because it is expanding in such a way, so it’s beneficial when your PE partner comes with experience in regulated environments and complex environments. Every business has complexities, but a business like ours — where it’s not about a widget or it’s not about how good your food is, for example — it’s truly about impacting a person’s life.
How long has interim HealthCare been around?
Interim HealthCare®, founded in 1966, is the leading home care, hospice and medical staffing company.
Who is the CEO of Interim HealthCare of the Upstate?
Charles McDonough, MHA – Chief Executive Officer – Interim HealthCare of the Upstate | LinkedIn.
Who is the CEO of Best Home Health Providers Inc?
Leo Reyes, President and CEO of Best Home Health Providers can be described as a generous leader who believed in giving equal opportunities and sharing his best practices making a more collaborative working environment. He has been hailed for his communication skills and for encouraging a culture of open communication where anyone can share what they think is best for the company.
Lastly, his compassion is noteworthy. His being compassionate about the clients is commendable, putting all aside or going that extra mile to care for the patients. These are the qualities that have assisted him in taking the care agency to greater heights. For the past 22 years, the family-owned In-Home care agency has taken pride in knowing that they have helped many Bay Area families.
“We have helped them meet the challenges that come with finding the right care. We work closely with all the families we serve, making sure we meet all their expectations. From the nurses that provide direct care, to the office support staff; our goal is to always provide exceptional service,” says Leo Reyes.
- Best Home Health Providers clinicians are the backbone of this company.
- Without them, this company can’t stand-out among its competitors.
- Being a Licensed Physical Therapist, I know their struggles and hardships in dealing with different patients.
- As a President, I need to listen to their opinions and suggestions to making our company a better place to work with,” adds Leo.
“Our wound care nurses are trained and experienced in wound management by using evidence-based treatment protocols to help patients achieve the best possible treatment outcomes.” Leo and his team of care providers put at ease both patients and family members during the transition back home, and at the same time, guide them through the entire recovery process.
First, the assurance that they will be taken care of. That they can trust us and that we will never break their trust and confidence in us,” elucidates Leo. “Second, we help them understand why such activity is needed for their recovery. They need to understand our objectives and agree to meet our goals.
It can be difficult sometimes but when they know why they are doing this and that then everything comes easy.” Best Home Health Providers offer unique services. Their physical therapy helps in improving range of motion, mobility, endurance, gait, balance, strength, posture, safety awareness, fall prevention, pain issues, and transfers due to physical impairments from injury, trauma, or illness typically of musculoskeletal, cardiovascular, respiratory, neurological and endocrinological origins.
- On the flip side, the occupational therapist works to improve activities of daily living, including bathing, dressing, grooming, and transferability.
- It also helps provide adaptive equipment training, low-vision strategies, utilizes functional cognition strategies, decreases anxiety, and improves independence in the home.
“I would normally go back to assessing the needs of our clients/patients. Their needs need to be addressed first before anything else. We need to delight them or exceed their expectations,” explains Leo. “And such brilliant care is provided when employees are encouraged and nurtured.
People who are happy with their work, contented with what they receive, and lives a balanced life will always come to office or care for our clients in the best way that they can.” As a company that puts client’s care first, Best Home Health Providers are the first to initiate a protocol within the Northern region to accept COVID-positive patients.
It was challenging, but with the guidelines, they continue to provide excellent care for their patients. “Us the owners itself are the one who started seeing those patients because we do believe that our responsibility for having our own healthcare business is to help and since there’s a lot who are scared on seeing or being exposed to Covid cases when it started,” says the steadfast leader.
- We have been willing to risk ourselves for those in need.
- We provided training and communication techniques to service complex cases such as Tracheostomy care, Ventilators, etc.
- To better serve our clients.” Best Home Health Providers’ 5-star rating from the Center for Medicare and Medicaid Services (CMS) is one of their most significant achievement, and it proves that they provide quality service to their clients/patients.
Without their genuine care and unparalleled service to clients, they wouldn’t be one of the country’s most trusted home health care providers. Best Home Health Providers has been operating in Hayward, CA, for over ten years. Still, when a Physical Therapist and a Nurse took over the management 2.5 years ago, the company began to grow more to a more supportive environment and with more expertise in day-to-day operations and clinical knowledge.
With their excellent interpersonal skills, they built good connections with the outstanding staff and clinicians in the industry that have helped them grow the business even more through servicing challenging locations and accepting complex cases. The company takes pride in their people as one of the best with the clinician retention to assists patients within their coverage counties and more.
Best Home Health Providers have expanded across sixteen counties, opened up other offices, and now also offers hospice services. The years of experience in the industry give them strong facility contacts for home health, respite, placement and reflects our ability to partner with their community providers in high levels of professional conduct.
These long-term partnerships were built on levels of communication, timely response, and fulfilling our commitments. “Best Home Health Provider is a company that cares for its clients/patients first. We value camaraderie within the company and we strive to do more through introducing innovations that can improve our service to our clients.
We listen, we care, and we deliver best and quality service,” says Leo. “Best Home Health Provider is a company that cares for its clients/patients first. We value camaraderie within the company and we strive to do more through introducing innovations that can improve our service to our clients.” President and CEO of Best Home Health Providers
What was before Bupa?
Our beginnings – Bupa was created on 3 April 1947 with the founding purpose – ‘to prevent, relieve and cure sickness and ill-health of every kind’ – enshrined in our original constitution, combining a caring ethos with freedom of choice. Originally called the British United Provident Association, Bupa was never a provident association itself.
A number of large and small provident associations and hospital contributory schemes came together to create Bupa, a private company limited by guarantee without shareholders. Today, Bupa is an international healthcare company headquartered in the UK, serving over 38 million customers across the world.
The historical roots of our businesses across the world are also deep. In Australia, the firm that was to join Bupa in 2002 was originally founded in the 1930s to help people cover the cost of their hospital treatment. Sanitas, our business in Spain was founded in 1956 and joined Bupa in 1989.
Who is Tennova interim CEO?
About Alex Villa – Villa has departed the hospital to pursue new professional challenges with a broader scope of responsibility. Villa will be assigned CEO project work at different CHS-affiliated hospitals while he focuses on advancing his healthcare leadership journey.
He and his family plan to remain in Clarksville and remain actively engaged in the community. Since Villa joined in 2016, the hospital has grown regional sites of care including the Sango freestanding emergency department, increased local access to services and established a joint venture relationship with Vanderbilt University Medical Center (VUMC).
A certificate of need has been secured to build a satellite hospital in the near future. Strong collaboration with the medical staff and effective physician recruitment have allowed enhancement of surgical services with robotics and expanded the breadth of orthopedics and urology, strengthened delivery of ICU care and established onsite OBGYN care with VUMC.
Who is the interim CEO of SnapNurse?
ATLANTA, January 20, 2023 (GLOBE NEWSWIRE) – SnapMedTech, Inc. d/b/a SnapNurse, Inc. (“SnapNurse” or “the Company”), today announced that it has named Jeff Grant as its Chief Executive Officer, effective February 2, 2023. Grant succeeds Jeff Richards, co-founder and Interim CEO, who will continue with the Company as its Chief Operating Officer and a member of its Board of Directors.
Grant is a technology executive with an extraordinary track record of success. He specializes in catalyzing growth of tech-enabled marketplaces, having previously served as COO at Thumbtack, and CEO of DriversEd and insuranceQuotes, digital solutions providers that all experienced substantial growth under Grant’s leadership.
Grant also served in key leadership roles at LeapFrog and Orbitz. He received his M.B.A. from the Kellogg School of Management at Northwestern University, and he received his undergraduate degree in Business Administration from the University of Michigan.
“We are very excited to welcome Jeff Grant to SnapNurse. His deep experience in building and growing two-sided tech-enabled marketplaces makes Jeff an ideal leader to build on SnapNurse’s record of growth,” said Francis Najafi, Chairman of the Board. “We are positioned to be a continued disruptor of the staffing industry and a meaningful force in improving healthcare delivery.
Jeff Grant’s track record of prudent leadership, being strategic, and effective execution will be invaluable in realizing this vision of becoming a transformative enterprise in the healthcare sector.” The ease of onboarding and placing qualified healthcare clinicians with minimal effort is made possible by the proprietary technology at the core of the SnapNurse’s success.
The platform powers scale and quality for both facilities and medical professionals. “Jeff Grant’s experience in the technology sector, combined with the care he shows for people and culture, are qualities that matter to our team and the clinicians and clients we serve,” said Jeff Richards, co-founder and Interim CEO.
“I am excited for Jeff to join our leadership team and look forward to ensuring a smooth transition and continuing to support the Company as its Chief Operating Officer.” Jeff Grant, incoming CEO, said: “I am thrilled to be given the opportunity to lead SnapNurse at such an exciting inflection point for the Company.
- This is truly a transformational time for the Company, and I look forward to embarking on this journey.
- I want to thank the Board and Jeff Richards for giving me this opportunity and supporting my transition.” About SnapNurse Founded in 2017, SnapNurse is a tech-enabled platform committed to sustainably solving healthcare staffing gaps by matching quality nurses and medical professionals with employment opportunities nationwide.
The Company was named Inc.5000’s 2022 fastest-growing healthcare company, and so far it has deployed over 20,000 clinicians to 1,000+ healthcare facilities across the country. SnapNurse’s underlying technology, Instastaff, enables sourcing, applicant tracking, workforce management, timecard approvals, booking, and credentialing, and its proprietary Paymint system allows for daily payments to clinicians on assignment at the end of every shift.
Who is cesar herrera CEO yuvo health a healthcare administrator in new york city?
yuvo Cesar Herrera Chief Executive Officer and Co-Founder With a career in healthcare spanning nearly 20 years, Cesar Herrera is CEO and co-founder at Yuvo Health, which provides administrative and managed-care contracting services to Federally Qualified Health Centers (FQHC).
An experienced business leader with a proven track record for leading the convergence between the healthcare, consumer, and technology industries, his background spans business development, marketing, management consulting, client services, operations leadership, and finance. Before Yuvo Health, Cesar was Chief Solutions Officer at Healthify, which provides access to networks of social-service organizations, where he was responsible for the strategy, deployment, and long-term efficacy of its social-service networks, with partnerships that ranged from local community-based organizations to at-scale, national services providers.
Earlier in his career, he was Head of Existing Business for Zocdoc, a platform that allows patients to find and book in-person or telemedicine appointments for medical care. Cesar holds numerous academic degrees, including an MBA from NYU Stern School of Business, an MPH from Johns Hopkins Bloomberg School of Public Health, and a BA from University of Michigan.
Who are the owners of Healthecare?
Luye Medical, a division of the Luye Group chaired by billionaire Liu Dian Bo, on Monday took control of Healthe Care after the Foreign Investment Review Board finally signed off on the $938 million acquisition. Healthe Care is the nation’s third-biggest for-profit private hospital operator.
Who owns best care?
Andre Best – President and CEO – Best Care LLC | LinkedIn.
Who has the worst healthcare system in the world?
Mali – Health in Mali, one of the world’s poorest nations, is greatly affected by poverty, malnutrition, and inadequate hygiene and sanitation, Mali’s health and development indicators rank among the worst in the world. In 2000 only 62–65 percent of the population was estimated to have access to safe drinking water and only 69 percent to sanitation services of some kind; only 8 percent was estimated to have access to modern sanitation facilities.
- Only 20 percent of the nation’s villages and livestock watering holes had modern water facilities.
- Mali is dependent on international development organizations and foreign missionary groups for much of its health care.
- In 2001 general government expenditures on health constituted 6.8 percent of total general government expenditures and 4.3 percent of gross domestic product (GDP), totaling only about US$4 per capita at an average exchange rate.
Medical facilities in Mali are very limited, especially outside of Bamako, and medicines are in short supply. There were only 5 physicians per 100,000 inhabitants in the 1990s and 24 hospital beds per 100,000 in 1998. In 1999 only 36 percent of Malians were estimated to have access to health services within a five-kilometer radius.
Which country has best healthcare system in world?
South Korea – South Korea tops the list of best healthcare systems in the world. It’s been praised for being modern and efficient, with quality, well-equipped medical facilities and highly trained medical professionals. Generally, treatment in South Korea is affordable and readily available.
The number of beds per 1000 people is 10, which is well above the OECD countries’ average of 5. South Korea provides universal healthcare but much healthcare is privately funded. Not all treatment is covered by South Korea’s universal healthcare scheme. Some procedures, such as those related to chronic illnesses such as cancer, won’t be covered and can be more expensive.
This is where expats should ensure they’re covered with comprehensive private healthcare insurance.
What is the oldest health related international agency?
MeSH terms – Cite Format: AMA APA MLA NLM : The world’s first international health organization. The Pan American Sanitray Bureau-WHO Regional Office for the Americas – PubMed
How was health care insurance provided in Switzerland in 1994 before the reform?
How does universal health coverage work? – Historically, health insurance in Switzerland had been provided by many small private insurers. After several attempts to introduce a system of universal coverage, the federal government adopted the Health Insurance Law in 1994, based on a private insurance model. The law’s objectives were to:
strengthen equality by introducing universal coverage and subsidies for low-income households expand the benefit basket and ensure high standards of health services contain the growing costs of the health system.1
Since going into effect in 1996, health insurance coverage is close to 100 percent. Citizens are legally required to purchase insurance, and the cantons ensure compliance. Insurance policies typically apply to individuals, and separate coverage must be purchased for dependents.
- New residents must purchase a policy within three months of arriving in Switzerland, and coverage applies retroactively to the arrival date.
- Temporary nonresident visitors pay for care themselves and claim expenses from any insurance coverage they hold in their home countries.
- The absence of mandatory health insurance for undocumented immigrants remains an unsolved problem.
Role of government: Duties and responsibilities in the Swiss health care system are divided among the federal, cantonal, and municipal governments. Each of the 26 cantons has its own constitution and is responsible for licensing providers, coordinating hospital services, promoting health through disease prevention, and subsidizing institutions and individual premiums.
The federal government regulates system financing, ensures the quality and safety of pharmaceuticals and medical devices, oversees public health initiatives, and promotes research and training. The municipalities are responsible mainly for organizing and providing long-term care (nursing home care and home care services) and other social support services for vulnerable groups.
Since health care is largely decentralized, the key entities for health system governance exist mainly at the cantonal level. Each canton has its own elected minister of public health; a coordinating political body, the Swiss Conference of Cantonal Health Ministers, plays an important role.
The Federal Office of Public Health, which is the main national player, supervises the legal application of mandatory health insurance, authorizes statutory insurance premiums, governs statutory coverage (including health technology assessment), and determines the prices of pharmaceuticals. The agency is also responsible for national health strategies, including health promotion, disease prevention, and health equity. The Swiss Federal Department of Home Affairs formally defines the mandatory health insurance benefit basket by evaluating whether services are appropriate and cost-effective. It is supported in this task by the Federal Office of Public Health and by Swissmedic, the agency that authorizes and supervises therapeutic products. The nonprofit corporation SwissDRG AG is responsible for defining, developing, and adapting the national system of relative cost weights per case used for determining provider payment for inpatient services. Health Promotion Switzerland, a nonprofit organization, is legally charged with health promotion programs and provides public information on health. The Association of Swiss Patients and a national ombudsman for health insurance engage in patient advocacy.
Role of public health insurance: In 2016, total health expenditures represented 12.2 percent of Switzerland’s GDP, or CHF 80.7 billion (USD 66.7).2,3 Publicly financed health care accounts for 62.8 percent of health spending, or 7.7 percent of GDP. The public health insurance system has three streams of funding:
Mandatory health insurance premiums accounted for 35.6 percent of total health spending in 2016. General taxes financed 17.3 percent of total health expenditures in 2016, with cantonal taxes accounting for 15.0 percent, municipal taxes for 1.8 percent, and federal taxes for 0.4 percent. Contributions to other social insurance schemes, including military, old-age, and disability insurance, made up 10.0 percent of spending in 2016.
Mandatory health insurance is offered by competing nonprofit insurers on cantonal exchanges. It is not sponsored by employers. The insurers are supervised by the Federal Office of Public Health. The 56 insurers on the exchanges provide policies for three distinct age groups — children through age 18, young adults 19 to 25, and adults 26 and above — each at six different deductible levels.
In addition to the standard coverage model (basic coverage with free choice of doctor), there are various alternatives that restrict provider choice: health maintenance organizations (HMOs); family doctor models, which require an initial consultation with the family physician (gatekeeper) in the event of illness; and call-center models, under which patients call a consultation hotline prior to seeing a doctor.
In 2016, 65.7 percent of those insured chose an alternative insurance plan.4 Some health plans also offer accident coverage. In 2018, the average annual premium across Switzerland was CHF 5,584 (USD 4,615). However, there can be significant variation in premiums among insurers and insurance plans.
- In 2018, the average annual cantonal premium ranged from CHF 4,248 (USD 3,511) to CHF 7,102 (USD 5,869) for adults with a standard insurance model, accident coverage, and the minimum deductible of CHF 300 (USD 248).5 Individuals pay premiums through the insurer of their choosing.
- Then funds are redistributed among insurers by a central fund, in accordance with a risk-equalization scheme that is adjusted for canton, age, gender, and major expenditures in the previous year, such as hospital or nursing home stays and pharmaceutical costs.
Role of private health insurance: Voluntary health insurance accounted for 6.7 percent of total expenditures in 2016. No data are available on the number of people covered by these plans. Residents use voluntary health coverage to pay for services not covered by mandatory health insurance and to ensure free choice of hospitals or doctors and preferred hospital accommodation.
Voluntary health insurance is regulated by the Swiss Financial Market Supervisory Authority. Insurers can vary benefit baskets and premiums and can refuse applicants based on medical history. Service prices are usually negotiated directly between insurers and providers. Unlike statutory insurers, voluntary insurers are for-profit; an insurer will often have a nonprofit branch offering mandatory health insurance and a for-profit branch offering voluntary insurance.
It is illegal for voluntary insurers to base voluntary insurance subscription decisions on health information obtained via basic health coverage, but this rule is not easily enforced. Employers do not offer voluntary insurance. Services covered: Mandatory health insurance covers the following:
hospital inpatient services most general practitioner (GP) and specialist services an extensive list of pharmaceuticals and medical devices home care services (called Spitex) physiotherapy (if prescribed) some preventive measures, including selected vaccinations, selected general health examinations, and screenings for high-risk patients maternity care, including prenatal checkups, birth, postpartum care, and breastfeeding advice outpatient care for mental illness, if provided or delegated by physicians medically necessary long-term care hospice care if there is an underlying disease.
Durable medical equipment, such as wheelchairs, is not covered, and hearing aids are financed only if not covered by old-age and disability insurance. Dental care is largely excluded for adults, as are glasses and contact lenses for adults (unless medically necessary); however, these services and supplies are covered for children up to age 18.
Cost-sharing and out-of-pocket spending: Under mandatory health insurance, insurers are required to offer a minimum annual deductible of CHF 300 (USD 248) for adults and a zero deductible for children through the age of 18. Insured persons may opt for a higher deductible of up to CHF 2,500 (USD 2,066) for adults and CHF 600 (USD 496) for children, with a lower premium.
In 2016, about 54 percent of all insured persons opted for an insurance model with the minimum deductible of CHF 300/0 (USD 248/0), and about 46 percent chose a model with a higher deductible and a lower premium.6 In addition to deductibles, insured persons pay 10 percent coinsurance for all services (except for maternity care and some preventive services), with a cap of CHF 700 (USD 579) per year for adults and CHF 350 (USD 289) for children through age 18.
- For brand-name drugs that have a generic alternative, 20 percent coinsurance is charged instead of 10 percent.
- For hospital stays, there is an additional CHF 15 (USD 12) copayment per inpatient day.
- Cost-sharing in Switzerland’s mandatory health insurance program accounted for 5.3 percent of total health expenditures in 2016.7 Safety nets: Maternity care and some preventive services (mammograms and colorectal cancer screenings) are fully covered and are therefore exempt from deductibles, coinsurance, and copayments.
Children or young adults in school (through age 25) are exempt from copayments for inpatient care. The federal government and the cantons provide income-based subsidies to some individuals or households to cover mandatory health insurance premiums; income thresholds vary widely by canton.8 Overall, 27.3 percent of residents in 2016 benefited from individual premium subsidies.9 Municipalities or cantons cover mandatory health insurance expenses for social assistance beneficiaries and recipients of supplementary old-age and disability benefits.
When was the first healthcare system in the Abu Dhabi Emirate developed?
The UAE has a comprehensive, government-funded health service and a rapidly developing private health sector that delivers a high standard of health care to the population. Healthcare is regulated at both the Federal and Emirate level. Public healthcare services are administered by different regulatory authorities in the United Arab Emirates including the Ministry of Health and Prevention, Health Authority-Abu Dhabi (HAAD), the Dubai Health Authority (DHA) and the Emirates Health Authority (EHA).
Most infectious diseases like malaria, measles and poliomyelitis that were once prevalent in the UAE have been eradicated. New vaccination campaigns are taking place to protect against chicken pox, pertusis and the rotavirus. In addition, access to clean water in urban and rural areas is assured for 100 per cent of the population, and close to 100 per cent use modern sanitation facilities.
Pre-natal and post-natal care is on par with the world’s most developed countries: the new-born (neonate) mortality rate has been reduced to 5.54 per 1000 and infant mortality to 7 per 1000. Maternal mortality rates have dropped to 0.01 for every 100,000.
- Due to the success of this high standard of care across all stages of the health care system, life expectancy in the UAE is 76.8 years, reaching levels similar to those in Europe and North America.
- To date, health care in the UAE has been funded mainly by the Government.
- The UAE in its modernization and path of reform is now evolving this funding to focus on increasingly important public-private partnerships.
The UAE’s public policy for health care focuses on developing organizational and legal frameworks based on best practice, and to overhaul and upgrade the private and public sector health service capabilities. In addition, public policy action will set priorities for health services development within the sector.
Health Care Transformation in Abu Dhabi Health care delivery in Abu Dhabi is undergoing a significant transition that will affect the entire spectrum of stakeholders: patients (citizens and expatriates), providers and those responsible for planning, assuring the quality of services and financing the health system.
The key objectives for the Health Authority in Abu Dhabi are to:
Improve quality of care, always the primary consideration, to be promoted through application of rigorous service standards and performance targets across the board. Expand access to services, giving all patients access to the same standard of care with the power to choose health care services thus promoting excellence through free-market competition. Shift from public to private providers safely and efficiently so that private providers, rather than government, service health care needs, with the role of government restricted to the development and enforcement of new, world-class health care standards. Implement a new financing model through an innovative system of mandatory health insurance.
Insurance for all workers, including domestic, is required and funded by sponsors. The compulsory health insurance plan for private sector employees, as implemented in Abu Dhabi, came into effect across the country in 2008. Hallmarks of the new system included a clear and transparent reimbursement process, affordable access for all residents and reliable funding for quality health care in Abu Dhabi.
- A charitable fund continues to operate for underinsured expatriates and to aid in financing more serious medical conditions such as cancer, dialysis, polytrauma and disability.
- Health Care Transformation in Dubai In neighboring emirate Dubai, healthcare is experiencing rapid innovation through modernization of patient service delivery and infrastructure projects.
The Dubai Health Authority serves a dual role as regulator and operator of the Emirate of Dubai’s healthcare sector. Priorities for the health care sector in Dubai include retaining and attracting high caliber medical and healthcare staff, strengthening initiatives around postgraduate healthcare education and continued investment in primary and specialized health services.
- There are also two healthcare free zones in Dubai, Dubai Healthcare City and Dubai Biotechnology and Research Park, which have their own regulatory bodies.
- Dubai Healthcare City (DHCC) was launched in 2002 by HH Sheikh Mohammed Bin Rashid to meet the demand for high-quality healthcare, today DHCC has two hospitals, over 120 outpatient medical centers and diagnostic laboratories with over 4,000 licensed professionals.
Dubai Biotechnology and Research Park, launched as part of Dubai’s 2010 vision to establish a knowledge-based economy, is the world’s first free-zone dedicated to life sciences. Partnerships The UAE is working with leading global institutions to further develop its health care system.
The Cleveland Clinic Abu Dhabi is in operation as a world-class specialty hospital and clinic. The Johns Hopkins Medical School manages health care systems in Abu Dhabi, including the 469-bed Tawam Hospital. The Susan G. Komen Breast Cancer Foundation has a partnership with the UAE government for breast cancer education. The Children’s National Medical Center and the Health Authority of Abu Dhabi partnership has been credited for helping improve infant mortality rates in the UAE, developing a successful internship program with Emirati doctors and establishing the UAE as a destination for regional, pediatric care.
Guide to healthcare and medical treatment in Abu Dhabi Dubai Healthcare City US-UAE Business Council Healthcare Report
When did BC health Care start?
British Columbia Hospital Insurance Service – The British Columbia Hospital Insurance Service plan was created by provincial legislation in 1948. It provided hospital care through mandatory payroll deductions and directly collected premiums. Unfortunately, lack of proper planning for the collection of premiums through payroll deduction and for direct payment from the enrolled, as well as inaccurate record-keeping, led to great confusion over who had paid for coverage and who had not.
For example, the number of British Columbians who were seasonally employed in the fishing, lumber, mining or agricultural industries and held different jobs or were unemployed during the off-season made it difficult to collect monthly premiums and determine who was covered. For other provincial governments, the plan’s problems served as a lesson, especially in planning the financing and administration of hospital insurance, as well as in demonstrating the public’s critical response to badly administered premium collection and enrolment policies.
Once the administrative and financial difficulties were resolved, the universal access to hospital care, as well as improved facilities, made the plan very popular in the province. The process of overcoming the problems encountered in instituting, administering and financing hospital coverage in British Columbia was a historic step on the road to medicare. This hospital insurance card shows that the holder paid a premium of $15 for himself and his family for the year 1949, one year after British Columbia introduced its hospital insurance plan. Royal British Columbia Museum, 965.5346.1L “. finally, rising costs left us no alternative but to take over the hospitals completely,” Len Norris’s nightmarish vision of government bureaucrats running British Columbia hospitals was published in 1954. Nine days later, a higher sales tax covered the cost of social services. Copy provided with the permission of Simon Fraser University Library, Special Collections