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

3. MASS EXODUS FROM PMI MARKET 45% OF POPULATION INSURED
The private health insurance market is critically ill
MASS EXODUS FROM PMI MARKET
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
47,000 in 2013
45% OF POPULATION INSURED
ONLY 1/3 INSURED BY 2015

4. THE ROAD TO UNIVERSAL HEALTH INSURANCE
Laying the foundations
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.
SUSTAINABLE MARKET

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

6. What can we do ? What are we doing? 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 can you do?
Corner stone of the community rated market
Great degree of influence
25,000 jobs