1. CARIBBEAN SSO’s MEETINGS (I—X) ON NATIONAL HEALTH FINANCING INITIATIVES: PROGRESS AND WHAT NEXT Stanley Lalta Presented at 10th Meeting Turks and Caicos Islands October 28—30, 2015

2. 1. Main Objectives  Share knowledge, increase understanding and enhance expertise to design and implement health financing initiatives.  Test ideas-proposals for strategies and action plans to respond to current and projected challenges.  Explore scope for sharing of expertise and closer collaboration

3. 2. Participation ItemsTC ’06 AR ’07 TT ’08 SM ’09 BZ ’10 BM ‘11 CU ‘12 JM ‘13 TO ‘14 TC ‘15 a) Countries (SSO’s/MOH) 1618191613161718 22 b) Organs. (non- SSO/MOH) 33109222710271411 c) Participants (most of the time) 486065708010680918690 d) Ministers as participants 2100022102

4. 3. Plans, Papers, Panels ItemsTC ’06 AR ‘07 TT ’08 SM ’09 BZ ’10 BM ‘11 CU ‘12 JM ‘13 TO ‘14 TC ‘15 a) Country data- plans 79107998878 b) Country data-- proposals 5645243441 c) Feature papers 6417810595717 d) Panels4796475776

5. 4. Main Themes (a) ThemesTC ’06 AR ’07 TT ’08 SM’ 09 BZ ‘10 BM ‘11 CU ‘12 JM ‘13 TO ‘14 TC ‘15 1. International health financing issues *** 2. National health financing plans *** 3. IS/IT*** 4. Governance*** 5. Overseas care*** 6. Evaluating performance *** 7. Relations with providers inc. payments ***

6. 4. Main Themes (b) ThemesTC ’06 AR ’07 TT ’08 SM ’09 BZ ‘10 BM ‘11 CU ‘12 JM ‘13 TO ‘14 TC ‘15 8. Politics of change management *** 9. Health reforms-UHC*** 11. CSME and health implications *** 12. Cost of Aging 13. Care for migrants, non-nationals, rural residents *** 14. Private insurers and providers *** 15. Costing of services*** 16. Benefit packages 17. Fraud and Abuse 18. Nat’l health planning 19. Efficiency actions

7. 4. Main Themes (c) Themes TC ’06 AR ’07 TT ’08 SM ’09 BZ ‘10 BM ‘11 CU ‘12 JM ‘13 TO ‘14 TC ‘15 20. Stakeholder analysis 21. Health promotion- NCD’S *** 22. Evaluating prescription drug plans 23. Performance-based payments 24. Re-insurance 25. Regional health insurance 26. Fiscal space 27. Value-based care 28. Results-based financing 29. Cost of epidemics 30. Future health

8. 5. Documents and Expertise (a) ItemsAvailable 1. Documents to be sharedBelize, Cayman Is, Jamaica, Bahamas; Turks and Caicos; Bermuda; Aruba. Also documents available on websites of health financing organisations. 2. Expertise:-- a) Cost and economic analysisHealth Economics Unit, UWI b) Actuarial analysisDerek Osborne; Hernando Montas; c) Research and evaluationHealth Economics Unit, UWI; d) Overseas careCarole Appleyard; Rudolfo Croes; Kevin Bowe; Lex de Jong e Health promotion-wellnessLeslie Walwyn; Jennifer Attride-Stirling; Javier Asin; f) IT systems choice and establishment Rae Barrett; Granville Gayle;

9. 5. Documents and Expertise (b) ItemsAvailable g) Performance based payRamon Figueroa i) Benefit packagesCollin Anderson; Lex de Jong j) Political analysisGeorge Gough; k) Designing prescription drug plans Rae Barrett; Cecil White; Anne Logan; Tami Francis m) Managing establishment of NHIRamon Figueroa; Rudolfo Croes n) Policy designIrad Potter; Anton Cumberbatch; Jennifer Attride-Stirling o) Value-based health careJavier Asin. Ashley Duits

10. 6. Issues for Next Meeting(s) Efficiency in Pooling and Spending Health Funds Best practices in cost containment by health financing institutions Financing options given fiscal space constraints IT applications for health promotion Public-private collaboration best practices Health information systems

11. HOST OF 2016 MEETING HEALTH CARE INSURANCE OFFICE(ZVK) BONAIRE www.zorgverzekeringskantoor.nl