The socialized system of healthcare delivery and financing, a relic of the British colonial era, still practiced in Sierra Leone has glaringly failed and any efforts at resuscitating it without implementation of major structural and systemic reform will only serve to prolong the inevitable.
Throughout the world, total state control and management of industries, services, markets and the means of production are gradually becoming a relic of the past. This model as practiced in the Sierra Leone healthcare system has empirically been proven to have served only to stifle innovation, growth, productivity and quality output with a resultant decline in overall living and healthcare standards of the citizenry. The current state of the hospitals and health centers glaringly highlights the systemic problems endemic in the entire government owned, managed, financed and operated health care system.
The continued operation of such a decadent and dilapidated delivery and financing system, lacking in even the basics of a modern healthcare infrastructure continues relegating Sierra Leone to the very bottom of the human development index.
The transformation thus of the medical healthcare delivery and financing system into a private insurance or a national insurance based system offers opportunities not only for insurers to develop market-based medical insurance plans and policies but also serves to effectuate the Ministry of Health & Sanitation’s desired policy goals, as espoused in the 2002 National Health Policy Paper.
Both policy and regulatory officials, healthcare providers, the insurance industry and other stakeholders must be engaged to effectuate implementation of fundamental systemic reforms if the country is to avert an even greater catastrophe.
Privatization:
Under the proposed privatization plan, the Ministry of Health & Sanitation will be transformed from ownership and management of hospitals, clinics, and employer of last resort for all physicians, nurses and ancillary healthcare providers into a health agency with only policy and regulatory functions.
The goal will be for the health agency to serve as a policy and regulatory watch dog mandated with ensuring that adequate and quality medical care is provided at the various private hospitals, clinics and pharmacies that will inevitably be established with the break-up of the current government owned facilities.
With the break-up and subsequent purchase or leases of these hospitals, clinics, health centers and other facilities, investors and entrepreneurs in an effort to realize maximum returns on investments, will economically be compelled to upgrade quality and standard of care, introduce state of the art equipment and technologies and engender a type of market forces competition which will inure only to the betterment of health consumers in the country.
A much needed infusion of capital into the health care industry by such a privatization plan will clearly spur additional economic activities in ancillary industries, as the dynamic forces of privatization and market mechanism forces of demand and supply will ensure competition for the healthcare pie.
Divestiture of Government Ownership:
The dismantling of the current mammoth and highly inefficient government owned healthcare delivery and financing entity must from a public policy perspective be designed and restructured to ensure governmental ownership and management divestiture from hospitals and other health care facilities.
Under such a scenario the government’s current enormous but woefully mismanaged capital outlay for health services will be substantially decreased as inefficiencies of corruption, salaries of providers, infrastructure maintenance, costs of medications and diagnostic equipments and other overhead operating costs will no longer be recurrent expenditures from the nation’s depleting coffers.
A system based entirely on a private market-based national health insurance plan with private enterprise and market competition at its core appears the most logical reform policy route to ensure a future sound, efficient and profitable health care infrastructure.
Health Insurance Plans:
The cog which the proposed new system must revolve around is a nationwide network of affordable health insurance plans creatively designed to ensure a greater pool participation of a majority of the population. In such a system health insurance companies and provider organizations will be established to market various health plans, with minimum services and premiums based on market conditions. The responsibility for monitoring compliance by the various plans would fall under the ambit of both the Ministry of Health and Sanitation and the Sierra Leone Insurance Commission.
Multi-Payer System:
A major plank in this proposed health care delivery and financing privatization hinges on the enactment of health insurance legislation providing for employers to provide health care for their employees and dependants as part of a standard benefits package with concomitant tax incentives and governmental subsidies to ensure compliance. With such legislation the virtual free socialized medical care system, the costs of which have been borne exclusively by the government will now be based on a multi-payer system in which government, employees and employers will all participate.
With the system as currently structured however, only the government has a financial interest and stake and when other programs conflict with the financing of health care, politicians have only been too willing to sacrifice the health of their citizens on he alter of their greed and personal aggrandizement.
It is envisaged that health insurance providers will introduce concepts and plans, such as Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO), through alliances of health providers and insurance companies and marketed to employers, labor unions, governmental ministries and corporations on an annual premium basis.
The competition engendered by such health organizations for the medical insurance pie will subsequently result in competitive rates, coverage, deductibles, co-payments and premiums to make health care costs affordable for all.
The Unemployed:
As unemployment and underemployment are perennial problems in the Sierra Leonean economy, the provision of health care benefits to this category of the population must remain the responsibility of government. Medical services provided to this category of citizens in a private enterprise environment must be reimbursed by the government on a negotiated and pre-determined fee schedule or an insurance mechanism established in which government negotiates with providers and carriers for the provision of services.
As an example a fund established by levying taxes on the private health care providers, envisaged to emerge with such privatization, could be instituted and utilized to pay for these indigent services.
Further, since the hospitals, medical clinics and other medical facilities will be operated as businesses, either for profit or as non-profit organizations, the market forces of demand and supply will certainly ensure that patient quality care, improvements in diagnostic technologies, competent personnel and a general responsiveness to the demands of the clients will drive the new marketplace. The lethargic and inefficient atmosphere witnessed at most government hospitals today with customer service virtually non existent would be a philosophy of the past.
The economic viability of healthcare businesses will depend largely on the clientele they can attract and maintain utilizing the above yardstick. Providers of lousy health care plans and services will inevitably loose business to competitors as every year participants will have an opportunity to change health insurance plans.
Since a large population of Sierra Leone resides in rural areas, the proposed privatization plan will ensure the expansion of health care facilities into areas currently inadequately serviced. This plan will ensure that clinics and doctors put up shop in every part of the country in order to tap into the healthcare services available in these rural areas.
Challenges to Insurance Companies:
Designing an insurance system and plan to cater to the needs of the rural population who often are self employed in farming and mining activities posses a challenge to insurers in Sierra Leone, who in the past have been largely passive and unimaginative in policy design to meet the challenges and risks confronting the nation’s socio-economic landscape.
Proactive and creative underwriting of risks must be undertaking by underwriters, actuaries and marketing specialists to design, tailor and price health insurance coverage to meet the diverse needs of the insuring public. For example, the creation of pools by occupational categories could be one method by which insured’s, engaged in similar trades could be encouraged to form co-operatives for purposes of obtaining health insurance coverage at affordable rates for themselves and dependants. Premium payments through the pooling together of the co-operatives commodities can be an alternative payment method for the medical services. Health insurance companies could possibly establish subsidiary or ancillary companies solely for the handling of payments made by cash crops.
The current system under which nearly all doctors and related health care providers are employed by the government while at the same time owning private practices would be changed with a concomitant government savings on salaries, productivity and other fringe benefits. As privatization takes over in the hospitals, physicians, nurses and other providers will no longer be on the government’s payroll but will rather be independent contractors with their own practices.
Conclusion:
Whilst a micro version of the proposed reform has mushroomed in an ad hoc manner over the years with some large companies and corporations contracting with individual physicians and clinics for the provision of health care to their employees and dependants, the kind of systemic and structural overhaul needed to forestall a total collapse of the system and extend similar services to all could only be realized by a comprehensive approach along lines of reforms proposed in this policy paper.
By: Kortor Kamara
Posts Tagged ‘Health Care Reform’
Health Care Reform: an Opportunity for Insurance Industry Participation in Sierra Leone’s Medical Care System
November 8th, 2009Health Insurance in Florida is Out of Control
October 1st, 2009Health Insurance premiums are out of control! The trend of higher costs and lower benefits is on the rise. Florida Health Insurance web suggests using an insurance professional to find the best available rates for your individual, small business, or self employed health insurance.
Voted the number one insurance portal by Florida consumers, Florida Health Insurance Web, reports nearly three million Floridians without health insurance in Florida. Thats nearly a quarter of the states population. That in mind medical bankruptcy is up – the leading cause of bankruptcy today.
Every Floridian without health insurance coverage is just one illness away from financial ruin. Florida Health Insurance Web, www.FloridaHealthInsuranceWeb.com, advises consulting an online source such as its service, before choosing any health insurance policy.
In the past, applying for health insurance had been an eye opening experience for many.
The difficulty obtaining affordable health insurance rates in the sunshine state has always been hard, but now it has reached epic proportions. Florida residents may experience any number of insurance-related problems, including claim denials, sky-high premiums, cancellations, or refusals to grant or renew their policies. Florida’s Governor Crist vows to fix the problem and bring affordable insurance to all Florida’s residents. Democrats are pushing a health-care-reform legislation during the current legislative session. They are sponsoring a bill that would ask voters in 2008 to insert a guarantee in the constitution that all children in Florida would have access to health insurance by July, 2010.
At a recent insurance conference in Orlando, one Florida health insurance agent, Margaret
Margolas explained the process, “Before issuing a health insurance policy in Florida, insurance companies offering individual health insurance policies evaluate certain information about you to determine how likely you are to have a claim.” This is called “underwriting.”
She spoke to hundreds of business owners about health care for the uninsured and individual company’s role in delivering that health care. Margolas said, “Individuals looking for health insurance usually cannot find policies to cover past health problems.” How does someone with a pre-existing condition get coverage? Hiring a health insurance professional “consultant” may help. These consultants usually work at no cost to consumers; their fees are paid by the health care provider.
For any health policy, a company might consider age, occupation, current health status and medical history. They can also look at lifestyle, and habits to see what type of health risks a person may have. If individual risk factors indicate that a claim is likely, the company may charge more for the policy or even worse, refuse coverage.
Before applying for an individual health insurance policy, lorida Health Insurance Web advises talking to a qualified health insurance consultant for advice on which policy to choose.
Most individual health insurance companies in Florida have certain clauses regarding risk factors and pre-existing conditions. Limits on risk and “pre-existing conditions” are a standard part of most health plans. These limits ensure that benefits are paid only for conditions that occur naturally and only after your health coverage becomes effective. Paying only for approved services and covered conditions helps control healthcare costs and prevent possible insurance abuse.
The legal aspect of all this is “failure to disclose pre-existing conditions could jeopardize future claims” or invalidate the policy. Individual health insurance companies may completely exclude coverage for pre-existing conditions by attaching an “exclusion rider” to the policy.
If an applicant lists their pre-existing conditions on the application and the company issues coverage without attaching an exclusion rider, the company must begin covering the pre-existing conditions when the policy’s pre-existing waiting period expires. Pre-existing condition waiting periods can be a maximum of two years on individual policies. Exclusion riders can be in-force indefinitely.
In Florida, and in other states like Texas, if a person moves from a group, government, or church health plan to an individual health insurance policy, they will not be subject to a new pre-existing condition waiting periods if they had 18 months of prior coverage, with no more than 63 days lapse in coverage.
What else can someone do to get individual health plans? Corporations are able to purchase health insurance that cover pre-existing conditions for their employees so many CPA’s recommend using S-corporations status instead of individual. Simply create an S-Corp online from a state like Nevada or Delaware, ($350) and then apply for insurance under the corporation.
Buying insurance without an S-Corp means more limitations to your policy; chances are the end result will be some sort of “Cash for Services” Plan, a PPO, or HMO plan. These plans are the most typical.
Margolas says, “One word of advice when it comes to applying for an individual health insurance policy: applicants should be forthcoming and honestly answer all questions about medical conditions. Withholding information about an illness or medication is bad, the health insurance company may deny subsequent claims.”
Ask questions, especially if the wording of the policy is difficult. Be sure about specifics of the health insurance coverage. Don’t be afraid to ask for clarification about policy details. For more help, have a Florida health insurance consultant give you an explanation. Try to get answers in writing.
If a person loses health insurance coverage from their job, they may opt to continue coverage with insurance called COBRA. COBRA stands for (Consolidated Omnibus Budget Reconciliation Act). COBRA is a law that makes it mandatory for an employer to provide the option of retaining membership in their health insurance plan. However applicants will have to pay the entire monthly premium part which was paid by the company earlier. Most people are surprised at the high cost of the COBRA premium; which may run up to 500$ a month.
If none of the above ways to reduce insurance costs work,
then the only way is to go for standard individual health insurance policy. As mentioned earlier they are usually costly, but online websites can help Floridian’s weed through the mounds of policies and select the best price and coverage available.
About Florida Health Insurance Web Florida Health Insurance Web is an online source of health insurance agents and insurance carriers covering individuals in the state of Florida. Individuals can get insurance quotes, search rates online by city, read current insurance news and events.
Health Insurance In Florida Needs Change.
By: Morgan Q. Moran
