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2	GOVERNMENT OF ANGUILLA NATIONAL HEALTH FUND
3	NATIONAL HEALTH FUND Director– Dr. Tony Snell MEMBERS OF THE SHADOW BOARD Chairperson - Dr. Bonnie Richardson-Lake Mr. Timothy Hodge Mr. Ian Ferguson Ms. Gecheal Richardson-Gumbs Mrs. Rhonda Connor
4	NATIONAL HEALTH FUND WHY A NATIONAL HEALTH FUND? Today's lifestyle has led to more persons suffering from chronic diseases such as: Heart disease Hypertension Diabetes Cancers
5	NATIONAL HEALTH FUND The objective of the National Health Fund is to ensure that all Anguillians and residents have access to good quality health care when clinically needed and in an equitable manner.
6	NATIONAL HEALTH FUND The NHF is based on the following principles
7	Cont’d. EQUITY introducing a prospective payment system removing financial barriers to access EFFICIENCY avoiding the fragmentation and high overheads of multiple funding sources
8	Cont’d. EFFECTIVENESS developing technical purchasing capacity in the NHF ACCOUNTABILITY including mechanisms of transparency and consumer involvement.
9	NATIONAL HEALTH FUND How will it be financed? Contributions of 2.5% from employees (maximum of $175.00) 2.5% from employers (maximum of $175.00)
10	Cont’d. Contributions of 5% from self-employed persons (maximum of $350.00) Annual GoA contributions from the Consolidated Fund Contribution to the fund is MANDATORY Contribution age ends at 65
11	NATIONAL HEALTH FUND Solidarity Principle in Action All contributions will go towards benefiting the elderly, indigents and the disabled who are not able to contribute for themselves.
12	NATIONAL HEALTH FUND Who is eligible for care under the fund? Anguillian nationals normally resident in Anguilla Expatriates on current work permits Nationals working overseas and intend to retire in Anguilla who have contributed to the fund for 3 consecutive years
13	NATIONAL HEALTH FUND COVERAGE Basic primary care - family medicine - nursing services - minor surgery - cancer screening - STIs, HIV, AIDS - Imaging services - laboratory services - family planning counselling and services - psychiatric care
14	Coverage Cont’d. Dental preventative and basic Vision – eye testing & lenses (a pair of glasses every two years) prescribed contact lenses Prescription Drugs
15	NATIONAL HEALTH FUND Coverage Cont’d Secondary/Specialist Care - inpatient services - emergency services - dialysis
16	NATIONAL HEALTH FUND Coverage Cont’d. Tertiary Care - intensive care (including ventilator support) - neurosurgery - cardiothoracic - oncology
17	NATIONAL HEALTH FUND Tertiary care: NHF will cover - room and board - diagnostic, treatment and clinical support services - drugs and medical supplies - emergency transport costs
18	NATIONAL HEALTH FUND Excluded Services - hospital services not authorised by an accredited primary provider - diagnostic, therapeutic, pharmaceuticals and medical products not prescribed by an accredited primary provider
19	Excluded Services Cont’d - Overseas referrals not authorised by a NHF specialist - In Vitro fertilization and all other fertilization treatments - Sex change treatments and operations - off-island travel
20	Excluded Services Cont’d - Plastic Surgery, maxio-facial surgical procedures and orthodontics for all ages unless deemed medically necessary and authorised by a NHF specialist and approved by the NHF Director
21	NATIONAL HEALTH FUND Procurement of Health Care Services The fund will buy health care services by contracting with The HAA Private practitioners on Anguilla Selected overseas hospitals for specialist/ tertiary care
22	NATIONAL HEALTH FUND Type of services that will be contracted The NHF will contract with private practitioners and HAA to provide primary health care Secondary health care Tertiary/Specialist care (on-island and overseas)
23	Primary Health Care - How will it Work? Family members will register with the NHF and would be issued cards Consumers will then register with an accredited primary care provider of their choice within 3 months of registering with NHF(can change PCP 3 times a year) When visiting their PCP, consumers will have to pay a fee for each visitation (e.g. $EC15.00- $25.00 co-payment for primary care and dental services, $10.00 per item for prescriptions) Board is currently considering differential co-pays for the young, the elderly and the chronically ill
24	Secondary Care - How will it Work? Consumers can access ambulatory HAA hospital care only when referred from an accredited primary care provider Emergency care Sub-specialist/tertiary care (on island or overseas) when referred by a secondary provider
25	Cont’d. On-island Hospital care is FREE: however a co-payment (proposed 5%) would have to be paid for overseas services. this co-payment will be capped.
26	NATIONAL HEALTH FUND BENEFITS Equitable health care for all Health coverage for life All family members covered Earlier diagnosis
27	Benefits Cont’d. Earlier intervention and treatment Earlier rehabilitation Small contribution to costs when accessing services
28	Administration An Act A separate Fund and Board Collection and accounting functions to be contracted to the Social Security Board Public / Interest Group Consultations
29	NATIONAL HEALTH FUND THE END THANK YOU !! QUESTIONS?????
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