112 medical referrals approved, Insurance Fund at $14 million
Medical Referral Committee approved 112 people for medical referral abroad in the 1st quarter of 2018 (Oct. 2017 to Jan. 2018). 53 were sent to Taiwan and 14 went to Manila. 19 went for follow up appointments, 7 were not insured and were self-pay while 10 cancelled. 9 of those approved are pending travel arrangements.
HCF reported that medical referral costs reached the $300k quarterly threshold for the 1st quarter of 2018. [restrict]
Monthly claims processed against medical savings funds (MSA) were 6,752. Of this, Belau National Hospital claimed 2,991 or 44% and private clinics claimed 3,761 or 56% of the 6,752 processed.
According to the report, the available working capital for both NHI/MSA is $1.9 million. NHI has $6 million in investment reserve and MSA also has $6.0 million in the investment reserve. The total fund for NHI/MSA stands at $14 million this 1st quarter of 2018.
Palau National Health Insurance revised regulations took effect in October in 2017 and it is now dealing directly with hospitals providing medical services to Palau’s referral patients. Regulations called for streamlined process for managing healthcare costs outside of Palau.
It had recently signed MOUs with St. Lukes Medical Hospital and Adventist Medical in the Philippines. It has pending MOUs with Shin Kong, TAH, WanFang and E-Da hospitals in Taiwan.
National HealthCare Fund reported that as of 1st Quarter 2018, 16,972 or 96% of the total population was insured under the National Health Insurance (NHI) and 95% had Medical Savings Account (MSA). It also reported that the total beneficiaries of MSA was 8,880 persons. (L.N. Reklai/Editor)[/restrict]