Abstract
Background
Nearly half of the Irish population is covered by private health insurance. In recent years, premium inflation has been significantly ahead of overall inflation and has been accelerating. This has contributing to a drop in the numbers insured since the peak in 2008. The fall in the numbers with private health insurance also has implications for the public health system.
Findings
Factors behind this premium inflation include rising charges for beds in public hospitals, increasing volume of treatments and increasing quality of service and cover.
Conclusion
While some progress has been made by insurers on reducing fees paid to consultants and private hospitals, unless the quantity or quality of care are addressed then premium inflation is unlikely to abate.
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Notes
A 2010 report on this issue recommended moving from a per diem to a case-based reimbursement mechanism, but also noted that a new method of calculating the per diem charges would add between 15 and 38 % to the charges for private beds in public hospitals [13].
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Turner, B. Premium inflation in the Irish private health insurance market: drivers and consequences. Ir J Med Sci 182, 545–550 (2013). https://doi.org/10.1007/s11845-013-0929-7
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DOI: https://doi.org/10.1007/s11845-013-0929-7