Health in Bermuda

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Kim Wilson is the minister of health in Bermuda.[1]

The Bermuda Hospitals Board operates the King Edward VII Memorial Hospital, located in Paget Parish, and the Mid-Atlantic Wellness Institute, located in Devonshire Parish.[2] Boston's Lahey Medical Center has an established visiting specialists program on the island which provides Bermudians and expats with access to specialists regularly on the island.[citation needed] There were about 6,000 hospital admissions, 30,000 emergency department attendances and 6,300 outpatient procedures in 2017.[3]

Unlike the other territories that still remain under British rule, Bermuda does not have national healthcare. Employers must provide a healthcare plan and pay for up to 50% of the cost for each employee.[4] Healthcare is a mandatory requirement and is expensive, even with the help provided by employers, though no more expensive than that which an employee in the US would typically pay for healthcare when obtained through their employer[citation needed] and the coverage typically far exceeds that which one may have through their employer in the US[citation needed]. There are only a few approved healthcare providers that offer insurance to Bermudians.[4] In 2016 these were the Bermudan government's Health Insurance Department, three other approved licensed health insurance companies, and three approved health insurance schemes (provided by the Bermudan government for its employees and by two banks).[5]

Primary Care[edit]

The Bermuda Medical Specialties Group practice in Hamilton, established in 2018 is one of the largest healthcare centres on the island, with facilities to provide some services which were previously only available in the hospital.[6]

Staffing[edit]

There are no paramedics on the island. The Bermuda Hospitals Board says that they were not vital in Bermuda because of its small size.[7] Nurse practitioners on the island, of which there are not many, can be granted authority to write prescriptions “under the authority of a medical practitioner”.[8]

Fees[edit]

The Bermuda Health Council produces a fee schedule for providers of Standard Health Benefit and advises the government on health issues.[9]

Coding[edit]

Bermuda uses the ICD-9 diagnostic coding system. It plans, however, to switch to the more comprehensive ICD-10 system to align with the US (which switched in 2015), since Bermudan residents most commonly obtain overseas healthcare there.[10] Bermuda does not have Stark laws, nor do they have self-referral guidelines or anti-kickback laws. The lack of regulation in healthcare, specifically with billing and reimbursement, makes healthcare in Bermuda quite lucrative for physicians and owners of medical/healthcare practices.

References[edit]

  1. ^ "Heavenly Blessings appeals closure order". Royal Gazette. 8 November 2018. Retrieved 15 November 2018.
  2. ^ "Contact Us". Bermuda Hospitals Board. Retrieved 4 December 2012.
  3. ^ "Hospital reveals harm figures". Royal Gazette. 10 July 2018. Retrieved 15 November 2018.
  4. ^ a b Keith Archibald Forbes. "Bermuda Healthcare costs". bermuda-online.org/healthcare. Retrieved 2 September 2018.
  5. ^ "Licensed and Approved Health Insurers" (PDF). Archived from the original (PDF) on 4 August 2016. Retrieved 2 January 2017.
  6. ^ "'Mini hospital' set to open in Hamilton". Royal Gazette. 31 January 2018. Retrieved 15 November 2018.
  7. ^ "Call for paramedics to save lives on island". Royal Gazette. 22 October 2018. Retrieved 15 November 2018.
  8. ^ "Nurse can write prescriptions". Royal Gazette. 25 September 2018. Retrieved 15 November 2018.
  9. ^ "Atherden stands her ground on medical scans". Royal Gazette. 19 October 2018. Retrieved 15 November 2018.
  10. ^ "There on the horizon – ICD-10CMs" (PDF). Newsletter. Vol. 7 no. 1. Bermuda Health Council. April 2016. Archived from the original (PDF) on 2 January 2017. Retrieved 2 January 2017.