Health costs Cutting costs, increasing quality

The first Healthcare Thought Leaders Forum took place at the beginning of this year, to try and delve further into ways of cutting costs and increasing the quality of health care for the Cayman Islands.

Having worked with Cayman Islands National Insurance Co. for the past five years, the organiser of the Healthcare Thought Leaders Forum, Ken Di Bella, says he cares about the health care of the Islands. Di Bella is the CEO and President of health care management firm CBCA Administrators/Simplifi and he and his colleagues Dr. Edward Cabrera, chief medical officer of KePRO and Kelly Burn, executive health care consultant brought an interesting perspective to a group of Cayman’s top health care professionals with regard to how Cayman might improve its healthcare services while at the same time cut costs and increase revenue to the island.

Success in keeping healthcare costs down while simultaneously increasing the quality of health care can be found by using the right combination of health assessments, biometric screenings, personal health coaches and multi-modal communications.

Annual screenings would, according to Cabrera, identify health issues at a much earlier stage of progress and detect conditions that have not manifested any symptoms, such as stroke, hypertension and coronary disease, asthma and sleep apnea, type two diabetes and osteoarthritis.

Cabrera identified ways in which individuals could be properly engaged in their health, including employing a multi modal approach, i.e. reaching out to them by any means of communication that works for them – email, text, telephone, social media, as well as the face-to-face clinical support.

Integrating wellness programmes with healthcare coaching into other healthcare programmes could increase quality and reduce costs because primary healthcare professionals would be able to better manage patients when they have data on their illness treatment plans and wellness initiative results and real time access would help to increase accuracy of the diagnosis, according to Cabrera.

He went on to say that everyone in Cayman could benefit from such a scheme – Cayhealth, CINICO, the Diabetes Charitable Trust, all common healthcare plans, moving the country toward a national healthcare programme for all.

“There needs to be the will by both government and employers to take such a plan modelling seriously,” he added.

Burn then turned to the possibility of Cayman ditching its system of renting provider networks from companies abroad and becoming the co-owner of an exclusive network provider.