SLIDE 1
Agenda
- Overview of CLHIA
- Group Plans
- Challenges
- Opportunities
Presentation to Canadian Assistive Devices Association March 11, - - PowerPoint PPT Presentation
Presentation to Canadian Assistive Devices Association March 11, - - PowerPoint PPT Presentation
Presentation to Canadian Assistive Devices Association March 11, 2015 Agenda Overview of CLHIA Group Plans Challenges Opportunities Overview of CLHIA The CLHIA is a voluntary association representing 99 percent of
SLIDE 2
SLIDE 3
Overview of CLHIA
- The CLHIA is a voluntary association
representing 99 percent of Canada's life and health insurance business
- Approx 24 m Canadians covered through
Extended Health Care (EHC) private plans
SLIDE 4
4
Key stakeholder in healthcare system
- Private health insurance accounts for roughly 13% of total health care spending (16% if we include
income replacement costs).
- .
2013 Total Direct Health Care Spending ($177.5 B) 2013 Total Direct Health Care Spending ($177.5 B)
Government
(excl. Capex, Public Health, Admin, etc)
($148.6 B) Government
(excl. Capex, Public Health, Admin, etc)
($148.6 B)
Hosp
($60.7 B)
Hosp
($60.7 B)
Physician s ($31.8 B) Physician s ($31.8 B)
Drugs $12.1B Drugs $12.1B
Other
($44.0 B)
Other
($44.0 B)
Private Supplementary Health ($20.0 B) Private Supplementary Health ($20.0 B)
Hospita l Accom
($1.6 B)
Hospita l Accom
($1.6 B)
Vision Care
($1.3 B)
Vision Care
($1.3 B)
Travel Ins
($692 M)
Travel Ins
($692 M) Paramed & Other Healthcar e goods and services ($1.7 B) Paramed & Other Healthcar e goods and services ($1.7 B)
Dental Care
($7.0 B)
Dental Care
($7.0 B)
Drugs
($9.7 B)
Drugs
($9.7 B)
Income Replace't ($6.9 B) Income Replace't ($6.9 B)
STD
($1.2 B)
STD
($1.2 B)
LTD
($5.7 B)
LTD
($5.7 B)
Employers balance all of their benefits to attract and retain employees, as well as to ensure a healthy and productive workforce
Source: CIHI, CLHIA
SLIDE 5
Group Benefit Plan considerations
- Offering benefits is voluntary for employers
- Private plans are supplemental to public plans
- Rising employee benefit costs are creating
concerns regarding the sustainability of plans
- Fraud and abuse contributes to cost concerns
- Employers seeking more aggressive cost
management
- Medically necessary services or supplies
SLIDE 6
Assistive Devices: Challenges
- New products/technology
- Determining usual and customary
SLIDE 7
Assistive Devices: Opportunities
- Creating awareness of ongoing
developments
- Working together
SLIDE 8