Oireachtas Joint and Select Committees

Thursday, 22 October 2015

Public Accounts Committee

Health Service Executive Financial Statements 2014
2014 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 39: Health Service Executive
Chapter 19: Compliance with Prompt Payment Legislation in the Health Sector
Chapter 20: Management of Private Patient Income in the Health Sector
Chapter 21: Control over the Supply of High-Tech Drugs and Medicines

10:00 am

Mr. Stephen Mulvany:

I do not want to take away from our issues but by far the largest part of the change in the problem is not on the hospital side or with consultants. It is with the insurers. If the Deputy had asked this question three years ago, slightly more than 50% of the total debtor days and the associated money was in our administrative process, which we have effectively halved, or with insurers, which went down a bit but has gone up in the past year. The bigger part has gone from being approximately 50% to 65% and involves waiting for insurers to pay or to make their queries. Querying is, to some extent, absolutely reasonable but the level of querying by insurers has increased and our engagement with insurers to get an agreement on better payment terms has led to an element of delay in some payments. Our issues are our issues but we are experiencing significant difficulty with insurers who are delaying payments.

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