Oireachtas Joint and Select Committees

Wednesday, 25 January 2017

Select Committee on the Future of Healthcare

Health Service Reform: Dr. Brian Turner

9:00 am

Dr. Brian Turner:

Deputy O'Reilly asked a question about the incentivisation to treat private patients and the elimination of the subsidy. She mentioned €355 million. That is the latest figure from the Revenue Commissioners for 2014, which is down from about €450 million in 2013. The difference is largely accounted for by the rule of the bed designation. I have sent an e-mail to the Revenue Commissioners. There is possibly a small bit of the €355 million that is accounted for by historical adjustments to the interim measures prior to the risk equalisation scheme, but it will be close enough to the €350 million. If that incentive was eliminated, it would certainly be available to the public system. Having said that, if we removed the private patients from the public system, then we would have the additional cost of treating public patients in the beds that would be freed up by the private patients. Therefore, it would probably more than offset that figure, but there is certainly an offsetting figure there. I think that covers the questions asked.

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