Blog Archives

More medical card cuts on the way-budget 2013


More medical card cuts on the way

Health Minister James Reilly has said only 5% of elderly patients will have their full medical cards taken off them under eligibility changes announced with the 2013 Budget.

However, further as yet unspecified cuts to medical card entitlements for other age groups are also due to take place next year and are to be revealed in the HSE‘s forthcoming 2013 service plan.

The Department of Health old irishhealth.com are to be changes to the medical card means test next year, but so far no precise details of this have emerged. The Government had been under pressure from the Troika to tighten up on medical card eligibility.

Minister, Reilly, having promised on coming to office last year that he would abolish the 50 cent medical card prescription charge, has now trebled it to €1.50 per prescription item, subject to a monthly maximum charge of €19.50 per family. This increase has been ‘due to the current financial climate’.

Under the over 70s medical card changes, the Minister said 92% of over 70s will still have medical cards, while 5% will no longer have a full card but will qualify for a GP visit card, while the wealthiest 3% will have neither card, which is the same percentage as at present.

Dr Reilly said single over 70s earning €600 to €700 per week will lose their entitlement to a full medical card, while those earning over €700 per week already do not qualify for a card, following the last review of eligibility in 2009. The new thresholds are double for elderly couples.

Elderly people who will be downgraded to a GP visit card will now have to pay drug costs up to €144 per month, following a new rise in the drug payment scheme threshold.

GPs and other professionals providing services under the medical card and other State schemes are to have their fees cut further.

Dr Reilly told a press conference on the health measures in the Budget that €781 million will have to extracted from the health service in savings next year.

By the end of 2013, this will bring the amount cut from the health service in the previous four years to around €3.3 billion. The service is to get €13.626 billion for everyday expenditure next year.

According to the Department of Public Expenditure, this will be reduced to €13.420 billion in 2014, when further health cuts will be required.

However, Dr Reilly said the lesson over the past year had been that by reforming services, more had been done with fewer resources, with inpatient waiting lists and trolley numbers reduced. He admitted, however, that next year would pose great difficulties.

Dr Reilly stressed the need to promote a greater level of generic prescribing. He said there were some drugs that were of the same class that were one-third the price of the other drugs in that class.

There would be legislation and initiatives to promote more generic prescribing.

The bulk of the €781 million in savings will come from €323 million in primary care scheme savings – this includes the medical card scheme.

The projected savings of €323 million  in primary care schemes will come from:

* A projected €120 million from agreements with the pharmaceutical industry on drug cost cuts.

* A projected €70m from reductions in fees to primary care health professionals.

* €50m from the increase in prescription charges.

* €20m from changes to medical card means test.

* €12m from replacement of medical cards with GP visit cards for persons over 70 in excess of certain income limits.

* €10m from increasing the threshold in the Drugs Payment Scheme.

* €15m from ‘delisting’ certain products from the medical card scheme.

* €20m from promotion of more cost-effective prescribing practices by GPs and consultants.

* €5m from a reduction in reimbursement prices of oral nutritional supplements.

The remainder of the total €781 million in health service savings will come mainly from  ‘pay related savings’, as yet unspecified; increased generation of private income from public hospitals – a measure that was promised for 2012; a net saving on the Department’s vote, and savings in procurement.

Dr Reilly declined to be drawn specifically on what pay savings in health might arise from an extension to the Croke Park Agreement. However, areas such as rostering were being looked at.

Asked what level of cuts in their allocation hospitals might face next year, Minister Reilly said there would be details of hospital allocations in the HSE’s service plan when published.

Minister of State at the Department of Health Alex White indicated that the €20 million planned to be spent on primary care staffing this year but which was reallocated to cover the HSE’s deficit would be spent next year. However, there is no specific provision for this expenditure in 2013 in the Book of Estimates.

Funding is to be allocated for the initial phase of the planned free GP care scheme for people with certain long-term conditions, Mr White said.

Minister of State Kathleen Lynch said a further €35 million would be spent on mental health services next year. She said all of the €35 million allocated for development of these services in 2012 was not spent.

[Posted: Wed 05/12/2012]

via News stories about the Irish hospital system.

via News stories about the Irish hospital system.

MovieBabble

The Casual Way to Discuss Movies

OLD HOLLYWOOD IN COLOR

...because it was never black & white

LEANNE COLE

Art and Practice

CURNBLOG

Movies, thoughts, thoughts about movies.

FilmBunker

Saving you from one cinematic disaster at a time.

From 1 Blogger 2 Another

Sharing Great Blog Posts

Wonders in the Dark

Cinema, music, opera, books, television, theater

Just Reviews

Just another WordPress.com site

Mark David Welsh

Watching the strangest movies - so you don't have to...

conradbrunstrom

Things I never thunk before.

News from the San Diego Becks

The life and times of Erik, Veronica and Thomas

The Silent Film Quarterly

The Only Magazine Dedicated To Silent Cinema

Leaden Circles

First a warning, musical; then the hour, irrevocable. The leaden circles dissolved in the air.

My Archives

because the internet is not forever

CineSocialUK

Up to the minute, fair, balanced, informed film reviews.

PUZZLED PAGAN PRESENTS

A Shrine to Pop Culture Obsessiveness. With Lots of Spoilers

Thrilling Days of Yesteryear

“Nostalgia isn’t what it used to be” – Peter DeVries

thedullwoodexperiment

Viewing movies in a different light

Twenty Four Frames

Notes on Film by John Greco

Suzanne's Mom's Blog

Arts, Nature, Family, Good Works, Luna & Stella Birthstone Jewelry

It Doesn't Have To Be Right...

... it just has to sound plausible

NJ Corporate Portrait Photographer Blog

The life of a corporate portrait photographer who likes to shoot just about anything.

arwenaragornstar

A French girl's musings...

Jordan and Eddie (The Movie Guys)

Australian movie blog - like Margaret and David, just a little younger

Octopus Films

A place for new perspectives on films, TV, media and entertainment.

scifist 2.0

A sci-fi movie history in reviews

The Reviewer's Corner

The Sometimes Serious Corner of the Internet for Anime, Manga, and Comic Reviews

Ready Steady Cut

Your favorite pop-culture site's favorite pop-culture site

First Impressions

Notes on Films and Culture

1,001 Movies Reviewed Before You Die

Where I Review One of the 1,001 Movies You Should Watch Before you Die Every Day

Movies Galore of Milwaukee

Movie Galore takes a look at Silent films on up to current in development projects and gives their own opinion on what really does happen in film!

The Catwing Has Landed

A Writer's Blog About Life and Random Things

mibih.wordpress.com/

Anime - Movies - Wrestling

Gabriel Diego Valdez

Movies and how they change you.

The Horror Incorporated Project

Lurking among the corpses are the body snatchers....plotting their next venture into the graveyard....the blood in your veins will run cold, your spine tingle, as you look into the terror of death in tonight's feature....come along with me into the chamber of horrors, for an excursion through.... Horror Incorporated!

Relatos desde mi ventana

Sentimientos, emociones y reflexiones

Teri again

Finding Me; A site about my life before and after a divorce

unveiled rhythms

Life In Verses

Gareth Roberts

Unorthodox Marketing & Strategy

leeg schrift

Taalarmen

100 Films in a Year

12 months. 100 films. Hopefully.

%d bloggers like this: