Health
What does the partnership with private hospitals entail in terms of (a) cost per bed and (b) eligibility?
- The Projected need for acute care already in March indicated that we would need access to additional care, especially critical care. Technical work and private hospital and private clinicians commenced already by the end of March. The partnerships is captured in a SLA, which indicates how the referral, billing and payment of care for referred patients will work. The NDOH determined for the whole country. The fees as determined by the NDOH are:
- Eligibility of referral will be determined by to the extent to which the Public Sector requires the additional capacity. Several engagements, processes and mechanisms have been put in place to manage the interface between the public sector and private sector including referral, governance, billing and information management through an intermediary, ethics committee, commitment to shared protocols. This is designed to govern the eligibility of patients and to ensure that treatment is equitable.
Description of Service | Palliative Care beds | General Beds | High Care and ICU Beds | Unit of charge | ||
|
| R | R | R | ||
Facility Fees / Private hospitals (part 1) | 990 | 2,972 | 11,749 | Per day | ||
Specialist Physician Team (part 2) | 151 | 476 | 2,493 | Per day | ||
Pathology/ Laboratory (part 3) |
| 588 | 588 | Per day | ||
Radiology / Imaging fee (part 4) |
| 632 | 632 | Per day | ||
Allied Care (part 5) |
|
| 694 | Per day | ||
Total | 1,141 | 4,668 | 16,156 | |||
Eligibility of referral will be determined by to the extent to which the Public Sector requires the additional capacity. Several engagements, processes and mechanisms have been put in place to manage the interface between the public sector and private sector including referral, governance, billing and information management through an intermediary, ethics committee, commitment to shared protocols. This is designed to govern the eligibility of patients and to ensure that treatment is equitable. | ||||||
