01072019 BUSINESS

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business@tribunemedia.net

MONDAY, JANUARY 7, 2019

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Top doctor warns NHI ‘working backwards’ By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net

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ATIONAL Health Insurance (NHI) is “working backwards” by setting a $1,000 annual price for its basic care package without determining critical costs, a leading doctor has warned. Dr Marcus Cooper, the Medical Association of the Bahamas (MAB) president, told Tribune Business that the government and NHI Authority should have approached their task “the other way around” by first settling the fees paid to doctors and healthcare facilities providing care under the scheme. They were now hoping that such fees/costs “fit into” the Standard Health Benefit (SHB) package’s $1,000 premium, but Dr Cooper said all private healthcare providers will be seeking “appropriate compensation” to enable them to both earn a profit and deliver the quality of care

• MAB chief: Should have been ‘other way around’ • Now trying to ‘fit’ unsettled costs into $1k pricing • Warns ‘devil in detail’ on scheme’s make-up patients deserve. While the MAB backed NHI as “a concept” for securing sustainable healthcare funding, Dr Cooper said he expected “intense discussions” between doctors, healthcare facilities and the NHI Authority during the 2019 first half to “determine if the numbers make sense”. He revealed that the MAB had only held “superficial discussions” on the scheme to-date because it was still awaiting critical information from the NHI Authority to kick-start fee negotiations, and added: “The devil is in the detail.” Conceding that “healthcare is a huge problem in The Bahamas”, Dr Cooper warned that Bahamians would have to undergo a major “change in culture” and realise that medical treatments are not free.

QC: Web shop tax hikes breach EU’s demands By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net ISLAND Luck’s attorney yesterday warned that the web shop tax hikes place The Bahamas “in clear and present danger” of violating the European Union’s (EU) anti-tax evasion offensive. Alfred Sears QC, pictured, in a statement issued last night, said the Bahamian gaming industry was “a classic case of ring fencing” due to the preferential tax breaks/concessions granted to foreign-owned casinos compared to the domestic web shop industry.

Contrasting the sector’s treatment with the speed with which the Government last week moved to eliminate so-called “ring fencing” in the financial services industry, Mr Sears argued that the new and increased

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Acknowledging that “Rome is not built in a day”, the MAB president suggested that Bahamians would be more comfortable if they saw they were getting value for their money in terms of improved services, care quality and public health sector infrastructure. And he warned the Government against “starting off big” only to find out the NHI scheme’s benefits were financially unsustainable and had to be “cut back”, as this would instantly undermine credibility and cause many Bahamians to become disillusioned. Dr Cooper, though, said NHI’s private-public partnership (PPP) model of using private physicians and healthcare facilities to provide care should improve service quality and patient outcomes provided everything is

structured correctly. “Physicians want to make sure they’re being reimbursed fairly, compensated fairly, and facilities want to make sure their compensated adequately to cover the cost of care,” he explained. “If you have a PPP, providers and facilities want to ensure they make a profit. Fees have to be adequate to cover the cost of services and provide quality care. “The compensation model for providers and facilities is very important. That determines what the total cost will be. The NHI Authority is working backwards. They’ve set the cost [of the Standard Health Benefit] at $1,000 per year, and are hoping physician and facility fees fit into that. “That should have been

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DPM: ‘This is not the death’ of IBC sector By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net THE deputy prime minister has asserted that the new regulatory structure “will not be the death” of International Business Companies (IBCs), as not all will have to pay business licence fees. KP Turnquest clarified that, while all IBCs must obtain a business licence, “only those” conducting real business and revenuegenerating activity will have to pay the associated fees. These charges will not apply to those IBCs that act as passive holding vehicles for investments, real estate and other assets. “All IBCs as well as Companies Act companies engaged in commercial activity will require a business licence,” he explained in written replies to Tribune Business. “[But] only those IBCs operating with relevant activity will be subject to substance rules and be subject to the licence fees. Passives, by definition, will not.” The latter would only pay the current annual and other fees. The Government’s unveiling last week of the new financial services

and fiscal management” that embraced collaboration with all relevant stakeholders. While backing the Minnis administration’s efforts to keep The Bahamas off the European Union’s (EU) upcoming “blacklist” of countries deemed uncooperative in the fight against tax evasion, the chamber added that this nation’s competitiveness is more dependent on its productivity and “relative value” that it offers. “The best way to mitigate possible economic losses

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BUSINESS LICENCE FEES DON’T APPLY TO ALL

KP TURNQUEST regulatory framework led several observers to quickly proclaim an end to the IBC’s status as The Bahamas’ leading product, not least because of fears that all such vehicles will now have to pay business licence fees. Mr Turnquest’s response, though, makes clear that only those IBCs with “substance”, and carrying on real business via a physical presence in this jurisdiction, will be required to pay fees - especially given plans to again alter the basis on which business licence charges are calculated. Fees will be determined from 2020 onwards by a

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GOT SOMETHING NEW THIS HOLIDAY SEASON? Jewelry Computer Electronics Furniture Clothing Appliances Tools Etc.

No ‘vacuum’ over business licence By NATARIO MCKENZIE and NEIL HARTNELL Tribune Business Reporters CHAMBER of Commerce executives have warned that business licence reforms cannot take place “in a vacuum” after it was excluded from consultation over recently-announced changes. The chamber, which represents the widest crosssection of private sector interests in The Bahamas, in a statement last night called for the Government to adopt “an holistic approach to tax policy, legislative reform

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