11052018 BUSINESS

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business@tribunemedia.net

MONDAY, NOVEMBER 5, 2018

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Public health system NHI’s ‘Achilles heel’ By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net THE Bahamas Insurance Association’s (BIA) chairman has warned that the public healthcare system remains the revamped National Health Insurance (NHI) scheme’s “Achilles heel”. Emmanuel Komolafe, pictured, in an interview with Tribune Business, reiterated previous private sector alerts that the Government’s NHI objectives of broadening access to quality healthcare, and improved outcomes, will be undermined unless the existing healthcare system is strengthened. “The reality is that our funds are finite and resources are limited,” he said of the realities facing the NHI scheme. “Hence, significant reliance will have to be placed on the public healthcare system; in particular, healthcare facilities under the oversight of the Public Hospitals Authority (PHA). “This is why there has to be collaboration and a shared vision for healthcare in The Bahamas. The PHA will play a major role in determining the quality of care delivered under the High Cost Care programme [for catastrophic illnesses]. The public healthcare system, if not strengthened and upgraded, may very well be the Achilles heel of the revamped programme.” Such warnings were sounded on multiple occasions under the Christie administration only for the then-government to largely ignore them as it raced to roll-out NHI before the May 2017 general election in a last-ditch bid to deliver on prior promises. “There has to be heavy reliance placed on the

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Doctors, insurers told: Cut fees for viable NHI By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net

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LL doctors, healthcare facilities and insurers must cut their fees if the revised National Health Insurance (NHI) model is to succeed and be financially viable, a Cabinet minister has warned. Dr Duane Sands, minister of health, told Tribune Business that “compromise” over service charges and pricing was required at “every step along the healthcare delivery pathway” for the NHI scheme to be sustainable. In return, he said healthcare providers and insurers will gain access to a “massively expanded market” through NHI’s broadening of

* Minister: ‘Compromise at every step’ needed * ‘Massively expanded market’ in return * Scheme to transform healthcare pricing coverage to Bahamians who were previously unable to afford private medical coverage and/or go outside the public system. “In order for this thing to be workable, there has to be compromise at every step along the healthcare delivery pathway,” Dr Sands confirmed to this newspaper. “It could certainly not exist if we maintain the cost structure we have now. “The expectation is that everybody ought to look at shaving some part of their rack rate. That includes practitioners, insurers, insurance DR Duane Sands.

Photo: Shawn Hanna/Tribune Staff

By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net

ACCOUNTS at two Bahamian banks, alleged to contain bribery proceeds from a massive $1.2bn money laundering scheme tied to top Venezuelan officials, are targeted for seizure by the US government. Court documents obtained by Tribune Business reveal that US federal authorities want to seize assets held in bank accounts with Deltec Bank & Trust and Ansbacher (Bahamas) as part of a crackdown on corruption linked to the Nicolas Maduro-led regime. The planned Bahamas seizures relate to $12m in bribes that a senior executive at PDVSA has admitted to receiving for his role in helping to loot, and asset strip, Venezuela’s state-run oil company of millions of dollars. Abraham Edgardo Ortega, who was PDVSA’s executive director of

VENEZUELAN President Nicolas Maduro. Photo: Ariana Cubillos/AP financial planning, in his plea agreement with US authorities agreed to forfeit “all assets on deposit in account/ portfolio number 130331100 at Deltec Bank & Trust in Nassau, The Bahamas”. And he committed to doing similar with “all assets on deposit in account number 200020600 at Ansbacher Ltd in The Bahamas, held in the name of Greatwalls FS”. There is nothing to suggest that Deltec, Ansbacher and their respective

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KPMG, whose previous $8.3m National Health Insurance (NHI) fee was heavily criticised by the Government, has been rehired for a sum “nowhere near that ball park”. Dr Duane Sands, minister of health, defended the accounting firm’s new NHI consultancy on the basis that it was needed to perform “critical analysis” that neither the Government nor any of its agencies were able to perform themselves. No figures were provided for KPMG’s new fees, but Dr Sands said they were well below what the former Christie administration had committed to pay over the 15 months through to June 2017. “The NHI Authority would have hired KPMG to do some of the critical analysis that could not be done in-house,” the minister told this newspaper. “There was a requirement for technical

KP TURNQUEST

Few prosecutions show antifinancial crime regime works By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net

expertise that did not exist in the NHI Authority. “They had to get the work done, mindful of the excesses of the past, and I think it has helped quite a bit without the spend and burn rate seen previously.” When asked how KPMG’s compared to those agreed under the Christie administration, Dr Sands replied: “They’re not even in the same ball park.” Tribune Business raised the issue of KPMG’s renewed NHI involvement after being informed that the accounting firm’s executives had accompanied the NHI Authority’s chairman, Dr Robin Roberts, and managing director, Graham Whitmarsh, in recent meetings with private sector groups such as The Bahamas Chamber of Commerce and Bahamas Insurance Association (BIA). The move comes around one year after Dr Sands criticised the near-$14m in fees lavished on NHI

THE Deputy Prime Minister is arguing that The Bahamas has relatively few money laundering prosecutions because its regulatory regime is successfully deterring financial criminals. Flipping a key aspect of the Financial Action Task Force’s (FATF) rationale for branding The Bahamas one of 11 nations with “strategic deficiencies” in their anti-money laundering/ counter terror financing regimes (AML/CFT), KP Turnquest said the few prosecutions should be seen as a strength and not necessarily a weakness. Addressing a Caribbean Regional Compliance Association conference in Barbados, Mr Turnquest said: “Now, I’m not disputing that there is continued work needed to be done to improve the effectiveness of our enforcement measures - The Bahamas has recently amended its Proceeds of Crime Act and the Financial Transactions Reporting Act to bolster supervisory enforcement capabilities. “I would contend that the fact that there have not been a large number of AML/CFT related prosecutions could be because our measures are working effectively at the front end. That is only my view, of course. It would appear, however, that the more we comply with the rules, the more they find novel ways of determining that our compliance is deficient.” Among the seven areas that the FATF, the so-called global standardsetter on financial crime, wants The Bahamas to address are proof that the authorities are “investigating and prosecuting all types of money laundering,

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Bahamas bank accounts Re-hired NHI consultant’s targeted for US seizure fee ‘not in $8.3m ball park’ By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net

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