Research & Reports
We publish brief summaries about health system issues and health system hot topics.
2018 Issue Brief: Dialysis
2017 Employers’ Compliance Summary
Understanding Standard Health Benefit
Update Brief: 2018/19 Standard Premium Rate
2018 Standard Premium Rate (SPR) Recommendation Brief
2018 Issue Brief: Patient Subsidies
Exploring Alternative Payment Mechanisms
Bermuda’s Health Care Cost Curve
Innovation in Hospital Financing
2019/20 Standard Premium Rate
Standard Premium Rates – 2016 to Present
The Health Council collects valuable heath system data and will publish ad-hoc reports on system trends.
The Health Council collects valuable heath system data and will publish ad-hoc reports on system trends.
2013-2014 Annual Report
2009-2010 Annual Report
We monitor the performance of regulated health professionals by asking the statutory boards to submit annual self-assessments on their complaints and disciplinary procedures. Having the statutory bodies evaluate themselves encourages transparency and accountability, and helps to ensure that Bermuda has well-trained and qualified health professionals to deliver quality care.
We prepare an annual Actuarial Report to review the set of base benefits included in every insurance package, the Standard Health Benefit (SHB), and the cost of that package, the Standard Premium Rate (SPR).
Annually we publish National Health Accounts (NHA) which tracks how much money flows into and around the health system. The data used to develop NHA is collected from various external stakeholders and is analysed using a standard framework for tracking resources which allows us to compare ourselves with OECD countries.
Prior to compiling the full NHA, the initial data collection and analysis can be found here.
2020 National Health Accounts Data
The data represents finance and expenditure for the fiscal year ending 31st March 2019 (FYE19).
2019 National Health Accounts Data
The data represents finance and expenditure for the fiscal year ending 31st March 2018 (FYE18).
2018 National Health Accounts Data
The data represents finance and expenditure for the fiscal year ending 31st March 2017 (FYE17).
National Health Account Reports
Health & Technology Review (HTR)
A Health Technology Review (HTR) is a systematic multidisciplinary evaluation of the effect and impact a health technology or service will have on the island’s health system. The Health Council conducts HTR evaluations as requested by external stakeholders, i.e. insurance companies, health service providers, and government bodies. The Health Council researches information on other jurisdictions, analyzes local data, and convenes a committee of subject matter experts to opine on the topic selected. A guidance document is produced that highlights the findings and recommendations made. This report is written with the intent to inform decision making and educating the public on the services and technologies operating within their community.
For any clarification or requests for HTRs, please email healthcouncil@bhec.bm
| Topic and Service Type | Requesting Body | Submission Date | Outcome | Description |
|---|---|---|---|---|
| Phycology and Psychiatry | GOV | 25 September 2017 | Supported | Integrated mental health practice |
| Anaesthesiology | GOV | 19 September 2017 | Supported | Outpatient pain management |
| Dialysis | SHB Approval | 29 September 2017 | Supported with Conditions | Outpatient peritoneal and hemodialysis |
| Ultrasound | SHB Approval | 24 October 2017 | Not Supported | Diagnostic sonic imaging |
| Tele-Medicine | Insurer | 26 September 2017 | Not Supported | Primary care provided remotely |
| Ortho/Rehab/DMD | HSP | 24 October 2017 | Supported | Cold compression device |
| Nutrition | SHB Approval | 27 October 2017 | Supported | Community based dietitian service |
| Laboratory | SHB Approval | 27 October 2017 | Supported with Conditions | Clinical diagnostic laboratory services |
| Diabetic Devices | HSP | 24 October 2017 | Not Supported | Wearable device clinical trial |
| PhysioTherapy | GOV | 9 November 2017 | Supported | Outpatient rehabilitation |
| Palliative Care | HSP | 1 January 2018 | Supported | Physician provided community palliative care |
| Urology & Ultrasound | GOV | 1 February 2018 | Supported | Urology imaging and practice |
| Therapeutic Massage | GOV | 6 March 2018 | Supported with Conditions | Medically prescribed massage |
| Dental | GOV | 1 January 2018 | Supported | Full service dental practice |
| Plethysmograph | Insurers | 28 March 2018 | Supported | Devices that measure the capacity of the lungs |
| Cardiac Rehab | Insurers | 16 May 2018 | Supported | Advanced practice physiotherapy specialty |
| Sleep Studies | Insurers | 28 March 2018 | Supported with Conditions | Diagnostic testing for sleep pathologies |
| Specialty Medicine | Insurers | 28 March 2018 | Supported | Review of medical specialties operating on the island |
| Diabetic Devices | Insurers | 28 March 2018 | Supported with Conditions | Wearable device clinical trial |
| After hours Urgent Care Center | Insurers | 28 March 2018 | Not Supported | Outpatient emergency care |
| Fiberoptic Endoscopic Evaluation | HSP | 5 August 2018 | Supported with Conditions | Evaluation of swallow |
| General Practicioner Offices | GOV | 16 July 2018 | Supported | Primary care provided by physicians |
Data Briefs
Have suggestions on publications? Submit your suggestion below.
The Health Council regularly receives and analyzes data from health system stakeholders as part of a particular request or as part of our routine system review processes. In support of our mandate to educate the public on health system matters, we occasionally publish data analyses and reports on system trends, the links for which can be found below. Suggestions for data analysis may be submitted using the online Data Analytics Suggestion Form.
Please note, submissions will not be acknowledged individually and suggestions are not guaranteed to be acted on. Selected analyses will be published in the table below.
If you have any questions or wish clarification, please email healthcouncil@bhec.bm
| Request Topics | Data Year(s) | Date Completed | Utilisation | Expenditure | Specialty Area | Other |
|---|---|---|---|---|---|---|
| Paediatric Cancer | 2017-2020 | 25 June 21 | x | x | Diagnoses | |
| Paediatric Cancer | 2017-2019 | 30 April 20 | x | Diagnoses | ||
| Podiatry HTA | 2017-2018 | 16 Oct 18 | x | x | Provider Type | |
| Paediatric Dental | 2017 | 7 Aug 18 | x | x | ||
| Cardio Rehab | 2017 - 2018 | 16 Oct 18 | x | x | ||
| Plethysmography | 2017-2018 | 16 Oct 18 | x | x | ||
| XRT Brachytherapy | 2014-2018 | 16 Oct 18 | x | Diagnoses | ||
| XRT Brachytherapy | 2014-2018 | 16 Oct 18 | x | |||
| Pulmonology | 2017-2018 | 16 Oct 18 | x | x | x | Provider Type |
| Emergency Room | 2017 -2018 | 16 Oct 18 | x | x | ||
| CGM & CSII | 2017 - 2018 | 16 Oct 18 | x | x | ||
| Rheumatology | 2017-2018 | 16 Oct 18 | x | x | x | Pharmaceuticals |
| Asthma | 2017 | 13 Dec 17 | x | x | Pharmaceuticals | |
| Chiropractic | 2017 - 2018 | 16 Oct 18 | x | x | ||
| Colostomy | 2018 | 16 Oct 18 | ||||
| Massage Therapy | 2017-2018 | 16 Oct 18 | x | x | ||
| Birth/Delivery | 2014-2018 | 16 Oct 18 | x | x | ||
| 5 Domains of Care | 2017 | 19 Feb 18 | x | x | ||
| Laboratory Claims | 2014-2017 | 7 Nov 17 | x | |||
| Dental Data | 2018 | 16 Oct 18 | Market Research | |||
| Palliative Care | 2017-2018 | 16 Oct 18 | x | x | ||
| Physiotherapy | 2017-2018 | 16 Oct 18 | x | x | ||
| Urology | 2017 | 8 Feb 18 | x | x | ||
| Pain Management | 2017 | 17 Nov 17 | x | x | ||
| Telemedicine | 2017-2018 | 16 Oct 18 | x | |||
| Cryotherapy | 2017-2018 | 16 Oct 18 | x | |||
| Psychotherapy | 2017 | 15 Nov 17 | x | x | ||
| Medical Nutrition | 2017 | 15 Nov 17 | x | x | ||
| Massage Therapy | 2017 | 15 Nov 17 | x | x | ||
| Dysphagia | 2018 | 16 Oct 18 | x | x | ||
| Mammography | 2018 | 16 Oct 18 | x | x | ||
| Allied Health | 2017- 2021 | 4 Aug 21 | x | |||
| Cancer Expenditure | 2014-2020 | 4 Aug 21 | x | x | ||
| Commonly Prescribed Drugs | 2020-2021 | 4 Aug 21 | Pharmaceuticals | |||
| Stroke | 2018-2021 | 4 Aug 21 | x | |||
| Telehealth | 2020 | 7 Sept 21 | x | Diagnoses | ||
| Expenditure for General Practice (GP) | 2021 | 1 April 21 | x | |||
| Common Health Conditions | 2022 | 31 January 1 | x | |||
| Data Suggestion - Coronary Angiograms | 2021 | 1 April to 31March | x | x | x | |
| Data Analytics on outpatient total knee and hip replacement | 2020-2022 | 31 January 2022 | x | |||
| Additional cost related to overseas treatments | 2020-2022 | 26 September 2022 | x | x | ||
| Data Analytics on outpatient selected mental health conditions | 2020-2022 | 26 September 2022 | x | x | ||
| Data Analytics on mental health in the community | 2020-2021 | 13 January 2021 | x | x | ||
| Data Analytics on Premiums | 2023 | 1st April - 31st March 2023 | x | |||
| Data Analytics on Premiums | 2024 | 26 February 2024 | x | |||
| Data Analytics on expenditure for chronic conditions | 2024 | 20 March 2024 | x | |||
| Data request on Cataract procedures | 2024 | 30 April 2024 | x | |||
| Data Analytics on cardiovascular diseases | 2024 | 1 July 2024 | ||||
| Prostate Diseases | 2024 | 27 August 2024 | x | x | x | Diagnoses |
Data Tables
The following tables provide statistical information about health services, people or programmes in Bermuda. These tables relate to specific time frames as listed in the description of the table. Relevant tables will be updated as data is received by the Council. Data not sourced by the Health Council but relevant for Health System research and reporting can be found in the useful links section of this page.
- Health Insurance claim expenditure and utilization (FY2018-FY2023)
- 2022 Full procedure Codes (CPT) – Utilization and Expenditure
- 2021 Expenditure on Cancer Primary Diagnosis
- 2021 Bermuda CPT Procedure Utilisation and Expenditure
- Full CPT Codes (Medical) – Recommended Fee Schedule
- 2019 National Health Accounts Data (In Progress)
- 2018 National Health Accounts Data