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First Nations & Inuit Health

Non-Insured Health Benefits Program - Annual Report 2010/2011

2010/2011 Annual Report Summary

The 2010/2011 Non-Insured Health Benefits Program (NIHB) Annual Report, now in its 17th edition, contains 12 sections that  provide national and regional data on the Program eligible client population, expenditures, and benefit utilization. The Annual Report also provides an update on NIHB's efforts in the area of client safety.

Client Population:

  • The total number of eligible clients at the end of March 2011 was 846,024, an increase of 1.8% from March 2010. From 2002 to 2011, the Canadian population increased by 9.9% while the NIHB eligible First Nations and Inuit client population had an increase of 18.2%.
  • In 2010/11, the Ontario Region had the largest eligible population representing 21.6% of the national total, followed by the Manitoba Region at 16.2% and the Saskatchewan Region at 15.9%.
  • Of the 846,024 total eligible clients at the end of the 2010/11 fiscal year, 805,323 (95.2%) were First Nations clients while 40,701 (4.8%) were Inuit clients.

Expenditures:

  • In 2010/11, total NIHB expenditures were $1,028.1 million, up 3.9% from $989.1 million in 2009/10. Since 2001/02, total expenditures have grown by 63.8%. The annualized growth over this period was 6.0%.
  • Of the $1,028.1 million, NIHB Pharmacy costs (including medical supplies and equipment) represented the largest proportion at $440.8 million (42.9%), followed by NIHB Medical Transportation costs at $311.8 million (30.3%) and NIHB Dental costs at $215.8 million (21.0%).
  • The highest net growth in expenditures over fiscal year 2009/10 was dental benefits at $20.9 million, followed by medical transportation benefits which increased by $10.1 million.
  • NIHB Dental expenditures had the highest growth rate in 2010/11, recording an increase of 10.7% over the previous year. The NIHB Premiums category had the second highest growth rate at 7.7%. This increase can be attributed to new premium rates in British Columbia which came into effect on January 1, 2010. Expenditures for NIHB Vision care followed with an increase of 5.2% over 2009/10. NIHB Medical Transportation expenditure growth was 3.3%, the lowest since 2004/05. The growth in NIHB Pharmacy expenditures was 1.3%, the lowest growth rate recorded over the last 15 years. The NIHB Other Health Care category, comprised mainly of short-term crisis intervention mental health counselling, had a decrease of 3.5% over the last fiscal year.
  • The Manitoba Region accounted for the highest proportion of total expenditures with $207.4 million, or 20.2% of the national total, followed by the Ontario Region at $174.7 million (17.0%), and the Saskatchewan Region at $153.4 million (14.9%).

Utilization:

  • In 2010/11, the national utilization rate was 64% for NIHB Pharmacy benefits paid through the HICPS system. National NIHB Pharmacy utilization rates have remained constant over the past five years. In 2010/11, regional rates ranged from 44% in Nunavut to 72% in the Saskatchewan Region.
  • In 2010/11, the national utilization rate for NIHB dental benefits paid through the HICPS system was 37%, an increase of 1% compared to the previous four fiscal years. Dental utilization rates vary across the regions with the highest dental utilization rate (46%) found in the Quebec Region and the lowest rate was recorded in the Manitoba Region (31%).