Unaffordable medical scheme contributions: A barrier to access to private health cover in South Africa

dc.contributor.authorFish, T
dc.contributor.authorRamjee, S
dc.date.accessioned2018-09-19T13:05:05Z
dc.date.available2018-09-19T13:05:05Z
dc.date.issued2007
dc.date.updated2016-01-14T07:44:14Z
dc.description.abstractThe purpose of the Medical Schemes Act, No. 131 of 1998 was inter alia to ‘promote non-discriminatory access to privately funded health care’. A number of reforms were proposed as steps on a path to Social Health Insurance (SHI) with the ultimate goal of the reforms being to increase the number of people contributing to a private financing mechanism, thereby reducing the burden on the public sector. The increase in health care costs over time has been the focal point of industry discussions regarding affordability. In recent years the industry has responded positively to the affordability challenge by developing new products aimed at the lower end of the market. With medical inflation as a significant challenge, this paper argues that in 2003 the cost of entry-level medical scheme options was largely unaffordable and that this state of affairs has not improved over time. The proportion of the population covered by medical schemes declined marginally during the time period under review (2003 – 2006), despite the regulatory environment. The analysis, done from the perspective of a prospective medical scheme member, aims to identify the proportion of medical scheme options affordable to each of four ‘benchmark’ families.
dc.identifier.apacitationFish, T., & Ramjee, S. (2007). Unaffordable medical scheme contributions: A barrier to access to private health cover in South Africa. <i>South African Journal of Business Management</i>, http://hdl.handle.net/11427/28484en_ZA
dc.identifier.chicagocitationFish, T, and S Ramjee "Unaffordable medical scheme contributions: A barrier to access to private health cover in South Africa." <i>South African Journal of Business Management</i> (2007) http://hdl.handle.net/11427/28484en_ZA
dc.identifier.citationFish, T., & Ramjee, S. (2007). Unaffordable medical scheme contributions: A barrier to access to private health cover in South Africa. South African Journal of Business Management, 38(3), 29-37.
dc.identifier.ris TY - AU - Fish, T AU - Ramjee, S AB - The purpose of the Medical Schemes Act, No. 131 of 1998 was inter alia to ‘promote non-discriminatory access to privately funded health care’. A number of reforms were proposed as steps on a path to Social Health Insurance (SHI) with the ultimate goal of the reforms being to increase the number of people contributing to a private financing mechanism, thereby reducing the burden on the public sector. The increase in health care costs over time has been the focal point of industry discussions regarding affordability. In recent years the industry has responded positively to the affordability challenge by developing new products aimed at the lower end of the market. With medical inflation as a significant challenge, this paper argues that in 2003 the cost of entry-level medical scheme options was largely unaffordable and that this state of affairs has not improved over time. The proportion of the population covered by medical schemes declined marginally during the time period under review (2003 – 2006), despite the regulatory environment. The analysis, done from the perspective of a prospective medical scheme member, aims to identify the proportion of medical scheme options affordable to each of four ‘benchmark’ families. DA - 2007 DB - OpenUCT DP - University of Cape Town J1 - South African Journal of Business Management LK - https://open.uct.ac.za PB - University of Cape Town PY - 2007 T1 - Unaffordable medical scheme contributions: A barrier to access to private health cover in South Africa TI - Unaffordable medical scheme contributions: A barrier to access to private health cover in South Africa UR - http://hdl.handle.net/11427/28484 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/28484
dc.identifier.vancouvercitationFish T, Ramjee S. Unaffordable medical scheme contributions: A barrier to access to private health cover in South Africa. South African Journal of Business Management. 2007; http://hdl.handle.net/11427/28484.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Actuarial Scienceen_ZA
dc.publisher.facultyFaculty of Commerceen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Journal of Business Management
dc.source.urihttps://sajbm.org/index.php/sajbm
dc.titleUnaffordable medical scheme contributions: A barrier to access to private health cover in South Africa
dc.typeJournal Article
uct.type.filetypeText
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