Analysing the structure and nature of medical scheme benefit design in South Africa

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dc.contributor.advisorRamjee, Shivanien_ZA
dc.contributor.authorKaplan, Josh Tanaen_ZA
dc.date.accessioned2016-02-02T14:41:02Z
dc.date.available2016-02-02T14:41:02Z
dc.date.issued2015en_ZA
dc.descriptionIncludes bibliographical referencesen_ZA
dc.description.abstractThis dissertation intends to shed light on open-membership medical scheme benefit design in South Africa. This will be done by analysing the benefit design of 118 benefit options, so as to provide an overview of the structure and nature of the benefit offerings available in the market in 2014. In addition, affordability of these benefit options was analysed in order to identify whether or not there exist connections between the benefits on offer and the price of cover. This paper will argue that at present, the large number of benefit options available in the market, the lack of standardisation between benefit options, together with the mosaic of confusing terminology employed in scheme brochures, creates a highly complex environment that hampers consumer decision making. However, this implicit complexity was found to be necessary owing to the incomplete regulatory environment surrounding medical schemes. The findings of this investigation show that benefit design requires significant attention in order to facilitate equitable access to cover in South Africa.en_ZA
dc.identifier.apacitationKaplan, J. T. (2015). <i>Analysing the structure and nature of medical scheme benefit design in South Africa</i>. (Thesis). University of Cape Town ,Faculty of Commerce ,Division of Actuarial Science. Retrieved from http://hdl.handle.net/11427/16692en_ZA
dc.identifier.chicagocitationKaplan, Josh Tana. <i>"Analysing the structure and nature of medical scheme benefit design in South Africa."</i> Thesis., University of Cape Town ,Faculty of Commerce ,Division of Actuarial Science, 2015. http://hdl.handle.net/11427/16692en_ZA
dc.identifier.citationKaplan, J. 2015. Analysing the structure and nature of medical scheme benefit design in South Africa. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Kaplan, Josh Tana AB - This dissertation intends to shed light on open-membership medical scheme benefit design in South Africa. This will be done by analysing the benefit design of 118 benefit options, so as to provide an overview of the structure and nature of the benefit offerings available in the market in 2014. In addition, affordability of these benefit options was analysed in order to identify whether or not there exist connections between the benefits on offer and the price of cover. This paper will argue that at present, the large number of benefit options available in the market, the lack of standardisation between benefit options, together with the mosaic of confusing terminology employed in scheme brochures, creates a highly complex environment that hampers consumer decision making. However, this implicit complexity was found to be necessary owing to the incomplete regulatory environment surrounding medical schemes. The findings of this investigation show that benefit design requires significant attention in order to facilitate equitable access to cover in South Africa. DA - 2015 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - Analysing the structure and nature of medical scheme benefit design in South Africa TI - Analysing the structure and nature of medical scheme benefit design in South Africa UR - http://hdl.handle.net/11427/16692 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/16692
dc.identifier.vancouvercitationKaplan JT. Analysing the structure and nature of medical scheme benefit design in South Africa. [Thesis]. University of Cape Town ,Faculty of Commerce ,Division of Actuarial Science, 2015 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/16692en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDivision of Actuarial Scienceen_ZA
dc.publisher.facultyFaculty of Commerceen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherActuarial Scienceen_ZA
dc.subject.otherSouth Africaen_ZA
dc.subject.otherhealthcareen_ZA
dc.subject.othermedical schemeen_ZA
dc.subject.otherbenefit optionsen_ZA
dc.subject.otherbenefit designen_ZA
dc.subject.otheraffordabilityen_ZA
dc.titleAnalysing the structure and nature of medical scheme benefit design in South Africaen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPhilen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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