Posts tagged with 'NHI'

 

Pharma’s role in the government’s National Health Insurance

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In its current form, the proposed National Health Insurance (NHI) is by no means perfect and there remains a lot of uncertainty around funding, medical skills shortages, the role medical aids will play and how infrastructural problems, wastage and corruption in the public sector will be tackled.

“Healthcare reform challenges all of us that operate in the sector to keep and expand our place at the table. It is becoming increasingly clear, however, that NHI is here to stay, which makes it imperative for pharmaceutical companies to get involved in the debate at the highest level in order to help shape a sustainable and effective healthcare system for South Africa,” says Erik Roos, CEO of Pharma Dynamics…
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Will the HMI insights get lost in the rush to finalise healthcare laws?

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Has the almost simultaneous release of the National Health Insurance (NHI) Bill, the Medical Schemes Amendment Bill and the provisional findings of the Health Market Inquiry (HMI) created an information overload, where some of the insights from the inquiry could be lost in the noise?

“There is significant risk that the regulatory environment being created through the legislative amendment process currently underway could conflict with the lessons learned in the course of the HMI’s work, which will only be fully apparent on the release of its final report,” says Mark Arnold, principal officer of Resolution Health Medical Scheme.

A considerable amount of time, resources and expertise have been invested in the HMI, but with the final report due for release in November, however, there is a risk that the full benefit of these insights could be lost due to the timing of these inter-related developments, as the period for submissions on Medical Schemes Amen
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Medical Schemes Act & NHI:- Motsoaledi outlines changes

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Two of the proposed amendments to the Medical Schemes Act will do away with co-payments, and abolish the practice of using brokers within the medical schemes environment.

Health Minister, Dr Aaron Motsoaledi, said co-payments mean that the scheme pays a portion of the bill that a provider – be it hospital or private doctor – charges to a patient. The rest of the funds are supposed to be paid by the patient from their own pocket.

“The amendment means that every cent charged to the patient must be settled fully by the scheme and the patient should not be burdened with having to pay. There are people who will scream that this amendment is outrageous and calculated to destroy medical schemes and leave beneficiaries with nothing. I want to assure you that this was well thought out,” he said.

According to data at the department’s disposal, medical schemes are holding close to R60bn in unused reserves. While there is a statutory requirement that me
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The Health Department might be sued over proposed NHI changes

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‘I can’t mention who are the parties I am expecting litigation from but I can assure I know who they are. Health Minister Aaron Motsoaledi is preparing to be taken to court as he continues to propose changes in the healthcare system that could cost medical aid schemes millions.

Motsoaledi introduced the draft Medical Schemes Amendment Bill and National Health Insurance (NHI) Bill in Pretoria this week. The new legislation proposes significant changes to the way healthcare is funded and managed, including abolishing co-payments, prescribed minimum benefits and waiting periods for medical aid cover.

Medical aid schemes currently hold about R 60-billion in reserve — an amount almost 10% higher than what is statutorily required, said Motsoaledi speaking at a Pretoria press conference.

“These huge reserves were accumulated partly through high premiums but also by introducing the co-payments such that medical schemes avoid having to pay or even dip into the
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Public comment open soon for The National Health Insurance Bill of 2018

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The National Health Insurance (NHI) Bill of 2018 will be published in the Government Gazette shortly for public comment.

A key provision of the bill will be the establishment of an NHI fund to pay for health services so that all South Africans have access to quality care.

“The bill seeks to establish the NHI Fund of South Africa, as a public entity, so as to provide for a sustained universal health access that is affordable and of high quality. It also sets out its functions, powers and duties,” Cabinet said in a statement following its regular fortnightly meeting.

The bill provides a framework for the active purchasing of health care services by the fund on behalf of users and creates mechanisms for the equitable, effective and efficient use of the resources of the fund to meet the health needs of users.

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Is Dr Aaron Motsoaledi fiddling while healthcare is burning?

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Despite the Life Esidimeni tragedy, non-existent oncology services in some provinces, striking healthcare workers and a damning quality standards report before parliament, Health Minister, Dr Aaron Motsoaledi seems to be labouring under the delusion that the South African public healthcare system is not collapsing.

Speaking at a media briefing, the minister said he was not aware of any scientific methods used to measure the veracity of the claims made about the breakdown of the health system.

“I am not here to challenge that because I do not know the yardstick that was used to arrive at a conclusion of collapse. Surely healthcare systems are measured on some form of scientific yardstick to arrive at any conclusion.”

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How your medical bills may change under the National Health Insurance

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Many private hospitals will be opening their doors to more patients but does that mean you’ll be stuck at the back of the queue? The United Kingdom’s universal healthcare system, known as the National Health Service (NHS), had a problem: By the early 2000s, a growing number of elderly patients were waiting up to three..
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#HASA2017: NHI needs to start delivering now

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South Africa can’t wait for the final National Health Insurance (NHI) system in 2026 to start delivering on universal health coverage, but needs to start implementing projects and programmes that will make a real difference in people’s lives now. And this can’t be done without cooperation between the public and private health sectors. This was..
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NHI white paper issues raised – National Health Insurance

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The two fundamental issues with the new white paper on National Health Insurance (NHI) are a single payer fund and the nationalisation of private healthcare without compensation. Single payer fund In terms of the single payer fund, the white paper believes that the NHI can use bulk purchasing power to drive down the price of..
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NHI financing model questioned by FMF

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The latest iteration of the National Health Insurance (NHI) policy paper is no closer to defining how much the scheme will cost and where the money will come from to pay for it. Meanwhile, SA risks running out of tax payers to finance its social security commitments, said Dr Johann Serfontein, senior healthcare consultant with..
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