Policy progress needed for healthcare sustainability

Phumelele Makatini, CEO of the Health Funders Association, presents an argument for NHI provided the missing pillars of the regulatory framework are installed. She posits that the NHI can be implemented without raising taxes if there is social solidarity and anti-selection is eliminated as a risk for medical aid schemes. 4min read

NHI a complex process as part of wider plan to reform health sector – Crisp

The National Health Insurance (NHI) is not simply about redistributing resources between the public and private health sectors, but one component of the plan to reform the entire health system, writes head of the NHI Nicholas Crisp.

Reassuring 6min read

RAF non-payment in contravention of the law, says CMS

The Road Accident Fund’s (RAF) directive – that no payments be made to claimants if their medical aid scheme has already paid for medical expenses after a road accident – is not in line with the Medical Schemes Act, says the Council for Medical Schemes (CMS).

Nor, said CMS senior manager for legal services John Letsoalo and CMS benefits management senior analyst Mpho Sehloho, is the decision in the interest of scheme beneficiaries, reports MoneyWeb.

Consider how important the term subrogation and risk pools in mitigating risk for medical aid schemes. 4min read

APD Winter Programme 2023 Innovation and serving society

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In case you missed it. Listen and watch the presentation given by Roseanne Harris at the Winter Programme on how health products are currently serving society and where medical aid schemes can work together with government to achieve universal health care. Starts 01:00 and ends 02:03