TAC and SECTION27 welcome Health Market Inquiry Final Report

TAC and SECTION27 welcome Health Market Inquiry Final Report

Johannesburg, 30 September 2019 - SECTION27 and the Treatment Action Campaign welcome the publishing of the final report of the Competition Commission’s Health Market Inquiry (HMI). This has been an…

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SECTION27 Submission on the Health Market Inquiry’s Provisional Report

SECTION27 Submission on the Health Market Inquiry’s Provisional Report

As an organisation that acts in the public interest, we are concerned about equitable access to health care services in the private sector, particularly, pricing and the drivers of the…

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Ongoing delays in the Health Market Inquiry impacts right to health

Ongoing delays in the Health Market Inquiry impacts right to health

The findings and recommendations of the HMI are critical to the public debate on the National Health Insurance and the Medical Schemes Bills, and thus it is critical that these findings are made public as a matter of urgency. 

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Bonitas: Medical schemes are expensive

Bonitas explained that there has been an increase of approximately 52% in the cost per year, per beneficiary in terms of PMB claims. It added that the proportion of PMB claims in hospitals had increased more rapidly than for services provided outside of hospitals.

The explanation Bonitas proffered for this was “upcoding” by healthcare professionals, because schemes must pay on invoice in full and that “the PMBs have made South Africans Hospicentric”. The result is that “most of our members actually end up in hospital”, which Bonitas’s representative plainly admitted “is a problem”.

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Make private health “more human”

Make private health “more human”

Demand, the FDoH submitted is related to want which can be created whereas need is related to, amongst other things, burden of disease and availability of healthcare services. Demand for private healthcare is higher in Bloemfontein than anywhere else, with result that there is excess capacity in terms of beds. This happens at the same time as the need is high in poorer more rural areas, but the demand is lower because people are less able pay for private healthcare.

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Radiologists ask panel for help on pricing

The Health Market Inquiry panel has its work cut out to determine the true state of pricing in the private healthcare sector. This week’s public hearings concluded with submissions from…

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