National Health Insurance
Title
Chapter
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Understanding Healthcare Financing
1. Introduction to healthcare financing
2. WHO Policy & Guidance on Healthcare Financing
3. Current Healthcare Funding in South Africa
4. Learning From Other Countries
NHI in South Africa: 1940 to 2008
1. Terminology: SHI or NHI
2. History of NHI in South Africa
3. Health System Reform circa 2005
4. Health System Reform pre- and post-Polokwane
5. Stakeholder Perspectives on NHI to end 2008
NHI in South Africa in 2009
1. ANC Policy on Proposed National Health Insurance
2. Government Documents on Proposed National Health Insurance
3.Commentary on the NHI Policy Process
4. Other Political Party Views of National Health Insurance
5. Stakeholder Perspective on NHI
6. Research on Health Policy and Healthcare Financing in South Africa
7. Costings and Evaluation of NHI
8. Useful International Resources on NHI Reform Issues
NHI in South Africa 2010
1. Government Documents on Proposed National Health Insurance
2. Political Party Views of National Health Insurance
3. Stakeholder Perspectives on NHI
4. Research on Health Policy and Healthcare Financing in South Africa
5. Costings and Evaluation of NHI
National Health Insurance in SA: An Introduction for Journalists
National Health Insurance in SA: An Introduction for Journalists
Policy Brief 1 : The Population for Universal Coverage
1. Estimates of the Population
2. The Price of Healthcare by Age and Gender
3. Provincial Differences in the Amount Needed for Healthcare
4.Aging of the Population
5.Conclusions and Implications for NHI
6. Policy Brief 1: Resources
Policy Brief 2 : Expanding Health Insurance Coverage
1. Public-Private Mix of Healthcare Coverage
2. Beneficiaries Covered by Medical Schemes
3. Provincial Medical Scheme Coverage
4. Phased Introduction of NHI based on Income
5. Anti-selection in Voluntary Medical Schemes
6. Impact of Mandatory Insurance on the Price of Minimum Benifits
7. Conclusions and Implications for NHI
8. Policy Brief 2: Resources
Policy Brief 3 : The Impact of Chronic Disease on a Future NHI
1. Evidence of the Prevalence of Chronic Disease in Medical Schemes
2. Evidence of the Prevalence of Chronic Disease in South Africa
3. Estimate of Future Prevalence of Chronic Disease in South Africa
4. The Burden of Disease on the Health System
5. Multiple Chronic Disease and Disease Management Programmes
6. Conclusions and Implications for National Health Insurance
7. Policy Brief 3: Resources
Policy Brief 4 :
The Impact of HIV on a Future NHI
1. The HIV Epidemic in South Africa
2. Modelling of the Epidemic
3. The HIV Epidemic by Province
4. Prevalence of HIV/AIDS in Medical Schemes
5. Estimates of the Cost of Treatment in the Public Sector
6. Disease Management in the Private Sector
7. Minimum Benefits for HIV, AIDS and TB.
8. The Interaction between HIV and Other Diseases
9. The Impact of HIV, TB and Related Diseases on a Future NHI
10. Policy Brief 4: Resources
Policy Brief 5 : The Impact of Cancer on a future NHI
1. Cancer in South Africa
2. Sources of Data on Cancer in South Africa for NHI Modelling
3. Cancer in Medical Schemes in South Africa
4.The Effect of Poverty on Site of Cancer
5.The Impact of Cancer on a Future NHI
6.Provider Initiative for Making Treatment more Affordable
7. Research and Further Resources on Cancer in South Africa
8.Planning a Cancer Service for a National Health System
9. Policy Brief 5 : Resources
Policy Brief 6: Costing and Long-term Modelling of NHI
1. Basics of Costing and Pricing Healthcare
2. Estimates of Cost Curves in South Africa
3. Uncertainty in Long-term Demographic Projections
4. Demographic, Epidemiological and Health Transitions
5. The Quadruple Burden of Diseases in South Africa
6. Theories of Future Changes in Mortality and Morbidity
7. Conclusions and Implications for a Future NHI
8. Policy Brief 6 : Resources
Policy Brief 7: The Future Role of Private Health Insurance
1. ANC Policy Proposals on PHI under NHI
2. Universal Coverage
3. Private Spend and Public Spend
4. Public Subsidy of Private Insurance in South Africa
5. Single Tier vs. Multi-Tier Systems
6. Conceptual Framework for the Role of PHI
7. Public and Private as Technical Issues
8. Conclusions, Some History and Implications
9. Policy Brief 7 : Resources
Policy Brief 8:
Reducing Fragmented Risk Pools
1. The Function of Pooling
2. Risk Pool Size
3. Risk Pooling in Medical Schemes
4. Regulations and Risk Adjustment to Improve Pooling
5. The Proposed Risk Equalisation Fund between Medical Schemes
6. Risk Pooling in the Public Sector
7. Need for Risk Adjustment in the Public Sector in South Africa
8. Possible Risk Pooling between Public and Private Sectors
9. Conclusions and Actions Needed
10. Policy Brief 8 : Resources
Glossary
1. Health System Goals and Objectives
2. Social Security Systems
3
. The Healthcare Financing Function
4. The Role of Private Health Insurance
5. Providers and Stakeholders in South Africa
6 .Health Insurance Terms
7. Medical Scheme Terms
8. Reimbursement of Healthcare Providers
9. Managed Care
10. Healthcare Terms
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