SHIELD - South Africa
South Africa has a well-established private voluntary health insurance sector. At present, only 16% of the South African population are members of these medical schemes. The rest of the population depends on public sector health care. Yet more than 60% of resources are located in the private sector. This paper presents a health economic mapping exercise and equity analysis at the systemic level which identifies all major sources of finance and financing mechanisms, providers and user groups. The inter-relationships within and between the public and private sectors have been mapped to include legislative, regulatory and policy frameworks that impact on each sector and on public-private interactions. As an input into appraisal of health insurance design options, the paper also presents views of key stakeholders on major challenges for the health system, major issues or concerns around insurance design and considerations of whether and how key stakeholders positions are likely to enable or constrain development of future insurance designs that may allow greater levels of cross-subsidy. By combining a broad economic tool kit with policy analysis, this paper presents a novel approach that allows the evaluation of alternative prospective scenarios and their equity implications. The analysis will contribute to international understanding of the influence of stakeholders over health insurance policy and possibly form a basis for cross-country comparison
Year of publication: |
[2007]
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Authors: | McIntyre, Diane |
Other Persons: | Thiede, Michael (contributor) ; Nkosi, Moremi (contributor) ; Mutyambizi, Vimbayi (contributor) ; Goudge, Jane (contributor) ; Gilson, Lucy (contributor) ; Erasmus, Ermin (contributor) |
Publisher: |
[2007]: [S.l.] : SSRN |
Description of contents: | Abstract [papers.ssrn.com] |
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