New medical scheme research released: answers and yet more questions for the future of South Africa’s healthcare system
• Findings show the critical role of the medical scheme industry in access to healthcare.
• Medical schemes’ total spend on private hospitals in South Africa has decreased by 0.8% in real terms.
• Schemes need to attract or sustain better risk profile to avoid a downward spiral and possible failure.
• Growth in membership critical: only two medical schemes grew over the period.
• Equalisation fund would enable schemes to compete on the quality of delivery of healthcare.
• Competition Commission investigation will shed more light on the numbers behind the numbers.