The case for Private Primary Healthcare Insurance in South Africa.

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Presentation transcript:

The case for Private Primary Healthcare Insurance in South Africa

DEMARCATION REGULATIONS

MEDICAL SCHEMES

MEDICAL SCHEMES: GROWTH Reference: General Household Survey, 2014 as published by Statistics South Africa and CMS Annual Reports

In addition, the number of people not covered by medical schemes increased by 5.25 million people over the same 12 year period. Reference: General Household Survey, 2014 as published by Statistics South Africa

Increase White 68.2%76.9%8.7% Indian/ Asian 29.0%48.7%19.7% Coloured 18.8%20.3%1.5% Black8.0%10.6% 2.6% MEDICAL SCHEMES: MEMBERSHIP Reference: General Household Survey, 2014 as published by Statistics South Africa

Black R Coloured R Indian / Asian R White R MEDICAL SCHEMES: UNAFFORDABILITY Reference: Income and Expenditure of Households, 2010/2011 as published by Statistics South Africa

MEDICAL SCHEMES: COMMUNITY RATING Age GroupMid-pointBlackColouredAsianWhite Total Avg Age Reference: General Household Survey, 2014 as published by Statistics South Africa

THE NEED FOR PRIMARY CARE

MEDICAL SCHEMES: INEFFICIENT

MEDICAL SCHEMES: UNSUSTAINABLE

MEDICAL SCHEMES: SUMMARY

PRIVATE PRIMARY HEALTHCARE INSURANCE GP consultations Acute & chronic medication Basic & emergency dentistry Basic radiology & pathology Optometry Maternity

TARGET MARKET Reference: Quarterly Labour Force Survey, Quarter 3, 2015 as published by Statistics South Africa and CMS AR

SOCIO ECONOMIC BENEFITS

Level of satisfaction with the healthcare institution Very satisfied Public healthcare57.5% Private healthcare92.9% Reference: General Household Survey, 2014 as published by Statistics South Africa

SOCIO ECONOMIC BENEFITS

COMPETITION & QUALITY OF CARE

SUMMARY

SUMMARY (Cont.)

NATIONAL HEALTH INSURANCE

Numbers in 1000's Percentages Employed % Unemployed % Discouraged work seekers % Others (not economically active) % Total working age population % NATIONAL HEALTH INSURANCE Reference: Quarterly Labour Force Survey, Quarter 3, 2015 as published by Statistics South Africa

NHI – EMPLOYMENT RATES Country Name2014 Australia Canada Denmark Finland France Iceland Japan New Zealand Norway Sweden United Kingdom Average59.60 South Africa Reference: Employment to population ratio, 15+, total (%) (modelled ILO estimate)as published by World Bank

NATIONAL HEALTH INSURANCE

NHI: TAX INCREASES

NHI: TAX INCREASES (Cont.)

NHI CONSEQUENCES

CONCLUSIONS