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