Скачать презентацию National Health Insurance Policy Brief 10 Defining the Скачать презентацию National Health Insurance Policy Brief 10 Defining the

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National Health Insurance Policy Brief 10 Defining the Benefit Package 24 April 2010 National Health Insurance Policy Brief 10 Defining the Benefit Package 24 April 2010

PMB and Hospital Status PMBs account for 52. 7% of total benefits. In-Hospital benefits PMB and Hospital Status PMBs account for 52. 7% of total benefits. In-Hospital benefits account for 54. 2% of total benefits. Source: Heather Mc. Leod using data from a large administrator for calendar 2008

PMB and Hospital Status by Age and Gender There is a strong pattern by PMB and Hospital Status by Age and Gender There is a strong pattern by age and gender. The Under 1 s are covered extensively by PMBs but the childhood years have the largest Non-PMB expenditure. Source: Heather Mc. Leod using data from a large administrator for calendar 2008

Oregon Categories with Effectiveness and Discretion Source: Discovery Health. International Review of Basic Benefit Oregon Categories with Effectiveness and Discretion Source: Discovery Health. International Review of Basic Benefit Packages and a Proposal for a South African Benefit; 2005.

Access to Essential Healthcare Proposed … Source: PMB review consultation document. Third draft 25 Access to Essential Healthcare Proposed … Source: PMB review consultation document. Third draft 25 March 2009

Funder-driven Benefit Package Monitor provider behaviour Define package Price package and set fees Affordability Funder-driven Benefit Package Monitor provider behaviour Define package Price package and set fees Affordability after subsidies

Provider-driven Benefit Package Feasibility of provider delivery Define package Monitor quality Affordability after subsidies Provider-driven Benefit Package Feasibility of provider delivery Define package Monitor quality Affordability after subsidies

Innovative Medicines South Africa (IMSA) is a pharmaceutical industry association promoting the value of Innovative Medicines South Africa (IMSA) is a pharmaceutical industry association promoting the value of medicine innovation in healthcare. IMSA and its member companies are working towards the development of a National Health Insurance system with universal coverage and sustainable access to innovative research-based healthcare. Contact details: Val Beaumont (Executive Director) Tel: +2711 880 4644 Fax: +2711 880 5987 Innovative Medicines SA (IMSA) Cell: 082 828 3256 PO Box 2008, Houghton, 2041. South Africa [email protected] org. za www. imsa. org. za

Material produced for IMSA by Professor Heather Mc. Leod hmcleod@integratedhealingmbs. com www. hmcleod. moonfruit. Material produced for IMSA by Professor Heather Mc. Leod [email protected] com www. hmcleod. moonfruit. com