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Showing 1 to 14 of 14 for “"Medical Schemes"”.

  1. The Altman corporation failure prediction model : applied among South African medical schemes

    … model in the setting of the South African medical schemes over a ten year period (2002 to 2011). The main objective of this study is to validate the Altman Z₂ model amongst the medical schemes in South Africa; in terms of accurately classifying Z₂-scores of ≤ 1.23 and ≥ 2.9 into the a …

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  2. The profile and cost of end-of-life care in South Africa - the medical schemes' experience

    South African medical schemes spend billions of Rands each year on medical care costs for their beneficiaries near their end of life. Hospi-centric benefit design, fee-for-service reimbursement arrangements and fragmented, silo-based delivery of care result in high, often unnecessary spending near …

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  3. An empirical analysis of competition and efficiency in the medical scheme market in South Africa

    … pre-funded healthcare products are dominated by medical schemes and this market segment is regulated by the Council for Medical Schemes (CMS) which abides by the Medical Schemes Act (MSA) (FinMark Trust, 2016). The aim of this study is to empirically evaluate the relationship between efficiency …

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  4. The construction of a price index for the South African Medical Scheme Industry

    … prices of the goods and services purchased by medical schemes in South Africa. The methodological choices were made taking cognisance of the unique characteristics of the South African medical scheme environment, both in terms of the factors influencing the mix of goods and services purchased …

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  5. Finding creative ways to improve member satisfaction and retain the 18 to 35 year olds within a medical scheme in South Africa

    … intention to attract more members to medical schemes has not been successful as hoped, with membership remaining relatively constant but with an increase shift in the profile of most schemes. More specifically, the 18 to 35 year old population appears to be increasingly reluctant to …

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  6. Value of contracting as an active purchasing mechanism of healthcare services : a South African case study

    … Within South Africa's private healthcare market, medical schemes represent the largest source of private healthcare funding. Given the rate of increase of medical inflation within the South African private healthcare market, there is an absolute need for medical schemes to become more strategic in …

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  7. Analysing the structure and nature of medical scheme benefit design in South Africa

    … intends to shed light on open-membership medical scheme benefit design in South Africa. This will be done by analysing the benefit design of 118 benefit options, so as to provide an overview of the structure and nature of the benefit offerings available in the market in 2014. In addition, …

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  8. An evaluation of expenditure in the private health care sector and its reporting in the national accounts of South Africa

    … instances. In particular, the Registrar of Medical Schemes was consulted for medical scheme expenditure estimates as they constitute the largest portion of private sector health care expenditure in South Africa. The thesis estimate was then calculated for a single year according to the 1993 …

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  9. The perceptions of private health insurance administrator senior managers about the National Health Insurance (NHI) in South Africa, Cape Town

    … in the private sector, namely administrators of medical schemes, a collective entity which manages a significant proportion of health care funds in the health care system. Study aim: This study explored the perspectives of senior managers in the health insurance administrator industry about the …

    cape-town Repository record for The perceptions of private health insurance administrator senior managers about the National Health Insurance (NHI) in South Africa, Cape Town (opens in a new tab)

  10. The Relationship Between Job Satisfaction and Job Performance at Ruben Centre

    … allowance, transport and travelling allowance, medical schemes et cetra need to be matched up to a higher level. Recommendations were that the organization finds a way of building the capacity of the work force in order to increase performance. The organization should also focus on intrinsic …

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  11. ‘Joining late': exploring the impact of the Late Joiner Penalty (LJP) imposed by South African medical aid schemes

    … (LJP) that has been imposed on them by the Medical Schemes Act of 1998. Using various theories of citizenship, this research explores ways in which women are still excluded from obtaining full citizenship rights. The researcher applied a qualitative approach and conducted one-on-one in-depth …

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  12. Estimating the financial implications of pressure ulcers in private hospitals in South Africa

    … are identified using administrative data from medical schemes. Statistical modelling and statistical tests are used to create risk cells so that comparisons are done on a like-for-like basis. The results indicate that the average financial implications for a hospital case where an individual is …

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  13. Participant profiles and symptom responses in the initial stages of a South African Mental health managed care programme

    … and dependant beneficiaries of two participating medical schemes screened for enrolment on the MMHP between 1 August 2016 and 28 February 2018 were included in the study. Persons younger than 18 years were excluded. Symptoms of major depressive disorder (MDD), generalised anxiety disorder (GAD), …

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