The role of risk equalization in moving from voluntary private health insurance to mandatory coverage: the experience in South Africa.

@article{McLeod2009TheRO,
  title={The role of risk equalization in moving from voluntary private health insurance to mandatory coverage: the experience in South Africa.},
  author={Heather McLeod and Pieter Grobler},
  journal={Advances in health economics and health services research},
  year={2009},
  volume={21},
  pages={159-96}
}
OBJECTIVE The South African health system has long been characterised by extreme inequalities in the allocation of financial and human resources. Voluntary private health insurance, delivered through medical schemes, accounts for some 60% of total expenditure but serves only the 14.8% of the population with higher incomes. A plan was articulated in 1994 to move to a National Health Insurance system with risk-adjusted payments to competing health funds, income cross-subsidies and mandatory… CONTINUE READING

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