Health insurance and financing

Literature review on health microinsurance schemes

Most providers of health microinsurance (HMI) have struggled to achieve sustainability without public or donor support, despite health insurance being one of the most sought after microinsurance products in many regions of the developing world. A lack of data and adequate skills for pricing, as well as the challenges around effectively forming and managing provider networks are two key factors that adversely affect HMI sustainability.

A demand side perspective to hospital cash plans in South Africa

Hospital Cash Plans in South Africa have emerged as a risk cover for many low income South Africans without access to medical aid. HCPs pay-out a cash amount directly to the client, with hospitalisation as trigger, rather than by providing comprehensive care cover. Medical aid schemes cover less than 20% of South African adults and those without access are predominantly in the lower income segments…

Review of the History and Legislative Landscape of the South African Market for Hospital Cash Plan Insurance

Cenfri, on behalf of FinMark Trust, recently commissioned a Review of the History and Legislative Landscape of the South African Market for Hospital Cash Plan Insurance, conducted by Lighthouse Actuarial Consulting. The review was a follow-up to the study on the Review of the South African Market for Hospital Cash Plan Insurance completed in 2012, which illustrated the potential for Hospital Cash Plan (HCP) products…

Review of the South African Market for Hospital Cash Plan Insurance

A recent Review of the South African Market for Hospital Cash Plan (HCP) Insurance managed by Cenfri and commissioned by the FinMark Trust and conducted by Lighthouse Actuarial Consulting finds:   There are estimated to be between 1 million and 1.5 million HCP policies in effect, with total lives covered estimated to be 2.4 million people The majority of policyholders are in the LSM 4-7 brackets More than 55%…

Making health insurance work for the low-income market in South Africa (2009)

This study, conducted by Elixir Business Consulting and Fifth Quandrant, was funded by the Finmark Trust and managed by the Centre for Financial for Regulation and Inclusion (Cenfri). The final report presents the findings and conclusions of a study that identifies the main drivers of health insurance costs in South Africa, as well as strategies that can be used to reduce these costs, to support the inclusion of…

Making health insurance work for the low-income market in South Africa (2009)

This study, conducted by Elixir Business Consulting and Fifth Quandrant, was funded by the Finmark Trust and managed by the Centre for Financial Regulation and Inclusion (Cenfri). The final report presents the findings and conclusions of a study that identifies the main drivers of health insurance costs in South Africa, as well as strategies that can be used to reduce these costs, to support the inclusion of low-income…

South Africa: Demand-side analysis of market for medical schemes (2009)

During the last ten years, South Africa has achieved remarkable progress in the area of financial inclusion for lower-income households in specifically the banking and, to a lesser degree, insurance markets. Limited progress has been made in expanding medical schemes (government’s chosen vehicle for private health financing) to more South Africans. While it may be fair to say that the higher income market for medical…
 

Health insurance and financing

Literature review on health microinsurance schemes

Most providers of health microinsurance (HMI) have struggled to achieve sustainability without public or donor support, despite health insurance being one of the most sought after microinsurance products in many regions of the developing world. A lack of data and adequate skills for pricing, as well as the challenges around effectively forming and managing provider networks are two key factors that adversely affect HMI sustainability.

A demand side perspective to hospital cash plans in South Africa

Hospital Cash Plans in South Africa have emerged as a risk cover for many low income South Africans without access to medical aid. HCPs pay-out a cash amount directly to the client, with hospitalisation as trigger, rather than by providing comprehensive care cover. Medical aid schemes cover less than 20% of South African adults and those without access are predominantly in the lower income segments…

Review of the History and Legislative Landscape of the South African Market for Hospital Cash Plan Insurance

Cenfri, on behalf of FinMark Trust, recently commissioned a Review of the History and Legislative Landscape of the South African Market for Hospital Cash Plan Insurance, conducted by Lighthouse Actuarial Consulting. The review was a follow-up to the study on the Review of the South African Market for Hospital Cash Plan Insurance completed in 2012, which illustrated the potential for Hospital Cash Plan (HCP) products…

Review of the South African Market for Hospital Cash Plan Insurance

A recent Review of the South African Market for Hospital Cash Plan (HCP) Insurance managed by Cenfri and commissioned by the FinMark Trust and conducted by Lighthouse Actuarial Consulting finds:   There are estimated to be between 1 million and 1.5 million HCP policies in effect, with total lives covered estimated to be 2.4 million people The majority of policyholders are in the LSM 4-7 brackets More than 55%…

Making health insurance work for the low-income market in South Africa (2009)

This study, conducted by Elixir Business Consulting and Fifth Quandrant, was funded by the Finmark Trust and managed by the Centre for Financial for Regulation and Inclusion (Cenfri). The final report presents the findings and conclusions of a study that identifies the main drivers of health insurance costs in South Africa, as well as strategies that can be used to reduce these costs, to support the inclusion of…

Making health insurance work for the low-income market in South Africa (2009)

This study, conducted by Elixir Business Consulting and Fifth Quandrant, was funded by the Finmark Trust and managed by the Centre for Financial Regulation and Inclusion (Cenfri). The final report presents the findings and conclusions of a study that identifies the main drivers of health insurance costs in South Africa, as well as strategies that can be used to reduce these costs, to support the inclusion of low-income…

South Africa: Demand-side analysis of market for medical schemes (2009)

During the last ten years, South Africa has achieved remarkable progress in the area of financial inclusion for lower-income households in specifically the banking and, to a lesser degree, insurance markets. Limited progress has been made in expanding medical schemes (government’s chosen vehicle for private health financing) to more South Africans. While it may be fair to say that the higher income market for medical…
 

 

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