Introducing the National Health Insurance scheme will destroy smaller medical schemes while allowing bigger ones to benefit from forced consolidation, the South African Institute of Race Relations said on Thursday.
Serfontein said after consolidation, their biggest concern was that remaining medical schemes would become unaffordable as they will most likely fund expensive conditions and procedures that the NHI fund cannot afford. Broomberg said the provision for medical schemes to offer “complementary” services opened a door for patients to choose not to follow the NHI referral pathways and instead claim from their private health insurers.
“There are many parties in the medical schemes system. Members certainly don’t support it. Some are supporting it to maintain inside tracks within the policy-making structures,” said Van den Heever. “We are not saying NHI is a silver bullet that will fix everything. But unlike others, we’d rather influence from within,” he said.
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