The role of risk adjustment in the equitable financing of National Health Insurance in South Africa
A National Health Insurance system has been proposed for South Africa and two of the seven guiding principles are that there be social solidarity and equity. These will require both risk cross-subsidies and income cross-subsidies to be engineered into the health care financing system. This paper considers the need for risk adjustment at a provincial level using at least age, gender and HIV prevalence. The proposed single purchaser model with 52 purchasing districts is shown to be problematic. An alternative multiple purchaser model is proposed which includes existing health funds and employer-based health care arrangements. The role of risk adjustment is described at various levels of the system and it is demonstrated that equity and social solidarity can be achieved in a multiple purchaser system.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 29 (2012)
Issue (Month): 5 (December)
|Contact details of provider:|| Web page: http://www.tandfonline.com/CDSA20|
|Order Information:||Web: http://www.tandfonline.com/pricing/journal/CDSA20|
When requesting a correction, please mention this item's handle: RePEc:taf:deveza:v:29:y:2012:i:5:p:636-656. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Michael McNulty)
If references are entirely missing, you can add them using this form.