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Analysis and Interventions on High Levels of Out-of-Pocket Payments: A 2023 Overview of Chronic Disease and Diagnostic Treatment Pairs

Research Analysis on Out of Pocket Payment (OOP): Rising OOP healthcare expenses in South Africa’s medical schemes environment pose a significant financial burden on members, especially for those with chronic diseases and high-cost DTPs. According to the 2023/2024 CMS Industry Report, medical scheme members incurred R43 billion in Out-of-Pocket Payments..

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