Towards Addressing Policy Gaps in South Africa’s Healthcare System: A Sustainable Approach to PMBs and Medical Schemes Reform
The health policy framework for South Africa’s healthcare system after the establishment of democracy included the creation of medical schemes
Research Study: Funding of Oncology Benefits by Medical Schemes, South Africa – A focus on breast and cervix cancer
In October 2022, the Council for Medical Schemes through its Policy Research and Monitoring Division published a research chapter Funding
Research Study: A Review of Government-Funded Medical Schemes and Medical Schemes with less than 6000 Members
This report reviews state employees’ medical schemes and schemes with fewer than 6000 principal members and assesses how these compare
Research Review: Regulating by Measurement and Learning
A cross-sectional analysis of complaints in the Council for Medical Schemes (CMS) complaints database highlights the likely occurrence of out-of-pocket
Research Review: Leadership can reform South Africa’s Health System
The South African health system is currently experiencing challenges which if it persists could hamper the country's ability to provide
Research Review: A review of entities contracted to medical schemes for auditing services in South Africa
Audit firms are important in ensuring companies’ financial statements are reliable and accurate. The Independent Regulatory Board for Auditors (IRBA)
Research Note 1/2022: Funding of healthcare services by medical schemes
This study presents the various funding models medical schemes employ for various healthcare services. It outlines the unique count of
Research Note 1 of 2021
Prevalence of chronic conditions among medical scheme beneficiaries that are eligible for Phase II of the COVID-19 vaccination. The Minister of
Persistent inequalities in healthcare access in South Africa
Healthcare access in South Africa remains deeply inequitable, shaped by structural, economic, policy, and socio-cultural barriers. The country’s dual public-private
Patient Empowerment is at the heart of healthcare
Patient Experience Survey on people living with diabetes conducted by the CMS’s Policy Research and Monitoring Division (PRMD) in 2019