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Policy, Research and Monitoring

Research reports and studies

The Research and Monitoring Unit serves beneficiaries of medical schemes and members of the public by collecting and analysing data to monitor, evaluate and report on trends in medical schemes and develop recommendations to improve the regulatory policy and practice.

Research conducted by the unit currently covers the areas of utilisation of health care services in the private sector, strengthening governance in medical schemes by proposing a framework for trustee remuneration and development of a process for measuring quality and outcomes in the private health care sector. Research methods include a combination of literature reviews, consultative processes, surveys, and statistical tools. Research output is often disseminated to the medical schemes industry through the publication of monographs and presentations at industry consultative forums.

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 to closed schemes and that of the industry. The 2021 CMS Industry Report data showed that the 11 state employees’ medical schemes accounted for 1.1 million principal members and 2.9 million beneficiaries, making up about 33.1% of the medical scheme industry and 71% of restricted schemes in terms of beneficiaries.

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Research Notes 2023

Research Notes feature the latest studies from the Council for Medical Schemes.

Research Note 2023

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Research (Final Version)

Research Review: More than half a million new dependants join medical schemes each year
Size: 692.35 KB
Date added: 18-07-2023
Date modified: 18-07-2023
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Phakamile Nkomo_ Regulatory Framework_Research Brief 2022.2023 (v2)

Research Brief: Regulatory Framework Project
Size: 1.02 MB
Date added: 08-05-2023
Date modified: 08-05-2023
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Research Brief XXX of 2020_Patient Experience Survey 2020_For editing

PATIENT EXPERIENCE SURVEY: MEDICAL SCHEMES’ BENEFICIARIES LIVING WITH DIABETES
Size: 1.66 MB
Date added: 31-01-2023
Date modified: 31-01-2023
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Phakamile Nkomo_Patient experience poster_ISQua 37th International Conference

Poster presentation: ISQua’s 37’th International Conference
Size: 370.63 KB
Date added: 31-01-2023
Date modified: 31-01-2023
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RESEARCH STUDY - GOVERNMENT FUNDED MEDSCHEMES ARTICLE

Research Study: A Review of Government-Funded Medical Schemes and Medical Schemes with less than 6000 Members
Size: 132.03 KB
Date added: 23-01-2023
Date modified: 24-01-2023
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GOVERNMENT FUNDED MEDICAL SCHEMES REPORT UPDATED FINAL

A Review of Government-Funded Medical Schemes and Medical Schemes with less than 6000 Members
Size: 918.97 KB
Date added: 23-01-2023
Date modified: 24-01-2023
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RESEARCH STUDY FUNDING ON ONCOLOGY update

RESEARCH STUDY: Funding of Oncology Benefits by Medical Schemes, South Africa - A focus on breast and cervix cancer
Size: 187.84 KB
Date added: 16-01-2023
Date modified: 16-01-2023