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Risk and the South African private healthcare - an internal audit perspective

Thesis (DCom(Internal Auditing))--University of Pretoria, 2005.

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Other Authors: De Jager, Herman
Format: Thesis
Published: University of Pretoria 2013
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access_status_str Open Access
author2 De Jager, Herman
author_browse De Jager, Herman
author_facet De Jager, Herman
collection Thesis
dc_rights_str_mv © 2003, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Thesis (DCom(Internal Auditing))--University of Pretoria, 2005.
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institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:36:25.392Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
publishDateSort 2013
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/25522 Risk and the South African private healthcare - an internal audit perspective De Jager, Herman Sean.DeLaRosa@sasol.com De la Rosa, Sean Paul Risk management Internal control Internal audit Private healthcare Medical scheme Risk Corporate governance Facilitation UCTD Thesis (DCom(Internal Auditing))--University of Pretoria, 2005. The ability to learn from catastrophe and the science of managing such events has plagued man for centuries. From its insurance origins, corporate risk management has developed into a fully fledged management function and is progressing into business areas that were originally considered unrelated. The evolution of risk management towards such a corporate approach recognises that risks are interrelated and that significant benefits may be achieved from evaluating and monitoring them on a company-wide basis. This study aims at providing the reader with information on the major risks facing the private healthcare administration organisation in South Africa as well as the suitable corporate risk management methodology that may be applied in effectively managing these threats and opportunities from an internal audit perspective. Pressing issues facing the private healthcare environment today include: • Dramatic increase in regulatory oversight within the private healthcare industry; • the need for more innovative actuarial and financial models to address countrywide epidemics such as HIV and AIDS; • increased prevalence of capitation contracts to ensure the financial stability of healthcare service providers; • increases in expected fraudulent activity; • increasing the scope of private healthcare to incorporate a larger share of the South African population; and • providing effective healthcare cover to members whilst facing significant medical inflation increases. The development and implementation of a consistent risk management methodology provides stakeholders with greater confidence that pressing issues, such as those listed above, are being optimally managed. This type of improved risk management consists of distinct phases. Key phases of the suggested methodology presented in this work are supported by results from an empirical study representing 27% of the registered medical schemes in South Africa. Based upon assessments of literature, current definitions for risk and corporate risk management are also presented. Also, the study will be approached from the perspective of the internal auditor, with suitable insights and suggestions made from this standpoint. The study concludes with the author’s evaluation of the current state of risk management for private healthcare administration organisations in South Africa and future predictions regarding this management field. Auditing unrestricted 2013-09-06T22:06:25Z 2004-04-06 2013-09-06T22:06:25Z 2003-10-01 2005-04-06 2004-01-28 Thesis De la Rosa, S 2003, Risk and the South African private healthcare - an internal audit perspective, DCom(Internal thesis, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/25522 > http://hdl.handle.net/2263/25522 http://upetd.up.ac.za/thesis/available/etd-01282004-084552/ © 2003, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria
spellingShingle Risk management
Internal control
Internal audit
Private healthcare
Medical scheme
Risk
Corporate governance
Facilitation
UCTD
Risk and the South African private healthcare - an internal audit perspective
title Risk and the South African private healthcare - an internal audit perspective
title_full Risk and the South African private healthcare - an internal audit perspective
title_fullStr Risk and the South African private healthcare - an internal audit perspective
title_full_unstemmed Risk and the South African private healthcare - an internal audit perspective
title_short Risk and the South African private healthcare - an internal audit perspective
title_sort risk and the south african private healthcare an internal audit perspective
topic Risk management
Internal control
Internal audit
Private healthcare
Medical scheme
Risk
Corporate governance
Facilitation
UCTD
url http://hdl.handle.net/2263/25522
http://upetd.up.ac.za/thesis/available/etd-01282004-084552/