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The impact of changes to healthcare payment arrangements on private healthcare in South Africa
Mini Dissertation (MBA)--University of Pretoria, 2018.
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| Other Authors: | |
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2019
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| _version_ | 1867613442049835009 |
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| access_status_str | Open Access |
| author2 | Maram, Allan |
| author_browse | Maram, Allan |
| author_facet | Maram, Allan |
| collection | Thesis |
| dc_rights_str_mv | © 2019 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 | Mini Dissertation (MBA)--University of Pretoria, 2018. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/68844 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:36:12.613Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/68844 The impact of changes to healthcare payment arrangements on private healthcare in South Africa Maram, Allan ichelp@gibs.co.za Apostoleris, Evangelos UCTD Mini Dissertation (MBA)--University of Pretoria, 2018. Alternative healthcare reimbursement models (ARMs) have been implemented around the world in order to ensure that quality, evidence-based medicine remains affordable and accessible as health service delivery costs continue to rise. The South African private healthcare system has traditionally relied on a fee-for-service (FFS) model, which is not sustainable within the current environment. One such model is the recent introduction of an arthroplasty bundled payment arrangement. The objective of the study is to evaluate the interpretation of the recently implemented model amongst all the relevant stakeholders involved in delivering care for their patients related to an arthroplasty procedure. Using a qualitative design, with theoretical insights from the literature, the bundled payment arrangement has been reviewed with all the relevant participants in order to assess the arrangementÕs merits within the South African private healthcare system. The findings of the study confirm many of the benefits for which the model was designed, but the research also identifies areas where the model could be modified and/or improved. In addition, cliniciansÕ concerns about the ARMs are highlighted. At the same time, the research exposes some of the positive future trends in healthcare reimbursement, and the potential role of the event-based contract (EBC). The research provides an insider view and insights that may be of immense value for those involved in designing or redesigning an ARM, specifically for the local healthcare environment. In addition, the study sheds light on possible considerations for rolling out the National Health Insurance (NHI) scheme, as the country seeks to provide improved access and quality healthcare to all citizens. ms2019 Gordon Institute of Business Science (GIBS) MBA 2019-04-04T10:16:58Z 2019-04-04T10:16:58Z 30-Mar-19 2018 Mini Dissertation Apostoleris, E 2018, The impact of changes to healthcare payment arrangements on private healthcare in South Africa, MBA Mini Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/68844> http://hdl.handle.net/2263/68844 en © 2019 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 University of Pretoria |
| spellingShingle | UCTD The impact of changes to healthcare payment arrangements on private healthcare in South Africa |
| title | The impact of changes to healthcare payment arrangements on private healthcare in South Africa |
| title_full | The impact of changes to healthcare payment arrangements on private healthcare in South Africa |
| title_fullStr | The impact of changes to healthcare payment arrangements on private healthcare in South Africa |
| title_full_unstemmed | The impact of changes to healthcare payment arrangements on private healthcare in South Africa |
| title_short | The impact of changes to healthcare payment arrangements on private healthcare in South Africa |
| title_sort | impact of changes to healthcare payment arrangements on private healthcare in south africa |
| topic | UCTD |
| url | http://hdl.handle.net/2263/68844 |