HOME / LOGOUT
Promoting Rational, Appropriate, Cost-Effective Health Care
ABOUT US SERVICES MEDICAL FORUM DEMOS

CONTACT US

LOGIN







Optimax website



CPN Login
We Have been BEE Verified & Rated




Advanced Search

DocChat Forum
MHS Web Talk
FAQ's
How to use the MHS website
Sitemap
Disclaimer
Vacancies

MHS Medical Forum - Statistics

 STATISTICS OF INTEREST

VIEW PAST STATISTICS 

REVISED MANAGED CARE REGULATORY FRAMEWORKS - JUNE 2002

Medical scheme and non-medical scheme members - some perspective
Beneficiaries - Open & Restricted Schemes - 2000
Solvency Trends: 1990 - 2000
Real Costs per Member: 1987 - 2000
Non-medical cost - 2000
Non-medical cost trends, Registered Medical Schemes: 1993 - 2000
Low cost network or capitated options
Benefit Design for Low-Cost Options
Benefit Design for Ten Lowest Cost Options

MEDICAL SCHEMES - S.A.

Coverage
Age Distribution of Medical Scheme Beneficiaries
Distribution of benefiticaries in Medical Schemes
Underwriting Results
Financial Results
Financial Results as % of Contributions
Per Beneficiary Calculations
Total Risk Benefits Paid
Total Savings Benefits Paid
Total Benefits Paid (excluding provisions)
Capital Structure
Nett Current Position
Distribution of income (Open schemes with <10% solvency ratio)
Distribution of income (Restricted schemes with <10% solvency ratio) 
Solvency - Registered Medical Scheme
Solvency - Registered Medical Schemes Industry Average

(click on the images to view them at full size)

 

REVISED MANAGED CARE REGULATORY FRAMEWORKS - JUNE 2002

Members Fig17MedicalScheme_and_nonMedicalScheme.jpg (30899 bytes)
MEDICAL SCHEMES AND NON-MEDICAL SCHEME MEMBERS

(reference:
11 June 2002, Stephen Harrison, Novartis Managed Care Workshop, Council for Medical Schemes, Power Point Presentation, slide 4)
Beneficiaries - Open & Restricted Schemes - 2000 OpenvsRestrictedSchemes.jpg (41714 bytes)
Beneficiaries
(reference: 11 June 2002, Stephen Harrison, Novartis Managed Care Workshop, Council for Medical Schemes, Power Point Presentation, slide 5)
Solvency Trends: 1990 - 2000 SolvencyTrendsSlide6.jpg (48686 bytes)
Solvency Trends: 1990 - 2000
(reference: 11 June 2002, Stephen Harrison, Novartis Managed Care Workshop, Council for Medical Schemes, Power Point Presentation, slide 6)
Real Costs per Member: 1987 - 2000 RealCostsSlide7.jpg (54732 bytes)
Real Costs per Member, contributions and benefits: 1980 - 2000
(reference: 11 June 2002, Stephen Harrison, Novartis Managed Care Workshop, Council for Medical Schemes, Power Point Presentation, slide 7)
Non-medical cost - 2000 NonMedPercSlide8.jpg (41574 bytes)
Non-medical costs as % of Gross Contributions (2000): Restricted/ Open Schemes
(reference: 11 June 2002, Stephen Harrison, Novartis Managed Care Workshop, Council for Medical Schemes, Power Point Presentation, slide 8)
Non-medical cost trends, Registered Medical Schemes: 1993 - 2000 NonMedCostsSlide10.jpg (55071 bytes)
Non-medical cost trends, Registered Medical Schemes: 1993 - 2000
(reference: 11 June 2002, Stephen Harrison, Novartis Managed Care Workshop, Council for Medical Schemes, Power Point Presentation, slide 10)
Low cost network or capitated options LowCostNetworkSlide11.jpg (63703 bytes)
Low cost network or capitated options: rates < R1000 for family of 4 on lowest income band
(reference: 11 June 2002, Stephen Harrison, Novartis Managed Care Workshop, Council for Medical Schemes, Power Point Presentation, slide 11)
Benefit Design for Low-Cost Options LowCostSlide12.jpg (36707 bytes)
Benefit Design for Low-Cost Options
(reference: 11 June 2002, Stephen Harrison, Novartis Managed Care Workshop, Council for Medical Schemes, Power Point Presentation, slide 12)
Benefit Design for Ten Lowest Cost Options TenLowestCostSlide13.jpg (37748 bytes)
Benefit Design for Ten Lowest Cost Options
(reference: 11 June 2002, Stephen Harrison, Novartis Managed Care Workshop, Council for Medical Schemes, Power Point Presentation, slide 13)

MEDICAL SCHEMES - S.A.
 

Coverage
COVERAGE OF BENEFICIARIES BY MEDICAL SCHEMES

(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 17,  http://www.medicalschemes.com, 2001/12/27]
Age Distribution of Medical Scheme Beneficiaries
(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 18,  http://www.medicalschemes.com, 2001/12/27]
Distribution of beneficiaries in Medical Schemes 
(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 18,  http://www.medicalschemes.com, 2001/12/27]
Underwriting Results
(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 19,  http://www.medicalschemes.com, 2001/12/27]
Financial Results


(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 20,  http://www.medicalschemes.com, 2001/12/27]

Financial Results as % of Contributions


(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 21,  http://www.medicalschemes.com, 2001/12/27]

Per Beneficiary Calculations
(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 21,  http://www.medicalschemes.com, 2001/12/27]
Total Risk Benefits Paid
(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 22,  http://www.medicalschemes.com, 2001/12/27]
Total Savings Benefits Paid
(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 23,  http://www.medicalschemes.com, 2001/12/27]
Total Benefits Paid (excluding provisions)
(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 23,  http://www.medicalschemes.com, 2001/12/27]
Capital Structure
(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 24,  http://www.medicalschemes.com, 2001/12/27]
Nett Current Position
(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 24,  http://www.medicalschemes.com, 2001/12/27]
Distribution of Income (Open schemes with <10% Solvency Ratio)


(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 25,  http://www.medicalschemes.com, 2001/12/27]

Distribution of Income (Restricted schemes with <10% Solvency Ratio)
(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 25,  http://www.medicalschemes.com, 2001/12/27]
 

Solvency - Registered Medical Schemes


(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 26,  http://www.medicalschemes.com, 2001/12/27]

Solvency - Registered Medical Schemes Industry Average


(reference: 2000 Annual Report of the Registrar of Medical Schemes, pg. 26,  http://www.medicalschemes.com, 2001/12/27]