Private Health Insurance (Medical Aid) and Huge Shortfalls in Zimbabwe: Policymakers playing ducks and drakes

By: Enock Musungwini, MPH, MBA Introduction A shortfall is the difference between what a health service provider charges for a patient’s treatment and what the medical insurance company will pay for that service. Shortfalls are sometimes presented as a co-payment, which is the gap between what the Private Health Insurance (PHI) company or medical aid pays to the health service provider for service rendered to the patient and what the health service provider will have charged the patient, known as a tariff. According to Suriyawongpaisal et al. (2016), huge shortfalls…

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Medical Aid Coverage Drops Below 10 Percent

MEDICAL Aid coverage among Zimbabweans as of last year must have dropped from the previous figure of 10 percent owing to the continued economic decline  greatly reducing citizens’ capacity to spend and invest towards their healthcare. By Kudakwashe Pembere The Association of Healthcare Funders of Zimbabwe (AHFoZ) issued new pricing guidelines in November last year to cushion members against huge co-payments and shortfalls. The adjusted rates have prompted  members to either downgrade packages or drop health insurance completely. Responding to HealthTimes,  Association of Healthcare Funders of Zimbabwe chief executive officer…

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‘Nipping Corruption Key to NHI Scheme Fund’

PARLIAMENTARIANS are worried over the custodianship of the impending National Health Insurance Scheme given the ill governance issues experienced through Premier Service Medical Aid Society and the National Social Security Association. By Kudakwashe Pembere During a health portfolio hearing for the Association of Healthcare Funders of Zimbabwe (AHFoZ) on Tuesday, BINGA North MP Dubeko Prince Sibanda said it was important for the organisation representing about 30 medical insurance companies to guard against corruption  since they are pushing for inclusion in national health insurance consultations. With NSSA at one time being selected to handle…

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National Health Insurance Next Year

HEALTH and Child Care Minister Dr Obadiah Moyo has assured the nation that the  National Health Insurance Scheme will be up and running  by January next year. By Kudakwashe Pembere He told journalists on the sidelines of the World Health Day Commemorations on Friday that plans to realise Universal Health Coverage through this health scheme are well on course. “With universal health coverage we are looking at national health insurance. We have already started on the national health insurance scheme. Our plans are very well advanced now working together with…

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