Medical Schemes

These documents were previously available on the web-site of the Council for Medical Schemes. They are no longer available at that site and are thus provided here as a service for researchers.

There were three reports on the 2001 PMB pricing. The first deals with the pricing of the PMB diagnosis-treatment pair (DTP) package, as originally defined in 1999. The second deals with the costing of the (then) proposed CDL package which provides cover for diagnosis, treatment and medicine in respect of a list of chronic diseases. The third report combines the prices for the DTP and CDL components of PMBs and considers the impact on affordability of contributions for members of medical schemes.

Extensive slide and spreadsheet material was made available at the time. A shortened form of the presentation is available below, as well as a PDF of the key pricing spreadsheet. Other historic material and other file versions are available by e-mail from Heather McLeod.

•Fish T., McLeod H.D., Rothberg A., Eekhout S., Pels L., Innocenzi R. and Mubangizi D.B. (2002). The Costing of Existing Prescribed Minimum Benefits in South African Medical Schemes in 2001. Council for Medical Schemes, Pretoria. [617k]

•McLeod H.D., Rothberg A., Pels L., Eekhout S., Mubangizi D.B. and Fish T. (2002). The Costing of the Proposed Chronic Disease List Benefits in South African Medical Schemes in 2001. A Report prepared under contract for the Council for Medical Schemes, Pretoria. [601k]

•McLeod H.D., Mubangizi D.B., Rothberg A. and Fish T. (2003). The Impact of Prescribed Minimum Benefits on the Affordability of Contributions. A Report prepared under contract for the Council for Medical Schemes, Pretoria. [597k]

Slide presentation [1.4 Mb]

Excel spreadsheet for adjusting the price of PMBs.