At this late stage in the game, where we are mere moments away from a National Health Insurance (NHI) Act, we probably need to establish how the NHI will be implemented.
In SA, government plans are a dime a dozen, but implementation of plans, successful or otherwise, is a rare occurrence. Having been at it for a decade, it is extremely concerning that there is so little certainty on how the NHI will practically happen.
The first big question is how the NHI Fund is planning to contract with the public clinics and hospitals. There is every indication that it is in the plan, but exactly how? Public hospitals and clinics are not juristic entities and can therefore not contract with anyone…..more