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Alternative Reimbursement Models
Table 1: ITAC team members Name Paresh Prema Adam Lowe Aphiwe Baleni Charlton Murove Dr Rajesh Patel Lesley Mogano Craig Getz Evan Bradley Dr Jenni Noble-Luckhoff Linda Webb Martin Coxon Sarah Bennett Shivani Ranchod
Organisation Independent NMG Consultants and Actuaries Percept Actuaries and Consultants Board of Healthcare Funders Board of Healthcare Funders Board of Healthcare Funders Insight Actuaries and Consultants 3ONE Consulting Actuaries Medscheme Alexander Forbes Percept Actuaries and Consultants Medscheme Percept Actuaries and Consultants
This project commenced as a response to the ongoing impact of the COVID-19 pandemic in South Africa and in particular its management from a health financing perspective. It is for this reason we would like to thank the team at the BHF for their initiative in developing an ARM for COVID19. Their support from an infrastructure and facilitation point of view was invaluable in allowing the team to develop this model. Furthermore, the model would not be possible without the technical input of the team from the BHF namely, Mr Charlton Murove and Dr Rajesh Patel. The ITAC was created to undertake work that would provide rigorous and effective solutions to challenges in the healthcare landscape. We would like to thank the members of the team (listed in the table above) for their valuable contribution to conceptualising, developing and finalising this model. We would like to extend special thanks to Mr Paresh Prema who is the chair of the ITAC and who coordinated the efforts of the team. We would also like to extend our gratitude to Prof. Eustasius Musenge who peer reviewed the modelling approach and this report. This model would not be possible without medical schemes data and we would like to thank the medical schemes and administrators that contributed resources and data for its development.
Board of Healthcare Funders Industry Technical Advisory Committee
