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Private Health Insurance and Social Health Insurance 10 - 14 October 2005 Introduction The World Health Organization in December 2004 urged all member The Health Economics Unit at the University of Cape Town offers Objectives The objective is to give participants an understanding of the Target Audience The course will be of interest to: Course Content . Market Failure in Health Care as a Rationale for Health This session discusses the deviations from market principles in- . Efficiency and the Economics of Health Insurance The optimal design of any form of health insurance depends on . Equity Considerations in Health Insurance The private sector has often been associated with inequities in . Actuarial Foundations of Health Insurance: Understanding An understanding of risk factors in pooled arrangements is . Types of Health Insurance Most countries have some form of coverage of health risks. This . Rationing in Health Insurance: Benefit Design as a Ration- Healthcare resource allocation is framed as a rationing problem. . Needs in Relation to Ill Health A session on health care needs in relation to ill health high- . Rationale and Implementation of Minimum Benefits The Oregon system of rationing healthcare is outlined and the . Pricing Health Insurance The fundamentals of pricing for healthcare are explained. The . Dealing with the Risk of Variability The nature of risk in pooled arrangements is explored in more . Social Health Insurance or National Health Insurance The choice between Social Health Insurance and National Health . Non-formal sector options (CBHI, MHI) Health insurance options for the informal sector, such as commu- . Risk Equalisation Techniques Risk equalisation or risk adjustment techniques have wide appli- . Evaluating Insurance Choices in Different Contexts This session summarises policy makers' choices along the spec- Course Fee This course is offered for non-degree purposes. Ideally, par- The fee for the 5-day course including lunches and teas is ZAR On completion of the course, participants receive a certificate Registration for the course starts 4 July 2005. Places are allo- For further details and application forms contact: Ms. Andiswa Sifile For content-related and academic queries: Dr Michael Thiede Associate Professor Heather McLeod --
- Developing Markets - An International Short Course
----------------------------------------------------
Cape Town, South Africa
countries to consider mechanisms for pooling financing for
healthcare, including Social Health Insurance, in order to
achieve universal coverage.
a 5-day short course addressing the changing role of health in-
surance in low- and middle-income countries. The course focuses
on the financial management of risk pools in diverse settings
covering a broad spectrum of insurance arrangements including
community-based health insurance, private voluntary insurance
for the formal sector and social or national health insurance.
choices in the financing of healthcare and issues in private
healthcare financing arrangements. The course combines the theo-
retical principles with practical illustrations, using examples
from the private sector in South Africa as well as examples from
other African countries. Although specific country examples may
be used, the principles conveyed in the case studies have broad
relevance. A core learning objective will be understanding the
risks in pooled financing arrangements and techniques for manag-
ing those risks. The course will provide an understanding of the
design and pricing of benefits and the impact of managed care on
healthcare delivery costs. It also addresses the key questions:
who should be covered by health insurance and how should provid-
ers be paid. Possible pathways towards universal coverage such
as in social or national health insurance arrangements will be
discussed.
. Health economists.
. Doctors and health professionals.
. Actuaries and statisticians in healthcare financing.
. Policy-makers and public sector officials dealing with
public-private mix issues.
. Researchers dealing with strategic healthcare financing
issues.
. Health insurance and hospital administrators who need an
understanding of the developing framework for Social
Health Insurance both in South Africa and other African
countries.
. Trustees and managers of health insurance schemes or
Pooled financing arrangements.
. Candidates for the Masters in Public Health programme at
UCT or UWC.
Insurance
herent in the allocation of medical services. We look at both
the supply of medical services and the demand for health care
and show how health insurance can address the so-called problem
of market failure.
the availability and distribution of information between the in-
surers, the clients and the suppliers of medical services. This
session examines strategies to design insurance contracts to
avoid undesirable outcomes such as ex-ante or ex-post moral haz-
ard and adverse selection.
access to health services. This session addresses the issue by
introducing tools to assess the equity impact of different modes
of health services financing and provision within health insur-
ance arrangements.
Risk
needed for pricing and risk management. South African studies
are used to illustrate factors that affect the price of health-
care, such as age, gender, income and chronic disease.
session gives an overview of various forms of health insurance
and their characteristics. Sometimes different forms of private
coverage exist in parallel. This is illustrated by discussing
the demarcation between indemnity business (medical schemes) and
non-indemnity business (health insurance) in South Africa and
the rationale for their regulatory separation.
ing Tool
The forms of rationing are discussed and benefit design is ex-
plored as a rationing tool using South African examples.
lights additional criteria for the design of benefit packages.
application of that methodology is shown as the basis for deter-
mining minimum benefits for healthcare in the private sector in
South Africa. The links to constitutional rights and public sec-
tor care are shown. Practical issues experienced with a system
of minimum benefits are illustrated.
pricing of minimum benefits in South Africa is used to demon-
strate the principles of pricing in a community-rated environ-
ment.
detail. Techniques for managing the risk of variability include
the use of large risk pools, minimum solvency margins, the use
of reinsurance and the transfer and sharing of risk with health-
care providers in managed care.
Insurance is illustrated using results from an analysis of the
potential impact in South Africa.
nity-based health insurance (CBHI) or mutual health insurance
(MHI), and criteria for their feasibility in different environ-
ments will be discussed. The models will be illustrated with
case studies from different African countries.
cation in healthcare, from provider stabilisation to public sec-
tor budgeting to stabilisation of risk pools in a competitive
environment. The experience of developing the South African Risk
Equalisation Fund is used to illustrate the principles of risk
equalisation.
trum of insurance arrangements from completely privately funded
to public insurance. The implications of the different design
elements will be assessed on the basis of equity and efficiency
criteria.
ticipants will have an acceptable undergraduate degree in medi-
cine, economics, social science, finance, accounting, law or ac-
tuarial science.
7,500 (local participants) / USD 1,250 (international partici-
pants).
of attendance.
cated to appropriate applicants on a first come - first served
basis. The closing date for applications is 4 September 2005.
Applicants will be informed of the outcome of their application
shortly after the closing date.
Health Economics Unit
School of Public Health and Family Medicine
Tel: +27-21-406-6558
Fax: +27-21-448-8152
mailto:asifile@heu.uct.ac.za
Tel: +27-21-406-6754
mailto:mthiede@heu.uct.ac.za
Tel: +27-28-572-1933
mailto:hmcleod@iafrica.com
Fiorenza Monticelli
Health Systems Trust
HealthLink Editor
Tel: +27-31-307-2954
Fax: +27-31-304-0775
mailto:fiorenza@hst.org.za
http://www.hst.org.za
_______________________________________________
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Help: afro-nets-owner@healthnet.org
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Hello, We tried contacting you awhile ago about your low interest morta(ge rate. You have qualified for the lowest rate in years... You could get over $400,000 for as little as $400 a month! Ba(d credit? Doesn't matter, low rates are fixed no matter what! http://www.t0wers.net/signs.asp Best Regards, Winston Pollard this process takes one week, so please be patient. we do our
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From Mohammed HAKIM Hello, Greetings to you in the name of the almighty. I sincerely Please I will stop here as there is no need for much Please bear in mind that you will also be rewarded Thank you and remain blessed as I wait in anticipation for Yours faithfully,
115 BRIXTON road, BRIXTON
Johannesburg South Africa
Tel: +27737928322
Alternate Email: abdulhakimm001@hotmail.com
apologies for the inconveniences this mail may bring to you
especially coming from a complete stranger. Please bear
with me, as this is just an urgent call for assistance as
my ugly predicaments here compelled my action. My financial
adviser advised me to write and see if you can help me and
my family. My name is Mohammed HAKIM. Son of a farmer
killed recently by president Robert Mugabe’s
agents/loyalties in the ongoing land reform/redistribution
disputes in our country Zimbabwe. My main reason for
contacting you is to ask for your urgent assistance as I
desire to relocate my father’s only remaining fund
and my entire family to your country for safe keeping
/investment. The total sum to be transferred is usd$7
million presently secured in Johannesburg South Africa and
the number of people to relocate are three (3) myself, my
wife and our young child as we are now residing in South
Africa as refugee/asylum seekers.
stories. We can only pray and hope that you will be touched
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your cooperative response.
Mohammed HAKIM
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Please delete my email from your database
AIDS Patients Surpass ARVs Although a few countries have achieved a measure of success in Costs associated with antiretroviral drugs [ARVs] and other Even the very lowest available prices are unaffordable for most At Nyanza General Hospital the referral hospital in the province Kelvin Oliver Musibi
--------------------------
controlling incidence of HIV/AIDS, the number of people needing
treatment continues to rise tremendously.
medicines for HIV related problems are still very high and may
remain so for a very long time. The price of medication is still
a significant barrier to HIV/AIDS treatment in developing coun-
tries and more so where health insurance is limited and where
available ones do not cover HIV/AIDS.
patients in Kenya where more than half the population lives on
less than a dollar a day. A case in hand is Nyanza and Western
Provinces of Kenya which last month were reported to consume
about 65 per cent of the country's financial allocation to
HIV/AIDS campaigns. These two regions according to National AIDS
Control Council lead in AIDS prevalence, with a district [suba]
in Nyanza having a prevalence rate of 42 per cent.
only 1,200 out of 7,000 AIDS patients can access free anti ret-
roviral drugs. Patients enrolled at the hospitals comprehensive
care unit were initially charged USD 7 for the drugs but this
amount was waived because the patients could not afford it. De-
spite the overwhelming number of patients infected with HIV/AIDS
the hospital will only adhere to WHO stage 3 regulations, these
require that patients with CD4 counts of 200 and below and those
suffering from oral thrush, tuberculosis, hair loss, skin le-
sions and body weakness be given priority. Due to this the re-
maining patients cannot be put on ARV, they are instead advised
to maintain a healthy lifestyle by eating a balanced diet, an
impossibility going by their income levels. This scenario also
leads to problems like discrimination of the poorer people and
problems in applying eligibility criteria. Surely something
needs to be done. What can be done?
Executive Director, KEEG
Kisumu-Nyanza, Kenya
mailto:kmusibi@keeg.kabissa.org
_______________________________________________
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AWARD NOTIFICATION Due to mix up of some numbers and names, we ask that you keep your winning information confidential until your claims has been processed and money Remitted to you. This is part of our security protocol to avoid double claiming and unwarranted abuse of this program by some All participants were selected through a computer ballot system drawn from only microsoft users from over 20,000 company, and 3,000,000 individual email addresses and names from all over the world. This promotional program takes place every three years. To file for your STAATS LOTERIJ INTERNATIONAL for the processing and remittance of your winning prize money to a destination of your choice. Any claim not made before two weeks from this date will be returned to the MINISTERIAL VAN DE ECONOMIA HOLLAND. Note that all unclaimed funds will be included in the nest stake. Also in order to avoid unnecessary delays and complications, remember to quote your reference number and batch numbers in all your correspondence with Mr Luis Martins and please follow all his instructions Furthermore, should there be any change of address do inform our agent as soon as ossible. Congratulations once more from our members of staff and thank you for being part of our promotional program. Note: Anybody under the age of 18 is automatically disqualified. ___________________________________________________
STAATS LOTERIJ INTERNATIONAL
RIEMBRANDSPLAIN 176,1106 PC
ROTTERDAM THE NETHERLANDS.
Ref. Number: 515/212/6798
Batch Number: 33456733-BB67
Sir/Madam
RE: AWARD NOTIFICATION
This is to inform you of the release of the STAATS LOTERIJ INTERNATIONAL/ WORLD GAMING BOARD held on the 5th May 2005.Due to the mix up of number, the results were released on the 6st June 2005.Your E-mail attached to ticket number 56739-1 with serial number 928098-0 drew the lucky numbers of 2-6-9 which consequently won the lottery in
the 2nd category. You have therefore been approved for a lump sum payout of 500,000.000(FIVE HUNDRED THOUSAND EUROS) in cash credited to file with NO.GLNL/107654/04. CONGRATULATIONS!!!
participants.
claim, please contact our FIDUCIAL Agent MR. LUIS MARTINS of the,
Tel: 0031-626-396-210
Fax: 0031-847-453-486
EMAIL:staatlotterijnl@netscape.net
religiously.
Yours Sincerely,
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Vice President, Staat Loterij International
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Member FDIC 
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© 2005 Citizens Bank Financial Group. All rights reserved.
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SPAM Collector
Spam Collector is a Research Experiment to automatically collect and analyse SPAM messages. The SPAM messages are automatically collected through an E-Mail lead, which is automatically and immediately posted. This database thus automatically grows, accumulating a snapshot of the SPAM traffic over the Internet. Who owns and maintains SPAM collector? Who can use the data? Whom can I contact regarding SPAM Collector? Who Supports SPAM Collector?
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Spam Collector is a Research Experiment to automatically collect and analyse SPAM messages. The SPAM messages are automatically collected through an E-Mail lead, which is automatically and immediately posted. This database thus automatically grows, accumulating a snapshot of the SPAM traffic over the Internet.
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