SAHR 2007 - Health Systems Trust

EC FS GP KZN LP MP NC NW WC SA
Per capita health expenditure (private sector – average benefits per beneficiary per annum, nominal prices)
2003 Private total - - - - - - - - - 5 724 i
2004 Private total - - - - - - - - - 6 012 i
2005 Private total - - - - - - - - - 6 767 i
2006 Private total 7 346 d
Per capita health expenditure (public sector – expenditure per uninsured population, nominal prices)
2003 Public total 851 1 060 1 219 967 701 696 1 144 686 1 326 954 j
2004 Public total 828 1 132 1 284 1 029 803 794 1 108 770 1 505 1 021 j
2005 Public total 950 1 203 1 489 1 224 907 938 1 446 861 1 611 1 168 j
Ratio of public to private sector per capita health expenditure
2005/06 - - - - - - - - - 6.0 j
a Medical Schemes 2003-4.
b Medical Schemes 2004-5.
c Medical Schemes 2005-6. The claims ratio is expected to increase
given that most schemes have already attained the prescribed level of
reserves – the accumulation of the necessary reserves had caused the
ratio to deteriorate over previous years.
d Medical Schemes 2006-7.
e National Treasury. Mark Blecher, National Treasury, personal communication
May 2006. For 2005/06 financial year. Total health exp as
a % of GDP is lower than previous estimates – but higher in absolute
numbers. These differences are due to recent upward revisions of GDP
and the estimate of private out of pocket expenditure used here is a
fairly conservative one based on Reserve Bank consumption data.
f Medical Schemes 2005-6. South African total includes 5 993 beneficiaries
outside the country. Data are collected primarily on the basis of
the location of principal members. The number of beneficiaries for 2005
excludes Bargaining Council Schemes whereas totals for previous years
included these beneficiaries.
g StatsSA GHS 2004 - 2006.
h Medical Schemes 2005-6.
i Medical Schemes 2003-4, 2004-5 and 2005-6. Calculated from
average benefits paid per beneficiary per month x 12
j Mark Blecher, National Treasury, personal communication May 2006
and August 2007.
Table 54: Health financing indicators by ethnic group
African Coloured Indian / Asian White All
Medical scheme coverage
2004 GHS 7.2 18.4 36.0 69.7 14.9
2005 GHS 7.1 18.1 32.4 64.2 14.0
2006 GHS 7.2 16.1 29.1 63.1 13.7
Source: StatsSA GHS 2004 - 2006.
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