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The NHI Challenge: Can South Africa Make Universal Healthcare Work?

NHI, Universal Cover JUly 06, 2024

South Africa's NHI scheme could revolutionise healthcare - if we can overcome the hurdles. Funding shortages, infrastructure gaps and staff deficits threaten this bold vision of universal coverage. Yet with careful planning and honest dialogue, quality care for all remains achievable. This is about more than policy; it's about building a healthier, fairer nation. The time to get it right is now.

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The Price of Access: Decoding South Africa's Contentious LCBO Debate

NHI, LCBO 12 February 2024

Millions of South Africans are trapped in the healthcare "missing middle" – unable to afford traditional medical aid, yet seeking alternatives to strained public facilities. Low-Cost Benefit Options (LCBOs) promised a solution, offering basic private primary care. But the official regulator, the Council for Medical Schemes, has pushed back hard, fearing these plans erode crucial patient protections and the principle...

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How AI-Driven Core Processing Is Transforming Healthcare

The healthcare sector is undergoing an AI revolution. By adopting the same core processing solutions that transformed insurance - automated claims, intelligent fraud detection and data-driven patient engagement - providers can slash administrative costs, prevent billions in fraudulent claims, and deliver truly personalised care. This breakthrough analysis reveals how AI is reducing claims processing from weeks to minutes...

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Understanding South Africa's National Health Reference Price List (NHRPL)

Tariff Guidelines February 11,2023

South Africa’s National Health Reference Price List (NHRPL) was developed to bring structure, fairness, and transparency to private healthcare pricing. This article explores the NHRPL’s origins, its role in standardising medical tariffs, and the impact of its discontinuation. We examine why reintroducing a modernised version of the NHRPL could help restore affordability and clarity for patients, providers...

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Business Intelligence in Healthcare

BI January 22,2023

Business intelligence (BI) is a term that has been around for a while, but it has taken on a new significance in the healthcare industry. With the growing amount of data generated by healthcare organisations and the increasing importance of data-driven decision-making, BI is becoming an essential tool for managing and delivering care.

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