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National
Health
Insurance Forum
                                                                               28 February 2012
                                                                               Indaba Hotel, Fourways, JHB




The  Green  Paper  on  the  National  Health  Insurance  has  created  a  buzz  of  excitement,  anticipation  
and  apprehension  across  industry  as  government  rolls  out  its  proposals  for  this  long-­awaited  
program.      The   policy   paper   outlines   strategies   for   implementing   the   NHI   including   improving  
the   healthcare   system   and   an   overhaul   of   the   management   of   the   public   healthcare   system.  
However,  this  does  not  mean  the  proposals  are  not  fraught  with  challenges  and  in  some  instances  
controversy  and  a  lack  of  clarity.

The   10   pilot   projects   set   to   roll   out   in   April   2012   are   of   particular   interest   as   the   outcomes  
determine  the  next  5  years  of  the  NHI  rollout  and  the  indicative  surveys  that  will  follow.  A  subject  
for   debate   is   the   anticipated   model   South   Africa   will   follow   as   well   as,   administration   of   the  
NHI   and   the   funding   thereof.      The   question   remains   although  
it  seems  feasible  on  paper;;  will  the  NHI  work  successfully  
given   the   South  African   climate?   This   1-­day   forum   will  
facilitate  discussion  on  these  and  more  policy  proposals  
as  outlined  in  the  Green  Paper.                                                   Who should attend?
                                                                                   All  personnel  directly  involved  or  impacted  
Forum Presenters:                                                                  by  the  NHI  in:
                                                                                        Private  and  public  hospitals
Dr.  Norman  Mabasa:  Chairman  –  South  African  Medical  
                                                                                        Medical  Schemes
Association                                                                             Medical  profession
Heidi  Kruger:  Head  –  Corporate  Communications,  BHF  Global                        Municipalities
Prof.  Alex  van  den  Heever:  Health  Economist  –  University  of                    Provincial  Government  departments
Witwatersrand
André  Jacobs:  Business  Unit  Head  –  Healthcare  National  
Operations,  AON  Hewitt
Lullu  Krugel:  Senior  Economist  –  KPMG
Jason  Smit:  Director  –
Agenda

     08:00  -­  08:25        >>      Registration  &  early  morning  
     refreshments

     08:25  -­  08:30        >>      Opening  remarks

     08:30  -­  09:15        >>      The  National  Health  Insurance  
     (NHI):  Private  funding  industry  perspective

     Taking   into   consideration   that   the   NHI   will   take   years   to  
     implement;;  it  is  imperative  that  the  private  funding  industry  
     remains  operational,  whilst  positioning  itself  to  play  its  part  
     once   the   NHI   is   rolled   out.   This   session   will   outline   the  
     implications  of  the  NHI  policy  proposals  on  private  funders  
     and  what  the  steps  they  need  to  start  taking  to  ensure  they  
     are  a  key  part  of  the  end-­process.
     Heidi  Kruger:  Head  –  Corporate  Communications,  
     BHF  Global

     09:15  –  10:00        >>      Ascertaining  the  type  of  model  
     suitable  for  South  Africa
     There  are  a  number  of  factors  which  affect  how  the  system  
     will   work   in   the   South   African   context,   and   understanding  

     package  provided  by  the  NHI.  However,  these  factors  also  
     present   challenges   in   implementing   an   ideal   model   for   the  
     NHI  package.
     Dr.  Norman  Mabasa:  Chairman  –  South  African  
     Medical  Association

     10:00  –  10:30        >>      Mid-­morning  refreshments

     10:30  –  11:15        >>      A  critical  evaluation  of  the  Green  
     Paper  and  the  way  forward
     Prof.  Alex  van  den  Heever:  Health  Economist  –  
     University  of  Witwatersrand

     11:15  –  12:00        >>      NHI:  A  spoonful  of  sugar?  An  
     economic  impact  assessment  of  the  NHI
     Lullu  Krugel:  Senior  Economist  –  KPMG

     12:00  –  12:45        >>      NHI  Administration  in  
     perspective
     Jason  Smit:  Director  –

     12:45  –  14:00        >>      Networking  over  lunch

     14:00  –  14:45        >>      The  co-­existence  of  the  NHI  and  
     medical  schemes  -­  A  paradigm  shift!
     There  is  a  clear  need  for  medical  schemes  to  make  paradigm  
     shifts  and  focus  on  primary  care  as  opposed  to  the  current  
     secondary   care.   Preventative   care   will   go   a   long   way   in  
     ensuring  in  equipping  patients  with  the  necessary  information  
     and   skills   to   prevent   and   manage   chronic   illnesses.   The  
     focus  of  this  presentation  is  to  outline  the  role  and  function  of  
     medical  schemes  in  lessening  the  burden  of  the  impending  
     economic  impact  the  rise  in  chronic  and  disabling  diseases.
     André  Jacobs:  Business  Unit  Head  –  Healthcare  
     National  Operations,  AON  Hewitt

     14:45  –  15:30        >>      General  discussion:  The  
     National  Health  Insurance  from  a  strategic  
     perspective

     15:30        >>      Closing  remarks


GLOBAL PROSPECTUS TRAINING (PTY) LTD.                                                                                                 - Dhevaraj Pillay
Johannesburg - Tel: +27 11 781 6222 Fax: +27 11 781 6044              Marketing - m2@globalprospectus.co.za     Auditors - Russell Bedford SA (Jhb) Inc.
Pietermaritzburg - Tel: +27 33 391 4229 Fax: +27 33 391 5722          Design - www.mustardseedcreations.co.za   Legal - DA Morris & Associates
About your speakers

                                     Prof.  Alex  van  den  Heever:  Health  Economist  –  University  of  Witwatersrand
                                     Prof  Alex   van   den   Heever   holds   the   Old   Mutual   Chair   of   Social   security   at   the   Graduate   School   of   Public  


                                     into   Medical   Schemes,   the   Taylor   Committee   of   Inquiry   into   Comprehensive   Social   Security,   the   Council  
                                     for   Medical   Schemes,   and   the   medicines   Pricing   Committee.   He   presently   participates   in   Task   group   4   of  
                                     the   Interdepartmental   Task   team   on   Social   Security   and   the   Steering   Committee   of   the   Social   Protection  
                                     subcommittee  of  the  National  Planning  Commission.  

                                         Dr.  Norman  Mabasa:  Chairman  –  South  African  Medical  Association
     Dr.  Mabasa  holds  a  number  of  positions  including:
           Chairman  of  South  African  Medical  Association
           Member  of  Ministerial  Advisory  Committee  on  NHI
           Vice-­  President  of  Commonwealth  Medical  association
           Member  of  Medical  and  Dental  Board  of  HPCSA
           Chairman  of  National  Convention  on  Dispensing  –  since  1997  to  date
           He  was  entered  on  the  ‘Who’s  Who  of  Southern  Africa  for  2004’  and  previously  held  the  following  positions:

                  Association)  2001  to  date
                  Deputy  -­Chairman:  South  African  Medical  &  Dental  Practitioners  (SAMDP)  –  1995  -­  1997
                  Chairman:  South  African  Medical  &  Dental  Practitioners  (SAMDP)  1997  –  1999

                                     André  Jacobs:  Business  Unit  Head  –  Healthcare  National  Operations,  AON  Hewitt
                                     André  is  the  Business  Unit  Head:    National  Operation  Manager  (Gauteng,  Mpumalanga,  North  West,  Northern  

                                     has  twenty  four  years  experience  in  the  Financial  Services  sector.    Before  joining  Aon,  André  was  employed  
                                     at   ABSA   Healthcare   Consultants   as   Manager.      He   is   an   acknowledged   expert   in   the   healthcare   industry,  

                                     insurance  industry.  André  was  until  2006  a  Director  of  the  Financial  Planning  Institute  of  Southern  Africa  (FPI)  

                                 Financial  Intermediary  Association’s  (FIA)  Healthcare  Committee  and  is  the  Vice  Chairman  of  the  Joint  Broker  
                                 Forum.    André  also  serves  on  the  Business  Unity  South  Africa  (BUSA)  Committee  relating  to  the  development  
     of  a  National  Health  Insurance  (NHI)  system  for  South  Africa.

                                                                                 Lullu  Krugel:  Senior  Economist  –  KPMG

     Ltd.  Lullu  holds  a  Masters  Degree  from  the  NorthWest  University  (Potchefstroom  Campus)  and  she  has  11  years  
     experience  as  a  consulting  economist,  the  last  4.5  years  at  KPMG,  where  she  is  also  part  of  the  Health  Services  

     from  a  public  sector  and  private  sector  perspective.  She  has  been  the  project  manager  for  the  feasibility  studies  for  
     various  private  sector  investors  from  abroad  and  locally,  interested  in  investing  the  pharmaceutical  and  healthcare  

     the  envisaged  projects.  Lullu  has  also  been  the  project  manager  for  strategic  planning  processes  for  private  sector  
     clients  aiming  to  adjust  their  strategy  in  response  to  the  implementation  of  the  NHI  in  South  Africa.  Most  recently,  she  
     completed  a  study  on  the  funding  of  NHI  and  the  potential  economic  impact  thereof  on  the  South  African  economy.

                                     Jason  Smit:  Director  –



                                     become  a  member  AIPSA.  

                              He  has  advised  clients  on  a  wide  range  of  commercial  disputes  and  has  acted  for  a  number  of  clients  in  insolvency  
                              related  matters,  advising  on  launching  and  opposing  winding-­up  and  sequestration  application,  as  well  as  assisting  
                              clients  in  proving  claims  in  insolvent  estates  and  representing  clients  at  creditors  meetings  and  enquiries  in  terms  
                              of   the   Companies  Act.   He   currently   focuses   primarily   on   the   resolution   of   construction   disputes   (acting   both   for  
     employers  and  contractors  in  disputes  relating  to  standard  form  contracts  such  as  FIDIC  and  the  JBCC)  and  disputes  relating  to  employee  



GLOBAL PROSPECTUS TRAINING (PTY) LTD.                                                                                                      - Dhevaraj Pillay
Johannesburg - Tel: +27 11 781 6222 Fax: +27 11 781 6044              Marketing - m2@globalprospectus.co.za          Auditors - Russell Bedford SA (Jhb) Inc.
Pietermaritzburg - Tel: +27 33 391 4229 Fax: +27 33 391 5722          Design - www.mustardseedcreations.co.za        Legal - DA Morris & Associates
National Health Insurance Forum
                    28 February 2012      R1499


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NHI Forum Insights: Key Takeaways from National Health Insurance Discussions

  • 1. National Health Insurance Forum 28 February 2012 Indaba Hotel, Fourways, JHB The  Green  Paper  on  the  National  Health  Insurance  has  created  a  buzz  of  excitement,  anticipation   and  apprehension  across  industry  as  government  rolls  out  its  proposals  for  this  long-­awaited   program.     The   policy   paper   outlines   strategies   for   implementing   the   NHI   including   improving   the   healthcare   system   and   an   overhaul   of   the   management   of   the   public   healthcare   system.   However,  this  does  not  mean  the  proposals  are  not  fraught  with  challenges  and  in  some  instances   controversy  and  a  lack  of  clarity. The   10   pilot   projects   set   to   roll   out   in   April   2012   are   of   particular   interest   as   the   outcomes   determine  the  next  5  years  of  the  NHI  rollout  and  the  indicative  surveys  that  will  follow.  A  subject   for   debate   is   the   anticipated   model   South   Africa   will   follow   as   well   as,   administration   of   the   NHI   and   the   funding   thereof.     The   question   remains   although   it  seems  feasible  on  paper;;  will  the  NHI  work  successfully   given   the   South  African   climate?   This   1-­day   forum   will   facilitate  discussion  on  these  and  more  policy  proposals   as  outlined  in  the  Green  Paper. Who should attend? All  personnel  directly  involved  or  impacted   Forum Presenters: by  the  NHI  in: Private  and  public  hospitals Dr.  Norman  Mabasa:  Chairman  –  South  African  Medical   Medical  Schemes Association Medical  profession Heidi  Kruger:  Head  –  Corporate  Communications,  BHF  Global Municipalities Prof.  Alex  van  den  Heever:  Health  Economist  –  University  of   Provincial  Government  departments Witwatersrand André  Jacobs:  Business  Unit  Head  –  Healthcare  National   Operations,  AON  Hewitt Lullu  Krugel:  Senior  Economist  –  KPMG Jason  Smit:  Director  –
  • 2. Agenda 08:00  -­  08:25        >>      Registration  &  early  morning   refreshments 08:25  -­  08:30        >>      Opening  remarks 08:30  -­  09:15        >>      The  National  Health  Insurance   (NHI):  Private  funding  industry  perspective Taking   into   consideration   that   the   NHI   will   take   years   to   implement;;  it  is  imperative  that  the  private  funding  industry   remains  operational,  whilst  positioning  itself  to  play  its  part   once   the   NHI   is   rolled   out.   This   session   will   outline   the   implications  of  the  NHI  policy  proposals  on  private  funders   and  what  the  steps  they  need  to  start  taking  to  ensure  they   are  a  key  part  of  the  end-­process. Heidi  Kruger:  Head  –  Corporate  Communications,   BHF  Global 09:15  –  10:00        >>      Ascertaining  the  type  of  model   suitable  for  South  Africa There  are  a  number  of  factors  which  affect  how  the  system   will   work   in   the   South   African   context,   and   understanding   package  provided  by  the  NHI.  However,  these  factors  also   present   challenges   in   implementing   an   ideal   model   for   the   NHI  package. Dr.  Norman  Mabasa:  Chairman  –  South  African   Medical  Association 10:00  –  10:30        >>      Mid-­morning  refreshments 10:30  –  11:15        >>      A  critical  evaluation  of  the  Green   Paper  and  the  way  forward Prof.  Alex  van  den  Heever:  Health  Economist  –   University  of  Witwatersrand 11:15  –  12:00        >>      NHI:  A  spoonful  of  sugar?  An   economic  impact  assessment  of  the  NHI Lullu  Krugel:  Senior  Economist  –  KPMG 12:00  –  12:45        >>      NHI  Administration  in   perspective Jason  Smit:  Director  – 12:45  –  14:00        >>      Networking  over  lunch 14:00  –  14:45        >>      The  co-­existence  of  the  NHI  and   medical  schemes  -­  A  paradigm  shift! There  is  a  clear  need  for  medical  schemes  to  make  paradigm   shifts  and  focus  on  primary  care  as  opposed  to  the  current   secondary   care.   Preventative   care   will   go   a   long   way   in   ensuring  in  equipping  patients  with  the  necessary  information   and   skills   to   prevent   and   manage   chronic   illnesses.   The   focus  of  this  presentation  is  to  outline  the  role  and  function  of   medical  schemes  in  lessening  the  burden  of  the  impending   economic  impact  the  rise  in  chronic  and  disabling  diseases. André  Jacobs:  Business  Unit  Head  –  Healthcare   National  Operations,  AON  Hewitt 14:45  –  15:30        >>      General  discussion:  The   National  Health  Insurance  from  a  strategic   perspective 15:30        >>      Closing  remarks GLOBAL PROSPECTUS TRAINING (PTY) LTD. - Dhevaraj Pillay Johannesburg - Tel: +27 11 781 6222 Fax: +27 11 781 6044 Marketing - m2@globalprospectus.co.za Auditors - Russell Bedford SA (Jhb) Inc. Pietermaritzburg - Tel: +27 33 391 4229 Fax: +27 33 391 5722 Design - www.mustardseedcreations.co.za Legal - DA Morris & Associates
  • 3. About your speakers Prof.  Alex  van  den  Heever:  Health  Economist  –  University  of  Witwatersrand Prof  Alex   van   den   Heever   holds   the   Old   Mutual   Chair   of   Social   security   at   the   Graduate   School   of   Public   into   Medical   Schemes,   the   Taylor   Committee   of   Inquiry   into   Comprehensive   Social   Security,   the   Council   for   Medical   Schemes,   and   the   medicines   Pricing   Committee.   He   presently   participates   in   Task   group   4   of   the   Interdepartmental   Task   team   on   Social   Security   and   the   Steering   Committee   of   the   Social   Protection   subcommittee  of  the  National  Planning  Commission.   Dr.  Norman  Mabasa:  Chairman  –  South  African  Medical  Association Dr.  Mabasa  holds  a  number  of  positions  including: Chairman  of  South  African  Medical  Association Member  of  Ministerial  Advisory  Committee  on  NHI Vice-­  President  of  Commonwealth  Medical  association Member  of  Medical  and  Dental  Board  of  HPCSA Chairman  of  National  Convention  on  Dispensing  –  since  1997  to  date He  was  entered  on  the  ‘Who’s  Who  of  Southern  Africa  for  2004’  and  previously  held  the  following  positions: Association)  2001  to  date Deputy  -­Chairman:  South  African  Medical  &  Dental  Practitioners  (SAMDP)  –  1995  -­  1997 Chairman:  South  African  Medical  &  Dental  Practitioners  (SAMDP)  1997  –  1999 André  Jacobs:  Business  Unit  Head  –  Healthcare  National  Operations,  AON  Hewitt André  is  the  Business  Unit  Head:    National  Operation  Manager  (Gauteng,  Mpumalanga,  North  West,  Northern   has  twenty  four  years  experience  in  the  Financial  Services  sector.    Before  joining  Aon,  André  was  employed   at   ABSA   Healthcare   Consultants   as   Manager.     He   is   an   acknowledged   expert   in   the   healthcare   industry,   insurance  industry.  André  was  until  2006  a  Director  of  the  Financial  Planning  Institute  of  Southern  Africa  (FPI)   Financial  Intermediary  Association’s  (FIA)  Healthcare  Committee  and  is  the  Vice  Chairman  of  the  Joint  Broker   Forum.    André  also  serves  on  the  Business  Unity  South  Africa  (BUSA)  Committee  relating  to  the  development   of  a  National  Health  Insurance  (NHI)  system  for  South  Africa. Lullu  Krugel:  Senior  Economist  –  KPMG Ltd.  Lullu  holds  a  Masters  Degree  from  the  NorthWest  University  (Potchefstroom  Campus)  and  she  has  11  years   experience  as  a  consulting  economist,  the  last  4.5  years  at  KPMG,  where  she  is  also  part  of  the  Health  Services   from  a  public  sector  and  private  sector  perspective.  She  has  been  the  project  manager  for  the  feasibility  studies  for   various  private  sector  investors  from  abroad  and  locally,  interested  in  investing  the  pharmaceutical  and  healthcare   the  envisaged  projects.  Lullu  has  also  been  the  project  manager  for  strategic  planning  processes  for  private  sector   clients  aiming  to  adjust  their  strategy  in  response  to  the  implementation  of  the  NHI  in  South  Africa.  Most  recently,  she   completed  a  study  on  the  funding  of  NHI  and  the  potential  economic  impact  thereof  on  the  South  African  economy. Jason  Smit:  Director  – become  a  member  AIPSA.   He  has  advised  clients  on  a  wide  range  of  commercial  disputes  and  has  acted  for  a  number  of  clients  in  insolvency   related  matters,  advising  on  launching  and  opposing  winding-­up  and  sequestration  application,  as  well  as  assisting   clients  in  proving  claims  in  insolvent  estates  and  representing  clients  at  creditors  meetings  and  enquiries  in  terms   of   the   Companies  Act.   He   currently   focuses   primarily   on   the   resolution   of   construction   disputes   (acting   both   for   employers  and  contractors  in  disputes  relating  to  standard  form  contracts  such  as  FIDIC  and  the  JBCC)  and  disputes  relating  to  employee   GLOBAL PROSPECTUS TRAINING (PTY) LTD. - Dhevaraj Pillay Johannesburg - Tel: +27 11 781 6222 Fax: +27 11 781 6044 Marketing - m2@globalprospectus.co.za Auditors - Russell Bedford SA (Jhb) Inc. Pietermaritzburg - Tel: +27 33 391 4229 Fax: +27 33 391 5722 Design - www.mustardseedcreations.co.za Legal - DA Morris & Associates
  • 4. National Health Insurance Forum 28 February 2012 R1499 Registration Form GPW