Prescribed minimum benefits package
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Prescribed Minimum Benefits Package. 450. 450. 400. 400. 350. 350. 300. 300. 250. 250. Incidence. Incidence. 200. 200. 150. 150. 100. 100. 50. 50. 0. 0. 1. 1. 4. 4. 9. 9. 14. 14. 24. 24. 29. 29. 34. 34. 39. 39. 44. 44. 49. 49. 54. 54. 59. 59. 64. 64.

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Prescribed Minimum Benefits Package

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Prescribed minimum benefits package

Prescribed Minimum Benefits Package


Incidence of pmb admissions by age

450

450

400

400

350

350

300

300

250

250

Incidence

Incidence

200

200

150

150

100

100

50

50

0

0

1

1

4

4

9

9

14

14

24

24

29

29

34

34

39

39

44

44

49

49

54

54

59

59

64

64

69

69

74

74

19

19

-

-

75+

75+

-

-

-

-

0

0

1

1

5

5

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

All ages

All ages

10

10

20

20

25

25

30

30

35

35

40

40

45

45

50

50

55

55

60

60

65

65

70

70

15

15

Incidence of PMB Admissions by Age

Incidence All Ages

97.6850


Incidence of pmb admissions by age1

Incidence of PMB Admissions by Age


Average cost of pmbs by age

Centre for

Actuarial Research

Average Cost of PMBs by Age

18,000

16,000

14,000

12,000

10,000

Average Cost

R9 127

8,000

6,000

4,000

Average Cost for All Ages

2,000

0

5-9

0-1

1-4

75+

10-14

15-19

20-24

25-29

35-39

40-44

45-49

30-34

50-54

55-59

60-64

65-69

70-74

All ages


Raw pmb price by age pbpa

R 5,000

R 4,500

R 4,000

R 3,500

R 3,000

R 2,500

R 2,000

R 1,500

R 1,000

R 500

R 0

0-1

1-4

5-9

75+

10-14

25-29

30-34

40-44

45-49

60-64

15-19

20-24

35-39

50-54

55-59

65-69

70-74

All ages

Centre for

Actuarial Research

Raw PMB Price by Age (pbpa)

Average Price for All Ages

R 891.56 pbpa


Age profile of study

Age Profile of Study


Age profile beneficiaries admitted for pmbs

Age Profile Beneficiaries Admitted for PMBs


Incidence of pmb admissions by age2

Incidence of PMB Admissions by Age


Average cost of pmbs by age1

Centre for

Actuarial Research

Average Cost of PMBs by Age


Raw pmb price by age and cluster pbpa

Centre for

Actuarial Research

Raw PMB Price by Age and Cluster (pbpa)


Chronic disease list package

Chronic Disease List Package


Age of exposed beneficiaries

14%

12%

10%

8%

Proportion of beneficiaries

6%

4%

2%

0%

0

1-4

5-9

85+

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

Centre for

Actuarial Research

Age of Exposed Beneficiaries


Age of claiming beneficiaries

14%

12%

10%

8%

Proportion of Claiming Beneficiaries

6%

4%

2%

0%

0-1

1-4

5-9

85+

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

Age of Claiming Beneficiaries


Cdl prevalence by age

600

500

400

300

Prevalence per 1000 beneficiaries

200

100

0

0-1

1-4

5-9

85+

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

All ages

CDL Prevalence by Age


Average cost of cdl by age

5,000

4,500

4,000

3,500

3,000

2,500

Average Cost per case pa

2,000

1,500

1,000

500

0

0

1-4

5-9

85+

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

All Ages

Average Cost of CDL by Age


Raw price of cdl by age

2,500

2,250

2,000

1,750

1,500

Price per beneficiary pa

1,250

1,000

750

500

250

0

0

1-4

5-9

85+

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

All Ages

Raw Price of CDL by Age


Age profile by cluster

Centre for

Actuarial Research

Age Profile by Cluster


Prevalence by cluster

Prevalence by Cluster


Prevalence by cluster1

Centre for

Actuarial Research

Prevalence by Cluster


Average cost by cluster

Centre for

Actuarial Research

Average Cost by Cluster


Raw price by age and cluster

Raw Price by Age and Cluster


Raw price high vs low cluster

Centre for

Actuarial Research

Raw Price High vs. Low Cluster


Complete pmb package

Complete PMB Package


Price of pmb package by age

12,000

10,000

Total CDL package

8,000

Total Outpatient package

Total Inpatient package

6,000

Price pbpa

Complete PMB package

Public sector

4,000

2,000

0

0

1-4

5-9

85+

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

Missing

All ages

Price of PMB Package by Age


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