The Health Market inquiry (HMI) established by competition commission to investigate South Africa’s private healthcare market released its provisional report on 5th July 2018 in the presence of the Minister of Health, media and stakeholders from healthcare sector. The HMI was chaired by Judge Sandile Ngcobo, a retired Chief Justice of the Constitutional Court.
The Commission after 4 years of detailed investigation and multiple stakeholder consultations concluded that: Private health market is characterised by high and rising costs of healthcare and medical scheme cover; disempowered and uninformed consumers; and ineffective regulation and failures of accountability at many levels. The 808 page provisional report makes several interesting findings and lists out some recommendations including (but not limited to): Establishment of a supply side regulator to set the rules of the game and scrutinize the private sector: Measurement and Public reporting of health outcomes by the private providers to improve competition and inform patients about quality of care; Replacement of Certificates of Need with hospital licences for equitable spread of facilities across the country.
