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Welfare Reform on the Web (March 2001): Health Care - Overseas

DO THEY WORK? REGULATING FOR PROFIT PROVIDERS IN ZIMBABWE

C. Hongoro and L. Kumaranayake

Health Policy and Planning, vol.15, 2000, p.368-377

Through the use of stakeholder interviews, study explored the effectiveness of regulations directed at the private for-profit sector in Zimbabwe (general practitioners, private clinics and hospitals). It found there was limited and asymetric knowledge of basic regulations among government bodies and private providers. However there was also a clear feeling that regulations are not being implemented and enforced effectively. Concludes by identifying a number of strategies for improving the current regulatory environment.

HEALTH INSURANCE IN SOUTH AFRICA: AN EMPIRICAL ANALYSIS OF TRENDS IN RISK-POOLING FOLLOWING DEREGULATION

N. Söderlund and B. Hansl

Health Policy and Planning, vol.15, 2000, p.378-385

Paper reports an empirical investigation into the pattern of private health insurance coverage before and after deregulation of the health insurance industry in 1989. Results suggest creaming of low risk, younger people by commercially run schemes which exclude high risk elderly and sick people. These are left in expensive mutual schemes, whose premium costs have increased as younger, low risk people have moved out.

REFORMING HEALTH INSURANCE IN ARGENTINA AND CHILE

A. Barrientos and P. Lloyd-Sherlock

Health Policy and Planning, vol.15, 2000, p.417-423

Paper examines the recent reforms of health insurance in Chile and Argentina. These partially replace social healthcare insurance with individual insurance administered through the private sector. In Chile, reforms in the early 1980s allowed private healthcare insurance funds to compete for affiliates with the social health insurance system. In Argentina, reforms in the 1990s aimed to open up the union-administered social insurance system to competition both internally and from private insurers.

SMALL ADD

H. Berliner

Health Service Journal, vol.111, Jan 11th 2001, p.27

Reports on problems with the implementation of the State Children's Health Insurance Program (SCHIP). This US federal government programme is intended to extend cover to children ineligible for Medicaid but unable to afford private health insurance.