Capitation needs fine balance Capitation is likely to be the name of the game as medical schemes extend cover at the lower end of the market in line with new medical schemes legislation that provides for open enrolment. Deep concern over late payments The non-payment or late payment of claims by medical schemes is a major issue facing the industry, and it's playing havoc with the attempts of private doctors to run sustainable practices.
Reinsurance has a role to play Medical aid schemes have two choices when faced with risk.
Either they have such large reserves they can absorb sudden high claims themselves and take those knocks internally.