Health Care Funding in Botswana

Health Care Funding in Botswana

Botswana Medical Aid Society (Bomaid) hosted a Media Seminar ‘Healthcare Funding in Botswana’ in Gaborone on the 16th May 2018. The seminar was aimed to engage the media in order to share the dynamics of the medical aid industry. Bomaid played host to an array of experts and stakeholders in order to allow discourse around the issues of health care funding. The main objective of the seminar was to empower media practioners to report with an understanding of issues pertaining to medical aid industry.

“This was an appropriate moment to bring together the media, the medical aid industry and other stakeholders to have a greater appreciation of the myriad of issues affecting the business of a medical aid fund.  From the simple perspective of benefit management to the complex matter of adhering to the emerging regulation requirements, it is clear that there are a number of considerations that one needs to be aware of. It is our hope that by engaging like this, we will forge an understanding on which the media as stakeholders can relate to when dealing with heath funding,” said the Bomaid Chief Executive Officer Mr. Moraki Mokgosana.

Dr Rajesh Patel, from Board of Healthcare Funders of Southern Africa, keynote was on National Health Insurance & Medical Fund Regulatory Framework. As part of his deliberation, he spoke about the philosophy behind the need for a national health insurance, noting that “Universal health coverage is a social philosophy trying to equal the accessibility to health services through the National Health Insurance as the funding vehicle”. Dr Patel also explained that, as a consequence of the provision of a funding vehicle such as national health insurance, there are bound to be implications for the medical aid industry to consider in their future in terms of their business model.

Bomaid also took the opportunity to launch ‘The Bomaid Fraud and Ethics Tip-Off line’ powered by Deloitte Tip-Offs Anonymous. The Tip Off line is in line with best practices to encourage the reporting of unethical behavior. Brian Watts from Deloitte highlighted that a widely held view is that about 7% to 15% of most medical aid expenditure could be a result of fraudulent activities by members or providers. He added that, this in turn, results in increases in monthly premium for members of medical aid. The Tip-Off line creates a platform where the public can raise concerns related to fraud, corruption or any other misconduct by Bomaid employees, business partners or any other third party dealing with the Society.

Bomaid remains the largest open medical aid fund in Botswana commanding 51% market share, with about 39,000 principal members and 85,000 total lives. The fund serves corporate and individual members with the most innovative and diverse products which are highly competitive and affordable to a wide spectrum of current and potential clientele.

Bomaid continues to enjoy steady growth of its membership base and places emphasis on going beyond being a health funder to being a health partner living up to its proposition of being ‘Your Companion for Healthier Happier Lives’.

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