Transcript PMB study age shape slides

Prescribed Minimum
Benefits Package
Centre for
Actuarial
Research
Incidence of PMB Admissions
by Age
450
400
350
Incidence
All Ages
250
200
150
97.6850
100
All ages
75+
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15- 19
10-14
5-9
0
1-4
50
0- 1
Incidence
300
Centre for
Actuarial
Research
Incidence of PMB Admissions
by Age
450
Total
High
Medium-older
Medium-younger
Low
400
350
250
200
150
100
50
75+
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
0-1
Incidence
300
Centre for
Actuarial
Research
Average Cost of PMBs by Age
18,000
16,000
14,000
10,000
R9 127
8,000
6,000
4,000
Average
Cost for All
Ages
All ages
75+
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
0
1-4
2,000
0-1
Average Cost
12,000
Centre for
Actuarial
Research
Raw PMB Price by Age (pbpa)
R 5,000
R 4,500
R 4,000
R 3,500
Average
Price for All
Ages
R 3,000
R 2,500
R 2,000
R 1,500
R 1,000
R 891.56
pbpa
R 500
All ages
75+
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0-1
R0
Centre for
Actuarial
Research
Age Profile of Study
15.00%
Total
High
Medium-older
Medium-younger
Low
10.00%
5.00%
75+
70-75
65-70
60-65
55-60
50-55
45-50
40-45
35-40
30-35
25-30
20-25
15-20
10-15
5-10
1-5
0-1
0.00%
Centre for
Actuarial
Research
Age Profile Beneficiaries
Admitted for PMBs
Total
High
Medium-older
Medium-younger
Low
20.00%
15.00%
10.00%
5.00%
75+
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0-1
0.00%
Centre for
Actuarial
Research
Incidence of PMB Admissions
by Age
450
Total
High
Medium-older
Medium-younger
Low
400
350
250
200
150
100
50
75+
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
0-1
Incidence
300
Centre for
Actuarial
Research
Average Cost of PMBs by Age
Total
High
Medium-older
Medium-younger
Low
R 18,000
R 16,000
R 12,000
R 10,000
R 8,000
R 6,000
R 4,000
R 2,000
75+
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
R0
0-1
Aerage Cost in Rands
R 14,000
Centre for
Actuarial
Research
Raw PMB Price by Age and
Cluster (pbpa)
R 6,000
Total
High
Medium-older
Medium-younger
Low
R 5,000
R 4,000
R 3,000
R 2,000
R 1,000
75+
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0-1
R0
Centre for
Actuarial
Research
Chronic Disease
List Package
Centre for
Actuarial
Research
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
Proportion of beneficiaries
Age of Exposed Beneficiaries
14%
12%
10%
8%
6%
4%
2%
0%
Centre for
Actuarial
Research
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0-1
Proportion of Claiming Beneficiaries
Age of Claiming Beneficiaries
14%
12%
10%
8%
6%
4%
2%
0%
Centre for
Actuarial
Research
All ages
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0-1
Prevalence per 1000 beneficiaries
CDL Prevalence by Age
600
500
400
300
200
100
0
Centre for
Actuarial
Research
All Ages
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
Average Cost per case pa
Average Cost of CDL by Age
5,000
4,500
4,000
3,500
3,000
2,500
2,000
1,500
1,000
500
0
Centre for
Actuarial
Research
All Ages
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
Price per beneficiary pa
Raw Price of CDL by Age
2,500
2,250
2,000
1,750
1,500
1,250
1,000
750
500
250
0
Centre for
Actuarial
Research
Age Profile by Cluster
14%
10%
8%
6%
4%
2%
Total
High
Additional
Low
Medium-older
Medium-younger
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0%
0
Proportion of beneficiaries
12%
Centre for
Actuarial
Research
High and Medium
High
Medium-older
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
Prevalence per 1000 beneficiaries
Prevalence by Cluster
700
600
500
400
300
200
100
0
Medium-younger
Centre for
Actuarial
Research
Total
High and Medium
Additional
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
Prevalence per 1000 beneficiaries
Prevalence by Cluster
700
600
500
400
300
200
100
0
Low
Centre for
Actuarial
Research
Average Cost by Cluster
5,000
4,000
3,000
2,000
1,000
Total
High
Medium-older
Medium-younger
Additional
Low
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
0
Average Cost per case pa
6,000
Centre for
Actuarial
Research
Raw Price by Age and Cluster
2,500
2,000
1,500
1,000
500
Total
High
Medium-older
Medium-younger
Additional
Low
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
0
Price per beneficiary pa
3,000
Centre for
Actuarial
Research
Total
High
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
Price per beneficiary pa
Raw Price High vs. Low Cluster
3,000
2,500
2,000
1,500
1,000
500
0
Low
Centre for
Actuarial
Research
Complete PMB
Package
Centre for
Actuarial
Research
Price of PMB Package by Age
12,000
Total CDL package
Total Outpatient package
10,000
Total Inpatient package
Complete PMB package
Public sector
6,000
4,000
2,000
All ages
Missing
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
1-4
0
0
Price pbpa
8,000
Centre for
Actuarial
Research