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The National Health Insurance Act: Possible private health funding reform scenarios

South Africa's National Health Insurance (NHI) Act will profoundly impact healthcare. This article explores its effect on the private health funding sector, examining two scenarios: a "passive" decline risking unsustainability, versus an "active" approach with reforms to maintain viability during the NHI transition.

The passing of the National Health Insurance (NHI) Act was an important milestone in the reform of the South African healthcare system and will have a profound impact on the funding and provision of healthcare in the country. While the impacts will be felt across the entire system, the focus of this article is on the potential impact on the private health funding sector, which currently enables financial risk protection for those with private health insurance.

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NeoHealth® ID 38170 · updated 7/2/2025