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National Health Act, 2003 (Act No. 61 of 2003)


National Health Insurance Policy towards Universal Health Coverage

Chapter 7 : Financing of NHI

7.8 Organisation of the NHI Fund


254. The NHI Fund will be publicly administered and established through legislation as an autonomous public entity. Its functions, roles and responsibilities, governance structures and accountability mechanisms will be clearly specified. The NHI Fund will operate at a national level as a single payer and single purchaser that is publicly administered. The functions of the NHI Fund will be as follows: In addition to the internal administrative structures such as corporate services, legal, human resources, and marketing, the NHI Fund will have specific technical functional units, namely:
(a) Planning and Forecasting Unit
(b) Benefits Design Unit
(c) Price Determination Unit
(d) Accreditation Unit
(e) Purchasing and Contracting Unit
(f) Procurement Unit
(g) Information Technology Unit
(h) Provider Payment Unit
(i) Performance Monitoring Unit
(j) Risk and Fraud Prevention Unit
(k) Legislative Unit
(l) International Cooperation Unit