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


National Health Insurance Policy towards Universal Health Coverage

Chapter 8 : Purchasing of Health Services

8.1 Purchaser-Provider Split


277. A purchaser-provider split refers to the separation of institutional and organisational components that are responsible for the purchasing and provision of health services. The purchaser is responsible for identifying population health needs and determining the most appropriate means to meet these needs. The providers are responsible for service provision and will be contracted by the purchaser to deliver health services based on the health needs of the population.


278. The NHI Fund will be the single, strategic purchaser of personal health services for the population. As a strategic purchaser, the Fund will contract directly with accredited public and private facilities at the relevant level of care, including emergency medical services through selective contracting arrangements.