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Increasing pathology utilisation lies behind increasing pathology costs

Meriel Lawrie, Andrew Good

Abstract


Recent increases in pathology costs per scheme member are a concern to medical schemes and pathologists alike. To better understand the observed increasing costs, the National Pathology Group commissioned Prognosys to analyse the trends affecting these increases. We found that these increases are driven by inflation, increases in utilisation, and redistribution of the burden of cost. The identification of utilisation as a cost driver for pathology services is noteworthy as almost all pathology services are by referral from another doctor. 


Authors' affiliations

Meriel Lawrie, Prognosys, South Africa

Andrew Good, Prognosys, South Africa; Lifechoice, South Africa

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Keywords

cost; utilisation;medical scheme benefits

Cite this article

South African Medical Journal 2013;103(7):451-452. DOI:10.7196/SAMJ.7123

Article History

Date submitted: 2013-06-04
Date published: 2013-06-05

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