National Health Act, 2003 (Act No. 61 of 2003)RegulationsRegulations relating to the obtainance of information and processes of determination and publication of reference price lists3. Information that may be submitted |
| (1) | The information referred to in regulation 2 may include, but not limited to— |
| (a) | overhead costs; |
| (b) | activity times for procedures; |
| (c) | equipment; |
| (d) | labour costs; |
| (e) | item price component; |
| (f) | cost of medicines, scheduled substances and medical devices; |
| (g) | cost of maintenance of premises; |
| (h) | cost of consumables used in delivery of health services; |
| (i) | security costs; |
| (j) | cost of foodstuffs for patients; |
| (k) | cost of services or products used to ensure patient safety; |
| (l) | cost of public liability insurance; |
| (m) | details of persons or institutions providing services to or at the establishment; |
| (n) | scales of fees payable by medical schemes to the health establishment; |
| (o) | bed occupancy; |
| (p) | non-confidential information on patients; |
| (q) | non-confidential information on the health establishment; |
| (r) | in respect of medical schemes, income and expenditure; and |
| (s) | billing guidelines and rules, where these exist. |
| (2) | The information referred to in subregulation (1) that relates to health care providers may be submitted by any person, a professional association representing a discipline concerned or a statutory body established to regulate the relevant profession. In instances where sub-disciplines are represented by an umbrella professional association, such association may make the submissions. |
| (3) | The information must— |
| (a) | include a standard nomenclature to identify the services being priced; |
| (b) | be in accordance with an agreed methodology to determine the reference price associated with a particular service; |
| (c) | indicate cost parameters that are different in respect of different provider groups; |
| (d) | be comprehensive and provide for item codes and item type; |
| (e) | be consistent and systematic; |
| (f) | provide for a descriptor, the relative value unit and the benefit factor; |
| (g) | provide for representative samples of actual prices and how the sample sizes used have been calculated. |