Johannesburg - The
Treasury should allocate revenue to health sector institutions according to
their roles and responsibilities, the ANC said in a discussion document
released on Monday.
"A portion of the general tax revenue should be given
to the national department of health to fund their responsibilities," it
said in its document on health.
All the revenue collection for the national health insurance
(NHI) should be undertaken by the SA Revenue Service and dedicated NHI tax
revenue should be transferred to the National Health Insurance Fund (NHIF).
The NHIF should have management autonomy, but would need
mechanisms for governance and accountability and would report to the minister
The main responsibility of the NHIF would be to pool funds
and purchase health services.
The ANC said a price a determination committee, including
technical experts, was also required.
The function of this committee would be to advise the NHIF
on payment rates for accredited providers, and not to influence the prices
charged by private providers who choose not to provide services to the NHI.
In the document, the ANC said an accreditation office was
required to accredit facilities from which the NHIF purchased.
"Accreditation should be based on ability to provide
services appropriate to quality and should take account of geographic service
"This office should also accredit major items of
The ANC said the government should make health services and
central hospitals the responsibility of central government.