While the fee-for-service model is used extensively by practitioners in South Africa, this traditional remuneration model needs updating as medical aids are faced with ageing risk pools, higher incidences of cancer, stagnant member bases, anti-selection and tough market conditions. For almost a decade the ICON Group, which recently restructured its business units under the ICON brand, has advocated for the VBC model in local oncology.

Doctors who practice value-based care internationally are remunerated better for driving improved outcomes for their patients. This model rewards good patient care as opposed to the fee-for-service model which neither measures quality nor efficacy of patient care, nor rewards cost-consciousness.

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