A rise in bogus health practitioners has forced the Health Professions Council of SA (HPCSA) and medical schemes to strengthen their forensics units to curb fraud. A team at the HPCSA is conducting about 400 investigations into bogus practitioners. To date, just more than 40 arrests have been made, but prosecutions are slow. Data from..
Continue reading…
Council pursues bogus health practitioners
Posted on Leave a comment
What’s driving up our healthcare costs?
Posted on Leave a comment
Discovery Health CEO explains why South Africans are paying higher medical aid premiums than ever before. Access to quality healthcare at an affordable price is a critical priority for every family, and in society at large. South Africans lucky enough to afford private healthcare have rapid and convenient access to some of the best quality..
Continue reading…
Medical aid waiting periods and late-joiner penalties: What. How. Why?
Posted on Leave a comment
The world of medical schemes in South Africa is a very different one to 25 years ago. There are strict rules and regulations governing the industry, there to protect both the members and the financial sustainability of the scheme. Now is the time of year when medical schemes announce their annual increases and benefit changes…
Continue reading…
Mediese selfbetalings styg met skokkende 13,4%
Posted on Leave a comment
Die brood het gekrimp, maar ons betaal nou meer daarvoor. Só het ’n ekonoom die verhoging van meer as 13% in selfbetalings deur mediesefondslede die afgelope jaar beskryf. Verbruikers wat elke jaar swaar trek aan die premies vir hul mediese fondse het boonop nog verlede jaar R29,7 miljard uit hul eie sak opgedok. Dit is..
Continue reading…
Kundiges in gesondheidsbedryf krap kop oor toename in hospitalisasie
Posted on Leave a comment
Kundiges in die gesondheidsbedryf het op die jaarlikse konferensie van die Hospitaalvereniging van Suid-Afrika (Hasa) in Kaapstad hewig van mekaar verskil oor wat die redes vir ‘n skerp toename in die koste van mediese skemas is. Matthew Prior, hoof van gesondheidsbeleid van Life Healtcare, sê ’n toename in benutting van gesondheidsdienste word die afgelope jare..
Continue reading…
Nearly 2 million will lose private healthcare if tax reform happens
Posted on Leave a comment
The government’s plan to ditch medical aid tax credits will have a disastrous effect on already cash-strapped South Africans and force nearly 2 million people onto the over-stretched state health system. If the tax credit is removed, 22% of medical aid users will not be able to afford cover, Stellenbosch economics consultancy Econex warned in..
Continue reading…
HPCSA warns against global fee agreements.
Posted on Leave a comment
The Health Professions Council of South Africa (HPCSA) has urged healthcare practitioners to consult the council before signing any global fee or other financial or clinical arrangement with medical schemes, because these may violate the HPCSA’s ethical rules. Since issuing a media statement in April warning against the practice, the council has been engaging with..
Continue reading…
Experts decry plan to consolidate small medical schemes !!
Posted on Leave a comment
The plan by the Council for Medical Schemes (CMS) to consolidate or dissolve small medical schemes posed risks to the people who belong to these schemes and might force some to drop their cover, industry sources warned this week. More than 228,000 people belonged to 31 medical schemes that had fewer than 6,000 members at..
Continue reading…
Syndicates and devious health professionals may target National Health Insurance
Posted on Leave a comment
Criminal networks are targeting your medical aid rands but could you be part of the problem too? Criminal syndicates and unscrupulous doctors may be defrauding the private health sector of millions as experts warn that medical schemes may reach a breaking point. “The health care sector is being targeted by criminal syndicates and even devious..
Continue reading…