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Home / Posts tagged “#medicalschemes”

#medicalschemes

Videos

Day 2 Highlights from the FSCA Industry Conference 2026

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Day 1 Highlights from the FSCA Industry Conference 2026

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Budget: Key changes for taxpayers and investors

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Mental health is reshaping the chronic disease equation

New findings suggest emotional well-being now plays a growing role in whether patients with diabetes, cancer, and heart disease stay stable and out of hospital.

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What better healthcare could look like in South Africa

Discovery’s data shows how prevention, screening, and co-ordinated care can extend lives – while raising difficult questions about how to replicate those gains more widely.

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The 11-year health gap: what adds – or costs – years of life

Discovery Health’s analysis of 2.7 million medical scheme members shows how earlier intervention, better treatment, and healthier lifestyles are reshaping life expectancy.

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Bigger, older, and more concentrated: 7 facts reshaping medical schemes

Twenty years of industry data show that medical schemes have become increasingly dependent on scale, investment returns, and strong reserves to remain sustainable.

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Medscheme rejects Bonitas’s explanation for post-transition disruptions

Medscheme says it repeatedly warned Bonitas against a ‘clean-cut’ transition and disputes the scheme’s claim that unresolved legacy issues were behind the service disruptions experienced by members after the administration switch.

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Bonitas members caught in service disruption after administration switch

The medical scheme says legacy issues contributed to post-transition challenges as members report delays with hospital authorisations and medication approvals.

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Not just inflation: the demographic shift driving medical scheme hikes

Shrinking younger membership is intensifying an ageing risk pool, pushing contributions higher even when hospital use is flat.

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Bonitas: administrator change is part of a wider repositioning

The scheme says continuity of care remains the priority as it moves administration to Momentum Health and managed care to PHA on 1 June.

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Bonitas move: Momentum Health sets out the operational playbook

From broker commissions to digital channels and claims processing, Momentum Health has set out what stakeholders can expect when Bonitas changes administrators.

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PHA lays out its case as Bonitas managed-care handover nears

Private Health Administrators outlines how provider contracts, managed-care operations, and service commitments will work from 1 June.

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RAF liability for expenses paid by medical schemes ‘is settled law’ in W. Cape Division

The judgment criticises the Fund’s continued resistance to medical-expense claims already addressed in earlier Western Cape rulings.

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NHI case hinges on one question: was the public truly heard?

The Constitutional Court must decide whether Parliament’s NHI process met constitutional standards – or whether the law must go back for a redo.

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3Sixty wins lifeline in accreditation dispute with CMS

The High Court finds the Council must disclose the material it relies on before taking a decision that affects the provider’s ability to operate.

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Medscheme secures Sisonke administration mandate

The appointment strengthens Medscheme’s foothold in the employer-based healthcare sector.

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SARS says poor employer data is disrupting auto-assessments

As third-party submissions open, SARS urges employers to file early and accurately or risk triggering errors, delays and taxpayer verifications.

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Bonitas transition proceeds as administrators outline plans amid legal uncertainty

Sanlam and Momentum outline how they are managing workforce, operations, and risk as the Bonitas transition proceeds despite an unresolved court challenge.

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Parliament flags slow progress on Health Market Inquiry reforms

The CMS cites statutory constraints, while the Portfolio Committee on Health calls for a clear roadmap to implement the Inquiry’s recommendations.

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Updated 15 June 2026

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Updated 15 June 2026

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