Seven years of growth: What Bestmed’s numbers say about its sustainability
Membership, claims, reserves, and solvency all point to a strong year, but they also reveal the long-term pressures facing the scheme.
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Discovery financially stronger, but beneficiary base shrinks again
DHMS improved its solvency, surplus and principal membership, but an ageing risk pool, fewer beneficiaries, and a claims-system error tempered the year’s progress.
High Court upholds medical schemes’ recovery powers
The ruling preserves a key anti-fraud tool that industry bodies say protects member funds and helps contain healthcare costs.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Medscheme secures Sisonke administration mandate
The appointment strengthens Medscheme’s foothold in the employer-based healthcare sector.
