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Home / Posts tagged “#medicalschemes” / Page 4

#medicalschemes

Videos

Video interview: New mutual insurer enters the market

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Key regulatory and compliance developments: looking back at 2024 and what’s ahead in 2025

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Issues around Budget 3.0 with tax specialist Louis Botha

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Investigation calls into question the narratives used to support NHI

BHF-commissioned study identifies 11 assertions made about private healthcare and medical schemes that lack foundation.

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Discovery’s enhanced screening benefit will be available to new members after 2024

DHMS provides an update on the impact of the WELLTH Fund and membership movements following the consolidation of the Comprehensive series.

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What medical scheme members should know about new financial reporting standards

The change is aimed at making the financial information of insurers more easily comparable across countries and industries.

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Medical schemes get costlier as reform takes a back seat to NHI

Members of medical schemes are paying up to 30% more because the regulatory system broke down after the government’s focus shifted to NHI.

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How the NHI shake-up may impact South African healthcare

There are concerns about the sustainability of private providers and whether the public will face higher costs to maintain their current level of healthcare.

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NHI ‘collaboration’ means different things to the government and the private sector

In an interview this week, President Ramaphosa was asked whether South Africans will pay higher taxes to fund NHI.

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Medical schemes assure members that NHI is a long way off

The expected legal challenges to the legislation and the pressure on the state’s finances could delay full implementation of the system for many years.

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CMS invites BHF to collaborate, criticises ‘forum-shopping’ tactics

The BHF’s canvassing of key policy issues in the public domain via a ‘deliberately leaked’ lawyer’s letter indicates the organisation ‘has run out of creative ideas’.

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Council mulls outsourcing appeal adjudication amid BHF accusations

The CMS asserts that medical schemes have frequently disregarded the existing appeals procedures, exploiting them to the detriment of members’ interests.

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CMS denies it is sabotaging medical schemes to boost NHI

The regulator comes out swinging in its response to the Board of Healthcare Funders’ claims of bullying and curatorship abuse.

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How can gap cover add value for my clients and how do I help them choose the right policy?

The difference between medical scheme cover and medical insurance – and where gap cover fits in.

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Medical schemes experience significant drop in net results for 2022

In 2022, the industry saw a net income of R2.57 billion – down from R12.18bn in 2021 – and faced an operating deficit of R6.155bn, the largest in 23 years.

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RAF claims ‘out of ICU’, but hundreds of millions still owed to medical scheme clients

Despite Parliament’s commitment to prioritise the Road Accident Amendment Bill, there has been no further communication about the comments submitted on the draft legislation.

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RAF’s legal rope nearing its end as High Court tells fund to pay R33 million

The recent ruling by the High Court underscores the Road Accident Fund’s obligation to reimburse medical scheme members for past medical expenses covered by the injured person’s medical scheme after a motor vehicle accident.

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Forensic investigation finds no evidence of billing fraud at Mediclinic

ENSafrica identified some incidents involving mistakes or unintended errors, but these were ‘random and minuscule’.

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Board of Healthcare Funders takes Council for Medical Schemes to task in lawyer’s letter

The BHF raises 10 issues, including the ‘misuse’ of curatorships, whether NHI is informing policy prematurely, and the absence of low-cost benefit options.

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CMS training for new medical scheme trustees

The induction programme takes place online over two days in February.

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