10 reasons why medical malpractice is threatening SA healthcare

According to an Econex survey commissioned by the Hospital Association of South Africa (Hasa) in 2015, there were just 60 doctors per 100,000 people in 2013; whereas the world average is 152. The emigration of healthcare professionals adds to South Africa’s doctor shortage – a situation which is placing the country’s entire healthcare system at […]
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So kies jy die regte mediese plan vir jou

Hospitaalplanne, omvattende dekking, netwerkopsies . . . Besluit watter opsie vir jou die beste is. As jy lid is van ’n mediese fonds, het jy tot 15 Desember kans om jou voordeleopsie vir 2018 te verander. Oorweeg jou gesin se omstandighede: Hoeveel is julle; hoe is jul gesondheid; wat kan jy bekostig? Besluit dan watter […]
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Mediese selfbetalings styg met skokkende 13,4%

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 […]
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Health Professions Council of SA pursues bogus health practitioners

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 […]
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Syndicates and devious health professionals may target National Health Insurance

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 […]
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Skok-voorbeelde van bedrog by mediese fondse aan die lig gekom

Die gesondheidsorgbedryf is in die visier van misdaadsindikate en onderduimse praktisyns. Dr. Gregory Pratt, mediese adviseur vir forensiese ondersoeke in die gesondheidsbedryf vir Medscheme, het op die beraad vir gesondheidsorgfinansiers in Kaapstad skokkende voorbeelde genoem van bedrog waarmee hy die afgelope maande te make gehad het. Mediese bedrog is so algemeen “omdat dit makliker gepleeg […]
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Pryse vir kankermedikasie word ondersoek

Suid-Afrikaanse kankerpasiënte en hul geliefdes het die mededingingskommissie se besluit om drie farmaseutiese maatskappy se pryse vir kankermedisyne te ondersoek geloof, en versoek dat die ondersoek so spoedig moontlik afgehandel moet word. Die mededingingskommissie het vroeër die week aangekondig dat hulle die internasionale farmaseutiese reuse Aspen, Pfizer en Roch ondersoek omdat die maatskappye na bewering […]
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Healtcare Services Delivery need to change in Africa

Healthcare services delivery in Africa needs to change, but no-one is quite certain how. What is certain is that future trends will be driven by access to big data, to shape new models of care in driving innovative, affordable and accessible services, across this diverse continent. With 1,2bn people, many enjoying a longer life, and […]
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Genesis wins case on accounting for use of medical savings funds

On Tuesday, the Constitutional Court ruled that all funds paid by members to their schemes should be considered as assets, regardless of their intended use. Genesis medical scheme has won its legal battle with the Council of Medical Schemes over how to account for the funds in members’ medical savings accounts (MSAs), a development that […]
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Making Sense of Medical Aid Rates and Tariffs

The medical aid industry is known for confounding consumers with all sorts of complex terms. Among the most confusing of all are references to medical aid, or medical scheme, rates. Schemes and plans are quoted as covering the costs of in-hospital procedures up to 100%, 200% or 300% of the scheme rate or tariff. You […]
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