Discovery Health recovers R568m through fraud-control activities in 2017

According to Discovery Health CEO, Dr Jonathan Broomberg, efforts to curb fraud in the healthcare system resulted in R568m recovered on behalf of client schemes in 2017, compared to R405m in 2016. Further, fraud-control activities in which health professionals and others contemplating fraud desist from committing fraud in reaction to visible policing and action by Discovery Health, prevented additional fraud to the value of approximately R3bn over the last two years, adds Broomberg.

Discovery Health has invested substantially in fighting the scourge of healthcare fraud. Efforts include the deployment of a specialised team of over 100 analysts and professional investigators as well as a proprietary forensic software system that uses sophisticated algorithms to analyse claims data and identify any unusual claim patterns. Invaluable tip-offs from whistleblowers also help to identify fraud.
Continue reading…

Enjoyed this post? Share it!

 
 

The biggest medical aid schemes in South Africa – and how much they’re charging in 2018

The majority of South Africa’s biggest medical aid schemes have released their prices for 2018, showing below 10% increases across all plans. According to the latest statistics released by the Council for Medical Schemes (CMS), there are currently 82 medical aid schemes operating in South Africa with a total subscription of just under 8.9 million […]
Continue reading…

Enjoyed this post? Share it!

 
 

#InnovationMonth: How tech is transforming healthcare

We're human. We're programmed for instant gratification. Using this principle, Discovery Health has built its very successful Vitality programme, which is a blueprint for other rewards schemes, not only in healthcare, but other sectors too. Read more… | Send to a friend
Continue reading…

Enjoyed this post? Share it!

 
 

Most affordable medical aid schemes and hospital plans in South-Africa for 2017

The medical aid industry saw a massive shake-up in April as National Treasury introduced new regulations which will see a limit on the amount of gap cover and hospital cash-back policies you can claim, as well as the discontinuation of all primary healthcare policies. This is was done in an effort to differentiate between “medical […]
Continue reading…

Enjoyed this post? Share it!

 
 

SA Consumers rank the best and worst Medical-Aid schemes in SA

The latest South African Customer Satisfaction Index (SAcsi) for medical aids in the country shows which groups have been the most successful in keeping their customers happy in 2016. A sample of 2,105 private medical aid policyholders in South Africa gave the health insurance industry a satisfaction score of 74.2 out of 100 in the […]
Continue reading…

Enjoyed this post? Share it!