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!

 
 

62 psigiatriese pasiënte nog vermis na Life Esidimeni-skandaal

Dit lyk soos ’n lys soldate wat ná ’n oorlog vermis is in aksie – maar in die werklike lewe is dit die lys van die Gautengse departement van gesondheid se lys van 62 psigiatriese pasiënte wat met die Life Esidimeni-skandaal verdwyn het.

Die pasiënte kan nêrens opgespoor word nie nadat hulle vanuit die sorgeenheid na verskeie ongeregistreerde sorgsentrums oorgeplaas is.

Altesaam 143 pasiënte is sedert die verskuiwing dood.

’n Arbitrasieverhoor word tans gehou onder die voorsitterskap van regter Dikgang Moseneke.
Continue reading…

Enjoyed this post? Share it!

 
 

Union stops its nurses from escorting patients

The provincial branch of the Democratic Nursing Organisation of SA (Denosa) is stopping its members from escorting patients from one health care facility to another. The union said its members had been exploited and overworked for too long, with the Health Department “dragging its feet” on employing paramedics qualified to handle referrals and transfers. Mandla […]
Continue reading…

Enjoyed this post? Share it!

 
 

Chris Hani Baragwanath-hospitaal al 2 jaar sonder vaste uitvoerende hoof

Die Chris Hani Baragwanath-hospitaal in Soweto het al die afgelope twee jaar nie ’n vaste uitvoerende hoof nie. Die vorige hoof, dr. Sandile Mfenyana, is volgens Jack Bloom, DA-woordvoerder vir gesondheid in Gauteng, sonder verduideliking deur Qedani Mahlangu, voormalige Gautengse LUR vir gesondheid, verwyder. Bloom sê dr. Sifiso Maseko, die waarnemende uitvoerende hoof, is al […]
Continue reading…

Enjoyed this post? Share it!

 
 

Private healthcare in SA – continued decline and a solution

We entered 2017 reeling from a series of double-digit medical insurance premium hikes. It was becoming clear that schemes are in trouble; undercut by unregulated, selective insurance products and forced into tighter and tighter modes of managing care delivered. We were facing an affordability crisis then – that, without serious systematic change, schemes will be […]
Continue reading…

Enjoyed this post? Share it!

 
 

Is dental healthcare as affordable and accessible as it should be?

Oral health is essential to optimal overall health and minimising the probability of developing serious oral health conditions or infections in future. Yet, besides the fear factor, why are so many people reluctant to visit the dentist? “The underlying factors here include resources, socio-economic circumstances, accessibility and education.” “One of the biggest culprits for keeping […]
Continue reading…

Enjoyed this post? Share it!

 
 

Natal gesondheid in gemors

Die Natalse Gesondheidsdepartement sit reeds twee jaar sonder ‘n finansiële hoof. Die departement sê dat hulle hul bes doen om die pos te vul. Die vraag is nou wie intussen omsien na die finansiële kontrole van die departement? Ten spyte van verskeie pogings en advertering van die pos is daar nog niemand aangestel nie. Waarnemers […]
Continue reading…

Enjoyed this post? Share it!

 
 

Bejaarde man wat 15 dae lank op ’n noodoperasie gewag het, sterf

Die Vrystaatse gesondheidsdepartement ontken enige aandadigheid aan die dood van ’n pasiënt wat 15 dae lank op ’n noodoperasie gewag het. Frederick Thiart (77) van Edenburg is 14 Desember dood, twee dae nadat sy been geamputeer is. Thiart, ’n diabeet, het met erge pyn en gangreen in sy een been in die Pelonomi-hospitaal in Bloemfontein […]
Continue reading…

Enjoyed this post? Share it!

 
 

Health official organised hitmen to kill Soweto hospital CEO

An official of the Gauteng department of health has been convicted of conspiring to commit murder, Health MEC Gwen Ramokgopa said. Briefing the media in Midrand, Ramokgopa said Zandi Qwabe, a clerk at the Bheki Mlangeni Regional Hospital in Soweto, had organised hitmen to have the CEO and the labour relations manager of the hospital […]
Continue reading…

Enjoyed this post? Share it!

 
 

Kankerondersoeke se koste kan styg ná Pelindaba-probleme

Pelindaba se vervaardigingsaanleg van radioaktiewe produkte vir mediese gebruik is steeds nie in bedryf nie nadat dit twee ­weke gelede weens ’n probleem met die waterstofreguleringstelsel gesluit is. Daarom word alle radioaktiewe molibdeen- en jodiumprodukte wat in die diagnose en behandeling van kanker en ander siektetoestande gebruik word, van die buiteland af ingevoer. Die prys […]
Continue reading…

Enjoyed this post? Share it!