Spectramed Medical Scheme and Resolution Health Medical Scheme (Resolution Health) have merged to form Health Squared Medical Scheme, as from 1 January 2019. Independent auditors confirmed that 93% of members voted for the merger, and the schemes have extensively engaged with the Council for Medical Schemes (CMS) and, with their involvement, the merger process is..
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Spectramed and Resolution Health merge to form Health Squared Medical Scheme
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‘Beste’ mediese skema wen met eenvoud, waarde
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Medihelp is nou die mediese skema waarmee lede die meeste tevrede is. Lede van mediese skemas is egter in die geheel beskou effens minder tevrede met hul produk as ’n jaar gelede. Die tevredenheid van lede van Discovery Health Medical Scheme en van Bonitas het albei gedaal. Dis onder die bevindings van die South African..
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‘Private healthcare not affordable, even for people who are supposedly rich’
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The findings of the Competition Commission’s Health Market Inquiry released today reveal what Health Minister Aaron Motsoaledi says he already knew – that private healthcare has become so exorbitantly expensive, even those on medical aid can’t afford it. Moreover, the commission found – during its more than four-year-long investigation – that the market was characterised..
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Dr Aaron Motsoaledi is clueless – NHI cannot work in SA – to push ahead with it, is an act of desperation
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Plans by the Minister of Health, Dr Aaron Motsoaledi, to push ahead with the National Health Insurance (NHI), is an act of desperation. It is a decision doomed to failure from the outset. The minister is completely out of touch with the crisis in the South African public health system, and this was highlighted by..
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The Rands and sense of why the National Health Insurance may lead to better health budgets
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About 200m from where I work in Rosebank, Johannesburg, there is a private clinic housing a general practitioner, a team of specialised surgeons, a rehabilitation centre, and state-of-the-art imaging and radiology technology.
If I needed medical attention, I could seek it quickly — so long as I was able to pay upfront.
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Discovery Health recovers R568m through fraud-control activities in 2017
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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.
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Is dental healthcare as affordable and accessible as it should be?
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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..
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KPMG-skandaal raak ondersoek na duur medies
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Private hospitaalgroepe maak beswaar daarteen dat KPMG die Mededingingskommissie met sy navorsing gehelp het. ’n Kompromis is nou bereik wat die hospitale toegang tot die navorsing gee. Die KPMG-skandaal pootjie nou ook die markondersoek na die private gesondheidsorg. Die voorlopige bevindinge van die ondersoek moes die afgelope week bekend gemaak word nadat dit verskeie kere..
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So kies jy die regte mediese plan vir jou
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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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What’s driving up our healthcare costs?
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Discovery Health CEO explains why South Africans are paying higher medical aid premiums than ever before. Access to quality healthcare at an affordable price is a critical priority for every family, and in society at large. South Africans lucky enough to afford private healthcare have rapid and convenient access to some of the best quality..
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