The National Health Insurance (NHI) is not a radical shift to dismantle a functioning system, but an opportunity to review two poorly functioning ones.
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The NHI debate is stuck in the weeds
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MEDICAL AID PREMIUMS SET TO INCREASE IN 2019
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Medical aid schemes have announced that the premiums paid by members are set to increase in 2019. Talk Radio 702’s Xolani Gwala spoke to Paresh Prema, general manager of the benefits unit at Council for Medical Schemes, about what medical schemes consider reasons for increasing the premiums. Prema says the responsibility of the council is..
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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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The big question:- Why South Africa needs to discipline the private healthcare industry
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If a service is provided by a company rather than government, this does not automatically mean a market is at work. The point is fairly obvious but has passed many in South Africa by.
Private provision of services is moving into the spotlight in South Africa as the government looks to make the health system more accessible to the poor. One aspect is the Health Market Inquiry,
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New Survey: Medical aid members have more choice
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In the battle for a slice of the private healthcare market, there has been significant growth in the number of medical schemes performing well across all sections of the medical aid spectrum. Whilst this means that members get more choice, it also makes the landscape increasingly complex.
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These are the cheapest and most expensive medical aids in South Africa
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The latest GTC (formerly Grant Thornton Capital) Medical Aid Survey for 2018 has been released, which compares local medical aid schemes on cost to members across various levels of cover. South Africa’s medical aid industry is facing an uncertain time ahead with government recently pushing through two new healthcare bills that are set to shake..
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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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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..
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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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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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