Introducing tighter controls on medical scheme members’ access to specialists and limiting their choice of hospitals could save the industry R20bn a year, bringing...
July 10th, 2019The National Health Care Professionals Association's crusade against 'racial profiling' took a blow when its court application against 19 medical schemes was thrown out...
The Council for Medical Schemes (CMS), along with various doctor associations and the Board of Healthcare Funders, has instituted an inquiry into allegations of...Weekly Roundup
The Times reports that an increasing number of medical aid members who are downgrading because of tough economic times.
Medical aid broker Alexander Forbes said the...South Africa
Some of South Africa’s best-known medical schemes are losing money hand over fist in opaque “risk transfer” arrangements, in which they pay service providers...South Africa
Doctors and medical schemes clashed in discussions during the Council of Medical Schemes’ inaugural Fraud, Waste and Abuse Summit, which was boycotted by...
December 5th, 2018
A medical doctor's court battle to get the Government Employees Medical Scheme (GEMS) to pay for his cancer treatment has ended after the expensive Keytruda...
Consumers will have to fork out up to 10% more for their medical aid schemes from January. Actuaries have warned, meanwhile, that if the government pushes through the...South Africa
The principal officer of the Government Employees Medical Scheme (GEMS) has warned against the state’s plans to merge it with other schemes for public servants, saying...Weekly Roundup
The Council for Medical Schemes is probing South Africa’s two biggest medical schemes — Discovery Health Medical Scheme (DHMS) and the Government Employees Medical...
