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Category Archives: Medical Aid
Women’s health, men’s health, chronic disease management, innovative plans, catching criminals and a digital revamp – Bonitas reflects on 2018 and launches its 2019 plans and strategy.
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©Siarhei Lenets [[www.123rf.com 123rf.com]]</span>An alternative reimbursement model has been launched that will benefit patients and encourage best practice among clinicians in the private healthcare sector.
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Carl Grillenberger, Advanced Health CEO</span>The “startling costs” of South African private healthcare is at the heart of the Competition Commission’s Health Market Inquiry (HMI) draft report released in July. While cost is a key theme, the report also describes a sector lacking the vital force of authentic, robust competition.
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Charlton Murove, head of the BHF’s research unit. Photo: ehealthnews</span>A distribution audit of healthcare professionals across all disciplines highlights areas of concern, but there are also some reasons for optimism as the country moves towards universal healthcare.
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Earlier this month, Wandile Theophilus Mashego, an audiologist and speech therapist practising in Pretoria, was found guilty of 259 counts of medical aid fraud and one count for contravening Section 66 of the Medical Schemes Act. The case was brought against him by Bonitas Medical Fund after it was discovered he had been submitting fraudulent claims on behalf of members over a period of two years – from 2014 to 2015.
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Photo: Shutterstock</span>The preliminary findings of a recent inquiry into South Africa’s private healthcare sector shows worrying trends. Key among the inquiry’s revelations are high concentration levels in the market.
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Dr Guni Goolab, principal officer, Government Employee Medical Scheme</span>The immense value that universal health coverage brings to a society is reflected by the fact that it is now included in the new Sustainable Development Goals, which aim to improve lives worldwide for a more inclusive and prosperous future for all. “As we work towards the implementation of National Health Insurance [NHI], it is inevitable that change on this scale may seem like a daunting prospect and so it is essential to keep in mind the favourable changes we as a nation are aspiring to achieve,” says Dr Guni Goolab, principal officer of the Government Employees Medical Scheme (GEMS).
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Professor Adré Schreuder, Consulta CEO</span>The state of flux the private healthcare industry currently finds itself in is reflected in the declining scores in the 2018 South African Customer Satisfaction Index (The SA-csi) for Medical Schemes.
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Shutterstock</span>After a four and a half year probe initiated by South Africa’s Competition Commission, a panel of independent experts released their preliminary report into the country’s private healthcare market. The Conversation Africa spoke to Sharon Fonn, who was on the panel of experts, about the report.
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