Explore the Category

Claims data from Discovery Health Medical Scheme, give insight into country’s healthcare trends

05 April 2018

Discovery Health and Discovery Health Medical Scheme (DHMS), the country’s largest open medical scheme with over 2.7 million members, today released insightful data into medical aid claims trends for the past year. DHMS paid over R50.6 billion in claims in 2017*, with R26.3 billion of those claims going towards hospital claims and R2.9 billion towards chronic conditions. Dr Jonathan Broomberg, CEO of Discovery Health, said that the claims trends reflect the Scheme’s commitment to its members; “These claims trends reflect Discovery Health’s and DHMS’ commitment to ensure access to quality care for all Scheme members. In an environment where medical inflation continues to outstrip consumer inflation, our responsibility to the Scheme and its members is to manage their contributions and benefits in such a way that members have peace of mind when it comes to their healthcare needs.”

We can make a difference

04 April 2018

Whenever the media attends the release of claims statistics from major insurers, the causes of disabilities and critical illnesses remain mostly the same.

Success in the fight against fraud, waste and abuse

26 March 2018

‘Fraud, waste and abuse (FWA) in the healthcare industry is one of the main drivers of healthcare inflation and increased costs,’ says Kenneth Marion, Chief Operating Officer of Bonitas Medical Fund. ‘It’s a key focus area for us and we’re pleased to report that we’ve made great strides in the fight against fraud, waste and abuse. In fact our identification and confirmation of FWA has increased to over R129.8 million in 2017 compared to R79 million in 2016.’