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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.’

What are the top 5 most-common Gap cover claims?

22 March 2018

Fascinating stats from Turnberry’s claims department show just when Gap Cover comes in handy.

NHI gets more funds, but where is it going?

22 March 2018

During the recent Budget Speech, former Finance Minister Malusa Gigaba announced that an additional R4.2-billion has been allocated to National Health Insurance (NHI) over the medium term. Cathie Webb, an executive at the South Africa Payroll Association, questions what has been done with the money that has already been allocated to the plan and how will the new funds will be used.

quick poll

Question

The strongest deterrent against FSP compliance missteps is or should be:

Answer

A criminal conviction Debarment Fine or penalty Any of the above can work

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