KEEP UP TO DATE WITH ALL THE IMPORTANT COVID-19 INFORMATIONCOVID-19 RESOURCE PORTAL

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Category Healthcare
SUB CATEGORIES General  |  HIV |  Medical Schemes | 

Circular 29 of 2020: Claims information for beneficiaries treated for COVID-19

16 April 2020 Council for Medical Schemes (CMS)

To measure and monitor the impact of coronavirus (COVID-19) on medical schemes and beneficiaries, the Council for Medical
Schemes (CMS) requests medical schemes and exempted insurers providing indemnity products that are conducting the
business of a medical scheme, to submit data for all cases of COVID-19. Beneficiaries suspected, diagnosed and treated for
COVID-19 must be identified using the applicable ICD-10 code and the NICD case definition.

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QUESTION

Is the commission procurement rule introduced via clause 5.14 of the Amended Financial Services Sector Code (AFSSC) an important piece of the transformation puzzle?

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The clause’s implementation coincides with an increase in the minimum spend targets, which further complicates matters
Many FSPs still view the AFSSC as a matter of choice and consequence rather than compliance
Transformation represents a great opportunity for growth and penetration by brokers
Brokers are unlikely to find their commission business yanked away from them by insurers looking to influence procurement scorecards
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