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Partnerships between the Department of Health and the medical scheme industry are becoming crucial in order to reduce healthcare costs, improve efficiencies and quality, as well as to find ways of addressing the high cost of the Prescribed Minimum Benefits (PMBs), without denying patients the right to catastrophic cover.
The agreement by medical schemes to participate in the Department of Health’s Essential Medicine List (EDL) programme and introduce these medicines into their own formularies have heralded in a new era in the relationship between government and private healthcare funders.
The medical scheme industry has the ability to cover between two to four million additional lives, while at the same time furthering government’s objective to move to a system of universal health coverage – as entailed in its National Health Insurance (NHI) plans.
This Women’s Month, Liberty Medical Scheme highlights five essential medical tests women should be aware of and have to assist in managing their health.
The strongest deterrent against FSP compliance missteps is or should be: