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CMS has noted Constitutional Court judgement on Genesis

08 June 2017 | Medical Schemes

The Council for Medical Schemes (CMS) has noted the Constitutional Court judgement on the appeal matter brought by Genesis Medical Scheme against the Registrar of Medical Schemes and the CMS. The Constitutional Court’s ruling in favor of Genesis Medical Scheme that funds in medical scheme members’ personal medical savings accounts (PMSA) can be treated as assets of a medical scheme, has huge implications for members of schemes who have benefit options that include a savings account.

Council for Medical Schemes withdraws accreditation of Strata Healthcare Management (PTY) LTD, as managed care organisation

05 June 2017 | Medical Schemes

The Council for Medical Schemes (CMS), regulator of the medical schemes industry, has withdrawn the accreditation of STRATA Healthcare Management (PTY) LTD as a managed care organisation with effect from 31 May 2017. This follows the entity’s failure to meet ‘the fit and proper’ criteria for rendering medical scheme administration services, as set out in Medical Schemes Act, 131 of 1998 (the Act).

Healthcare sector needs adoption of improved provider reimbursement models to remain sustainable

01 June 2017 | General

Recent calls by the Health Professions Council of SA (HPCSA) to its members not to enter into agreements with medical schemes specifically on Global Fees and similar arrangements have raised an important discourse across the healthcare funding industry.

New legislation offers health insurance policyholders better protection

30 May 2017 | General

New legislation impacting health insurance offers policyholders better protection by mapping out clear rules on exclusions, waiting periods, benefits and commission. Falling under the Long-Term and Short-Term Insurance Acts, the demarcation regulations affect all gap cover, hospital cash plans and primary healthcare policies entered into or renewed after 1 April this year.

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If you had to hazard a guess, when do you reckon the COFI Bill will be signed into law?

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2026, as promised 2027 looks more likely Impossible to say More consultation needed

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