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Issues of ownership decided by the courts

26 June 2017 | Medical Schemes

The medical schemes industry has been in the spotlight a lot lately as government is making a number of key decisions and announcements as it builds momentum towards laying the foundation towards the implementation of the National Health Insurance (NHI).

South Africa’s most affordable medical aid option launched

21 June 2017 | Medical Schemes

Umvuzo Health, the country’s leading restricted low-cost medical scheme launched the all-new Activator Option during the unveiling of their exciting new brand. Both the new Umvuzo Health brand and the new Activator Option created great interest and a welcome relief for those earning less than R3 850 a month.

Counting the costs of medical aid fraud

14 June 2017 | General

‘The reduction and elimination of fraud, waste and abuse will impact on medical aid contribution increases,’ says Gerhard Van Emmenis, Acting Principal Officer of Bonitas Medical Fund. More importantly, benefits could be enriched to pay for even more critical healthcare and treatments. He says, ‘Fraud, waste and abuse is one of the biggest contributors to escalating healthcare costs as the fee-for-service model of payment encourages people to over-charge or over-service for profit.’

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.

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

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

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