Healthcare

New study shows companies with healthy workforces outperform the JSE All Share Index

Four recent studies, including the latest being published in New York, came to similar conclusions about the impact of employee health on financial performance.

The role of a medical practitioner in a complaint by a member concerning access to medical scheme benefits

Lodging a complaint with a medical scheme can be a traumatic process for a member especially where benefits may have been denied on technical grounds by a medical scheme and the benefits are desperately needed by the member in order to deal with a severe chronic condition such as any one of many cancers. Benefits may be denied for a number of reasons: benefits may be exhausted; the particular treatment or medicine may not form part of the medical scheme's protocols or formularies, respectively, or the medicine proposed by a medical practitioner may not be registered as a medicine in terms of South African legislation and unavailable to patients as a registered medicine.

NHI: Health for all?

The Minister of Health has published a White Paper on National Health Insurance in the Government Gazette on 11 December 2015. The public now has a period of three months, from 11 December 2015, to provide comment on the contents of the White Paper.

Circular 74 of 2015: Benefit options for 2016 – open and restricted medical schemes