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Latest developments: National Health Insurance Bill

Last week, Health Minister Dr Aaron Motsoaledi convened a media briefing to discuss the release of the highly anticipated National Health Insurance Bill (NHI Bill), which has been approved by the South African Cabinet. (more…)

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hospital

GEMS 2017 annual report reflects strengthened financial position

The Government Employees Medical Scheme (GEMS), South Africa’s largest closed medical scheme, today released its annual report for 2017, reflecting a significant increase in the Scheme’s reserve ratio and surplus. (more…)

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Tony Singleton

Understanding the essential terms: co-payments, sub-limits, and non-DSPs

By Tony Singleton, CEO at Turnberry While it’s easy for some of these technical terms to wash over us, understanding the structure of your Medical Aid and Gap Cover is a critical aspect of managing your family’s medical and financial affairs. Some of the least-understood, but most important terms, are co-payments, sub-limits and non-DSP Hospital […]

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Will proposed medical schemes amendments benefit members?

In the wake of reports about Health Minister Aaron Motsoaledi’s proposals for ushering in a new set of rules for how medical schemes operate, how are these changes likely to affect the industry and South African private healthcare consumers? (more…)

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hospital

GTC launches inaugural Gap Cover Survey

Sanlam and Absa have emerged as the top-ranked medical Top-up –  often referred to as ‘Gap’ cover –  providers in South Africa, according to the first ever ranking of these product providers, conducted by leading wealth and advisory firm GTC. Sanlam was ranked as the leading provider of Gap cover for under 60-year olds, whilst […]

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Mark Arnold

Resolution Health’s solvency strengthened as membership grows

Building on the gains of recent years Resolution Health Medical Scheme is poised to enter a new phase of growth and security, having attracted hundreds of new members since November last year in a largely stagnant medical schemes market. All of this was achieved while steadily growing scheme reserves. “With prudent management and a diversified […]

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Discovery Health recovers R568m in fraud savings for 2017

In 2017 Discovery Health’s efforts to curb fraud in the healthcare system resulted in a significantR568m recovered on behalf of client schemes, compared to R405m in 2016,” says Discovery Health CEO, Dr Jonathan Broomberg. “We also estimate that the ‘halo’ effect of these fraud-control activities, in which health professionals and others contemplating fraud desist from […]

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Pressing ahead with NHI implementation – IRR report

“The government is busily pressing ahead with implementing its proposed National Health Insurance (NHI) system,” says the IRR in the latest issue of its @Liberty policy bulletin, released today. (more…)

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