Posts tagged with 'Discovery Health'

 

Billions are lost due to Doctors, hospitals and medical aid members collude to commit fraud

Posted on Leave a comment

The Special Investigating Unit says it is actively targeting fraudsters in the private healthcare sector.

Fraud, waste and abuse is costing the private healthcare system more than R22-billion, and if you submit false claims, you could face more than just being terminated from your scheme, the Council for Medical Schemes warned at its summit on fraud this week.

The event comes after deputy president David Mabuza announced at the Presidential Health Summit that the Special Investigating Unit (SIU) would be honing in on the healthcare sector.

“We want independent investigations that are turned around quickly and submit and identify findings appropriately,” Mabuza said at the October gathering.

The CMS estimates that fraud, abuse or waste accounts for about 15% of the R160-billion in claims that medical aids pay out annually.

The head of the SIU, advocate Andy Mothibi, said the body is working with the National Prosecuting Authority to help ensure tha
Continue reading…

Share with friends on Social Media (if share buttons do not show below, disable your ad blocker temporarily):

Enjoyed this post? Share it!

 
 

Oues se skokverhoging op Discovery-opsie

Posted on Leave a comment

Duisende pensioenarisse wat op die Discovery Health Medical Scheme (DHMS) se Keycare Plus-opsie is, moes tot hul skok hoor hul premies styg volgende jaar met sowat 47%.

Lede op die KeyCare Plus-opsie betaal premies gegrond op hul maandelikse inkomste.

Die skerp premieverhoging raak 139 000 lede wat op die laagste inkomstevlak van KeyCare Plus is. Van hulle is 19 000 ouer as 65.

’n Leser van Netwerk24 het gekla omdat haar 77-jarige ma, wat ’n maandelikse inkomste van R8 000 het, meer sal moet opdok. “Sy het vanjaar R990 per maand betaal en die premie styg volgende jaar tot R1 456, en die voordele bly dieselfde.”

Haar ma wou anoniem bly omdat sy nie wil hê mense moet weet wat haar inkomste is nie.

“My ma sit aan die hoër inkomstekant van wat al die jare Keycare se kliëntebasis was. Wat van al die ander mense wat veel minder verdien?”

Volgens haar is talle voordele tussen 2017 en 2018 weggeneem.

“Sy het natuurlik ander uitgawes ook, s
Continue reading…

Share with friends on Social Media (if share buttons do not show below, disable your ad blocker temporarily):

Enjoyed this post? Share it!

 
 

Hier is die 20 beste hospitale in SA

Posted on Leave a comment

Die resultate van die nuutste peiling onder pasiënte wat Discovery Health uitgevoer het om die beste hospitale in die land aan te wys, toon sewe hospitale wat al vier jaar agtereenvolgens op die lysie is.

Lede van mediese skemas wat deur Discovery Health geadministreer word, het aan die peiling deelgeneem oor die hospitale waar hulle in 2017 opgeneem is. Die lys is uit 140 hospitale saamgestel.

Life Healthcare, en die onafhanklike netwerk van hospitale wat lede van die National Hospital Network (NHN) is, het die meeste hospitale op die lys.

Netcare het net een hospitaal op die lys.

NHN het die meeste hospitale wat reeds vier jaar agtereenvolgens op die lys is.

Hier is die lys van die 20 beste hospitale in alfabetiese volgorde:

1. Ahmed Al-Kadi- private hospitaal (Durban, KwaZulu-Natal)

2. eThekwini-hospitaal en -hartsentrum (Durban, KwaZulu-Natal)

3. Gateway- private hospitaal (Umhlanga Rocks, KwaZulu-Natal)

4. Hillcrest- private hospitaal (
Continue reading…

Share with friends on Social Media (if share buttons do not show below, disable your ad blocker temporarily):

Enjoyed this post? Share it!

 
 

What’s driving up our healthcare costs?

Posted on Leave a comment

Discovery Health CEO explains why South Africans are paying higher medical aid premiums than ever before. Access to quality healthcare at an affordable price is a critical priority for every family, and in society at large. South Africans lucky enough to afford private healthcare have rapid and convenient access to some of the best quality..
Continue reading…

Share with friends on Social Media (if share buttons do not show below, disable your ad blocker temporarily):

Enjoyed this post? Share it!