Criminal networks are targeting your medical aid rands but could you be part of the problem too? Criminal syndicates and unscrupulous doctors may be defrauding the private health sector of millions as experts warn that medical schemes may reach a breaking point. “The health care sector is being targeted by criminal syndicates and even devious..
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Syndicates and devious health professionals may target National Health Insurance
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16 Foods That Boost Your Immune System
Elderberry It’s an old folk remedy. This fruit is loaded with nutrients called antioxidants, and it may help fight inflammation. In some lab studies, an extract from the berries appears to block flu viruses. But scientists caution that more study is needed. You definitely still need to get a yearly flu vaccination! Button Mushrooms They..
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Skok-voorbeelde van bedrog by mediese fondse aan die lig gekom
Die gesondheidsorgbedryf is in die visier van misdaadsindikate en onderduimse praktisyns. Dr. Gregory Pratt, mediese adviseur vir forensiese ondersoeke in die gesondheidsbedryf vir Medscheme, het op die beraad vir gesondheidsorgfinansiers in Kaapstad skokkende voorbeelde genoem van bedrog waarmee hy die afgelope maande te make gehad het. Mediese bedrog is so algemeen “omdat dit makliker gepleeg..
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Anger over medicines supply scheme
It is crucial for the Rev Isaac Harley to take his medication daily – it’s a matter of life and death really. As a diabetic with a hypertensive comorbidity, he depends on his tablets and insulin to maintain his insulin levels and to manage his high blood pressure. But it’s been one problem after the..
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Hospital cash-back plans crimped by new law
The demarcation regulations clearly distinguish between medical insurance products and medical aid schemes. For the consumer, this means that while limited gap cover and hospital cash-back plans will still be allowed, primary healthcare insurance policies will no longer be available. All existing policies will need to align with the regulations from 1 January 2018. Affected..
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Meet The Robin Hood Of Medical Scheme Rip-Offs: Clawing Back Big Sums – For A Modest Fee
An entrepreneur has come up with a clever way to tackle the beast of medical scheme rip-offs. Instead of joining the throng of service providers who are squeezing private scheme members for ever greater sums, this Robin Hood of the healthcare sector has identified a way to claw back thousands of rands – for a..
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How to choose a medical aid
Most medical schemes have launched their benefits and contributions for 2017 and it is the time when you should be re-looking at your existing medical aid cover or, if you are wanting to join a scheme, investigating which one suits you best. The medical aid landscape can be tricky to navigate so it is important..
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The most expensive and cheapest medical aids in SA for 2017
The latest GTC Medical Aid Survey for 2017 has been released, which compares local medical aid schemes on cost to members across various levels of cover. According to GTC, medical aids are complicated schemes, and comparing them is an almost impossible task; however it has developed a review process that compares schemes across specific categories,..
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Non-invasive scan for liver disease
In the past the only way to measure a liver’s elasticity was through a biopsy, but now, a non-invasive alternative has emerged, whereby elasticity of a patient’s liver can be measured using vibration-controlled transient elastography (VCTE). Adopted as a frontline tool for assessing liver fibrosis by the European Association for the Study of the Liver..
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Genesis wins case on accounting for use of medical savings funds
On Tuesday, the Constitutional Court ruled that all funds paid by members to their schemes should be considered as assets, regardless of their intended use. Genesis medical scheme has won its legal battle with the Council of Medical Schemes over how to account for the funds in members’ medical savings accounts (MSAs), a development that..
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Vier maniere om jou mediesefonds-spaargeld te rek
Ons gee verbruikers vier maniere om hul mediesefond-spaargeld te rek. Gebruik generiese medisyne As generiese medisyne beskikbaar is, is dit ʼn heeltemal aanvaarbare plaasvervanger vir handelsmerkmedisyne, tensy jou dokter dit spesifiek uitsluit. “Baie generiese medisyne is klone ─ dit kan deur die oorspronklike vervaardiger op dieselfde produksielyn gemaak word. Dis net die verpakking wat verskil,”..
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Day hospitals: The answer to rising health costs?
South Africans are faced with the constant increases in the cost of living and an ailing economy, forcing consumers to cut down on spending across the board. For a small percentage of the population, healthcare costs are covered by medical aid, but only an estimated 16% of South Africans have such coverage while the rest..
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The real reason SA’s doctors won’t deliver your baby
Medico-legal litigation has exploded. As of March 2016, claims against the health department from the previous five years stood at more than R37‑billion. By October that year, the figure had jumped to R51‑billion — or a third of the whole public healthcare budget if we had to pay every cent. The medico-legal litigation pandemic threatens..
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Medical aid board says SA has no choice but to back NHI
South Africa’s healthcare system is not merely unviable or unsustainable, “it is at the brink of collapse” if the government does not intervene, says the Board of Healthcare Funders, which represents most medical aid schemes in the country. “People are paying contributions to their medical schemes that are higher than inflation,” Humphrey Zokufa, who heads..
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Medical fraud costs the country’s economy
The phenomenon of suspiciously qualified or unqualified doctors opening shop in some township and attracting unsuspecting patients has become a concerning norm. Discussions and debate are focused on state capture and its effect on the economy, but there’s another beast eating away at productivity, hurting the economy and undermining our health system. South Africa is..
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