
Major setback for medical schemes in legal battle over low-cost options
The Board of Healthcare Funders says it will appeal after the High Court dismissed its application on procedural and substantive grounds.
The Board of Healthcare Funders says it will appeal after the High Court dismissed its application on procedural and substantive grounds.
The Board of Healthcare Funders wants to see records that disclose whether President Cyril Ramaphosa disregarded constitutional concerns before signing the NHI Act into law.
The Board of Health Funders has ‘serious reservations’ about giving the Department of Health the power to manage the block exemption negotiation process.
The case raises questions about whether LCBOs will expand access to affordable private healthcare or threaten the rollout of NHI.
It says the Competition Commission’s ruling hampers access to affordable private healthcare and contradicts recommendations from the Health Market Inquiry.
Launched in 2019, the inquiry sought to investigate allegations of racial profiling by medical schemes. As 2024 draws to a close, the CMS is still battling objections and technical reviews to finalise the report.
BHF-commissioned study identifies 11 assertions made about private healthcare and medical schemes that lack foundation.
Nearly four years since the investigation into allegations of racial profiling began, the Council for Medical Schemes has indicated that the final report is almost complete.
The signing of the NHI Act does not mean the BHF is letting up in its fight for regulations on low-cost benefit options.
The trade union says moves are afoot for members of the National Assembly to bring an application against the NHI Act.
Members of medical schemes are paying up to 30% more because the regulatory system broke down after the government’s focus shifted to NHI.
Solidarity and AfriForum are the first out of the starting blocks with legal challenges to the NHI Act.
The BHF’s canvassing of key policy issues in the public domain via a ‘deliberately leaked’ lawyer’s letter indicates the organisation ‘has run out of creative ideas’.
The CMS asserts that medical schemes have frequently disregarded the existing appeals procedures, exploiting them to the detriment of members’ interests.
The regulator comes out swinging in its response to the Board of Healthcare Funders’ claims of bullying and curatorship abuse.
The BHF raises 10 issues, including the ‘misuse’ of curatorships, whether NHI is informing policy prematurely, and the absence of low-cost benefit options.
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