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Discovery Health says Road Accident Fund is in breach of court order
In 2022, the High Court ruled that the fund could not withhold payments for past medical expenses covered by medical schemes.
‘Lack of maintenance or wear and tear’ gave rise to most of the disputes in several categories of insurance.
Read moreIn 2022, the High Court ruled that the fund could not withhold payments for past medical expenses covered by medical schemes.
BHF-commissioned study identifies 11 assertions made about private healthcare and medical schemes that lack foundation.
DHMS provides an update on the impact of the WELLTH Fund and membership movements following the consolidation of the Comprehensive series.
The change is aimed at making the financial information of insurers more easily comparable across countries and industries.
Members of medical schemes are paying up to 30% more because the regulatory system broke down after the government’s focus shifted to NHI.
There are concerns about the sustainability of private providers and whether the public will face higher costs to maintain their current level of healthcare.
In an interview this week, President Ramaphosa was asked whether South Africans will pay higher taxes to fund NHI.
The expected legal challenges to the legislation and the pressure on the state’s finances could delay full implementation of the system for many years.
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 difference between medical scheme cover and medical insurance – and where gap cover fits in.
In 2022, the industry saw a net income of R2.57 billion – down from R12.18bn in 2021 – and faced an operating deficit of R6.155bn, the largest in 23 years.
Despite Parliament’s commitment to prioritise the Road Accident Amendment Bill, there has been no further communication about the comments submitted on the draft legislation.
The recent ruling by the High Court underscores the Road Accident Fund’s obligation to reimburse medical scheme members for past medical expenses covered by the injured person’s medical scheme after a motor vehicle accident.
ENSafrica identified some incidents involving mistakes or unintended errors, but these were ‘random and minuscule’.