Tag: PrivateHealthcare
Healthcare fraud crisis – technology, trends and tactics
Fraud, waste and abuse in South Africa’s private healthcare sector drains the system’s ability to deliver quality care. The issue remains largely unspoken. It does not make headlines in the way political corruption does. However, it is arguably just as damaging. It undermines the affordability and sustainability of medical cover for millions of South Africans.
The bare minimum of PMB is that it needs to change
If you’re a member of a medical scheme, you should understand Prescribed Minimum Benefits (PMBs). By law, all medical schemes must offer these benefits to every member. This requirement applies regardless of the scheme you choose. PMBs guarantee access and cover for a minimum, defined list of healthcare benefits. In effect, they represent the bare minimum of PMB protection in the private healthcare system.
