Tag: PrivateHealthcare
The healthcare gap – millions caught between two unequal systems
The recent Constitutional Court ruling on South Africa's Certificate of Need (CONS) provisions marks an important inflection point in the country's healthcare debate. The court found that the provisions failed the constitutional rationality test. While the objective of improving equitable access to healthcare and addressing historical imbalances cannot be faulted, the court concluded that the chosen mechanism had no rational connection to the outcome it sought to achieve.
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.
