Board of Healthcare Funders of SA (BHF) on the judgement handed down on the Declaratory Order Application on Regulation 8(1) of the Medical Schemes Act A written judgement in the matter between BHF & SAMWUMED and CMS, Minister of Health, SAPPF, PSSA, USAP, Medi-Clinic, HASA, ER24 EMS, National Renal Care, Pharmaplan, B Braun Ativum, MSSA …. »
Healthcare Articles
Board of Healthcare Funders of SA on the judgement handed down on the Declaratory Order Application
by BHF
Published: November 9th, 2011
Posted in Healthcare
High Court dismissal of BHF application has profound implications
by Michael Settas
Published: November 9th, 2011
High Court dismissal of BHF application has profound implications for medical schemes industry The High Court dismissal this week to have Prescribed Minimum Benefits (PMB) paid at medical scheme tariffs rather than actual cost could have profound implications for the medical schemes industry. The Board of Healthcare Funders (BHF) brought an application before the Gauteng …. »
Posted in Healthcare
Prescribed minimum benefits
by Clayton Samsodien
Published: November 1st, 2011
Its comes as no surprise that the Council for Medical Schemes (CMS) won the recent court case against the Board of Healthcare Funders around the issue of Prescribed Minimum Benefits (PMB’s). Genesis Healthcare Consultants was and continues to be in support of PMBs as members of medical schemes must be offered some form of protection …. »
Posted in Financial Planning, Healthcare
No specifics on CPA for medical schemes yet
by Duduza Khosana
Published: September 1st, 2011 in Cover
But customer service guidelines still valuable While the jury is still out regarding how the Consumer Protection Act (CPA) will affect medical schemes, the Commissioner for the National Consumer Commission has been clear on some basic requirements from schemes in terms of their goods and services. Medical schemes should be doing all they can to …. »
Posted in Healthcare
OMAC Healthcare Survey provides useful insights
by Margaret Hulme
Published: May 1st, 2011 in Cover
OMAC Actuaries & Consultants released the findings from its 2010 Healthcare Survey on 28 March in Johannesburg. Rising healthcare costs are the biggest concern for employers, brokers and medical schemes within the healthcare industry. Medical schemes are still struggling to contain these costs. At the same time, members perceive these benefits to be decreasing. The …. »
Posted in Healthcare
Medical Law Update – Deneys Reitz
by Donald Dinnie
Published: April 1st, 2011
1. Health: Medicines and Related Substances Act The health department published three key regulations pertaining to a transparent pricing system for medicines and scheduled substances in the Government Gazette during December. The regulations were published in terms of the Medicines and Related Substances Act. The first notice deals with the methodology for international benchmarking of …. »
Posted in Healthcare
PMB dispute a blessing in disguise for schemes
by Mark Arnold
Published: January 1st, 2011 in Cover
The legal dispute over Prescribed Minimum Benefits (PMBs) could be just the revitalising shake up the industry needs says Mark Arnold, Principal Officer of Resolution Health Medical Scheme. While the current Council for Medical Schemes’ (CMS) interpretation of the regulations regarding PMBs is problematic, that is, that schemes must pay out at whatever rate healthcare …. »
Posted in Healthcare
Anti-Retro-Viral compliance in HIV products
by Dr Pamela Chetty - regular
Published: January 1st, 2011
We publish the first of a two part series by Dr Pamela Chetty, Life Business Unit, MRoA, on compliance in HIV products which assists life companies in underwriting HIV positive individuals. Part II will follow in our April issue. The Life Assurance Industry in South Africa (SA) has made progress in leaps and bounds since …. »
Posted in Healthcare, Long-term
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