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This report focuses on Medical Aid Funding, and includes information on the state and size of the sector, developments and corporate actions of its major players, and influencing factors including regulation and the effect of the coronavirus pandemic.
There are profiles of 31 companies including major administrators such as Discovery Health, Medscheme and Momentum Health, restricted schemes such as the Government Employees Medical Scheme, South African Police Service Medical Aid and Sasolmed, and open schemes such as Bestmed and Medshield.
Medical Aid Funding:
South Africa spends more on private health insurance as a percentage of total health expenditure than almost any other country. Although the sector performs a critical role in the health system, medical scheme membership remains out of the reach of over 85% of the population. Although the details remain unclear, the implementation of the National Health Insurance Fund will invariably aff
Chris Hattingh
NATIONAL NEWS - Reports of alleged corruption plaguing the Government Employees Medical Scheme (GEMS) – one of the vehicles being touted to administer the National Health Insurance (NHI) – should not come as a surprise.
The Free Market Foundation (FMF) notes with concern these reports, and stresses to both government and citizens the crucial lesson that must be learned from this scandal.
No matter the amount of money poured into a potential NHI, this will only open the door to yet more corruption and widespread inefficiencies.
According to News24, “The accusations of graft at GEMS are detailed in a series of 10 explosive forensic reports which show that over a period of five years the scheme had appointed and paid more than R300 million to companies in which some of its executives had direct financial interests.”
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GEMS R300M FRAUD SCANDAL!
Comments Northern Cape Premier Dr Zamani Saul backing Health MEC Maruping Lekwene, who is receiving his Covid-19 jab from Sister Virginia Itebogeng. Photo: Facebook/Northern Cape Provincial Government.
Opposition MPs expressed their concern about corruption at the Government Employees Medical Scheme (GEMS) after News24 exclusively revealed allegations of tender rigging, fraud, corruption and maladministration valued at more than R300 million.
On Tuesday, a joint meeting of the Portfolio Committee on Public Service and Administration and Portfolio Committee on Health was briefed by GEMS and the Council for Medical Schemes (CMS) on the Section 59 Investigation Interim Report on the inquiry into allegations of unfair racial discrimination and procedural unfairness by medical schemes.