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Medscheme rejects claims of racial profiling when auditing healthcare claims


Medscheme rejects claims of racial profiling when auditing healthcare claims
The medical aid company has responded to the interim report of the Section 59 investigation panel that was tasked with probing allegations that black, coloured and Indian practitioners were discriminated against and singled out as likely to commit fraud.
© scukrov/123rf.com
88 days ago
JOHANNESBURG - Medscheme has rejected claims that it applies any form of racial profiling when assessing or auditing healthcare claims.
The medical aid company has responded to the interim report of the Section 59 investigation panel that was tasked with probing allegations that black, coloured and Indian practitioners were discriminated against and singled out as likely to commit fraud. ....

South Africa , Tembeka Ngcukaitobi , Nthakoana Ngatane , High Court , Advocate Tembeka Ngcukaitobi , Medical Aid Racial Profiling , Healthcare Claims , Section 59 Investigation , உயர் நீதிமன்றம் , மருத்துவ உதவி இன ப்ரோஃபைலிஂக் , சுகாதாரம் கூற்றுக்கள் , பிரிவு விசாரணை ,

Medical schemes report: government slammed for 'lack of interest' in black professionals


The party called for accountability.
“The EFF calls for stringent action against all the implicated medical schemes. Furthermore, we call for a complete overhaul of the algorithm systems in place to identify fraud and wastage by medical practitioners and all of those leading these medical schemes to face the full might of the law,” said the EFF. 
Gems, which was found to be 80% more likely to find black doctors guilty of FWA, attempted to block the release of the damning report. TimesLIVE reports that the scheme approached the court just two hours before it was due to be released on Sunday. ....

South Africa , South African , Tembeka Ngcukaitobi , National Health Care Professionals Association , Council For Medical Schemes , Government Employees Medical Scheme , Medical Schemes , Solutionist Thinkers , National Health Care Professionals , Medical Schemegovernment Employees Scheme , Tembeka Ngukaitobi , Colleen Collis , தேசிய ஆரோக்கியம் பராமரிப்பு ப்ரொஃபெஶநல்ஸ் சங்கம் , சபை க்கு மருத்துவ திட்டங்கள் , அரசு ஊழியர்கள் மருத்துவ திட்டம் , மருத்துவ திட்டங்கள் , தேசிய ஆரோக்கியம் பராமரிப்பு ப்ரொஃபெஶநல்ஸ் , சக கோலிஸ் ,

Report finds medical aids guilty of discriminating against black practitioners


Interim report: medical aids discriminated against black practitioners
An interim report released has found that Discovery, Medscheme and GEMS have been unfairly classifying black health professionals as likely to commit fraud.
Picture: 123rf.com
JOHANNESBURG - Medical aid schemes have been found guilty of racially discriminating against black medical practitioners.
An interim report released by Advocate Tembeka Ngcukaitobi found that Discovery, Medscheme and GEMS have been unfairly classifying black health professionals as likely to commit fraud.
Chairperson of the inquiry, Ngcukaitobi and his panel, held public hearings last year commissioned by the council for medical schemes.
The Section 59 report probed allegations by members of the National Health Care Professionals Association who accused medical aid companies of racial profiling, especially when the companies we ....

South Africa , Tembeka Ngqukaitobi , Nthakoana Ngatane , National Health Care Professional Association , Advocate Tembeka Ngqukaitobi , Medical Aid , Racial Profiling , Medical Aid Racial Profiling , தேசிய ஆரோக்கியம் பராமரிப்பு ப்ரொஃபெஶநல் சங்கம் , மருத்துவ உதவி , இன ப்ரோஃபைலிஂக் , மருத்துவ உதவி இன ப்ரோஃபைலிஂக் ,

Panel finds unfair discrimination against black practitioners by medical schemes


Panel finds unfair discrimination against black practitioners by medical schemes
19 January 2021 - 12:46
A panel appointed by the Council for Medical Schemes, chaired by advocate Tembeka Ngcukaitobi, has found that black practitioners were more likely to be found to have committed fraud, waste and abuse than their white counterparts by the three biggest medical schemes. File photo.
Image: DAILY DISPATCH/LULAMILE FENI
Between 2012 and 2019, black practitioners were more likely to be found to have committed fraud, waste and abuse (FWA) than their white counterparts by Discovery, Medscheme and the Government Employees Medical Scheme (Gems).
This is the finding of a panel appointed by the Council for Medical Schemes to investigate allegations by a number of health-care professionals that they were being treated unfairly by medical aid schemes based on race and ethnicity. ....

Government Employees Medical Scheme , Council For Medical Schemes , அரசு ஊழியர்கள் மருத்துவ திட்டம் , சபை க்கு மருத்துவ திட்டங்கள் ,