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Tag Archives | CMS

IPASA reacts to Dr Zokufa’s passing

The Innovative Pharmaceutical Association of South Africa and its members, are deeply shocked and mourns the sudden passing of recently appointed of Council for Medical Schemes (CMS) Chief Executive and Registrar Dr Humphrey Zokufa. (more…)

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Medical Schemes’ Financial Health Not as Bad as Predicted

Despite all the doom and gloom predictions relating to the sustainability of medical schemes in the past few months, the combined health of the industry appears to have improved slightly from the previous years. The Council for Medical Schemes’ (CMS) 2010-2011 annual report showed that, for the first time in three years, the industry as […]

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The Tariff Tango: Led by an Ideology Clash?

The six-year long dance routine in developing an accepted tariff list for private medical practitioners may have as much to do with a clash of ideologies as with a disagreement on what is a ‘fair price’. This is the view of Dr Chris Archer, CEO of the SA Private Practitioners Forum (SAPPF). He was reflecting the […]

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Third Time Lucky for BHF?

The Board of Healthcare Funders (BHF) is to appeal the High Court ruling of 11 May, which upheld a previous ruling in November 2011, that it did not have the locus standi (legal standing) to bring an application for a declaratory order on Prescribed Minimum Benefits (PMBs). In both cases, the BHF was ordered to pay […]

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New HPCSA Registrar Ready to Ring in the Changes

The Health Professions Council of SA has had a rocky few years, with the post of CEO and registrar being fraught with turmoil and change. Medical Chronicle (MC) spoke to newly appointed incumbent, Dr Buyiswa Mjamba-Matshoba, about the challenges she will face in her new position. MC: How does your background and experience equip you for […]

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Outrage Mounting over DSP ‘Illegal’ Dispensing Fees

The Independent Community Pharmacy Association (ICPA) is adamant that the setting of fixed dispensing fees by some designated service providers (DSP) appointed by medical schemes to deliver chronic medicines to their members is illegal, despite assertions to the contrary by the Government Employees Medical Scheme (GEMS). The apparent disregard of regulated dispen­sing fees, finalised in […]

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Practice Management: Who Measures the Measurers?

Provider profiling and peer review – is this really necessary? What do I do if my profile is simply wrong? South African medical schemes and their actuaries are wisening up to the fact that primary healthcare, prevention and disease management are the key factors in sustaining medical schemes. We are seeing many initiatives being aimed […]

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PMBs: Status Quo Remains for Now

The Council for Medical Schemes (CMS) has expressed delight at the Prescribed Minimum Benefits (PMB) ruling made by Judge Cynthia Pretorius in the Gauteng High Court in November last year, while the Board of Healthcare Funders (BHF) expressed disappointment that the merits of Regulation 8 of the Medical Schemes Act were not taken into consideration […]

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BHF Slated for ‘Sneaky’ PMB Court Action

Private health care providers have lambasted the Board of Healthcare Funders (BHF) for trying to sneak through an urgent court interdict against the Council for Medical Schemes (CMS) to prevent the council from acting against medical schemes not complying with the ‘payment in full’ requirement of Regulation 8 of the Medical Schemes Act, relating to […]

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Medical Schemes’ Contribution Increases under the Microscope

The Council for Medical Schemes (CMS) has approved most medical schemes’ contribution increases for 2011, despite criticizing funders for ignoring its recommendation that these hikes should be confined within a range of 4.9%-5.2%. According to the council’s registrar and chief executive Dr Monwabisi Gantsho, the CMS is aware of the cost pressures facing schemes and […]

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