Topnav

Tag Archives | Council for Medical Schemes

Public Private Partnerships will drive the success of NHI

Since the first Board of Healthcare Funders (BHF) conference in 1999, the BHF annual conference has attracted a line-up of local and international speakers who have continued to provide local, regional and international perspectives on various issues relating to the healthcare industry. This year’s theme, “Embracing Universal Health Coverage”, has ignited engaging discussions on the […]

Continue Reading · 0

HPCSA: Practitioners urged not to sign agreements that may violate ethical rules

The Health Professions Council of South Africa (HPCSA) has noted concerns expressed by healthcare professionals in relation to global fee and similar arrangements by medical schemes. These concerns relate to the protection of patient rights and limitations on professional autonomy, to be able to act in the best interest of patients. The HPCSA wishes to […]

Continue Reading · 0

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…)

Continue Reading · 0

HPCSA warns about DSPs

The HPCSA has added its voice to a growing sense of dissatisfaction among preferred service providers to medical schemes, over the limitations placed on their ability to provide what they see as being in the best interests of the patient. In a media statement, the Council commented on ‘the practice of enticing practitioners to enter […]

Continue Reading · 0

Doctors, you Have Rights … Use them!

Elsabé Klinck Through doing what we call ‘doctor talks’, I have come to the deep realisation that doctors feel extremely under siege. This is not only as a result of the sheer volume of health-sector changes currently taking place (many in abbreviation form – DCST, HDACC, DHIMS, OHSC – to name but a few), but […]

Continue Reading · 0

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 […]

Continue Reading · 0

Medical Schemes Question New PMSA Requirements

Despite several issues raised by the Board of Healthcare Funders (BHF) on behalf of its members and the South African Institute of Chartered Accountants (SAICA), the Council for Medical Schemes (CMS) seems to be forging ahead with the implementation of Circular 38 of 2011. This circular compels medical schemes to ringfence and pay interest on […]

Continue Reading · 0

PMBs: Focus on Price Misses the Main Issue

Barry Childs, Lighthouse Actuarial Consulting and CareGauge The recent ruling regarding what schemes are liable to pay for Prescribed Minimum Benefits (PMBs) claims has left many asking ‘so now what?’. The Board of Healthcare Funders (BHF) was hoping the court would find that schemes are only liable up to their benefits stated in their rules for […]

Continue Reading · 0

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 […]

Continue Reading · 0