Billions Lost to Fraud and Waste Cripple SA’s Private Healthcare
South Africa’s private healthcare sector is haemorrhaging up to R28 billion a year due to rampant fraud, waste, and abuse (FWA). This directly threatens the quality of care and financial stability of medical cover for millions of citizens…. Membership Required You must be a member to access this content.View Membership LevelsAlready a member? Log in...
Racial Bias Report: Are the Claims Valid?
Analyze the claims made in the racial bias report and how they impact perceptions of fairness in medical scheme fraud.
Gems Denies Racial Profiling in Investigations
The Government Employees Medical Scheme (GEMS) has told Parliament that it does not target black doctors based on their ethnicity during fraud investigations. In response to the allegations, Gems denies engaging in racial profiling against any of its practitioners. The assurance comes in the wake of a damning industry report. This report concluded that its…...