Streaming issues? Report here
volume_up
volume_mute

Home
arrow_forward
Politics

'Up to 15% of all medical claims are associated with fraud, waste and abuse'

4 March 2019 8:50 AM
Tags:
Fraud
Abuse
Medical aid
Waste
medical aid claims
The Council of Medical Schemes's Dr Sipho Kabane, says these types of offences are costing the sector billions annually.

According to the Council of Medical Schemes, abuse, waste and fraud in private healthcare are costing this sector billions annually.

The council says up to 25% of all premiums paid by medical aid members is spent funding these false claims, amounting to between R22 billion and R28 billion a year.

Read: Fraud on the rise in SA - and doctors are some of the biggest culprits

During the Fraud, Waste and Abuse Summit last week, the council says it paid R 172 billion in 2017 and 15 % of those claims were as a result of fraud, waste, and abuse.

Acting chief executive and registrar for medical schemes at the Council of Medical Schemes, Dr Sipho Kabane, says the purpose of the summit was to bring all role players together to agree on a set of principles and curb the scourge of fraud, waste, and abuse in the sector.

Contributors to this are very wide. You have doctors, physiotherapists, dentists and anybody that provides services to members of the schemes will fall into that group. It would be difficult to pin it down to one group.

Dr Sipho Kabane, Acting chief executive and registrar - Council of Medical Schemes

He adds that sometimes it is the members themselves that collude with service providers to commit these crimes.

Up to 15% of all claims are associated with fraud, waste and abuse.

Dr Sipho Kabane, Acting chief executive and registrar - Council of Medical Schemes

Listen below to the full interview:


This article first appeared on 702 : 'Up to 15% of all medical claims are associated with fraud, waste and abuse'


4 March 2019 8:50 AM
Tags:
Fraud
Abuse
Medical aid
Waste
medical aid claims

More from Politics

191020mmusi

[WATCH] Maimane resigns as DA leader, Trollip follows

23 October 2019 6:22 PM

DA leader Mmusi Maimane has thrown in the towel. He announced his resignation at a media briefing on Wednesday afternoon.

Share this:
Read More arrow_forward

mmusi-maimane-resignsjpegjpg

READ: Mmusi Maimane’s resignation address

23 October 2019 6:03 PM

Mmusi Maimane resigned as the leader of the Democratic Alliance (DA) on Wednesday.

Share this:
Read More arrow_forward

191023-mmusi-maimane-edjpg

Mmusi Maimane resigns as DA leader, Athol Trollip confirms party exit

23 October 2019 5:23 PM

Maimane’s resignation comes two days after Herman Mashaba announced his resignation from the party and subsequently as Johannesburg mayor.

Share this:
Read More arrow_forward

191020mmusi

Is DA leader Mmusi Maimane about to quit?

23 October 2019 1:24 PM

“He might have calculated there’s no way out,” says Dr Somadoda Fikeni, a political analyst at Unisa.

Share this:
Read More arrow_forward

180206bonteheuwelstationjpg

When does a township become a suburb? Bonteheuwel's drive to change perceptions

23 October 2019 7:43 AM

Bonteheuwel Ward Councillor Angus McKenzie is fighting to have the Cape Flats area perceived as a suburb that drives investment.

Share this:
Read More arrow_forward

Herman Mashaba

DA to decide if Herman Mashaba will serve his notice period or get cut loose

22 October 2019 4:55 PM

It's reported that some senior members of the Democratic Alliance want Mashaba's membership terminated with immediate effect.

Share this:
Read More arrow_forward

Eskompresser_0632

Should Pravin Gordhan get more power?

22 October 2019 3:29 PM

The Department of Public Enterprises wants more power to oversee SOEs. Bruce Whitfield interviews Investec’s Nazmeera Moola.

Share this:
Read More arrow_forward

Mkhuleko Hlengwa

'Ministers snubbing Scopa meeting on Eskom debt undermine Parliament'

22 October 2019 1:29 PM

Chairperson Mkhuleko Hlengwa says it is unacceptable for officials not to attend this engagement.

Share this:
Read More arrow_forward

191021balekajpg

'Mbete faced difficult questions. She has done a lot in terms of responding'

22 October 2019 11:00 AM

Xolani Xala (SA Business Abroad) defends his defence of ANC stalwart Baleka Mbete’s "car crash" interview on Al Jazeera.

Share this:
Read More arrow_forward

screengrab-from-video-courtesy-eliane-jabbourpng

[WATCH] Lebanese protestors sing 'Baby Shark' to comfort frightened baby

22 October 2019 10:14 AM

It was a lighter moment after protests began last week against proposed new taxes and in favour of land reforms.

Share this:
Read More arrow_forward