HEALTH AND RELATED NEWS
released for 2009
experienced another year of excellent overall performance with several
multi-year strategies continuing to yield positive results.
The Scheme generated a surplus of R791 million for the current year
taking the Scheme’s statutory solvency level to 25.45%, R111
million higher than the 25% statutory solvency required by the Medical
Schemes Act 131 of 1998, as amended.
The Scheme continued to exhibit strong membership growth in 2009 and
now covers over 2 million lives. Importantly, while members joined the
Scheme at a significant rate of 10.17%, the rate of members leaving the
Scheme was only 3.76%.
On average the Scheme processed 151,203 claims per day equating to over
3,1 million claims per month with an error rate of only 0.75% and the
claims being paid within 3.97 days from date received.
New Registrar of Medical Schemes appointed
Minister of Health has appointed Dr Monwabisi Gantsho to the position
of Registrar of Medical Schemes and Chief Executive of the Council for
Medical Schemes (CMS) with effect from 1 June 2010.
Gantsho is a medical doctor whose academic achievements include a
Masters Degree in political science and economics. He is a Fellow at
the Centres for Leadership and Public Values from the Graduate School
of Business at the University of Cape Town and the Terry Sanford
Institute of Public Policy at Duke University in the United States. He
has occupied a senior management position at the South African Medical
Association (SAMA) for the past five years. He is a member of the
Institute of Directors (IoD) and the World Medical Association (WMA).
Private health care changes tune on price controls South
African private health care company Life Healthcare said it will raise
up to R8.04 billion through an initial public offering, likely to be
South Africa's largest IPO on record.The company, which operates private hospitals across South Africa, said
on Tuesday it plans to sell 431.3 million shares at a price between
14.5 and 17 rand.
government is again busy with a plan to set up a structure that will
determine the prices that should be charged by service providers in the
private health care sector.
It is reported that Health Minister Aaron Motsoaledi wants to establish
an independent commission that will look at pricing in the sector with
the aim of regulating charges. Motsoaledi is said to have told the
Board of Healthcare Funders that he was asking the Competition
Commission to consider exempting medical schemes from the Competition
Act until such a commission was in place.
Life Healthcare in record JSE IPO
of R8 billion
have developed a detailed costing model for national health insurance
(NHI) to help the government formulate its health policy for the
country.In a presentation to the recent International Congress of Actuaries,
Deloitte's Ashleigh Theophanides said Deloitte and Discovery Health had
funded the development of the NHI costing model and had handed it over
to the Actuarial Society of South Africa to be used as a resource to
further the public debate on NHI.Theophanides says that the team working on the model had, on
request, presented the model to some members of the Minister of
Health's task team on NHI, but the model has not been presented
formally to the task team. The model can be used by policymakers to
test the cost of various NHI scenarios and their impact on the health
system, she says.Theophanides says the model is a tool that will help policymakers to
determine what will be required to implement a successful NHI system. Regulator presses on with Bonitas
Cardiac Unit at Baragwanath a 'disaster'
major heart operations have been done at Chris Hani-Baragwanath
Hospital's cardiac unit in the past three years because of broken
equipment, leaking roofs and supply shortages.
More than a 100 patients, referred to the unit from other hospitals and
clinics, are on waiting lists for catheters. Another 40 patients who
need pacemakers have been referred back to peripheral units because the
hospital cannot do the procedures.
The dysfunctional state of Bara's cardiac unit, hailed just last year
as the best-staffed unit in the country, was revealed by Health MEC
Qedani Mahlangu in a written reply to a question from DA MPL Jack Bloom.
Actuaries develop model to help
government estimate how much national health insurance will cost
Council for Medical Schemes remains of the opinion that the
governance structure at Bonitas is fundamentally flawed and that the Board should
be removed. The CMS believes it is necessary, desirable, and in the
best interests of the
beneficiaries of the scheme to appoint a curator at Bonitas to address
the problems at the scheme and introduce good corporate
Medical industry at odds over
PMB system, under which you are guaranteed treatment of certain
conditions by your medical scheme, is causing headaches for schemes and
service providers alike.
Minimum benefits, which are the backbone of your medical scheme, face
serious threats of being undermined by legal uncertainties,
unsustainable billing practices and non-compliance with the law, key
roleplayers said this week. The problems have continued for a number of
years now, despite warnings from the regulator of medical schemes,
rulings from its appeal board, approaches to the Minister of Health,
previous task teams, draft regulations, legal action and threatened