The Board of Healthcare Funders (BHF) has announced its intention to petition the Supreme Court of Appeal directly. They decided this following the High Court in Pretoria’s dismissal of its application to appeal a ruling against Low-Cost Benefit Options (LCBOs). The decision marks a significant escalation in the protracted legal battle between the BHF and the Council for Medical Schemes…
Tag: CMS
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Medical schemes facing ‘slow death spiral’ amid regulatory failures
South Africa’s medical scheme industry is at a critical juncture, with escalating regulatory failures forcing schemes to design options that include gaps in cover. This trend increasingly requires members to purchase supplementary insurance, such as primary healthcare plans or gap cover. Consequently, this pushes consumers to pay for cover based more closely on their health risks. This was a key…
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CMS responds to Bonitas corruption allegations
The Council for Medical Schemes (CMS) has responded to Michael Avery’s recent column titled “Anatomy of a scandal: Bonitas said to have lost Sanlam’s trust” (October 14), which questioned the regulatory body’s oversight and raised concerns about long-standing contracts in the medical scheme industry. Avery’s article insinuated that the CMS has been passive as a regulator. However, the CMS pointed…
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Final report on racial profiling investigation delayed again
The long-awaited final report from the Section 59 Investigation Panel, appointed by the Council for Medical Schemes (CMS) to probe allegations of racial profiling and discrimination by medical schemes and their administrators, has been delayed once again. The CMS now anticipates the report’s release by the end of the year, following ongoing challenges beyond its control. Initially launched in 2019…