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 systems were “procedurally unfair” and…
Tag: Medscheme
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Discovery Health Challenges ‘Flawed’ Racial Bias Report
Discovery Health has issued a sharp rebuke to the findings of the Section 59 inquiry. It alleged the company’s systems demonstrated racial bias against black healthcare practitioners. The final report, handed to Health Minister Dr Aaron Motsoaledi, asserted that Discovery, along with Medscheme and the Government Employees Medical Scheme (Gems), employed procedurally unfair systems. These systems disproportionately penalised black professionals.…
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BHF rejects fraud inquiry’s findings as ‘fundamentally flawed’
South Africa’s healthcare sector is facing a crisis of trust. This follows an independent inquiry finding that the nation’s largest medical schemes have been targeting black healthcare practitioners. They have been targeted in investigations into fraud and abuse. The report sets the stage for a major confrontation over racial equity and regulatory oversight. Moreover, it challenges methods used to combat…
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Inquiry Finds Medical Schemes Guilty of Racial Discrimination
Focus Keywords: Medical Scheme Discrimination, Section 59 Inquiry, Black Healthcare Providers, Discovery, GEMS, Medscheme, Racial Bias, Healthcare Fraud A damning report has concluded that South Africa’s largest medical schemes and administrators, including Discovery, the Government Employees Medical Scheme (GEMS), and Medscheme, have acted unfairly. Their actions represent racial discrimination towards Black healthcare providers. The long-awaited Section 59 inquiry’s final report,…
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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…