Welcome to the Doctors' Portal
00:00 Sunday
Mediclinic News : HEALTH BODY STUDY POINTS TO RACE BIAS

Title

HEALTH BODY STUDY POINTS TO RACE BIAS

Date

2019-11-20

Link

News Description

BUSINESS DAY - FRONT PAGE SA’s three dominant medical schemes have been accused of racial bias There was “widespread and consistent” evidence of discrimination in the outcome of investigations into fraud, waste and abuse, according to expert testimony provided to the medical scheme regulator’s inquiry on racial profiling on Tuesday. Black health-care providers are 42% more likely to be found to have perpetrated offences than their nonblack counterparts, according to evidence presented by Foundation for Human Rights director Zaid Kimmie. The medical schemes regulator, the Council for Medical Schemes (CMS), is conducting an investigation into allegations by the National Health-care Practitioners Association, a representative body for health-care professionals, that medical schemes and administrators are targeting black and Indian doctors for investigations, and unfairly withholding payements. The inquiry has potentially far-reaching implications, as it is expected to make findings on whether schemes and administrators are overstepping their mandates in the way they investigate and manage alleged fraud, waste and abuse, and might lead to regulatory changes that clip their wings. Fraud, waste and abuse range from highly sophisticated scams conducted by syndicates to simpler errors in the way medical scheme members are billed it is a huge concern for the medical industry Fraud costs the sector up to R28bn a year, according to figures presented at CMS seminar earlier in 2019. The inquiry began in June, and its three-member panel is chaired by advocate Tembeka Ngcukaitobi. It appointed Kimmie, who has qualifications.
Created at 2019/11/25 04:12 PM by Mediclinic
Last modified at 2019/11/25 04:12 PM by Mediclinic