News

US New Medicine Prices More Than Double Since 2021

28 May 2025
US New Medicine Prices More Than Double Since 2021
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Liberty Pays Out R12 bn in claims in 2024

28 May 2025
Liberty Life reported that the insurer paid out R12bn in death, disability, and income protection claims to over 120,000 beneficiaries throughout 2024. - Business Day (28 May2025). “The bulk of the payouts, R7.35bn, stemmed from Liberty’s retail division, which provides policies directly to individuals, representing an 11.8% increase compared with the previous year, reaching almost 28,900 individuals and their families.
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Treatment Gap for SA’s Children

27 May 2025
One in three of the 157,000 children living with HIV in SA are not accessing the antiretroviral therapy (ART) they desperately need to maintain their health according to data released by Thembisa, the leading mathematical model of HIV. – Spotlight (27 May 2025)
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Reminder from KeyHealth Medical Scheme regarding Stale Claim Process

27 May 2025
All claims must be submitted within 120 days (4 months) from the date the service was rendered. Claims received after this period are considered stale and may be rejected. If a claim is repudiated (not paid), you have 60 days from the date of the statement to resubmit it with the necessary corrections or supporting documents. Contact your software vendor to enable submission of claims via EDI.
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Three Medical Schemes Fail to Meet Solvency Requirements

26 May 2025
Three medical schemes, Medihelp, Sizwe Hosmed Medical Scheme, and Transmed Medical Fund, did not maintain their solvency ratios at or above the statutory minimum of 25% in 2023, according to the latest Council for Medical Schemes (CMS) Financial Performance Industry Report 2023. – Moneyweb (16 May 2025)
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Global Health Giants Consider Merger

26 May 2025
Reuters reported on 22 May that the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the Gavi vaccine alliance are exploring closer collaboration, including potential function mergers, to combat a severe global health financing crisis and deliver more efficient aid.
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Critics concerned over viability of NHI

26 May 2025
Critics are concerned over the viability of the NHI Act as fears are mounting that the “ambitious plan could decimate private medical schemes without resolving the fundamental issues,” reported Business Day (26 May 2025).
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Private Hospitals Brace for Muted Growth

26 May 2025
“Leading analysts are cautious about the growth trajectory for SA’s private hospital sector, citing stagnant medical scheme membership figures, a declining healthcare workforce, and a persistently challenging macroeconomic environment as key headwinds.” – Business Times (25 May 2025)
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Three Medical Schemes Fail to Meet Solvency Requirements

Life Healthcare backs collaboration to tackle healthcare crisis

27 Nov 2024
Life Healthcare CEO Peter Wharton-Hood has backed a call for greater collaboration between the government and private healthcare providers to address South Africa’s pressing healthcare challenges. This follows a proposal by Netcare CEO Richard Friedland, who suggested adding healthcare as the fourth pillar in an existing government-business partnership focused on revitalising the economy.
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Discovery Life claims back to pre-Covid levels

19 Apr 2024
“Discovery Life distributed R10.3bn to its clients, a decrease from the R11bn paid the previous year,” reported Business Day (19April 2024)
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Hundreds of websites found selling fake weight-loss drugs

16 Apr 2024
Reuters reported on 15 April that the cybersecurity company BrandShield has shut down over 250 websites selling counterfeit versions of popular drugs used for weight loss and diabetes treatment within the GLP-1 class.
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RAF bid to appeal judgment on claim requirements

06 Dec 2023
On 5 December 2023 the Pretoria High Court rejected the Road Accident Fund’s (RAF) request to reconsider a previous verdict from November, reported Business Day. “The ruling mandated eliminating the stringent new requirements for filing claims outlined in a 2021 board notice.”
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Covid-19 vaccines: ‘Health Department squandered the opportunity’

07 Sep 2023
“Health activists are right to draw attention to this grossly unfair situation. (Covid-19 vaccine deals) But the far bigger scandal is that the Health Department squandered the opportunity after spending an estimated R14-bn on Covid-19 jabs and belatedly filling its warehouses with enough doses to vaccinate the nation” – Business Day (7 September 2023).
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EDITORIAL: Health Minister must halt care crisis

20 Jan 2023

NHI, the government’s plan for universal health coverage, rests heavily on nurse-led care. Yet where these nurses will come from is a mystery. – Editorial (Business Day 20 January 2023).
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