As the days, months and years progress medical aid schemes have proven to cover less and less of what they initially did a while ago. The biggest misconception amongst society currently would be the ideology that medical aid covers a wide spectrum of necessities.
South Africans have not lost faith in private healthcare insurance facilities, said Dr Monwabisi Gantsho, the registrar of Medical Aid Schemes. Speaking at a Medical Industry roundtable organised by auditing and business advisory firm Nkonki, Dr Gantsho said the conclusion was drawn from the fact that overall medical aid schemes membership had, in the past few years, experienced a welcomed increase to over 8 million members.
Nkonki hosted another informative and triumphant CEO Roundtable, Friday, 1 April 2011. The guest speaker at the Medical Aid Industry Round Table Discussion was Dr Monwabisi Gantsho, the CEO and Registrar of the Council of Medical Schemes (CMS). Dr Gantsho addressed the topic, “Price determination in the private health system”. The RPL served only as a guideline for the level at which schemes reimbursed service providers. “The Reference Price List (RPL) judgement is the culmination of a long history of imbalanced and problematic price determination nullifying the reference price list (RPL) regulations, resulting in no RPL to establish 2011 tariffs”.
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