
The impact of fraud, waste, and abuse on medical-scheme members and strategies for industry reform
Source: 123RF. Fraudulent claims, unnecessary procedures, and mismanagement of resources are costing billions of rand, inflating healthcare costs, and putting additional financial strain on members. Instead of supporting essential treatments and care, these resources are being misused and misallocated, writes Katlego Mothudi, managing director at the Board of Healthcare Funders (BHF). At the recent BHF…