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Blow the whistle on fraud!

R22bn medical aid rip-off

Corrupt doctors, pharmacists, physiotherapists, radiologists and pathologists are ripping off medical aids to the tune of R22-billion a year - resulting in members having to fork out thousands of rands more in premiums.
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Dentists welcome probe with teeth

The probe into private healthcare has been welcomed by dentists, who allege medical aid administration and broker commissions are driving soaring tariffs at a time when below-inflation payouts are putting them out of business.
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Healthcare "collusion" to be probed

An inquiry into pricing and possible collusion in the healthcare market will begin on 1 April 2013 according to the Competition Commission.
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Calls for action on medical aid fraud

News that corrupt doctors and other healthcare practitioners are defrauding medical aid schemes of as much as R22 billion a year has met calls for action - from the DA to Cosatu.
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KPMG Anti fraud survey

It is evident that the Medical Aid industry continues to be very much exposed to fraud and its related activities, although it is pleasing to note positive trends compared with previous surveys. The purpose of this survey, as with its predecessors, is to measure the response to fraud and to consider trends in terms of prevalence and frequency. It is our desire that the survey will serve as a tool in the fight against fraud.
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Omphemetse Pharmacy owner sentenced to four years

The Molope Regional Court sentences Tshegofatso Patricia Maubane owner of Omphemetse Pharmacy in Unit 9, Mahikeng to four years imprisonment and wholly suspended for three years. This was for the hundred and fourteen chatges of fraud against government employees medical scheme, GEMS, amounting to R26000 between December 2007 and February 2009.
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