By Holly Joubert Between 2023 and 2025, the South African (“SA”) healthcare system found itself balancing between two positions. On one end, the undeniable reality of rampant fraud, from syndicate procurement looting to fraudulent practitioners. On the other side, the medical care system is bound to the constitutional imperative for fairness, highlighted through the landmark … Continue reading Healthcare Under Scrutiny: Fraud Control, Algorithmic Bias, and Due Process in South Africa
Fraud in the medical schemes industry
South Africa: Fraud in the medical schemes industry Discovery Health’s CEO, Dr Jonathan Broomberg, has estimated that fraud in the medical schemes industry will cost South Africa between R8.22 billion and R43.2 billion. Various types of fraud have been flagged recently, such as “card farming”, in which medical members allowed other non-members to be treated … Continue reading Fraud in the medical schemes industry
