South African Health Minister Dr. Aaron Motsoaledi has received the final report from the Section 59 Investigation Panel into allegations of racial discrimination by medical schemes against black healthcare providers. The panel's inquiry, prompted by complaints dating back to 2019, found that leading medical schemes including Discovery, the Government Employees Medical Scheme (Gems), and Medscheme engaged in unfair and racially discriminatory practices. Black healthcare practitioners were disproportionately investigated, penalized, and more likely to be found guilty of fraud, waste, and abuse (FWA), often without sufficient evidence. The Council for Medical Schemes, which launched the probe, confirmed that between 2012 and 2019, the fraud detection systems used by these schemes exhibited racial bias. Dr. Motsoaledi acknowledged the report's findings and stated he would act on its recommendations in due course, with government support available for healthcare providers considering legal action such as a class action lawsuit. However, the Board of Healthcare Funders rejected the report's conclusions, denying allegations of racial bias and warning that implementing the recommendations could undermine anti-fraud efforts. The report has sparked significant attention within the healthcare sector and broader public discourse on systemic discrimination in South Africa's medical aid industry.
Discovery has said that the recommendations of a report into systemic racism by medical schemes could undermine anti-fraud efforts. https://t.co/WOjcjsb5y6
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Panel finds medical aid schemes acted unfairly against black doctors https://t.co/pCBTt6jxk6