It is a pity that instead of dealing with this monster in our midst, this national pandemic of looting, much of it deeply systemic, some medical practitioners have resorted to diverting attention away from fraud, waste and abuse.
Judging by the headlines “‘Bully’ medical aids irk doctors” (Business Report, Pretoria News, January 28), “Doctors accuse Medscheme of bullying tactics” (Business Report, The Star, January 28), and “Medscheme cited for unfair practices,”(Business Report, Daily News, January 28), it may seem that it is actually the medical aid companies who are at fault. The story by Sne Masuku, carried by Business Report in the three newspapers, was heavy on conjecture and an unfair misrepresentation of the facts.
Over the past three years, Medscheme has recovered more than R741.9 million from fraud, waste and abuse cases. There has never been any evidence that doctors are being victimised. However, the recovery of R741.9m and the R22bn total costs of fraud a year is proof that it is in fact medical schemes which have suffered financially as a result of fraudulent claims.
Had Sne cared to contact Medscheme, or editors insisted on balanced reporting, we would have alerted them to the following facts: