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Dental Practices
Dental Practices
Medshield Medical Scheme under provisional curatorship
From the Council for Medical Schemes:
Press release 17 of 2012: Medshield Medical Scheme under provisional curatorship
The North Gauteng High Court in Pretoria placed Medshield Medical Scheme under provisional curatorship today, following
the successful application of the Council for Medical Schemes to address governance concerns at the scheme.
Council is the regulator of the medical schemes industry, responsible for enforcing compliance with the Medical Schemes
Act 131 of 1998 to ensure that the interests of beneficiaries are prioritised at all times.
The provisional curator, Mr. Themba Langa, replaces the current Board of Trustees and Principal Officer and must ensure
that a new Board takes over the reigns at Medshield in due course, one that is fit and proper to run the affairs of the
scheme.
Assurance to beneficiaries
Beneficiaries of Medshield should rest assured that the claims-paying ability of their scheme is not affected by the
provisional curatorship.
Dr Monwabisi Gantsho, Registrar of Medical Schemes and Chief Executive of the Council said: “The provisional curatorship
has nothing to do with the financial soundness of the scheme. There are no concerns whatsoever over the financial position
of the scheme.”
Medshield remains one of the largest and healthiest schemes in the market. At the end of 2011, the scheme had over
236 000 beneficiaries and a solvency of 36.6% – which is above the 25.0% required by the Medical Schemes Act.
Medshield remains financially sound and sustainable in the long run. Dr Gantsho added: “I am looking forward to a speedy
return of the scheme to sound governance. The curator will be working very closely with the Regulator in this regard.”
Advice to brokers
Brokers are advised to act with restraint. Any advice they give must accord with the principles
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Bonitas claims price war victory over Life Healthcare
Bonitas, South Africa’s third largest medical scheme, is claiming victory in what it believes is the beginning of a competition and price war with private hospitals, notes Rapport.
The newspaper reported that Bonitas announced the exclusion of 14 large Life Healthcarehospitals for its 750,000 insured lives and warned they may do the same with other major groups.
Bonitas spends R360m annually at the 14 Life hospitals, and has imposed a 30% co-payment for members who continue to use these hospitals. Life Healthcare head of financers’ relations, Matthew Prior, says the group has waived the 30% so that Life patients who are members of Bonitas may continue to use their facilities without a financial burden.
The report says that according to acting chief officer Gerhard van Emmenis, this effectively means a 30% discount for Bonitas and a much better deal for the scheme. ‘I think every medical scheme is now standing at Life’s door asking why they cannot also get a 30% discount.’
He says the gap between the tariffs negotiated by the two largest schemes – Discoveryand GEMS – and what smaller schemes pay hospitals is getting wider. Bonitas plans to target the National Hospital Network (NHN) – a group of independent private hospitals – next.
NHN has an exemption from the Competition Commission to bargain as a collective with medical schemes, but Bonitas is planning to challenge this practice in court.
Web Based Medical Billing Software – Myth or Reality
Dispelling the fantasy
We are living in an increasingly digital world and the speed of technological change means that healthcare providers often struggle to keep. Moving to the cloud is a solution that offers distinctive benefits, but at the same time introducing additional risks.
Yes, the future is mobile. And increasingly medical and other healthcare practices are feeling inclined to follow the trend: the flexibility of being able to control their businesses from the palm of their hand.
Moving to the cloud comes with a fair amount of uncertainty. Concerns regarding malware, compliance and security are probably the first on the list but are not the only point of hesitation.
Lack of internet access, hardware failures, the fear of downtime, the loss of important data are all reasons why there is apprehension to cloud migration.
There are indeed those healthcare practices that have taken the leap and moved to the cloud, albeit settling for software with reduced feature set.
Yes, web based software in general, does not have the rich feature set that pedigreed desktop software such as Medinol has.
Web based medical billing software does sacrifice quite a lot compared to desktop software because it has to be downloaded from the web as it is needed.
Desktop medical billing software, on the other hand, resides on the local computer, which results in a lot faster and responsive user experience.
In a recent study 65% of business executives said that moving to the cloud has freed up IT resources to work on more strategic tasks and 64% added that these initiatives were implemented faster.
Despite increased efficiency, there are few myths being touted as to why moving your practice to the cloud is an option that should be considered as superior.
1. Does it really save you money
For practical purposes most cloud providers are located locally. They use the best hardware, software and skills. Data centres are also required to adhere to a variety of audits and industry standards. But because they are faceless, and often time their locale is not disclosed, can you really trust them to their commitment?
2. Does it provide access to world class infrastructure and skills
For practical purposes most cloud providers are located locally. They use the best hardware, software and skills. Data centres are also required to adhere to a variety of audits and industry standards. But because they are faceless, and often time their locale is not disclosed, can you really trust them to their commitment?
2. Does it provide access to world class infrastructure and skills
For practical purposes most cloud providers are located locally. They use the best hardware, software and skills. Data centres are also required to adhere to a variety of audits and industry standards. But because they are faceless, and often time their locale is not disclosed, can you really trust them to their commitment?
3. Up-to-date security and software
In the cloud, a specialist will take care of the security for you and every time you connect – you will hopefully have access to the latest version of applications. This is largely beyond your control, so you really need to be able to trust your cloud provider.
4. Data back-up – all taken care of
Hard drives packed with patient data lost to theft or fire is no longer a worry. A good cloud application will keep your data backed up to the last 24 hours without any need for special action from your side. Of course, you will still need to be concerned if your local computer equipment is at risk, but still, the reequirements are less onerous.
5. Productivity boost
Cloud provides a potential productivity increase of up to 400% says cloud providers as they tout their services. They seem to omit mentioning forget that there is still a cost involved in maintaining the connecting computer equipment.
So in summary, while there are distinct advantages in moviong your medical practice to the cloud, there are still very distinct advantages of running both the business and clinical sides of your practice on a local basis. The risks are still too big to migrate to web basedmedical billing software.


