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GEMS Payment Run Schedule For Providers 2026 Here is the 2026 Payment Run Schedule for Gems Medical Scheme. GEMS operates two monthly payment runs: one mid-month and one at month-end. Claims are settled on either run depending on when the claim and supporting documentation are received. 2026 GEMS Claims Payment […]
Ownership of Patient Medical Records Patients often assume they “own” their medical records, especially in the context of the Protection of Personal Information Act (POPIA). In South Africa, however, the legal position is more nuanced: patients generally have a right to access their health records, but the responsibility for […]
BENEFITS EXHAUSTED South African medical practices are facing a mid‑year crisis: medical aid members are exhausting benefits just as winter illnesses surge, leaving practices exposed to catastrophic revenue gaps. With contributions rising 6–9% in 2026 and benefits shrinking, practices must act decisively to safeguard cashflow and patient care. 📊 […]
PAIA Requirement for Healthcare Practitioners The Information Regulator (Regulator) has opened the annual reporting cycle for access to information requests under the Promotion of Access to Information Act 2 of 2000 (PAIA). All public and private bodies are required to submit annual reports detailing requests for access to records […]
NHI – Government Attack on SA Healthcare Its become obvious to many that South Africa’s National Health Insurance (NHI) Act, designed to nationalise healthcare, threatens healthcare practitioners’ autonomy the economy with unsustainable costs patient care quality, potentially leading to workforce shortages and legal challenges. The NHI Act […]
Telehealth Ethical Guidelines (HPCSA) These ethical guidelines for healthcare practitioners in South Africa regarding the practice of telehealth, emphasising professional conduct, patient care, and the use of technology in healthcare delivery. The Spirit of Professional Guidelines The HPCSA emphasizes the importance of trust and ethical practice in healthcare. Good […]
🩺 Why Every South African Doctor Needs a Valid Practice Number In South Africa, a practice number isn’t just a formality—it’s your legal gateway to private healthcare billing. Issued by the Board of Healthcare Funders (BHF) via the Practice Code Numbering System (PCNS), this unique identifier confirms your […]
Medicine loses its soul when it becomes mechanical.” > — Dr. Ellapen Rapiti, September 3, 2025 DR EV RAPITI SEP 3 READ IN APP ✍️ > “Medicine loses its soul when it becomes mechanical.” > — Dr. Ellapen Rapiti In today’s clinical landscape, protocols dominate. Algorithms dictate decisions. Time […]
Rising Mega Gap Claims Signal Growing Healthcare Funding Woes The South African private healthcare sector is experiencing a worsening funding crisis, highlighted by a surge in mega gap claims (exceeding R50,000). Between 2020 and 2024, these claims increased by 512% in volume and 437% in value, with the average large […]
Healthcare Professions: Where Empathy Meets Expertise Healthcare isn’t just about diagnostics—it’s about people. AI can analyse bloodwork, but it can’t build trust with a nervous patient. It can summarise symptoms, but it can’t guide someone through grief. That’s where human caregivers shine. Why It Matters: The US Bureau of Labor […]