In fact, in its correspondence to members, Discovery Health refers to it abstractly as an “error” that was “made”. Even this belated apology reads somewhat insincerely. Discovery Health argues that these claims ought to have never been paid and therefore they should’ve been funded by members’ medical savings accounts or paid by them directly.
Both things can simultaneously be true. These are for various services, including customer services (R3.1 billion), information management and data control (R1.1 billion), claims processing (R705 million), member record management (R637 million), contribution management (R561 million), broker remuneration management (R91 million) and financial management (R23 million). This is not at all surprising given that it holds 58% of the open scheme market.
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