AGENDA FRAUD, WASTE AND ABUSE: 27 October 2021 ‘Fraud, corruption and ethical conduct in healthcare – addressing the moral decay’. Facilitator: Mr Josua Joubert – CEO and Principal Officer: CompCare Medical Scheme 09:00 – 09:05
Opening and Welcome: Mr Charlton Murove, Head of Research: Board of Healthcare Funders
09:05 – 09:10
2022 Annual BHF Conference Ms Zola Mtshiya – Head Stakeholder Relations and Business Development: BHF
09:10 – 10:05
Panel discussion: (1) Standardising the processes of how health funders combat FWA - Section 59 (3) court case (SASP Commercial Affairs (Pty) Ltd v Minister of Health, Council for Medical Schemes & others Case no 49159/202) ➢ Dr Debbie Pearmain – Legal Consultant: BHF ➢ Ms Michelle Beneke – Director: BenekeGantley Inc. Q&A (10)
10:05 – 10:25
(2) A case for a new approach in mitigating FWA - The need for an industry code of conduct Ms Michelle Beneke - Director: BenekeGantley Inc. Q&A (5)
10:25 – 10:45
(3) Case studies: Power of collaboration - Pretoria eye institute - The abuse of RWOPs Dr Katlego Mothudi – Managing Director: BHF Q&A (5)
10:45 – 11:05
(4) The impact of Big Data and Technology on FWA work Mr Jan Bezuidenhout – Data Scientist: RiskCede Q&A (5)
11:05 – 11:25
(5) Making the patient/beneficiary the winner Mr Vishal Brijlal -Executive Director: Clinton Health Access Initiative Q&A (5)
11:25 – 11:55 11:55 – 12:00
Session Q&A Vote of thanks – Mary Manamela: Key Accounts Manager: Board of Healthcare Funders
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