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The Council for Medical Schemes invites financial reporting tool users and medical scheme administrators to submit suggestions for topics to be covered in an upcoming administrator workshop.
A workshop on managed care that was originally scheduled for March 2018 has been postponed. The new date has not been specified, and no further details are provided in this document.
The Council for Medical Schemes invites stakeholders to submit suggestions for topics to be discussed at the Managed Care Workshop scheduled for March 2018. This is an opportunity for industry participants to influence the agenda of a key professional event.
The Council for Medical Schemes provides access to the SAICA Accounting Guide as part of its regulatory documentation. This guide offers accounting standards and practices for medical schemes and their auditors.
The Council for Medical Schemes has made available prescribed auditor report templates based on ISAE 3000 (Revised) standards for use by auditors of medical schemes. These templates are intended to ensure consistency and compliance in audit reporting across the industry.
The Council for Medical Schemes has made available the proposed 2018 IRBA Medical Schemes Auditing Guide for public review. This document outlines auditing standards and procedures for medical schemes in South Africa.
The Council for Medical Schemes has issued minimum data specifications for reporting on Diabetes Insipidus and Addison's Disease. These specifications must be followed by medical schemes and healthcare providers when handling claims or data related to these conditions.
Medical schemes are required to provide data on HIV, tuberculosis, and sexually transmitted infections to the South African National AIDS Council (SANAC) as part of national health monitoring and reporting obligations.
The Council for Medical Schemes has approved the accreditation of administrators and managed care organisations, allowing them to operate under regulated conditions within the medical schemes sector.
The Council for Medical Schemes has officially confirmed the merger between Spectramed Medical Scheme and Resolution Health Medical Scheme. This means the two schemes are now legally combined under one entity, and members of both schemes should expect changes to their coverage, benefits, and administrative processes as a result.
The Council for Medical Schemes makes available the IRBA Medical Schemes Auditing Guide, which provides guidance for auditors and medical schemes on auditing requirements and standards. This document is intended to ensure compliance with financial reporting obligations under the Medical Schemes Act.
This document provides guidance on how medical schemes must classify and report their administration services as either core or supplementary. It applies to all registered medical schemes and their administrators, auditors, brokers, and managed care providers. The document is available for download and review at any time.
