Medical aid members face healthcare problems as fraud threatens these groups. People report bad practices like doctors giving more medicine than needed. Some members work with medical providers to help unregistered people use services. Doctors may send patients to certain places for personal gain instead of the patients' needs. These actions hurt the money medical aid groups need to help their members.
The Association of Healthcare Funders warns these practices make healthcare cost more. They use systems like biometrics to stop fraud, but struggle when members help break the rules. Anyone caught faces blacklisting or police reports. Medical aid societies keep lists of bad actors to protect other groups. Technology helps catch false claims through better checking methods.
Zimbabwe Medical Association blames poor rules for letting medical aid groups ignore their main job. They say weak management inside these groups creates space for more dishonest actions. Many groups skip required yearly meetings with members. Members question why they pay after being denied basic care despite years of payments. Medical experts fear the whole system might fail soon if nothing changes.
The Association of Healthcare Funders warns these practices make healthcare cost more. They use systems like biometrics to stop fraud, but struggle when members help break the rules. Anyone caught faces blacklisting or police reports. Medical aid societies keep lists of bad actors to protect other groups. Technology helps catch false claims through better checking methods.
Zimbabwe Medical Association blames poor rules for letting medical aid groups ignore their main job. They say weak management inside these groups creates space for more dishonest actions. Many groups skip required yearly meetings with members. Members question why they pay after being denied basic care despite years of payments. Medical experts fear the whole system might fail soon if nothing changes.
