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Interim report finds GEMS, Discovery and Medscheme guilty of 'unfair discrimination' against black doctors

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An investigation panel headed by Advocate Tembeka Ngcukaitobi has found that some of South Africa’s biggest medical aid schemes are guilty of "unfair racial discrimination" in the outcomes of their fraud, waste and abuse investigations of black healthcare providers.

Less than two hours after the Pretoria High Court struck the Government Employees Medical Scheme’s (GEMS') attempt to interdict the release of the panel’s interim report from the roll, Ngcukaitobi and his fellow panelists released their main findings – which make scathing findings against GEMS, Medscheme and Discovery.

"After considering all the evidence and responses, we find that between 2012 and 2019 black practitioners were more likely to be found to have committed fraud, waste and abuse than their non-black (white) counterparts, by Discovery, Medscheme and GEMS," the panel stated.

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