CMS with­draws ac­cred­i­ta­tion

The Star Early Edition - - COMPANIES -

THE Coun­cil for Med­i­cal Schemes (CMS) yes­ter­day with­drew ac­cred­i­ta­tion of Strata Health­care Man­age­ment as a man­aged care or­gan­i­sa­tion with ef­fect from May 31. CMS said this fol­lows Strata’s fail­ure to meet “the fit and proper” cri­te­ria for ren­der­ing med­i­cal scheme ad­min­is­tra­tion ser­vices as set out in the Med­i­cal Schemes Act. Strata was the fourth-largest med­i­cal scheme ad­min­is­tra­tor in South Africa. The reg­u­la­tor of the med­i­cal schemes in­dus­try said the de­ci­sion was taken by the CMS dur­ing a meet­ing held last week. CMS spokesper­son Pu­lane Molefe said this was pre­ceded by a Coun­cil ex­ec­u­tive com­mit­tee de­ci­sion not to re­new Strata’s ac­cred­i­ta­tion as a med­i­cal scheme ad­min­is­tra­tor in De­cem­ber 2015. Strata pre­vi­ously ren­dered ad­min­is­tra­tion and man­aged-care ser­vices to Medi­help med­i­cal scheme, one of the five largest med­i­cal schemes in South Africa. Molefe said the scheme’s ad­min­is­tra­tion and man­aged-care ser­vices were now vested in Medi­help fol­low­ing sanc­tions im­posed by the CMS on Strata. –

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