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Medical schemes' algorithms under scrunity after racial profiling findings - Juta MedicalBrief

Summary by Medical Brief
Health Minister Aaron Motsoaledi is pushing for more transparency around the software, algorithms and AI programs used by medical schemes to monitor claims from health providers and members following damning findings of racial profiling by major schemes. The inquiry panel had found black providers were more likely to be found guilty of fraud, waste and abuse (FWA) by Discovery, GEMS and Medscheme, and that the healthcare professionals also faced…
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Medical Brief broke the news in on Wednesday, July 16, 2025.
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