Fraud, Waste & Abuse Webinar 2021 | Draft Programme
The CMS is pleased to announce that the inaugural Fraud, Waste and Abuse Summit will be held at the Sandton Convention Centre, in Johannesburg on 28 February - 1 March 2019.
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Fraud, Waste and Abuse Summit 2020

DAY 1
2 APRIL 2020
Time Item
07:30 – 09:00 Registration
09:00 – 09:10 SESSION 1: Industry Launch of the Section 59 Investigation Report
Facilitator: Ms Grace Khoza
Opening
Ms Grace Khoza General Manager –  Stakeholder Relations: CMS
09:10 – 09:30 Welcome
Dr Sipho Kabane – Chief Executive & Registrar – CMS
09:30 – 10:00 Introduction and overview
Dr Clarence Mini Chairperson of Council: CMS
10:00 – 10:25 Presentation of the Section 59 Investigation Report
Adv Tembeka Ngcukaitobi Chairperson of the Section 59 Investigation Panel
10:25 – 10:30 Official Handover of the Section 59 Investigation to the Minister of Health
Adv Ngcukaitobi & Dr Mini
10:30 – 11:00 Address by the Honourable Minister of Health
Dr Zweli Mkhize
TEA BREAK  11:00 – 11:30
11:05 – 11:30 PRESS CONFERENCE:
Dr Zweli Mkhize  – Minister of Health
Dr Clarence Mini – Chairperson of Council: Council for Medical Schemes
Dr Sipho Kabane – Chief Executive & Registrar: Council for Medical Schemes
Adv Tembeka Ngcukaitobi – Chairperson of the Section 59 Investigation Panel
11:35 – 12:05 Panel Discussion: Section 59 Investigation Findings: Implications for the industry
Facilitator: Mr Vuyo Mvoko
1. Dr Clarence Mini – Council for Medical Schemes
2. Dr Donald Gumede – National Health Care Professionals Association
3. Ms Nomaefese Gatsheni – Solutionist Thinkers Group
4. Dr Katlego Mothudi – Board of Healthcare Funders
5. Ms Lerato Mosiah – Health Funders Association
6. Dr Elijah Nkosi – Independent Practitioners Association Foundation
12:05 – 12:15 Question and Answers
12:20 – 13:00 Panel Discussion: Section 59 Investigation: What next?
Facilitator: Mr Vuyo Mvoko
1. Dr Sipho Kabane – Council for Medical Schemes
2. Mr Kgabo Mokapi — Independent Community Pharmacy Association
3. Dr Hleli Nhlapo – Healthcare Forensic Management Unit
4. Dr Munyadziwa Kwinda – Health Professions Council of South Africa
5. Dr Angelique Coetzee – South African Medical Association
13:00 – 13:10 Question and Answers
LUNCH  13:10 – 13:45
13:45 – 13:55 SESSION 2: Linking Section 59 outcomes with FWA in the Medical Schemes Industry
Overview – journey thus far
Ms Grace Khoza
14:00 – 14:15 Recap of FWA Charter and Definitions
Dr Tebogo Phaleng (Discovery), Mr Ishmael Mogapi (GEMS)
14:15 – 15:00 Introduction of Industry Codes of Good Practice with Standards
Mr Michael Willi – CMS
AFTERNOON TEA – 15:00 – 15:15
15:15– 15:35 Dispute Resolution Mechanisms (tribunal)
Mr John Letsoalo – CMS
15:35 – 16:00 Section 59 Interventions – for the protection of the members
Ms Mumsy Mashilo – Senior Legal Adjudicator
18:00 for 18:30 Gala Dinner
DAY 2
3 APRIL 2020
Time Item
09:00 – 09:10 Opening and recap
Ms Grace Khoza General Manager –  Stakeholder Relations: CMS
09:10 – 10:00 KEYNOTE ADDRESS
Implementing change for the benefit of the member
Speaker: Mr Nkululeko Conco – Section 27
BREAKAWAY SESSIONS
10:05 – 11:00 Breakaway Session 1 Breakaway Session 2
  Fraud

  • SIU healthcare anti-corruption forum
    Adv Andy Mothibi
  • Efficient and effective criminal sanctioning
    Adv Shamila Batohi
  • The role of HPCSA
    Dr Munyadziwa Kwinda
Waste and Abuse

  • Focusing on HMI recommendations
    Adv Thembinkosi Bonakele
  • Standardisation of clinical protocols and guidelines
    Dr Olurotimi Modupe
  • Moving away from fee-for-service / risk sharing
    Dr Anban Pillay- DG of Health
TEA BREAK  11:00 – 11:30
11:30 – 12:00 Breakaway Session 3 Breakaway Session 4
Impact of FWA on the industry (slanted towards members) – TBC Building blocks for Supply Side Regulation
Dr Siphiwe Mndaweni – OHSC CEO
12:00 – 12:45 Panel Discussion: Creating certainty around coding and tariffs
Mr Vuyo Mvoko
1. Ms Nondumiso Khumalo – CMS
2. Dr Angelique Coetzee – South African Medical Association
3. Mr Ismail Momoniat – National Treasury
4. HMI Dr Nkonki/Dr Bhengu
5. Adv Thembinkosi Bonakele
12:45 – 13:15 Roadmap of the CoGP and Standards & Tribunal
Dr Sipho Kabane – CMS
13:15 – 13:30 Closing Remarks
Dr Clarence Mini – Chairperson of Council: CMS
13:30 Lunch and networking

DELEGATE REGISTRATION & COSTS

Early bird registration: R8000
Standard registration: R11 000

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