Medical Chronicle November/December 2013 | Page 13

NEWS Outcry over proposed fee process SAMA says the HPCSA’s decision to propose a new process for the determination of what it now calls a ‘fee norm’ is ‘disappointing and totally unacceptable’. The move has left healthcare providers in the dark for the eighth consecutive year, on what can be deemed as a fair and reasonable benchmark fee, again allowing medical schemes to set so called ‘scheme rates’ without consideration of the real and increasing costs of rendering healthcare services. SAMA chairperson, Dr Mzukisi Grootboom, described the move and the timing of the announcement as a political ploy to ensure that doctors’ fees for 2014 are again based on the 2006 RPL rates with only an inflator attached. “We did our submissions as requested. A year down the line, they are telling us that we have to provide them with new submissions that v???V?&?RF?R6?V?6??F?V&?6??fVR??&?f?"#B?????F?R?FF?P??b?W?B?V"?F??2??FW&fW&W2F?&V7F??v?F??W"&??G?F?&7F?6R?VF?6??P??B?W"?fV????G2?F?W??F?R?54??BF?RF????&R???F??rW2&?6??v?F?F?R&??6RF?BF?W?&RG'???p?F?FWFW&??R&V6??&?R??&?? ?&V?6??&?fVR?v???RF?W?F??( ?B?fP?????FV?F???F?&Rf?"?BG&?7&V?@???F?R&?6W72?"?fRF?R66?G??F?'V?F?R&?6W72Vff?6?V?F??( ?G ?w&??F&???6?B?RFW67&?&VBF?R6??F??V??p?FV?FV?7?'??VF?6?66?V?W2F?W6P?F?R#b%?2&6V??Rf?"F?V? ?66?V?R&FW22V?FV?&?R?B???Vv???&VfW'&??rF?F?R#??v?6?W'B'V??p?F?BFV6?&VBF?Rv???R%?&?6W70???f?B??( ?F?R&?vvW7B&?&?V??2F?BvP??fRV??Rv?F???F?6?vV?F2v???v?BF???FW&fW&Rv?F?F?R&7F?6R?`??VF?6??R?BF??( ?B?fRF?R66?G???"F?R???v?VFvRF???F?R6?F??r?@?F&?fb7?7FV?2?( ?G"w&??F&???Gf?6VB4???V?&W'2F?&6RF?V?"fVW2??F?P?6?7G2?b'V????rF?V?"&7F?6W2?( ?vP???fRv?fV?F?V?f?&?V?F?F?F?@??BFB&?B6??fW'6???f7F?"F?@?F?W2??F?6??6?FW&F???f7F?'27V6??2?fW&vR6?7BW"??WFR?bF?P?6W'f?6R?BF?R6?7B?bF?R&W6?W&6W0?&WV?&VBF?W&f?&?F?R6W'f?6R??66?&F??rF?67W"fV?FW"??B?`??V?F?6??7V?F?7???V?F????F?W??v?BF????rv?B?V?VBF?F?P?&W?'B6??f??&?VR?F?R?V?F?6&P?7GV'?v??v2???FVB'?F?P?6?V?6??F?76?7Bv?F?F?R&?6W72???v27W?6VBF?6????R&6VB???F?R7V&?76???2&W6V?FVBF?F?P??54v?F??W"&V6???V?FF???2???F?Rv?f?'v&B?????F??r?WBF?BF?R4&?fFP?&7F?F???W'>( ?f?'V??4b??0?7V?B&?V?B#SF?&W&P?F?V?"7V&?76????fV?FW"6?BF?P?&??6VB&?6W726?2f?"??&P?7V&?76???2v?F??WB&?f?F??r?FWF????v?BF?R?54&WV?&W2??F?R$?n( ?2?VB?b&V?Vf?B?@??&?6??G"&?W6?FV??6?B?Bv0?V?f?'GV?FRF?BF?W&Rv2??F?W ?FV????F?RF&?fb&?6W72?FF??p?F?Bv?F??WB&V?6??&?F?W&R?2???&?FV7F???f?"F?RV&?2v??7BF?P?'W6?fR&?6??r?b6??RF?7F?'2????7B???'F?F???R6?Bv???P?V??R&RV?&&??r&?WBF&?fg2??F?W?6??V?B&F?W"( ?6?B&?V?BF&?P??Bf??F?R6?F??r?77VW2&V6W6R?&?W"6?F??r7?7FV??27'V6??f?"F?P?FWFW&??F????b&?6^( ??F?R?VF?6?W"&??@?6??WF???F?Bv???6fP???R???W???3##@?( "????6????F?VF?6?6?WF?g&?6?&?f?FW2????fF?????&??F??r?6??&????p??V?F??gV?7F???????66R6??WF???v?F???VF?6?W"&??F??r??( "F??26??WF???6?&??Bg&???V?F??P???F?F?W27V6?2V?G&6?V?B???&???$???B5B'?W6??r6??v?R?6V?6R??( "6?v??f?6?F?&VGV6??r??V?W?V?F?GW&W2??f???( "&?GV6??r?V?F??R6??W2?bW???F???&W7V?G2f? ?^??66?V?B??f?&?F???6?&??r&WGvVV?&VfW'&??r??6?6??0??BF?V?G0?( "&??F??r??F?w&??2V?G??6???W"?"w&W?66?P???vW2???f&?WG??bW"G?W2?B6??W2?6??F7C??W&??FFR??6?2??cc?C"??F????6?6??? ?6?&??V??Rf?FW"vW7F?V??V???cc?C?6?&??V??T???6?6??G"?V??6?w&??F&????4?6?? ??wwr????6?6???TD?4?4?$???4?R??dT?$U"?DT4T?$U"#20???