Fraud, Waste & Abuse | Draft Programme

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.

fraud, waste, abuse, medical, scheme, summit, conference, Sandton, convention, center, industry, standards, medicine

604

page-template,page-template-full_width,page-template-full_width-php,page,page-id-604,theme-bridge,bridge-core-3.0.1,woocommerce-no-js,qode-page-transition-enabled,ajax_fade,page_not_loaded,,qode-title-hidden,qode_grid_1300,columns-4,qode-theme-ver-29.2,qode-theme-bridge,disabled_footer_bottom,qode_header_in_grid,wpb-js-composer js-comp-ver-6.7.0,vc_responsive

About FWA Summit

Combatting Fraud, Waste and Abuse for
for Industry sustainability

Fraud, Waste and Abuse Summit

The CMS is pleased to announce that the 2nd Fraud, Waste and Abuse Summit will be held at the
Durban International Convention Centre on 2 - 3 April 2020.

/ 2 / 2

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
09:00 – 09:10	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
13:45 – 13:55	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