Preventive healthcare is essential to improve health outcomes, lower long-term costs, and boost survival rates
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New innovative high-cost treatments such as biologics, which offer hope and relief to families facing life-threatening conditions – some costing more than R1 million per treatment – continue to place strain on finely balanced medical scheme budgets. To address these tensions, there must be a shift towards value-based care models, focusing on reimbursement for health outcomes and quality.
Artificial intelligence is emerging as a game changer, transforming healthcare by enhancing diagnostics, streamlining treatments, and enabling personalised care plans. For medical schemes and patients, AI supports tailored treatments, helping address skills shortages and improving access to care.
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