The investigation was concluded in January 2021 …
The CMS says evidence submitted by concerned parties, including Discovery, was extensive and ‘would require time for proper analysis’. Image: Getty images
The CMS told Moneyweb on Wednesday the final report was near completion for release but a few parties raised objections to the panel. The interim report said the investigation did not find evidence of explicit racial bias in the algorithms and methods that the administrators and schemes use to identify FWA.
The 2023/24 CMS Annual Report released this week highlighted that following a short respite after the release of the interim report by the Section 59 Inquiry Panel, it saw a resurgence of complaints against medical schemes and administrators who were clawing back on losses allegedly incurred by healthcare professionals due to fraud, waste, and abuse.
“The CMS continues to adjudicate these matters while also awaiting the release of the final Section 59 inquiry report,” it said.
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