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PSEMAS tariffs reform on the cards

Original Article:  https://neweralive.na/psemas-tariffs-reform-on-the-cards Lahja NashuutaGovernment has pledged to review the outdated tariffs used to pay doctors under the Public Service Employees Medical Aid Scheme (PSEMAS), which still relies on rates set back in 2014. PSEMAS is a government-subsidised medical aid scheme for public servants. According to government records, the scheme currently covers about 300 000 […]

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Private practitioners target medical aid funds – higher contributions, less cover

The Namibia Private Practitioners Forum (NPPF), a voluntary professional body representing some 200 medical practices, says that medical cover has been eroded steadily despite hefty increases introduced by all private medical aid funds.Dr Jürgen Hoffmann, Chief Executive of the Namibia Private Practitioners Forum.The forum’s Chief Executive, Dr Jürgen Hoffmann pointed out that member contribution was

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General Practitioners in Namibia under Siege

GPs Under Siege GPs are facing increasing interference from Fund administrators in clinical decisions, often requiring written motivations before payments are released. In-hospital benefits have been slashed by 33% since 2023, the 2024 NAMAF benchmark saw no increase, and PSEMAS tariffs have stagnated since 2014. Meanwhile, Funds reported a N$129.7 million surplus in Q1—further encouraged

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PSEMAS TARIFF REFORM – NPPF AUGUST 2025 NEWSFLASH

Dear Colleagues, One of NPPF’s biggest concerns remains the actions of statutory bodies that disadvantage the practitioner–patient relationship. We continue to engage with role players, including NAMAF, to move away from a funder–administrator model without an ethical framework, towards a patient–provider inclusive model with shared ethical obligations. A key barrier to fairness is the NAMAF Benchmark Tariff, which has

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Namaf accused of harmful tariff system

By Shania Lazarus2 August 2025The Namibia Private Practitioners Forum (NPPF) has accused the Namibian Association of Medical Aid Funds (Namaf) of implementing an outdated and unscientific tariff model that is costing medical aid fund members more money.In a statement issued this week, NPPF chief executive Jürgen Hoffmann said the new tariff benchmarks directly disadvantage medical

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Health insurance companies are making a killing

Insured persons are asked to pay twiceDespite increasing contributions, health insurance companies are once again maintaining their unchanged service rates for the medical sector. However, the sector cannot survive without corresponding rate increases for its services and will therefore have to raise rates. Since the health insurance companies are not compensating for this cost difference,

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Krankenkassen treiben Reibach

Versicherte werden gleich zweimal zur Kasse gebetenObwohl sie die Beiträge erhöhen, halten die Krankenkassen erneut an ihren unveränderten Dienstleistungstarifen für die medizinische Branche fest. Diese kann aber nicht erneut ohne entsprechende Tariferhöhungen für ihre Dienste auskommen und wird daher Tarife erhöhen müssen. Da die Krankenkassen diesen Kostenunterschied nicht ausgleichen, werden die Krankenkassenmitglieder selbst dafür aufkommen

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Cough up more: Medical fund contributions rise, benefits decline

Henriette Lamprecht2025-07-30 In the first quarter of 2025 alone, medical aid funds reported a combined surplus of N$229.7 million – all while patients bear higher out-of-pocket expenses and doctors struggle to keep their practices sustainable.The CEO of the Namibian Private Practitioners Forum (NPPF), Dr Jürgen Hoffmann, says members are paying more but receiving less.“The public

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