“Bestmet Medical Scheme, SA’s fourth-largest open medical scheme, is preparing to integrate Artificial Intelligence (AI) into its systems to combat the growing scourge of fraudulent claims plaguing the healthcare industry,” reported Business Day (2025).
The move aims to protect members' funds and ensure the scheme's long-term sustainability amidst rising operational pressures. AI will be used to analyse claims data and manage irregularities.
“Despite these headwinds, Bestmed reported a 4.4% growth for the 2024 financial year, its sixth consecutive year of growth, with total assets increasing from R4.9bn to R5.4bn.”