MMA raises concerns over ‘unregulated’ third-party administrators FMTNews FMTEng
Some third-party administrators charge GPs up to RM5,000 in registration fees just to be appointed as a panel clinic.
MMA president Dr R Muruga Raj said specific issues concerning TPAs have been brought to the attention of the health ministry since 2015, but there had been no remedial action taken so far. He added that these TPAs act as middlemen in managing employee benefits for employers, adding that there are more than 30 such companies registered with the health ministry.
He also claimed that TPAs were generating revenue by fee-splitting, whether by reducing consultation fees or claiming a portion of the fees from the final settlement of a medical bill, adding that this was an illegal practice.Muruga Raj said there was also a lack of monitoring on these TPAs’ practice of outsourcing the prescription of long-term medications to pharmacists via e-prescriptions.
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