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		<title>G-Pod | Government Employees Medical Scheme Podcast</title>
		<link>https://solidgold.co.za</link>
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		<description>Discover the brilliance of GEMS!

Join us as we discuss everything GEMS on the new Government Employees Medical Scheme (GEMS) podcast series, G-Pod!

Learn more about how to maximise your medical benefits, how medical aids operate, and why over 2.3 million people entrust us with their healthcare needs.

Subscribe now and discover the brilliance of GEMS!</description>
					<category>Government</category>
				<language>en</language>
		<pubDate>Wed, 16 Oct 2024 10:30:18 +0200</pubDate>
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			<title>G-Pod | Government Employees Medical Scheme Podcast</title>
			<link>https://solidgold.co.za</link>
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				<itunes:subtitle>Discover the brilliance of GEMS!

Join us as we discuss everything GEMS on the new Government Employees Medical Scheme (GEMS) podcast series, G-Pod!

Learn more about how to maximise your medical benefits, how medical aids operate, and why over 2.</itunes:subtitle>
		<itunes:author>Solid Gold Podcasts #BeHeard</itunes:author>
		<itunes:type>episodic</itunes:type>
		<itunes:owner>
			<itunes:name>Solid Gold Podcasts #BeHeard</itunes:name>
			<itunes:email>info@solidgold.co.za</itunes:email>
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		<itunes:summary><![CDATA[Discover the brilliance of GEMS!

Join us as we discuss everything GEMS on the new Government Employees Medical Scheme (GEMS) podcast series, G-Pod!

Learn more about how to maximise your medical benefits, how medical aids operate, and why over 2.3 million people entrust us with their healthcare needs.

Subscribe now and discover the brilliance of GEMS!]]></itunes:summary>
					<itunes:category text="Government">
							</itunes:category>
					<itunes:category text="Health &amp; Fitness">
							</itunes:category>
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		<spotify:countryOfOrigin>ZA</spotify:countryOfOrigin>
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		<title>05 2026 Contribution and Benefit changes with Dr Stan Moloabi</title>
		<link>https://iono.fm/e/1622395</link>
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		<description><![CDATA[GEMS Principal Officer Dr Stan Moloabi discusses changes for 2026.<br />
<br />
GEMS Principal Officer, Dr Stan Moloabi, discusses the 2026 contribution and benefit changes as well as the 2026 Option Selection period. <a href="https://gems.gov.za/option-selection-2026">Information on the 2026 GEMS Option Selection</a> &middot; <a href="https://www.facebook.com/GEMSMEDICALAID/">GEMS on Facebook</a> &middot; <a href="https://www.linkedin.com/company/government-employees-medical-scheme-rsa/">Connect with GEMS</a> &middot; <a href="https://x.com/GEMSMEDICALAID">Follow GEMS on X</a> &middot; <a href="https://www.instagram.com/gemsmedicalaid/">GEMS on Instagram</a>]]></description>
					<category>Government</category>
				<pubDate>Wed, 26 Nov 2025 11:15:00 +0200</pubDate>
				<podcast:season>0</podcast:season>
		<podcast:episode>0</podcast:episode>
					<podcast:chapters url="https://dl.iono.fm/chapters/1622395/json" type="application/json+chapters" />
							<psc:chapters version="1.2" xmlns:psc="http://podlove.org/simple-chapters">
			 
				<psc:chapter start="00:00:06.000" title="Introduction to GEMS and upcoming contribution increases" />
			 
				<psc:chapter start="00:03:11.000" title="Annual option change period and accessibility" />
			 
				<psc:chapter start="00:07:21.000" title="How GEMS kept contribution increases low" />
			 
				<psc:chapter start="00:10:13.000" title="GEMS affordability compared to other schemes" />
			 
				<psc:chapter start="00:13:02.000" title="Addressing fraud, waste, and abuse" />
			 
				<psc:chapter start="00:19:16.000" title="Changes to Tanzanite 1 option" />
			 
				<psc:chapter start="00:29:59.000" title="Changes to Ruby option and network benefits" />
			 
				<psc:chapter start="00:32:24.000" title="GEMS customer service recognition and option change reminders" />
						</psc:chapters>
				<itunes:title>05 2026 Contribution and Benefit changes with Dr Stan Moloabi</itunes:title>
		<itunes:season>0</itunes:season>
		<itunes:episode>0</itunes:episode>
		<itunes:author>Solid Gold Podcasts #BeHeard</itunes:author>
					<itunes:episodeType>full</itunes:episodeType>
				<itunes:image href="https://cdn.iono.fm/files/p1036/logo_9010_20250908_193457_1400.jpeg"/>
		<itunes:duration>41:31</itunes:duration>
		<itunes:summary><![CDATA[GEMS Principal Officer Dr Stan Moloabi discusses changes for 2026.

GEMS Principal Officer, Dr Stan Moloabi, discusses the 2026 contribution and benefit changes as well as the 2026 Option Selection period.]]></itunes:summary>
				<source url="https://rss.iono.fm/rss/chan/9010">G-Pod | Government Employees Medical Scheme Podcast</source>
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		<title>04 Fraud, Waste, and Abuse in Healthcare</title>
		<link>https://iono.fm/e/1597569</link>
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		<description><![CDATA[In this episode, we discuss fraud, waste, and abuse in healthcare, specifically within the GEMS medical aid scheme. Host Uveka Rangopa speaks with guests Ishmael Mogapi (GEMS Senior Manager, Operations Risk), Nomfundo Dhlomo (Head of JIMS Claims Risk Management), and Dr. Gregory Pratt (Head of Claims Risk).<br />
<br />
The discussion begins by defining fraud, waste, and abuse in healthcare. The panel then speaks about the significant financial impact on medical schemes and shares concerning trends. They discuss the consequences and emphasise the importance of members protecting their medical aid details and reviewing claim statements, encouraging whistleblowing, and highlighting GEMS' improving analytical capabilities to detect fraud. <a href="https://www.facebook.com/GEMSMEDICALAID/">GEMS on Facebook</a> &middot; <a href="https://www.linkedin.com/company/government-employees-medical-scheme-rsa/">Connect with GEMS</a> &middot; <a href="https://x.com/GEMSMEDICALAID">Follow GEMS on X</a> &middot; <a href="https://www.instagram.com/gemsmedicalaid/">GEMS on Instagram</a>]]></description>
					<category>Government</category>
				<pubDate>Mon, 15 Sep 2025 17:15:00 +0200</pubDate>
				<podcast:season>0</podcast:season>
		<podcast:episode>0</podcast:episode>
					<podcast:chapters url="https://dl.iono.fm/chapters/1597569/json" type="application/json+chapters" />
							<psc:chapters version="1.2" xmlns:psc="http://podlove.org/simple-chapters">
			 
				<psc:chapter start="00:00:01.000" title="Defining Fraud, Waste, and Abuse in Healthcare" />
			 
				<psc:chapter start="00:04:23.000" title="The Financial Impact" />
			 
				<psc:chapter start="00:06:40.000" title="Detection and Prevention Methods" />
			 
				<psc:chapter start="00:11:40.000" title="Case Studies and Investigation Approaches" />
			 
				<psc:chapter start="00:15:29.000" title="Consequences and Actions Against Fraud" />
			 
				<psc:chapter start="00:20:06.000" title="Key Takeaways and Call to Action" />
						</psc:chapters>
				<itunes:title>04 Fraud, Waste, and Abuse in Healthcare</itunes:title>
		<itunes:season>0</itunes:season>
		<itunes:episode>0</itunes:episode>
		<itunes:author>Solid Gold Podcasts #BeHeard</itunes:author>
					<itunes:episodeType>full</itunes:episodeType>
				<itunes:image href="https://cdn.iono.fm/files/p1036/logo_9010_20250908_193457_1400.jpeg"/>
		<itunes:duration>22:54</itunes:duration>
		<itunes:summary><![CDATA[In this episode, we discuss fraud, waste, and abuse in healthcare, specifically within the GEMS medical aid scheme. Host Uveka Rangopa speaks with guests Ishmael Mogapi (GEMS Senior Manager, Operations Risk), Nomfundo Dhlomo (Head of JIMS Claims Risk Management), and Dr. Gregory Pratt (Head of Claims Risk).

The discussion begins by defining fraud, waste, and abuse in healthcare. The panel then speaks about the significant financial impact on medical schemes and shares concerning trends. They discuss the consequences and emphasise the importance of members protecting their medical aid details and reviewing claim statements, encouraging whistleblowing, and highlighting GEMS' improving analytical capabilities to detect fraud.]]></itunes:summary>
				<source url="https://rss.iono.fm/rss/chan/9010">G-Pod | Government Employees Medical Scheme Podcast</source>
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		<title>03 Internal Audit Team</title>
		<link>https://iono.fm/e/1597567</link>
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		<description><![CDATA[In this episode, the GEMS internal audit team talk about their role in providing assurance on risk management and governance for the medical aid scheme. The panel includes Bongani Bango (Senior Manager, Internal Audit), Vanessa Ngwenya-Ndlovu (Senior Manager, Internal Audit Finance and Operations), and Jules Nunes (Senior Manager, Internal Forensics), hosted by Uveka Rangopan. <br />
<br />
The conversation explores the primary mandate of internal audit, which is to provide objective and independent assurance to help the organisation achieve its objectives by evaluating governance, risk management, and internal controls. The team explains how they maintain independence by reporting directly to the audit committee rather than executives, which allows them to work without undue influence. They discuss fraud in the context of GEMS, describing it as intentional actions against policies or legislation for personal or financial gain. The panelists share how they handle conflicts of interest, maintain objectivity, and the role of technology in combating fraud. They also cover the evolution of fraud techniques, particularly with the rise of AI and technology, and provide guidance on what employees should do if they suspect fraudulent activities, including documenting observations, gathering evidence, and reporting through appropriate channels like the Whistle Blow Hotline. <a href="https://www.facebook.com/GEMSMEDICALAID/">GEMS on Facebook</a> &middot; <a href="https://www.linkedin.com/company/government-employees-medical-scheme-rsa/">Connect with GEMS</a> &middot; <a href="https://x.com/GEMSMEDICALAID">Follow GEMS on X</a> &middot; <a href="https://www.instagram.com/gemsmedicalaid/">GEMS on Instagram</a>]]></description>
					<category>Government</category>
				<pubDate>Mon, 15 Sep 2025 17:00:00 +0200</pubDate>
				<podcast:season>0</podcast:season>
		<podcast:episode>0</podcast:episode>
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							<psc:chapters version="1.2" xmlns:psc="http://podlove.org/simple-chapters">
			 
				<psc:chapter start="00:00:05.000" title="Introduction to the GEMS Internal Audit Team" />
			 
				<psc:chapter start="00:01:15.000" title="Primary Mandate of Internal Audit " />
			 
				<psc:chapter start="00:02:10.000" title="Importance of Independence in Internal Audit" />
			 
				<psc:chapter start="00:04:07.000" title="Definition of Fraud in the GEMS Context" />
			 
				<psc:chapter start="00:05:09.000" title="Maintaining Objectivity as Internal Auditors" />
			 
				<psc:chapter start="00:06:46.000" title="Quality Assurance and Oversight of Auditors" />
			 
				<psc:chapter start="00:08:14.000" title="Role of the Audit Committee" />
			 
				<psc:chapter start="00:09:23.000" title="Common Types of Fraud" />
			 
				<psc:chapter start="00:11:07.000" title="Alignment with Governance and Risk Management" />
			 
				<psc:chapter start="00:12:46.000" title="Managing Conflicts of Interest" />
			 
				<psc:chapter start="00:13:54.000" title="Technology&#039;s Role in Combating Fraud" />
			 
				<psc:chapter start="00:16:21.000" title="Reporting Structure and Independence " />
			 
				<psc:chapter start="00:17:40.000" title="Handling Management Disagreements" />
			 
				<psc:chapter start="00:19:55.000" title="Red Flags for Fraud Detection" />
			 
				<psc:chapter start="00:22:23.000" title="Evolution of Fraud Techniques" />
			 
				<psc:chapter start="00:25:01.000" title="Reporting Suspected Fraud" />
						</psc:chapters>
				<itunes:title>03 Internal Audit Team</itunes:title>
		<itunes:season>0</itunes:season>
		<itunes:episode>0</itunes:episode>
		<itunes:author>Solid Gold Podcasts #BeHeard</itunes:author>
					<itunes:episodeType>full</itunes:episodeType>
				<itunes:image href="https://cdn.iono.fm/files/p1036/logo_9010_20250908_193457_1400.jpeg"/>
		<itunes:duration>27:33</itunes:duration>
		<itunes:summary><![CDATA[In this episode, the GEMS internal audit team talk about their role in providing assurance on risk management and governance for the medical aid scheme. The panel includes Bongani Bango (Senior Manager, Internal Audit), Vanessa Ngwenya-Ndlovu (Senior Manager, Internal Audit Finance and Operations), and Jules Nunes (Senior Manager, Internal Forensics), hosted by Uveka Rangopan. 

The conversation explores the primary mandate of internal audit, which is to provide objective and independent assurance to help the organisation achieve its objectives by evaluating governance, risk management, and internal controls. The team explains how they maintain independence by reporting directly to the audit committee rather than executives, which allows them to work without undue influence. They discuss fraud in the context of GEMS, describing it as intentional actions against policies or legislation for personal or financial gain. The panelists share how they handle conflicts of interest, maintain objectivity, and the role of technology in combating fraud. They also cover the evolution of fraud techniques, particularly with the rise of AI and technology, and provide guidance on what employees should do if they suspect fraudulent activities, including documenting observations, gathering evidence, and reporting through appropriate channels like the Whistle Blow Hotline.]]></itunes:summary>
				<source url="https://rss.iono.fm/rss/chan/9010">G-Pod | Government Employees Medical Scheme Podcast</source>
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		<title>02 Benefit Structure</title>
		<link>https://iono.fm/e/1597561</link>
		<guid isPermaLink="true">https://iono.fm/e/1597561</guid>
		<description><![CDATA[In this episode, we will discuss in detail how GEMS designs its benefit structure to ensure competitive advantage, what it takes to operationalise the business and continue providing excellent service to all beneficiaries. Uveka Rangappa is joined by GEMS’ Chief Operations officer Dr Vuyo Gqola, GEMS Chief Financial Officer Ms Karyna Van Lingen, and GEMS’ Executive Manager Ms Masingita Chavalala. <a href="https://www.facebook.com/GEMSMEDICALAID/">GEMS on Facebook</a> &middot; <a href="https://www.linkedin.com/company/government-employees-medical-scheme-rsa/">Connect with GEMS</a> &middot; <a href="https://x.com/GEMSMEDICALAID">Follow GEMS on X</a> &middot; <a href="https://www.instagram.com/gemsmedicalaid/">GEMS on Instagram</a>]]></description>
					<category>Government</category>
				<pubDate>Tue, 15 Apr 2025 08:00:00 +0200</pubDate>
				<podcast:season>0</podcast:season>
		<podcast:episode>0</podcast:episode>
					<podcast:chapters url="https://dl.iono.fm/chapters/1597561/json" type="application/json+chapters" />
							<psc:chapters version="1.2" xmlns:psc="http://podlove.org/simple-chapters">
			 
				<psc:chapter start="00:00:05.000" title="Introduction to GEMS and its competitive advantage" />
			 
				<psc:chapter start="00:02:37.000" title="Benefit design and costing process " />
			 
				<psc:chapter start="00:04:16.000" title="Cost containment strategies" />
			 
				<psc:chapter start="00:05:52.000" title="Fund distribution principles" />
			 
				<psc:chapter start="00:06:49.000" title="Medical professional fees and negotiation" />
			 
				<psc:chapter start="00:07:31.000" title="Service delivery initiatives" />
			 
				<psc:chapter start="00:08:34.000" title="GEMS achievements and innovations" />
			 
				<psc:chapter start="00:12:19.000" title="Conclusion" />
						</psc:chapters>
				<itunes:title>02 Benefit Structure</itunes:title>
		<itunes:season>0</itunes:season>
		<itunes:episode>0</itunes:episode>
		<itunes:author>Solid Gold Podcasts #BeHeard</itunes:author>
					<itunes:episodeType>full</itunes:episodeType>
				<itunes:image href="https://cdn.iono.fm/files/p1036/logo_9010_20250908_193457_1400.jpeg"/>
		<itunes:duration>12:48</itunes:duration>
		<itunes:summary><![CDATA[In this episode, we will discuss in detail how GEMS designs its benefit structure to ensure competitive advantage, what it takes to operationalise the business and continue providing excellent service to all beneficiaries. Uveka Rangappa is joined by GEMS’ Chief Operations officer Dr Vuyo Gqola, GEMS Chief Financial Officer Ms Karyna Van Lingen, and GEMS’ Executive Manager Ms Masingita Chavalala.]]></itunes:summary>
				<source url="https://rss.iono.fm/rss/chan/9010">G-Pod | Government Employees Medical Scheme Podcast</source>
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		<title>01 Introducing G-Pod</title>
		<link>https://iono.fm/e/1493028</link>
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		<description><![CDATA[Join key decision makers at the Government Employees Medical Scheme (GEMS), including Dr. Stan Moloabi, Ms. Karyna van Lingen, and Ms. Malinda Lubbe as they provide an overview of GEMS, its history, purpose, affordability, financial sustainability, and future plans. <br />
<br />
GEMS mandate is to provide comprehensive and affordable healthcare benefits to government employees. <a href="https://www.facebook.com/GEMSMEDICALAID/">GEMS on Facebook</a> &middot; <a href="https://www.linkedin.com/company/government-employees-medical-scheme-rsa/">Connect with GEMS</a> &middot; <a href="https://x.com/GEMSMEDICALAID">Follow GEMS on X</a> &middot; <a href="https://www.instagram.com/gemsmedicalaid/">GEMS on Instagram</a>]]></description>
					<category>Government</category>
				<pubDate>Thu, 17 Oct 2024 10:00:00 +0200</pubDate>
				<podcast:season>0</podcast:season>
		<podcast:episode>0</podcast:episode>
					<podcast:chapters url="https://dl.iono.fm/chapters/1493028/json" type="application/json+chapters" />
							<psc:chapters version="1.2" xmlns:psc="http://podlove.org/simple-chapters">
			 
				<psc:chapter start="00:00:50.000" title="Introduction to GEMS" />
			 
				<psc:chapter start="00:02:01.000" title="GEMS&#039; Purpose and Benefit Options" />
			 
				<psc:chapter start="00:03:21.000" title="Promoting Access to Heathcare" />
			 
				<psc:chapter start="00:05:06.000" title="Digital Transformation" />
			 
				<psc:chapter start="00:07:05.000" title="Differentiating GEMS from other Schemes" />
			 
				<psc:chapter start="00:10:38.000" title="Affordability and Financial Sustainability" />
			 
				<psc:chapter start="00:12:40.000" title="Community Initiatives and Future Plans" />
			 
				<psc:chapter start="00:18:02.000" title="Closing" />
						</psc:chapters>
				<itunes:title>01 Introducing G-Pod</itunes:title>
		<itunes:season>0</itunes:season>
		<itunes:episode>0</itunes:episode>
		<itunes:author>Solid Gold Podcasts #BeHeard</itunes:author>
					<itunes:episodeType>full</itunes:episodeType>
				<itunes:image href="https://cdn.iono.fm/files/p1036/logo_9010_20250908_193457_1400.jpeg"/>
		<itunes:duration>18:33</itunes:duration>
		<itunes:summary><![CDATA[Join key decision makers at the Government Employees Medical Scheme (GEMS), including Dr. Stan Moloabi, Ms. Karyna van Lingen, and Ms. Malinda Lubbe as they provide an overview of GEMS, its history, purpose, affordability, financial sustainability, and future plans. 

GEMS mandate is to provide comprehensive and affordable healthcare benefits to government employees.]]></itunes:summary>
				<source url="https://rss.iono.fm/rss/chan/9010">G-Pod | Government Employees Medical Scheme Podcast</source>
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