FWA Isn’t the Disease. It’s the Symptom.
FWA Isn’t the Disease. It’s the Symptom.
FWA Isn’t the Disease. It’s the Symptom.
FWA Isn’t the Disease. It’s the Symptom.
Each year, billions are lost to fraud, waste, and abuse across South Africa’s private health system. But while the response often focuses on audits, controls, and compliance tools, few ask the harder question: What makes a system this vulnerable in the first place?
FWA isn’t random. It’s what surfaces when governance is weak, incentives misfire, and data doesn’t speak with clarity.
Each year, billions are lost to fraud, waste, and abuse across South Africa’s private health system. But while the response often focuses on audits, controls, and compliance tools, few ask the harder question: What makes a system this vulnerable in the first place?
FWA isn’t random. It’s what surfaces when governance is weak, incentives misfire, and data doesn’t speak with clarity.
The Real Cost of Misdiagnosis
The Real Cost of Misdiagnosis
Treating fraud as a string of isolated events distracts from the larger issue: system-level misalignment. When operations, finance, fraud teams, and data environments are fragmented, blind spots emerge — and those blind spots leak money.
Treating fraud as a string of isolated events distracts from the larger issue: system-level misalignment. When operations, finance, fraud teams, and data environments are fragmented, blind spots emerge — and those blind spots leak money.
Why Data Isn’t Enough
Why Data Isn’t Enough
Most schemes have data. Few can use it with confidence.
Without strategic clarity and strong feedback loops between teams, even the best tools become reactive. Intelligence isn’t just about collection — it’s about coherence, context, and leadership that acts with precision.
Most schemes have data. Few can use it with confidence.
Without strategic clarity and strong feedback loops between teams, even the best tools become reactive. Intelligence isn’t just about collection — it’s about coherence, context, and leadership that acts with precision.
The Case for Structural Intelligence
The Case for Structural Intelligence
We believe fighting FWA requires more than tools.
It requires discovery that maps the system itself — revealing not just where the risk hides, but why it’s there, how it persists, and what structural corrections are possible.
That’s the foundation for intelligent oversight.
We believe fighting FWA requires more than tools.
It requires discovery that maps the system itself — revealing not just where the risk hides, but why it’s there, how it persists, and what structural corrections are possible.
That’s the foundation for intelligent oversight.
Closing Thought:
Closing Thought:
FWA is the signal.
The system is the source.
And intelligence — embedded at the level of leadership, governance, and design — is the only way to solve it for good.
FWA is the signal.
The system is the source.
And intelligence — embedded at the level of leadership, governance, and design — is the only way to solve it for good.
Want to understand what your system is really telling you?
Want to understand what your system is really telling you?
Protecting the Promise of Care
2025 Cedza Health Intelligence (Pty) Ltd. All rights reserved.
Protecting the Promise of Care
2025 Cedza Health Intelligence (Pty) Ltd.
All rights reserved.