Healthcare Law
Trusted Legal Guidance in a Regulated, Evolving Sector
Healthcare law in South Africa is complex, highly regulated, and undergoing significant transformation. At Cox Yeats, we provide strategic, compliant, and commercially aligned legal advice to a wide range of stakeholders across the healthcare value chain, including medical schemes, healthcare providers, insurers, brokers, managed care organisations and administrators.
Whether advising on compliance, regulatory investigations, or the fast-changing legislative landscape, such as National Health Insurance (NHI), our goal is to provide clear, actionable support that protects your interests and ensures compliance.
Healthcare businesses operate under some of the most rigorous legal standards in South Africa. We provide expert advice to ensure full compliance with the Medical Schemes Act, its associated regulations, and other applicable legislation impacting healthcare entities.
Our services include:
- Assisting with statutory and regulatory requirements under the Medical Schemes Act
- Advising on licensing, accreditation, and operational compliance
- Preparing governance frameworks for healthcare service providers and administrators
- Reviewing policy documents, agreements, and internal protocols to ensure legislative alignment
Healthcare businesses operate under some of the most rigorous legal standards in South Africa. We provide expert advice to ensure full compliance with the Medical Schemes Act, its associated regulations, and other applicable legislation impacting healthcare entities.
The proposed introduction of South Africa’s National Health Insurance scheme presents a significant shift in healthcare financing and service delivery. We help clients navigate the implications of NHI and prepare for compliance with future legislative changes.
Our NHI-related legal support includes:
- Interpreting draft NHI legislation and policy developments
- Assessing strategic and operational risks under the evolving framework
- Structuring operations and contracts to align with anticipated compliance requirements
- Advising on procurement, reimbursement, and provider participation models
When regulatory disputes arise, whether with the Council for Medical Schemes (CMS) or other authorities, Cox Yeats provides strong, informed representation to protect your position and resolve issues efficiently.
We assist clients with:
- Dispute resolution involving claims, benefits, contributions, and provider contracts
- Representing clients in CMS hearings, arbitration, and court proceedings
- Negotiating with regulatory bodies and mediating sensitive matters
Sound governance is key to maintaining compliance and trust in the healthcare industry. We advise on best practice operational structures and legal frameworks that support business performance while meeting ethical, regulatory, and patient care standards.
This includes:
- Drafting service provider, broker, and administrator agreements
- Designing governance and board oversight structures
- Supporting internal risk management and audit readiness