MMA says the involvement of GPs in the outpatient management of selected conditions such as dengue fever, pneumonia, bronchitis, and influenza, under the government's base MHIT plan, strengthens primary care, which is central to a resilient health system.
Health Minister Dzulkefly Ahmad says CKAPS won't take action under the Private Healthcare Facilities and Services Act over doctors who practise without a valid APC amid delays, adding that the legacy MeRITS system needs upgrades and an automated workflow.
MMA says tens of thousands of doctors have yet to receive their 2026 APC due to admin backlog at the Malaysian Medical Council. MMA says APC delays carry serious legal implications, affect the livelihoods of private doctors, and disrupt continuity of care.
Perdim says establishing a doctor-led TPA is difficult due to high costs, manpower needs, and business risks; its MyTPA venture collapsed in 1.5 years. Rather than doctor groups forming their own TPAs, Perdim demands a new Act to regulate ITOs/TPAs/MCOs.
MMA welcomes MMC's ban on MCs issued after teleconsults, urging employers, insurers, digital health platforms, and managed care operators to recognise that while health care can be innovated, it must not be commoditised.
FPMPAM wants MOH, MyCC, and Bank Negara to probe alleged TPA abuses like double charging, foreign-linked ownership, and delayed payments. The group says two decades of inaction have hurt GPs, eroded clinical autonomy, and weakened primary care.
Dr James Jeremiah says TPAs operate on a "double-dipping" model, charging both corporations for being on their panels and appointed clinics that provide the service, slicing off as much as 10% of GP total fees per patient visit.
TPAs and insurance companies must revise GP consultation rates to reflect modern primary care. The fees set by some TPAs or insurers remain at levels set over 20 years ago. Stronger primary care saves insurers money, but only if it's properly supported.