Tag: managed care organisations (MCOs)

post-image
16 December 2025
Malaysia

Perdim Recalls Failed TPA Venture, Wants TPAs Regulated

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.
post-image
9 December 2025
Malaysia

Year Of The Doctor: Recapping Malaysian Health Care In 2025

2025 is the Year of the Doctor in Malaysian health care, with policies favouring medical practitioners across public/private: 40% ETAP allowance hike for medical officers, MOH defending doctors in health insurance issues, and drug price display deferral.
post-image
29 November 2025
Malaysia

Health Ministry Forming National Registry Of MCOs, TPAs

MOH is setting up a national managed care organisation (MCO)/third-party administrator (TPA) registry. All MCOs/TPAs are compelled to furnish information to MOH, including a sample contractual agreement with a private health care facility, by Jan 31, 2026.
post-image
27 November 2025
Malaysia

PMCare Wants Act To Regulate TPAs Under MOH

PMCare calls for a standalone Act to regulate TPAs and MCOs that should set out an operational framework, including payment terms for panel providers and definitions of "clinical interference". PMCare wants TPA regulation to be under MOH's jurisdiction.
post-image
26 November 2025
Malaysia

PMCare Advocates For Doctors, TPA More Than ‘Middleman’

PMCare says it's more than just a "middleman". The TPA advocates on behalf of doctors/patients by pushing its clients to cover recommended treatments. Despite reporting RM104m in past due claim receivables, PMCare ensures providers are paid within 60 days.