A Path to Value in Healthcare

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Deon Bührs, CEO of Genie Health South Africa looks at the role virtual recovery programmes are playing in re-shaping healthcare

I have written before, in editorials for IJSPT, regarding the fact that a significant body of literature has demonstrated that a ‘physical therapy first’ approach to the majority of musculoskeletal (MSK) problems in our patient populations, is the most effective way to reduce the total MSK spend by employers and payors.

Healthcare is an ever-evolving landscape. Unfortunately, so are the costs associated with modern medicine, which also continue to rise, and running parallel to this, are the demands from patient and practitioner alike, for effective interventions. It is within this ambit that physical therapy and virtual recovery have a role to play in effectively mitigating musculoskeletal (MSK) problems.

Over the years, a growing body of evidence has underscored the efficacy of a ‘physical therapy first’ approach in managing MSK issues, presenting a compelling case for its widespread adoption. However, the challenge lies not only in convincing payors of its value but also in standardizing diagnostic assessments and treatment protocols across the healthcare spectrum.

Recent data reinforces the staggering costs associated with MSK conditions, even rivalling those of pharmaceuticals and cancer treatments. This unsustainable trend necessitates a paradigm shift towards more efficient and accessible solutions. Without timely and effective interventions, the long-term repercussions on individuals and healthcare systems alike, are dire. Thus, the imperative for change looms large, prompting a re-evaluation of traditional approaches to MSK care.

Central to this transformation is the need for robust data demonstrating the cost-effectiveness of a ‘therapy first’ model. To achieve this, the healthcare community must strive for greater standardization in diagnostic assessments and treatment methodologies. While Functional Movement Systems (FMS) represent a gold standard in movement screening, their widespread adoption faces challenges due to the complexities involved.

Herein lies the potential of technology, particularly artificial intelligence (AI) and machine learning (ML), to revolutionise MSK care delivery. By leveraging AI algorithms to deploy functional movement screens at scale and with ease, providers can streamline the evaluation process and generate actionable insights. This not only enhances the quality of care but also empowers providers to produce the data that payors seek, thereby reinforcing the value proposition of physical therapy services.

Genie Health, in collaboration with FMS, is at the forefront of this technological revolution, developing a platform that enables virtual or in-person deployment of FMS assessments through smart devices. By seamlessly integrating data analytics and prescriptive corrective exercises, this platform heralds a significant advancement in MSK care delivery. Moreover, it represents a pivotal step towards predictive care, wherein individuals’ MSK disorders can be diagnosed, and treatment outcomes predicted with unprecedented accuracy.

The implication of this technological innovation extends far beyond individual patient care. By strengthening the position of therapy providers, trainers, and chiropractors in the MSK healthcare marketplace, Genie Health is catalysing a transformative shift towards value-based care. With predictive analytics driving decision-making processes, the potential for cost savings and improved patient outcomes becomes increasingly tangible.

For the patient, it represents a new era in self-health-care. So many patients forgo doing their exercises at home – for many reasons – but with an app/programme that gives them the confidence and encouragement to perform their exercises and correctly, and which their practitioner can check, there is an accountability and motivation to get moving.

Genie Health’s platform is also a shift forward into preventative healthcare, with patients and practitioners able to monitor progress, maintain it and even improve on their original status. Because it is a recovery programme that combines the best of both world – virtual and in-person – the patient can perform the exercises when and where that is most convenient to them. In this manner, we have seen a 60% increase in patients completing their programmes.

There is no doubt that the world over, a more efficient and sustainable healthcare system is needed. Most countries find their healthcare systems – whether public or private – overburdened. It is here that AI and machine learning can play a vital role in enhancing overall wellbeing. Virtual Physical Recovery Programmes are poised to lead the way.

By harnessing the power of technology, we can reshape the future of MSK care, ushering in an era of personalised, data-driven interventions that prioritise both efficacy and accessibility. Indeed, the promise of AI in healthcare has never been more profound, and with each technological leap, we inch closer to realising its full potential. Stay tuned for the next chapter in this ground-breaking evolution.

Miss Cloudia Barr

BSc Physiotherapy
Cloudia is originally from Cape Town but is currently enjoying a quiet life out in Stellenbosch. She is passionate about understanding pain and how the body is able to heal itself under the right conditions.

Ms Riana van Wyk

B.Sc Hon (Biokinetics) Northwest University
I have been in private practice since 2006 and joined Genie Health SA in 2023. I feel passionate about empowering people to take responsibility for their own health. I look forward to helping Genie Health patients achieve their goals.

Bertie Herbst

Quality Director, Genie Health South Africa
MSc. (Medicine) Biokinetics, University of the Witwatersrand.
I am the Quality Director for Genie Health South Africa. My role ensures optimum standards with a service of excellence across our digital healthcare platform. My team of administrators and clinicians assist me greatly to achieve these high-level services to a world of digital healthcare.

Stella Yardley

Clinical Director | B. Sc (Physio) – UCT
Being part of the Genie Health SA team from the start has been an exciting journey as we embark on providing digitally enabled recovery to patients who may or may not have had access to care before. It’s always been my passion to see people thrive in their full potential and to help achieving this where I can. I enjoy spending time outdoors and being with friends and family fills my cup.

Deon Buhrs

Executive Director | South Africa

Clinical Consent - Enhanced Spinal Conservative Care Pilot Programme

This consent applies to the practices of Buhrs Physiotherapist Inc & Herbst JA Biokineticist Inc

Please read these terms and conditions carefully, as they are important in clarifying and managing expectations and form the basis of your consent to treatment. If you have any questions, please contact your administrator or healthcare practitioner through the App, who will assist you with your query.

Online Exercise Programme

  1. The progress of your physical recovery will be monitored through the App. You will first be assessed by a physiotherapist through the App. A physiotherapist will then prepare an exercise programme for you, which will be loaded onto your profile on the App after your first session.  The exercise programme will be designed to improve your recovery.
  2. It will consist of several sessions, specific to your needs. The programme is typically for 8 – 12 weeks long, and may be extended for additional 4-week periods should this be recommended.  Your exercise sessions will be scheduled on the App. You will be monitored remotely by a team of biokineticists and/or physiotherapists, in an asynchronous manner. This means that you will not be monitored in real-time but may have a real-time consultation with a practitioner from time to time, should this be required. A video of your exercises will not be stored, although the completion of your pain scores and compliance with the programme will be reviewed regularly. While we will try to ensure that the same practitioner monitors you during all your sessions, this may not always be possible. Different practitioners may, therefore, monitor you during the sessions.
  3. There will be no physical in-person contact with your attending practitioner (physiotherapist / biokineticist). Your evaluation will be done, and your progress monitored through the App only. If the attending practitioner is of the opinion that you need to consult a healthcare practitioner in person, you will be referred to an appropriate practitioner. We cannot be held responsible should you injure yourself while performing your exercises. Therefor, if you feel uncomfortable at any time during the exercises, you must immediately stop and contact the attending practitioner who will guide you further.
  4. The programme is not intended to replace, but rather complement any treatment that you are currently receiving. You may continue to consult your preferred healthcare practitioners while you follow the exercise programme on the App.
  5. The benefits of receiving the services on the App include the following:
    • Lower cost than receiving in-person treatment;
    • Performing the exercises in the comfort of your own space (such as your home) with no need to travel to a healthcare practitioner;
    • Better outcomes compared to when exercises are done without monitoring by a healthcare practitioner;
    • Higher patient satisfaction due to the feedback and support received through remote monitoring.
  6. It is important that you complete the exercise programme to fully benefit from it. If you do not keep up with the required frequency and accuracy of exercises you may experience poor outcomes
  7. It is also important that you follow the instructions precisely with every exercise and give accurate feedback on pain levels. Failure to do so may result in injury, strain, or pain. If you do not report your pain scale accurately on the App, the exercises prescribed may be inappropriate for you.
  8. Interactions with the physiotherapist and biokineticist will only occur through the App. To ensure that this can be done successfully, please ensure that the device you use is of good quality. You must also ensure that you have sufficient data and that the data transmission speed is of good quality. Your device and data should meet the following requirements:
    • Mobile phone or tablet
      • Android – version 8.0 or later
      • iPhone – iOS 15. 0 or later
      • iPad – iPad OS 15.0 or later
      • iPod touch – iOS 15. 0 or later
      • Mac – Mac OS 12.0 or later with Apple M1 chip or later
    • Data speed requirements: 4Mb per second or faster
  9. The costs for the services (evaluation, exercise programme and remote monitoring) are described in the document entitled “Financial Consent”. The costs of the device you use to run the App on and any data costs incurred to access the App and to engage with a practitioner remotely are for your own account.
  10. You should be aware that if you have an unstable internet connection while using the App, you may experience a time delay. There may also be a delay in feedback from the attending practitioner should your exercises not be updated. This may impact the evaluation of:
    • your progression,
    • assessment of your pain scores,
    • range of your movement,
    • compliance with the exercise program, and
    • your comments to or requests for support from the attending practitioners.
  11. You have the right to refuse to receive services through the App. You may also terminate the remote services received through the App at any time. You should then consult a healthcare practitioner in person. You are obliged to inform your administrator or attending healthcare practitioner of your intention to terminate through the App.

Personal Information

  1. Your personal information will be processed in accordance with the Privacy Policy.
  2. You should note in particular that by agreeing to receive the services through the App, your personal information will be shared with the attending healthcare practitioners, other healthcare practitioners who provide care to you, your medical scheme and your scheme’s contracted service providers, including its administrator. If you do not agree with this sharing of your information, you should not proceed with receiving the services through the App.

    Legal

    The practitioners who will render the services to you are registered in South Africa. All services they provide will be rendered in South Africa even if you choose to do the exercises in another country. This consent shall be governed, construed, and enforced according to the laws of the Republic of South Africa in South Africa.

  3. If any change occurs in the legislation or enforceable policy that requires changes to the services delivered through the App, we will contact you regarding these changes.
  4. Any disputes that may arise from your use of the App and the services on the App, which we cannot resolve between ourselves, will be resolved by arbitration.

    Consent

  5. I agree to the terms and conditions, which include being evaluated and re-evaluated by a physiotherapist, doing the exercises and being monitored virtually by a physiotherapist or biokineticist.
  6. I understand that I may withdraw from the programme at any time.
  7. I confirm that I am familiar with the Privacy Policy of Genie applicable to the App. I fully understand my rights and obligations concerning my personal information processed by the healthcare practitioners and Genie, and in particular with whom it will be shared.
  8. I confirm that I am 18 years or older and mentally competent to agree to these terms and conditions and provide the consent.
  9. I consent of my own free will and confirm that I have not been forced or unduly influenced to provide the consent.

Financial Consent - Enhanced Spinal Conservative Care Pilot Programme

This consent applies to the practices of Buhrs Physiotherapist Inc & Herbst JA Biokineticist Inc

Please read these terms and conditions carefully. They are all important. The terms and conditions constitute an enforceable agreement between us. If you have any questions, please contact your administrator or healthcare practitioner through the App, who will assist you with your query.

 Payment

  1. You remain responsible for the payment for the services provided (assessments by a physiotherapist and the preparation and deployment of an exercise programme) complimented with monitoring by a biokineticist or physiotherapist.
  2. You should note that we are obliged by law to include codes on your accounts that identify the services that you receive from us (procedure codes) and stipulate your diagnosis (ICD-10 codes). Without these codes, your medical scheme might not reimburse for these services.
  3. We will submit a copy of the account to your medical scheme on your behalf, should it be determined that there are benefits to cover these services. It is anticipated that your medical scheme will pay the amount directly to the relevant practice, as the Discovery Enhanced Spinal Conservative Care Pilot Programme is a risk funded benefit.  Should the scheme for some reason pay this into your own account, it will be your responsibility to pay this across to the relevant practice in settlement of services rendered.
  4. In the unlikely event that after the submission of your account to the medical scheme that the claim is rejected or not settled in full, you will be required to make a payment in settlement of services rendered.
  5. The costs of the device you use to run the App on and any data costs incurred to access the App and to engage with a physiotherapist or biokineticist remotely are for your own account.
  6. You are responsible for paying all outstanding accounts, including charges incurred by us for any dishonoured payments, as well as collection and legal fees (on an attorney-own client scale) for accounts we must collect. We will hand outstanding accounts over for collection to debt collectors or attorneys. You may be listed as a ‘bad payer’ at credit bureaus if you do not pay these accounts.


    Legal

  7. These terms and conditions shall be governed, construed and enforced according to the laws of the Republic of South Africa in South Africa.
  8. Any disputes that may arise from your use of the App and the services on the App, which we cannot resolve between ourselves, will be resolved by arbitration.


    Agreement

  9. I confirm that I am 18 years or older and mentally competent to agree to these terms and conditions.
  10. I agree to the terms and conditions of this Financial Consent, including to ensure payment for the services that I will receive through the App.
  11. I confirm that I have not been forced or unduly influenced to agree to the terms and conditions.

* Please note that by clicking on this button, you are agreeing to our above terms & conditions and verifying that you have read and understand them.

Clinical Consent - Conservative Spine Care Programme

This consent applies to the practices of Buhrs Physiotherapist Inc & Herbst JA Biokineticist Inc

Please read these terms and conditions carefully, as they are important in clarifying and managing expectations and form the basis of your consent to treatment. If you have any questions, please contact your administrator or healthcare practitioner through the App, who will assist you with your query.

Online Exercise Programme

  1. The progress of your physical recovery will be monitored through the App. You will first be assessed by a physiotherapist through the App. A physiotherapist will then prepare an exercise programme for you, which will be loaded onto your profile on the App after your first session.  The exercise programme will be designed to improve your recovery.
  2. It will consist of several sessions, specific to your needs. The programme is typically for 10 weeks and may be extended for additional 4-week periods should this be recommended.  Your exercise sessions will be scheduled on the App. You will be monitored remotely by a team of biokineticists and/or physiotherapists, in an asynchronous manner. This means that you will not be monitored in real-time but may have a real-time consultation with a practitioner from time to time, should this be required. A video of your exercises will not be stored, although the completion of your pain scores and compliance with the programme will be reviewed regularly. While we will try to ensure that the same practitioner monitors you during all your sessions, this may not always be possible. Different practitioners may, therefore, monitor you during the sessions.
  3. There will be no physical in-person contact with your attending practitioner (physiotherapist / biokineticist). Your evaluation will be done, and your progress monitored through the App only. If the attending practitioner is of the opinion that you need to consult a healthcare practitioner in person, you will be referred to an appropriate practitioner. We cannot be held responsible should you injure yourself while performing your exercises. Therefor, if you feel uncomfortable at any time during the exercises, you must immediately stop and contact the attending practitioner who will guide you further.
  4. The programme is not intended to replace, but rather complement any treatment that you are currently receiving. You may continue to consult your preferred healthcare practitioners while you follow the exercise programme on the App.
  5. The benefits of receiving the services on the App include the following:
    • Lower cost than receiving in-person treatment;
    • Performing the exercises in the comfort of your own space (such as your home) with no need to travel to a healthcare practitioner;
    • Better outcomes compared to when exercises are done without monitoring by a healthcare practitioner;
    • Higher patient satisfaction due to the feedback and support received through remote monitoring.
  6. It is important that you complete the exercise programme to fully benefit from it. If you do not keep up with the required frequency and accuracy of exercises you may experience poor outcomes
  7. It is also important that you follow the instructions precisely with every exercise and give accurate feedback on pain levels. Failure to do so may result in injury, strain, or pain. If you do not report your pain scale accurately on the App, the exercises prescribed may be inappropriate for you.
  8. Interactions with the physiotherapist and biokineticist will only occur through the App. To ensure that this can be done successfully, please ensure that the device you use is of good quality. You must also ensure that you have sufficient data and that the data transmission speed is of good quality. Your device and data should meet the following requirements:
    • Mobile phone or tablet
      • Android – version 8.0 or later
      • iPhone – iOS 15. 0 or later
      • iPad – iPad OS 15.0 or later
      • iPod touch – iOS 15. 0 or later
      • Mac – Mac OS 12.0 or later with Apple M1 chip or later
    • Data speed requirements: 4Mb per second or faster
  9. The costs for the services (evaluation, exercise programme and remote monitoring) are described in the document entitled “Financial Consent”. The costs of the device you use to run the App on and any data costs incurred to access the App and to engage with a practitioner remotely are for your own account.
  10. You should be aware that if you have an unstable internet connection while using the App, you may experience a time delay. There may also be a delay in feedback from the attending practitioner should your exercises not be updated. This may impact the evaluation of:
    • your progression,
    • assessment of your pain scores,
    • range of your movement,
    • compliance with the exercise program, and
    • your comments to or requests for support from the attending practitioners.
  11. You have the right to refuse to receive services through the App. You may also terminate the remote services received through the App at any time. You should then consult a healthcare practitioner in person. You are obliged to inform your administrator or attending healthcare practitioner of your intention to terminate through the App.

Personal Information

  1. Your personal information will be processed in accordance with the Privacy Policy.
  2. You should note in particular that by agreeing to receive the services through the App, your personal information will be shared with the attending healthcare practitioners, other healthcare practitioners who provide care to you, your medical scheme and your scheme’s contracted service providers, including its administrator. If you do not agree with this sharing of your information, you should not proceed with receiving the services through the App.

    Legal

    The practitioners who will render the services to you are registered in South Africa. All services they provide will be rendered in South Africa even if you choose to do the exercises in another country. This consent shall be governed, construed, and enforced according to the laws of the Republic of South Africa in South Africa.

  3. If any change occurs in the legislation or enforceable policy that requires changes to the services delivered through the App, we will contact you regarding these changes.
  4. Any disputes that may arise from your use of the App and the services on the App, which we cannot resolve between ourselves, will be resolved by arbitration.

    Consent

  5. I agree to the terms and conditions, which include being evaluated and re-evaluated by a physiotherapist, doing the exercises and being monitored virtually by a physiotherapist or biokineticist.
  6. I understand that I may withdraw from the programme at any time.
  7. I confirm that I am familiar with the Privacy Policy of Genie applicable to the App. I fully understand my rights and obligations concerning my personal information processed by the healthcare practitioners and Genie, and in particular with whom it will be shared.
  8. I confirm that I am 18 years or older and mentally competent to agree to these terms and conditions and provide the consent.
  9. I consent of my own free will and confirm that I have not been forced or unduly influenced to provide the consent.

Financial Consent - Conservative Spine Care Programme

This consent applies to the practices of Buhrs Physiotherapist Inc & Herbst JA Biokineticist Inc

Please read these terms and conditions carefully. They are all important. The terms and conditions constitute an enforceable agreement between us. If you have any questions, please contact your administrator or healthcare practitioner through the App, who will assist you with your query.

 Payment

  1. You remain responsible for the payment for the services provided (assessment by a physiotherapist and the preparation, deployment and monitoring of an exercise programme by a biokineticist or physiotherapist).
  2. You should note that we are obliged by law to include codes on your accounts that identify the services that you receive from us (procedure codes) and stipulate your diagnosis (ICD-10 codes). Without these codes, your medical scheme might not reimburse for these services.
  3. We will submit a copy of the account to your medical scheme on your behalf, should it be determined that there are benefits to cover these services. It is anticipated that your medical scheme will pay the amount directly to the relevant practice, as the Discovery Conservative Spine Care Programme is a risk funded benefit.  Should the scheme for some reason pay this into your own account, it will be your responsibility to pay this across to the relevant practice in settlement of services rendered.
  4. In the unlikely event that after the submission of your account to the medical scheme that the claim is rejected or not settled in full, you will be required to make a payment in settlement of services rendered.
  5. The costs of the device you use to run the App on and any data costs incurred to access the App and to engage with a physiotherapist or biokineticist remotely are for your own account.
  6. You are responsible for paying all outstanding accounts, including charges incurred by us for any dishonoured payments, as well as collection and legal fees (on an attorney-own client scale) for accounts we must collect. We will hand outstanding accounts over for collection to debt collectors or attorneys. You may be listed as a ‘bad payer’ at credit bureaus if you do not pay these accounts.


    Legal

  7. These terms and conditions shall be governed, construed and enforced according to the laws of the Republic of South Africa in South Africa.
  8. Any disputes that may arise from your use of the App and the services on the App, which we cannot resolve between ourselves, will be resolved by arbitration.


    Agreement

  9. I confirm that I am 18 years or older and mentally competent to agree to these terms and conditions.
  10. I agree to the terms and conditions of this Financial Consent, including to ensure payment for the services that I will receive through the App.
  11. I confirm that I have not been forced or unduly influenced to agree to the terms and conditions.

* Please note that by clicking on this button, you are agreeing to our above terms & conditions and verifying that you have read and understand them.

Clinical Consent

This consent applies to the practices of Buhrs Physiotherapist Inc & Herbst JA Biokineticist Inc

Please read these terms and conditions carefully, as they are important in clarifying and managing expectations and form the basis of your consent to treatment. If you have any questions, please contact your administrator or healthcare practitioner through the App, who will assist you with your query.

Online Exercise Programme

  1. The progress of your physical recovery will be monitored through the App. You will first be assessed by a physiotherapist through the App. A biokineticist or physiotherapist will then prepare an exercise programme for you, which will be loaded onto your profile on the App after your first session with the biokineticist or physiotherapist. The exercise programme will be designed to improve your recovery.
  2. It will consist of several sessions, specific to your needs. The programme is typically for 4 weeks and may be extended for an additional 4-week period should this be recommended. 1-week programmes may also be recommended. Your exercise sessions will be scheduled on the App. You will be monitored remotely by a team of biokineticists and/or physiotherapists, in an asynchronous manner. This means that you will not be monitored in real-time but may have a real-time consultation with a practitioner from time to time, should this be required. A video of your exercises will not be stored, although the completion of your pain scores and compliance with the programme will be reviewed regularly. While we will try to ensure that the same practitioner monitors you during all your sessions, this may not always be possible. Different practitioners may, therefore, monitor you during the sessions.
  3. There will be no physical in-person contact with your attending practitioner (physiotherapist / biokineticist). Your evaluation will be done, and your progress monitored through the App only. If the attending practitioner is of the opinion that you need to consult a healthcare practitioner in person, you will be referred to an appropriate practitioner. We cannot be held responsible should you injure yourself while performing your exercises. Therefor, if you feel uncomfortable at any time during the exercises, you must immediately stop and contact the attending practitioner who will guide you further.
  4. The programme is not intended to replace, but rather complement any treatment that you are currently receiving. You may continue to consult your preferred healthcare practitioners while you follow the exercise programme on the App.
  5. The benefits of receiving the services on the App include the following:
    • Lower cost than receiving in-person treatment;
    • Performing the exercises in the comfort of your own space (such as your home) with no need to travel to a healthcare practitioner;
    • Better outcomes compared to when exercises are done without monitoring by a healthcare practitioner;
    • Higher patient satisfaction due to the feedback and support received through remote monitoring.
  6. It is important that you complete the exercise programme to fully benefit from it. If you do not keep up with the required frequency and accuracy of exercises you may experience poor outcomes
  7. It is also important that you follow the instructions precisely with every exercise and give accurate feedback on pain levels. Failure to do so may result in injury, strain, or pain. If you do not report your pain scale accurately on the App, the exercises prescribed may be inappropriate for you.
  8. Interactions with the physiotherapist and biokineticist will only occur through the App. To ensure that this can be done successfully, please ensure that the device you use is of good quality. You must also ensure that you have sufficient data and that the data transmission speed is of good quality. Your device and data should meet the following requirements:
    • Mobile phone or tablet
      • Android – version 8.0 or later
      • iPhone – iOS 15. 0 or later
      • iPad – iPad OS 15.0 or later
      • iPod touch – iOS 15. 0 or later
      • Mac – Mac OS 12.0 or later with Apple M1 chip or later
    • Data speed requirements: 4Mb per second or faster
  9. The costs for the services (evaluation, exercise programme and remote monitoring) are described in the document entitled “Financial Consent”. The costs of the device you use to run the App on and any data costs incurred to access the App and to engage with a practitioner remotely are for your own account.
  10. You should be aware that if you have an unstable internet connection while using the App, you may experience a time delay. There may also be a delay in feedback from the attending practitioner should your exercises not be updated. This may impact the evaluation of:
    • your progression,
    • assessment of your pain scores,
    • range of your movement,
    • compliance with the exercise program, and
    • your comments to or requests for support from the attending practitioners.
  11. You have the right to refuse to receive services through the App. You may also terminate the remote services received through the App at any time. You should then consult a healthcare practitioner in person. You are obliged to inform your administrator or attending healthcare practitioner of your intention to terminate through the App.

 

Personal Information

  1. Your personal information will be processed in accordance with the Privacy Policy.
  2. You should note in particular that by agreeing to receive the services through the App, your personal information will be shared with the attending healthcare practitioners, other healthcare practitioners who provide care to you, your medical scheme and your scheme’s contracted service providers, including its administrator. If you do not agree with this sharing of your information, you should not proceed with receiving the services through the App.


    Legal

    The practitioners who will render the services to you are registered in South Africa. All services they provide will be rendered in South Africa even if you choose to do the exercises in another country. This consent shall be governed, construed, and enforced according to the laws of the Republic of South Africa in South Africa.
  3. If any change occurs in the legislation or enforceable policy that requires changes to the services delivered through the App, we will contact you regarding these changes.
  4. Any disputes that may arise from your use of the App and the services on the App, which we cannot resolve between ourselves, will be resolved by arbitration.

    Consent

  5. I agree to the terms and conditions, which include being evaluated and re-evaluated by a physiotherapist or biokineticist, doing the exercises and being monitored virtually by a physiotherapist or biokineticist.
  6. I understand that I may withdraw from the programme at any time.
  7. I confirm that I am familiar with the Privacy Policy of Genie applicable to the App. I fully understand my rights and obligations concerning my personal information processed by the healthcare practitioners and Genie, and in particular with whom it will be shared.
  8. I confirm that I am 18 years or older and mentally competent to agree to these terms and conditions and provide the consent.
  9. I consent of my own free will and confirm that I have not been forced or unduly influenced to provide the consent.

Financial Consent

This consent applies to the practices of Buhrs Physiotherapist Inc & Herbst JA Biokineticist Inc

Please read these terms and conditions carefully. They are all important. The terms and conditions constitute an enforceable agreement between us. If you have any questions, please contact your administrator or healthcare practitioner through the App, who will assist you with your query.

 Payment

  1. You remain responsible for the payment for the services provided (assessment by a physiotherapist or biokineticist, and the preparation, deployment and monitoring of an exercise programme by a biokineticist or physiotherapist).
  2. You should note that we are obliged by law to include codes on your accounts that identify the services that you receive from us (procedure codes) and stipulate your diagnosis (ICD-10 codes). Without these codes, your medical scheme might not reimburse for these services.
  3. We will submit a copy of the account to your medical scheme on your behalf, should it be determined that there are benefits to cover these services. It is anticipated that your medical scheme will pay the amount directly to the relevant practice.  Should the scheme for some reason pay this into your own account, it will be your responsibility to pay this across to the relevant practice in settlement of services rendered.
  4. Should it be determined that there no be benefits available to cover these services, a payment link will be sent to you immediately after your online assessment by the physiotherapist and again after your personalised programme is deployed to your profile on the App by the biokineticist or physiotherapist. You shall then be required to make payments using a credit or debit card. You will only obtain access to the full exercise programme, once the payments have been cleared. The fees for 2024 are as follows:
    (a) Physiotherapy assessment: R394.50 (including VAT).
    (b) Exercise programme and remote monitoring by a biokineticist and/or physiotherapist per 4-week block: R1157.20 (including VAT).
  5. Should it be determined after the submission of your account to the medical that the claim is rejected or not settled in full, you will be required to make a payment in settlement of services rendered as per point 4 above.
  6. The costs of the device you use to run the App on and any data costs incurred to access the App and to engage with a physiotherapist or biokineticist remotely are for your own account.
  7. You are responsible for paying all outstanding accounts, including charges incurred by us for any dishonoured payments, as well as collection and legal fees (on an attorney-own client scale) for accounts we must collect. We will hand outstanding accounts over for collection to debt collectors or attorneys. You may be listed as a ‘bad payer’ at credit bureaus if you do not pay these accounts.


    Legal

  8. These terms and conditions shall be governed, construed and enforced according to the laws of the Republic of South Africa in South Africa.
  9. Any disputes that may arise from your use of the App and the services on the App, which we cannot resolve between ourselves, will be resolved by arbitration.


    Agreement

  10. I confirm that I am 18 years or older and mentally competent to agree to these terms and conditions.
  11. I agree to the terms and conditions of this Financial Consent, including to pay for the services that I will receive through the App.
  12. I confirm that I have not been forced or unduly influenced to agree to the terms and conditions.

* Please note that by clicking on this button, you are agreeing to our above terms & conditions and verifying that you have read and understand them.