Following instructions from the Ministry of Health ("MOH") to public hospitals to end the practice of paying referral fees to foreign agents, it appears these agents are now targeting private medical practitioners.

In September 2018, the MOH told public hospitals to terminate all contracts which entailed the hospitals paying referral fees to third-party agents who refer patients from overseas. Under these arrangements, the agent is typically paid a percentage of the patient's hospital bill, with bonuses if the bill exceeded certain amounts. In response, some agents have now shifted their attention to private doctors and private hospitals, disguising kickbacks that they receive as marketing charges.

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