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AFROCENTRIC GROUP
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OPERATIONAL REVIEWS
MEDSCHEME SOUTH AFRICA CONTINUED
STRATEGY
We deliver an Integrated Chronic Care Model that brings together the pillars of effective active
disease management.
Medscheme’s strategy is to facilitate the most efficient and effective healthcare that will achieve the best possible outcomes
including the best medical care at an affordable cost. We integrate a variety of services that are applied across the healthcare value
chain to optimise cost efficiency, rate effectiveness and service delivery to our clients.
AFROCENTRIC
STRATEGIC OBJECTIVES
MEDSCHEME’S ALIGNMENT TO THESE
Enhance
shareholder value
The strategic composition of our client base has enabled us to grow our earnings.
We have an established market share in the private medical scheme industry, which
we are well equipped to sustain with human and intellectual capital.
Maximise growth
opportunities
Medscheme is exploring innovation through thought leadership. We are looking to
design and implement new healthcare procurement solutions which will grow our
business and the Group.
Improve efficiencies
through cost
consciousness
Through re-engineered business processes, automation and other integration tools
such as decision modelling and integrated data management, we are containing and
driving down non-healthcare costs. We are measuring the quality of our services
through regular member surveys, ensuring that clients receive an efficient service.
Promote transformation
Medscheme is prioritising employment equity at all levels; we aid transformation by
mentoring and up-skilling through our recently established training academy.
Diversify
revenue sources
Medscheme is looking to provide new services into new markets and international
countries. Our partnership with Sanlam creates opportunities to enter the financial
services market, and to cross-sell core products to a broader customer database.
We are well positioned to strategically procure healthcare services, and Medscheme
is working towards implementing risk sharing models with funders.
We are leveraging our existing capabilities and technical solutions to support and
enable the management of NHI.
Deliver exceptional
client service
Our key focus is to deliver exceptional service, retain our clients, and constantly monitor
and evaluate their perception of our services.
We also continually evaluate the value of our managed care services in order to respond
to the constant rise in healthcare costs by redesigning managed care solutions and
managing the health risks within our schemes.
Reduce the cost
of healthcare
We have redesigned managed care solutions to manage health risks; examples include
the ICCM, the redesign of hospital benefit management, and the focus on strategically
procuring healthcare services. The expansion of the emerging risk, mental health and
spinal programmes has focused on areas of disproportionate scheme cost escalation by
increasing focus on quality of care, as well as further empowering patients to manage
their own conditions. In the year under review, Medscheme intensified its fraud, wastage
and abuse detection activities, increasing recoveries of scheme funds.
Uplift our people
Medscheme is passionately employee-centric as it is through our committed employees
that we exceed the needs and requirements of our customers and members. Our
committed and passionate employees have the knowledge and skills to play a crucial role
in streamlining processes and product innovation. Medscheme further focuses on
cultivating the intangible leadership qualities that enable greater competitiveness.