MATERIAL MATTERS

Our material matters are the factors that substantively affect our ability to create and sustain value over the short, medium and long term.

Material matters matrix

 
     
1

   
2

   
3

 
   Material matters     Excalating healthcare costs     Fraud, waste and abuse     Cyber crime and data security  
 

Why it is material

   

Fewer people can afford private healthcare due to escalating costs, and it is becoming more difficult for open schemes to attract new members. Open and closed schemes are forced to reduce certain benefits.

   

Fraud, waste and abuse originate from third parties who defraud our schemes or from unauthorised activity by employees. This costs the Company money and/or escalates healthcare costs.

   

Cybercrime has become more prevalent as technology has advanced. Inadequate investment in cybercrime detection and prevention technologies could leave the Group vulnerable to cyberattacks.

 
 

Risks

   

The future of open and closed schemes is being challenged by unsustainable and increasing medical costs. This is a substantial risk to the shorter-term sustainability of the private sector. Exchange rate fluctuations drive up the costs of imported medical components.

   

Without the capability to proactively monitor and analyse big data, a large portion of fraudulent and abusive claims go undetected. This impacts the financial sustainability of the medical schemes, resulting in increased member contributions, which could result in membership loss.

   

Cybersecurity vulnerabilities expose our intellectual property and client relationships to malicious attacks. These could destroy and/or corrupt of key information and compromise client data.

 
 

Opportunities

   
  • Introduce a disruptive strategy to contract hospitals and healthcare professionals
  • Enhance data capabilities
  • Efficient IT platform (Nexus)
  • Successful implementation of the ICCM
  • Medical insurance cover
  • Acquiring and integrating new companies for value chain optimisation
   
  • Effectively identifying, analysing, quantifying and recovering irregular claims using predictive analytics
  • Extending the service to small to medium-sized medical schemes and self-administered schemes who require forensic expertise
  • Access to data which provides a holistic view of claiming patterns and behaviour assists with contracting, quality and pricing with service providers
   
  • Implementation of the IBM QRadar technology advanced threat analytics management tool has enhanced the security of our systems
  • Reviewing the cybersecurity strategy to ensure it is up to date with further inputs to enhance the system
  • Implementing web application firewalls
 
 

Stakeholders

   
  • Shareholders
  • Regulators
  • Our clients – medical schemes
   
  • Trade suppliers
  • Our clients – medical schemes
   
  • Trade suppliers
  • Our clients – medical schemes
 
 

Strategic response

   
  Reduce the cost of healthcare
  Enhance shareholder value
   
  Reduce the cost of healthcare
   
  Improve efficiencies through cost consciousness
  Deliver exceptional client service
 
     
4

   
5

   
6

 
   Material matters     Member retention for clients     Political uncertainty     IT dependency  
 

Why it is material

   

We have adopted a culture of cost containment to decrease the healthcare costs for our clients’ schemes while improving the quality of healthcare for our schemes’ members.

   

Political uncertainty and the challenging economic conditions in South Africa are straining our schemes’ members spending power. Thus, it is difficult for our client schemes to attract new members, which hampers revenue growth. The recent VAT increase could make healthcare more expensive.

   

Our IT systems are the core of our operations. They are vital to remain relevant in the face of business change/growth and market consolidation. We aim for high levels of operational quality.

 
 

Risks

   

Low-quality customer service could cost us clients.

   

The strained economy and the difficulty our clients have in retaining members threaten the future of medical schemes and affect the Group’s revenue.

   

System instability increases our risk of business interruption. Failing to adapt or respond to disruptive technologies could impact our relevance.

 
 

Opportunities

   

The Group can build a performance-driven culture among employees.

  • Appropriately training team members to establish a culture of client retention
  • Providing quality customer service
   
  • Diversify revenue sources
  • Diversify health insurance product offerings (targeted at the low-income market)
  • Partnership with national and provincial governments to drive the health reform agenda (creates opportunities for the business to earn revenues via the value chain optimisation approach)
  • Improved healthcare protocols
  • Transforming to achieve favourable ratings for tenders for public and private business
  • Growing business in Africa
   
  • Optimising our IT platform, Nexus, will enable us to upgrade to an enhanced system
  • Implementing the digital strategy
  • Fostering integration as a key enabler for innovation
  • Maximising our data assets by enhancing our data platforms and data models
 
 

Stakeholders

   
  • Our clients – medical schemes
  • AfroCentric employees
   
  • Regulators
  • AfroCentric employees
  • Government
   
  • AfroCentric employees
  • Trade suppliers
  • Our clients – medical schemes
 
 

Strategic response

   
  Deliver exceptional client service
  Reduce the cost of healthcare
  Improve efficiencies through cost consciousness
   
  Diversify revenue sources
  Maximise growth opportunities
  Promote transformation
   
  Improve efficiencies through cost consciousness
  Diversify revenue sources
  Maximise growth opportunities
 
     
7

   
8

   
9

 
   Material matters     Transformation     Project risks     Regulatory compliance  
 

Why it is material

   

AfroCentric is a proud corporate citizen devoted to South Africa’s transformation agenda. Transformation is one of our strategic objectives, and we aim to optimally comply with the B-BBEE codes and relevant legislation.

   

The Group runs a number of projects; therefore, it is imperative that the Group ensures:

  • an integrated approach to financial and distribution activities; and
  • good governance.
   

Non-compliance to regulatory affairs could impact profits and damage our reputation.

 
 

Risks

   

The Group’s ability to win tenders and contracts could be compromised.

   

Poor governance and quality of resources due to conflicting business priorities may cause budget over-runs.

   

Our accreditation and, subsequently, our ability to do business could be affected by failing to ensure adequate levels of compliance. There are various penalties for contravening these applicable legislations.

 
 

Opportunities

   

Our high B-BBEE level places us in a favourable position to win tenders in the public and private sector, and it demonstrates our commitment to contribute to the country’s upliftment.

   

Re-clustering business units in a matrix framework will enhance the alignment of strategic imperatives.

   
  • We constantly engage with regulatory bodies on proposed regulations and legislation to ensure compliance.
  • Improved governance processes
  • A culture of ethical conduct within the business operations
 
 

Stakeholders

   
  • AfroCentric employees
  • Our clients – medical schemes
   
  • Suppliers
  • Regulators
  • Our clients – medical schemes
   
  • Regulators
  • Our clients – medical schemes
 
 

Strategic response

   
  Promote transformation
  Uplift our people

 

   
  Improve efficiencies through cost consciousness
  Diversify revenue sources
  Maximise growth opportunities
   
  Promote transformation

 

 
     
10

   
11

     
   Material matters     Technological innovation     Loss of critical skills/employees      
 

Why it is material

   

Technological innovation drives cost efficiencies and maintains the Group’s competitive nature.

   

AfroCentric employs experienced and skilled employees, particularly actuarial, IT and medical specialists who are in demand locally and internationally. Retaining our employees and intellectual capital within the Group is vital.

     
 

Risks

   

We may miss opportunities to diversify our revenue streams and reduce the costs of healthcare for our clients.

   

There is a shortage of critical skills in the country, and attracting and retaining key employees has become critical.

     
 

Opportunities

   

AfroCentric’s IT platform system, Nexus, could become the leading healthcare software in the market.

Innovative products and services that use our IT capabilities, such as the electronic health record and smaller scale admin systems.

   

The Group has successfully implemented the leadership competency model, succession planning and short and long-term incentives to attract and retain critical skills. We also develop and train our talent to ensure retention.

     
 

Stakeholders

   
  • Trade suppliers
  • Our clients – medical schemes
   
  • AfroCentric employees
     
 

Strategic response

   
  Improve efficiencies through cost consciousness
  Diversify revenue sources
  Maximise growth opportunities
  Deliver exceptional client service
   
  Diversify revenue sources
  Maximise growth opportunities
  Promote transformation