Operations

AFROCENTRIC IS THE MOST DIVERSIFIED HEALTHCARE COMPANY IN SOUTHERN AFRICA. TO LEVERAGE OUR INTEGRATED MODEL, OUR BUSINESS IS ORGANISED INTO THREE PRIMARY CLUSTERS: MEDICAL SCHEME ADMINISTRATION, RISK MANAGEMENT AND TECHNOLOGY; PHARMACEUTICAL; AND CORPORATE SOLUTIONS.

MEDICAL SCHEME ADMINISTRATION, RISK MANAGEMENT AND TECHNOLOGY

Areas of strength and differentiation

  • Largely constituting Medscheme, the largest managed care organisation in South Africa
  • Manages over 4.0 million lives
  • Utilises hyper-automation, robotic process automation, artificial intelligence (AI), and machine learning

Outputs (products and services)

  • Claims processing: Automated claims adjudication and high straight-through processing rates
  • Customer service: Enhanced digital platforms for member interaction, including online and mobile technologies
  • Health risk management: Programmes that identify and manage clinical and financial risks to lower healthcare costs
  • VirtualCare: Provides safe and affordable virtual consultations with registered medical professionals
  • Hospital benefit management: Digital engagement system for hospital authorisations and claims
  • Healthcare Professional Portal (HCP): Our HCP portal is a web-based digital tool designed to help healthcare practitioners and their staff simplify and speed up many administrative tasks related to patients who are members of Medscheme-administered schemes

Outcomes

  • Enhances efficiency and reduces healthcare costs
  • Streamlines claims adjudication, reducing human intervention
  • Improves customer satisfaction
  • Enhanced patient outcomes
  • Increased access to healthcare

Contribution to the Group

Revenue

Operating costs

Operating profit

PHARMACEUTICAL

Areas of strength and differentiation

  • Management of full medicine spend for our client schemes
  • Comprehensive presence in the pharmaceutical value chain, including manufacturing, wholesale, importing, marketing, distribution and courier services

Outputs (products and services)

  • Wholesale and distribution: Delivering medicines to urban and rural areas through Pharmacy Direct
  • Medicine cost management: Scriptpharm manages chronic and acute medication, providing drug utilisation reviews
  • Manufacturing, importing and marketing: Activo Health imports and markets pharmaceutical products

Outcomes

  • High impact on overall healthcare spend
  • Savings for client schemes
  • Improved access to medicines
  • Enhanced patient care and adherence to medication regimes

Contribution to the Group

Revenue

Operating costs

Operating profit

CORPORATE SOLUTIONS

Areas of strength and differentiation

  • Primary care
  • Occupational health
  • Fully integrated employee wellness solutions

Outputs (products and services)

  • Health and wellness programmes: Integrated solutions for employee health and wellness
  • Onsite clinics: Nurse-led primary healthcare clinics
  • Disease management: Programmes for managing non-communicable diseases
  • Wellness initiatives: Programmes to enhance employee wellbeing and productivity
  • Sanlam Gap Cover
  • Primary Healthcare Insurance

Outcomes

  • Supports employee wellbeing and productivity
  • Reduces healthcare costs
  • Delivers tangible savings to employers
  • Enhances overall employee health and reduces absenteeism

Contribution to the Group

Revenue

Operating costs

Operating profit