OUR STRATEGY AND APPROACH
Over the past year, we have consistently aligned our performance with the strategic objectives outlined in our 2024 roadmap. This has driven tangible results, particularly in business integration, client satisfaction, and digital transformation.
However, as the healthcare landscape evolves, so must our approach. While our long-term objectives remain unchanged – focused on broadening access to healthcare and enhancing value across the healthcare value chain – our strategic approach was refreshed to better capitalise on emerging opportunities and deliver sustainable growth.

2024 STRATEGIC PERFORMANCE IN REVIEW
Our 2024 strategic review highlights critical initiatives and measurable outcomes that have informed our refreshed strategy, reinforcing our commitment to growth, innovation, and enhanced healthcare services.
Collaboration with Sanlam
Sanlam and AfroCentric strategically intensified their efforts to identify synergies and foster collaboration. This includes enhancing client experiences through a comprehensive product value proposition encompassing health, wealth, and insurance protection. A novel holistic corporate wellness model was implemented, forging partnerships with client schemes and leveraging Sanlam Corporate services. The focus remained on achieving growth and retention in client scheme membership and the Sanlam Gap Cover and Primary Health Insurance books. These initiatives strengthened the alliance between Sanlam and AfroCentric, delivering enhanced value to clients and fostering sustainable growth.
Performance during the year
- Leveraged Sanlam’s best practices in technology and data, accelerating AfroCentric’s digital and managed care transformation
- Continued focusing on unlocking synergies through collaboration, driving significant value. The corporate solutions cluster is set to play a crucial role in product integration and growth, showing a 27.9% increase in Sanlam Gap policies. However, despite exceptional growth, this business faced challenges as one of the leading new channels, the Sanlam Umbrella Fund, did not gain the expected traction during the year
Key performance indicators
Introduction of innovative products in the healthcare market designed to attract new members.
2024 target
100% completion of the launch of new products.
New members acquired.
2024 actual
Some products launched. Target was not fully met. To be addressed through the refreshed strategy.
Link to executive remuneration
(Scorecard
component:
Strategic)
Client-facing strategy
Our client-facing strategy sought to enhance the customer journey across various aspects of our business. This included optimising our sales approach, refining our service delivery model, ensuring exceptional care during critical moments, showcasing the value we offer, driving product development and innovation, and fostering customer loyalty. Specifically, we prioritised the retention of our customers by consistently delivering exceptional experiences and value. In this way, we sought to establish long-lasting relationships and solidify our position as a trusted healthcare provider.
Performance during the year
- Gained significant traction in digital solutions and enablement capabilities, ensuring optimal product delivery with a focus on easy benefit access, self-service, and high-touch service
- Our subsidiary, Medscheme, won the Diamond Arrow Award for its outstanding contribution to Disease Management – Asthma, Hospital Utilisation Management and Counselling of High Claimers at the PMR Africa Awards. Medscheme also won the Golden Arrow Awards across multiple categories, including Alternative Fee Structure/Reimbursement, Chronic Medication Management, Disease Management – Cardiovascular, Health Risk Assessment, Management of Specialists and GPs and Wellness Programme
Key performance indicators
Membership Growth: Number of lives administrated
2024 target
3.9 million
2024 actual
4.0 million
Link to executive remuneration
(Scorecard
component:
Strategic)
Primary health insurance
Primary health insurance provides coverage for essential healthcare services and preventative care. It is crucial in promoting early detection, managing chronic conditions, and maintaining overall wellbeing. It aims to make healthcare services affordable and accessible, ensuring prompt medical care, preventative check-ups, and essential treatments. This leads to improved health outcomes and a higher quality of life, aligning with our Group purpose. By leveraging the synergy between primary health insurance and medical schemes, members can enjoy comprehensive and cost-effective healthcare solutions. Specifically, medical scheme members on lower options (Hospital Plan), when combined with gap cover and primary health insurance for day-to-day benefits, will get richer benefits at a lower total cost.
Performance during the year
- The corporate solutions cluster saw a 25.1% rise in primary health insurance policies
- The Group acquired the remaining 49% of Essential Group, the licence holder for the primary insurance business, in anticipation of increased demand for low-income products as medical scheme affordability becomes more challenging
Key performance indicators
Primary health insurance digital offering for the retail market: Develop and implement a low-cost health insurance platform and offering that customers can purchase through digital platforms hosted by major grocery chains, banks, telcos, insurers etc.
2024 target
100% completion of the development and implementation of a low-cost health insurance platform and offering.
75% of target sales achieved.
2024 actual
Phase 1 = 100% complete
Phase 1.2 = 50% complete
Phase 2 = 0% complete
Link to executive remuneration
(Scorecard
component:
Strategic)
Leadership, culture and values
Our people are a critical differentiator. We are devoted to helping them self-develop. A top priority was fostering a high-performance culture to help us achieve our strategic goals. Our vigorous and persuasive People Plan fed into our overall business strategy and powered it.
Performance during the year
- Focused on fostering a high-performance culture aligned with strategic goals
- Promoted a diverse and inclusive workforce, achieving a 37.3% male and 62.7% female new hire rate, with a 3.85% improvement in recruitment from previously disadvantaged groups, contributing to talent diversification and succession planning
- Strengthened employee wellbeing through a comprehensive wellness strategy, resulting in 794 employees and 72 dependents utilising the employee assistance programme (EAP), addressing key concerns such as stress and financial wellness
- Implemented a robust employee listening strategy, achieving an 81% satisfaction score in the inaugural pulse survey, identifying critical areas for improvement in leadership, management, and career development
- Recognised as a Top Employer for 2023/2024, reinforcing AfroCentric’s commitment to creating a high-performance work environment that supports strategic goals
Key performance indicators
B-BBEE Level
Diversity, equity and inclusion
2024 target
Level 1
70% of new senior management appointments are black.
2024 actual
Level 1
62.5% of new senior management appointments are black.
Link to executive remuneration
(Scorecard component: Strategic)
(Scorecard component: Strategic)
Looking ahead
Within a rapidly evolving operating context, we recognised the need to critically review our strategy to ensure we are poised to capture growth across the healthcare value chain while leveraging Sanlam’s extensive distribution network to drive growth and integration.
Our refreshed strategy is built on two growth drivers, fueled by a data-driven and digital approach and underpinned by a cohesive, integrated operating model.
Building a winning health offering
As part of the Sanlam Group, we are uniquely positioned to create an integrated, Sanlam-endorsed open medical scheme. This initiative will connect healthcare with holistic financial and wellness services, offering members comprehensive solutions.
Fedhealth has committed to partnering with us on this journey, and we are actively working to bring this innovative offering to market. We are also in discussions with other like-minded partners who share our vision. While we advance this initiative, we remain committed to maintaining exceptional service for our existing schemes to ensure their continued success and growth.
Driving clinical innovation
As a leading managed care organisation, clinical innovation will be a crucial differentiator. We aim to transform traditional care delivery into a value-based model, focusing on healthcare outcomes, cost-effective access, and exceptional experiences for members and service providers. Leveraging our clinical expertise, Sanlam’s risk management capabilities, and key strategic partnerships, we are committed to placing our members at the heart of everything we do.
Investing in data, digital and technology
We are committed to strengthening our leadership in healthcare by leveraging datadriven insights and adopting new technologies. By investing in data analytics, digital tools, and technology, we aim to improve operational efficiency and enhance the healthcare experience for our clients, empowering them with seamless digital solutions.
Evolving our culture and operating model
A key enabler of our strategy is the evolution of our culture and operating model. We aim to foster a mindset of innovation, collaboration, and continuous learning, creating an inclusive environment that embraces diversity and maximises everyone’s potential.
Our refreshed approach will focus on a cohesive, integrated operating model, leveraging the strengths of our diversified businesses. This will enable us to unlock our core service and clinical innovation capabilities, delivering exceptional client experiences.
Strategic priorities for 2025
As we advance our refreshed strategy, we will focus on areas critical to driving growth and maintaining our leadership in the healthcare sector:
- Executing our growth drivers through iterative cycles of implementation and improvement
- Embedding our operating model through a culture-first approach
- Accelerating our data and digital delivery
- Strengthening our risk and compliance excellence
These priorities will enable us to execute our strategy and, ultimately, improve healthcare access, outcomes, and client experiences