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Our
Business
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"The
complexities of providing healthcare to employees
ties up a significant amount of management's
time. We take this away from employers to let them
focus on their own core business." - Mike Neubert,
Chief Executive Officer. |
The
challenges
facing
privately
funded
healthcare
decision
makers -
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However healthcare cover
is provided - through commercial, industrial, an in-house
scheme or an in-house clinic or hospital - the challenges
within the South African healthcare environment are
universal...this is the management
of risk.
Risk presents itself in many forms. The risk
of uncontrollable rising contributions, rising
costs of healthcare delivery,
contractual post-retirement obligations, disease
management (e.g. AIDS), to name but a few.
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Factored into this is the vast
complexity of managing risk with regards to:
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Administration |
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Benefit design |
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Delivery model design |
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Provider negotiations and management |
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Re-insurance |
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Legal matters (rules, agreements, statutory compliance) |
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Managing of third party contractors (administrators,
managed care companies, etc.) |
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Member education and communication |
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Financial management |
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Clinical risk management
- Hospital Utilisation Management
- Pharmacy Benefit Management
- Disease Management
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Management of in-house clinics or hospitals |
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Management of wellness / wellbeing healthcare services provided by employers |
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| All of these require a high level of specialised
intellectual capital in many different disciplines,
including financial, legal, actuarial, clinical,
IT, communications and administration. |
Now you can get it all from a single source ...
Our Resources
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