MEDSCHEME: Transforming Healthcare Through Sustainability and Innovation

Today South Africa’s largest health risk management services provider – and its second largest medical aid administrator – Medscheme reaches over three million people through an exhaustive network of branches in prime positions throughout South Africa, as well as those in Botswana, Namibia, eSwatini, Zimbabwe and Mauritius.

“We have also acquired a specialist healthcare and insurance business in Mauritius that allows us to offer highly competitive business process outsourcing solutions to both local and international clients,” Medscheme furthers. “Our approach is to develop partnerships with our clients where we use local resources to develop unique solutions and we constantly seek to collaborate with potential partners to develop appropriate healthcare solutions for the continent.

“Our proven combination of client-centricity and expertise is founded on excellence in corporate governance and world-class information technology,” Medscheme details. “These attributes position Medscheme as the ideal business partner for corporate clients and medical aids who seek to offer quality health risk management and affordable health insurance to their members and employees.”

SUSTAINABLE HEALTHCARE

“Touching more than 3.8 million lives, we form close partnerships with our clients who include leading medical aids and large corporate companies in South Africa, Africa and internationally.”

One of the most challenging and universal issues facing the world today is sustainability, a challenge to which the healthcare sector is far from immune. In response, Medscheme is driven by the vision to create a world of sustainable healthcare, and has been known for delivering innovative medical aid administration and health risk management solutions of exceptional quality nonstop for more than 40 years of operation within the private healthcare sector.

A comprehensive range of fully outsourced quality solutions span managed healthcare, medical aid administration and health risk management, offerings which cater to both medical aids and corporates.

“Our insight into sustainable healthcare allows us to develop customised programmes that achieve better solutions and deliver enhanced healthcare value,” Medscheme states. “Our approach is built on informed decisions, which prioritise the use of sustainable healthcare resources.” In the absence of such a healthy, disciplined approach, the company points out, health risk management can find itself reduced to random cost-cutting which ultimately results in inferior health outcomes and a lack of sustainability.

“It is our mission to innovate a new integrated model of sustainable healthcare that measurably improves access to quality healthcare and enhance quality of life.” In order to succeed in its bid to create healthcare intelligence, Medscheme clarifies, the ability to access and analyse data intelligently is crucial, to enable strategic decision-making within a context of sustainability.

“For this reason, Medscheme’s Health Intelligence Unit has developed robust data management systems and analytical models that manage data intelligently in order to generate insightful information and identify trends. The data is then used to interpret and understand the value of healthcare provision and to focus interventions on enhancing healthcare value.”

TRANSFORMATIVE JOURNEY

“The goal of sustainable healthcare will be increasingly supported by information-sharing, and we used the latest communication technologies to support this trend.” Medscheme is equally renowned for its comprehensive, integrated healthcare management solutions, “which recognise that flexibility and differentiation are crucial to remain competitive in the highly dynamic medical aid industry,” the company pronounces.

“Our priority is therefore to meet medical aid needs through service excellence, quality, differentiation and personalised solutions. Customer-centricity enjoys top priority at Medscheme, while we have made substantial investments in developing and maintaining a world-class technology platform that complies with international best practice for the industry.

“We achieve excellence through our policy of continuous improvement,” Medscheme adds of a unique business philosophy, and in the spirit of this ethos has recently unveiled a new Healthcare Professional Portal (HCP), designed especially for healthcare providers and medical practice staff.

“We have completely revamped our portal and included intuitive features and sleek design to make interactions with Medscheme and our medical aid partners streamlined, and faster than ever,” the company says of the initiative.

“Featuring over 40 functions, we have developed this fresh start built on fresh ideas, ensuring that it is relevant to the needs of our valued healthcare professionals and delivers real value.” Medscheme indicates that, as a result, relevant member, medical aid and administration information are now immediately at the fingertips.

“We are on a transformative journey at Medscheme,” concludes COO Mujeeb Bray, “intent on developing integrated, intuitive digital solutions for our valued clients that are seamless, provide realtime information to enable informed decisions and offer dynamic client experience that is best in industry. The launch of the provider portal is a demonstration of our commitment to achieving this goal, and we look forward to sharing further iterations of innovative platforms long into the future.”