“Serving medical scheme members’ is the motto which guides the manner in which the Board of Healthcare Funders of Southern Africa fulfils its function of representative body to the healthcare funding industry.
BHF’s members include medical schemes, administrator organisations and managed care organisations throughout the Southern African region, with membership in South Africa, Lesotho, Zimbabwe, Namibia, Botswana, Mozambique and Swaziland
This power, strength, knowledge, expertise and resources must be utilised, harnessed and strategically leveraged on to ensure the viability, sustainability, relevance and legitimacy of the private healthcare funding industry in Southern Africa.
BHF is uniquely positioned and continues to offer a compelling value proposition within the healthcare funding industry. BHF currently fulfils the following functions within the healthcare industry:
- Making representations to and lobbying various government departments, Parliamentary Portfolio Committees and state agencies such as the Council for Medical Schemes, Competition Commission, among others.
- Supporting medical schemes by investigating various industry issues in the area of benefit and risk management. BHF also litigates on behalf of medical schemes where the issue affects the industry as a whole.
- Administration of the Practice Code Numbering System (PCNS), in which it owns the intellectual property. PCNS supplies healthcare providers with practice code numbers that are a legal requirement for claiming payment from medical schemes under the Medical Schemes Act.
- Housing the Healthcare Forensic Management Unit (HFMU), which investigates and identifies fraudulent practices across the private healthcare industry. HFMU is currently a resource and information-sharing group, seeking primarily to create a unified approach against fraud in the medical schemes environment
- BHF hosts the only Annual Southern African Conference for the healthcare industry and arranges workshops and industry discussion groups on issues affecting the medical schemes industry.
The organisation’s strategic assets and intellectual property, are housed within the following business units:
- Practice Code Numbering System (PCNS)
- Benefits and Risk Management Unit
- Health Forensic Management Unit
- Marketing and Communications Unit
- Training and information-sharing platforms