EXHIBITORS & SPONSORS
BHF is proud to announce the date for the 20th Annual BHF Southern African Conference, the 2019 conference promises to be very exciting. The conference will be held at CTICC from the 21st – 24th July 2019.
Over 350 organisations are represented, and these include:
- Medical schemes
- Managed care organisations
- Government departments
Designations ranging from: Directors, Principal Officers, Trustees, CEO’s, CFO’s, Actuaries, Marketing Directors and Medical Advisors attend the annual event.
The 20th Annual BHF Southern African Conference will offer your organisation an opportunity to be directly involved by means of sponsorship and exhibiting.
If your organisation would like a customised package, we will gladly tailor the benefits to match your needs. Please contact Mary Manamela on 011 537 0270 or email her on email@example.com for more information.
Is an innovative specialist medical scheme administrator and managed care provider focusing on the corporate medical scheme market. Over the ensuing 42 years, Medscheme has become the largest health risk management and third largest health administration provider in Southern Africa.
Driven by AfroCentric Health’s vision, Medscheme has consistently delivered innovative, affordable health risk management and medical scheme administration solutions. These solutions focus on achieving sustainability through effective health risk management, complemented by careful management of costs and a relentless drive for operational efficiency.
The company’s unmatched combination of client-centricity and expertise is founded on proven excellence in corporate governance, world-class information technology and health risk management.
Contact number | 011 671 2000
AfroCentric Investment Corporation Limited (“AfroCentric”) is a black-owned investment holding company which is substantially invested in healthcare. AfroCentric was established in 2008 and is listed in the healthcare sector on the JSE.
Through its operating subsidiaries, AfroCentric provides health administration and health risk management solutions to the healthcare funding industry. In addition, AfroCentric provides a range of complementary services to its traditional medical scheme clients as well as a portfolio of healthcare-related enterprises. These services include IT solutions, transactional switching and specialised disease management.
Contact number | 011 671 2000
Even as you think ‘What’s next?’
…we’re already doing it
Healthcare administration, health and wellness, loyalty programmes, corporate healthcare and occupational health and wellness solutions,what could possibly be new, different and better? Continuous innovation, bespoke solutions and a personalised approach to healthcare management.
Everybody is looking for an intelligent healthcare solution that delivers. Now you can have it all – fresh ideas, innovation, originality and service excellence. Everything you would possibly expect from a dynamic company with a proud track record and a reputation for delivering results.
By paying close attention to every aspect of the healthcare delivery chain, we are able to offer unparalleled healthcare funding solutions to medical schemes, employer groups, scheme members and healthcare providers.
Renowned for our winning culture and pioneering role in the healthcare management industry, Universal Healthcare and the medical schemes under its administration continue to outperform competitors with impressive benefits offering unmatched value.
Touching the lives of close on 10 million people a year, some beyond the borders of our country, Universal Healthcare is one of South Africa’s fastest growing, leading edge healthcare brand.
We’ve perfected the balance between quality, access, excellence of care and cost efficiency for over four decades. That is why we are there for you, every step of the way.
Let us take you to new frontiers in healthcare service delivery
The CDE is a Private Registered Managed Care Organisation, which has pioneered comprehensive, person-centred and evidence-based diabetes care for over 25 years through its Managed Care Programme. Kleoss Capital, a 100% black owned and managed investment manager with a Level 1 Broad Based Black Economic Empowerment (‘B-BBEE’) accreditation is the majority shareholder in the CDE.
The CDE Programme is founded on innovative risk-sharing and value-based reimbursement models, allowing Members to receive the necessary healthcare, whilst containing cost-exposure to Funding partners. In partnership with many medical aid schemes, the CDE provides an individualised, interdisciplinary approach to the management of diabetes and associated cardiovascular risks. We focus on helping our Funding Partners to provide their Members with the tools and services to attain and maintain optimum wellness and prevent or delay any potential diabetes-related complications. Our specialised healthcare professional teams focus not only on the physical and medical aspects of care and risks, but also on the social, emotional and spiritual dimensions of each Member’s journey.
The CDE has achieved recognition worldwide for its commitment to research, leadership and teaching, and its innovative approaches to team-based care, technologies and pharmacotherapy.
To find out more about the value of partnering with CDE Value Driven Care, please talk to us
011 053-4400 Providers@CDEDiabetes.co.za www.cdediabetes.co.za
A division within the health solutions environment of the JSE-listed company, MMI Holdings, Metropolitan Health’s key strategic focus is to achieve financial wellness for public sector communities by enabling and delivering sustainable integrated outcomes-based healthcare solutions as a transformed organisation. Metropolitan Health’s “Level One Contributor” empowerment rating bears independent testimony to its commitment to sustainable initiatives to transform the company and contribute to overall economic transformation of the industry.
Metropolitan Health has been in the healthcare industry for almost 20 years, touching the lives of over 2 million people through various clients across South Africa, including the Government Employees Medical Scheme. Innovative and robust technology, integrated health risk management and wellness, and a world-class team of passionate people combine successfully to bring to life a unique people- and client-centric formula.
As a well-entrenched, cost-effective healthcare solutions partner, Metropolitan Health's key differentiators include enhanced customer experience, data warehousing, analysis capabilities, flexibility and scalability of systems. Its fully integrated in-house-developed healthcare value proposition includes membership management, claims management, client services, marketing and communications, governance, secretarial, financial and actuarial services, customised e-tools and wellness services, as well as a robust integrated health risk management capability, which includes fraud risk management, procurement capabilities, provider contracting and provider management.
Through its strategic relations with key industry bodies and players, Metropolitan Health is actively involved in crafting the future of health in South Africa by playing a pivotal role in South Africa’s health reforms and contributing meaningfully to development and implementation of NHI and universal health coverage.
The ability to integrate with and leverage efficiencies in the broader MMI Holdings environment ensures that Metropolitan Health not only provides value for money but also keeps abreast of the latest developments in the industry and abroad. This positions the company as a cutting edge and knowledgeable strategic partner to deliver health and financial wellbeing to its clients.
There is an adage that says: “When you are doing something right you get the attention of your competitors and others.”
PPN continues to stay top of mind of certain of our competitors and allied associations who would prefer to see PPN’s demise than continue to compete in an open market.
The things that we consider to be doing right:
We continue to find solutions to high cost medical inflation. Our average cost increase to funders has been less than 6 % year on year for the last 4 years.
We have our own tariff and coding system, consisting of just 400 codes which remains the most effective coding system to control fraud in the industry.
We do not sell the right to our codes or dictate the mark up that wholesalers make on their product.
Our price points for basic clear lenses that form part and parcel of each benefit design are on average 48% better than the industry average.
Our approach has always been to place more emphasis on professional fee increases whilst reducing the mark up on materials - Spectacle frames and clear lenses.
Our benefit design has adopted the Minister of Health’s appeal that all benefit options should have a Universal Design.
Not only do we have the most sophisticated fraud controls in the optical industry but we continue to add innovative applications and technologies.
Eyepath has introduced cutting edge AI technology that allows for more accurate referrals between optometry and ophthalmology – is not only a unique tool to assist with Diabetic management and grading but it will save Medical aids costs in the management of Diabetes.
Email us on: firstname.lastname@example.org to set up an appointment and presentation.
Allegra is a tech –based contributor to the medical sector that empowers healthcare communities, by providing access to information that enhances total individual care.
We aim to connect all relevant role players, stakeholders and healthcare providers through software and technology, while keeping the patient at the centre of all development as the only owner of his/her health information. Ultimately creating a unique health information exchange in sub-Saharan Africa.
Contact number | 0861222985
Optimised, cost-effective, functional rehabilitation provided by DBC (Documentation Based Care) ‒ an individualised evidence-based multidisciplinary treatment approach to manage musculoskeletal disorders. License holder Klinikka provides equipment, maintenance and administration services to musculoskeletal treatment centres in South Africa.
Screening services – Arrangement of wellness days/events, personal health assessments, online screening, e.g. mental health and TB questions-based screening, HIV counselling and testing (HCT) services, breast examinations for women, PSA screenings for males above 50, eye screening, dental screening and flu vaccinations.
Contact number | 011 671 6494
At Sechaba we are CARECHANGERS™. As medical administrator we are primed to improve people’s lives by bringing them innovative and affordable healthcare solutions. This outlook has ensured we deliver value to our current and potential member schemes. We balance our vast industry experience and rich heritage with technological innovation that helps clients better connect with their business through holistic managed healthcare and medical administration.
For more information please visit: www.sechabamedical.co.za OR +27 11 353 0000.
Provides a comprehensive range of ICT-related products and services to support healthcare businesses. This includes innovative technology solutions such as an integrated medical scheme administration system and a health risk management system (for those affected by specialised diseases). All solutions cater for complex but mandatory governance requirements within the healthcare industry. Other services offered include network and infrastructure management, outsourced technology solutions, data warehousing, business analytics and digital enablement.
Contact number | 011 671 2000
Is a National courier pharmacy with a vast delivery network in both urban and rural areas offering affordable, convenient, reliable and safe delivery of prescribed chronic medication –from private individuals to medical scheme members and beneficiaries of public healthcare sector programmes like the Central Chronic Medicine Dispensing and Distribution (CCMDD) programme.
Contact number | 012 643 3000
Batsumi Claims Management Solutions has been providing third party and supply claims administrative services to the medical schemes and public health sector since 1995.
Our company purpose: “To assist our clients in creating equitable, sustainable, quality healthcare for all, in the quest for excellence in healthcare service.” This is achieved through the integration and balancing of the diverse needs of all stakeholders including the communities we serve.
Our services include comprehensive MVA & IOD claims administration and risk management services. Focusing on maximizing the recovery of costs incurred by our clients, in an effort to reduce financial shortfalls resulting from MVA & IOD-related claims.
This is achieved through the use of dynamic claim processing technology, which facilitates effective and swift submission of claims against the Road Accident Fund and the Compensation for Occupational Injuries and Diseases.
As a leader in the industry, Batsumi has expertise and skills to develop effective processes unique to every client and is committed to continuous process improvement to achieve best practice, increased productivity and render a high quality service to all its clients.
Our focused approach to payments and reconciliations provides us with the capability to proactively deal with any billing discrepancy swiftly and effectively.
Batsumi taking the hassle out of the claims.
Medipost is South Africa’s largest courier pharmacy with a 28-year successful track record in the dispensing and delivery of medication. Medipost specialises in seamless take-on processes and delivery of chronic, HIV, oncology and other speciality medication to any destination in South Africa. We are proud to serve both the medical scheme/private industry as well as NHI chronic patients.
Medipost’s technological advancements have set us apart from the rest of the industry and services are provided in all 11 official languages. Pharmacy personnel are trained in the scheme/client reimbursement rules, and can assist patients in understanding and following the authorization process in order to obtain their medication from the correct benefit.
As part of Medipost’s patient-centric service offering, we provide personal telephonic clinical consultations through our friendly and qualified pharmacists and pharmacists’ assistants. Delivery is free of charge to your destination of choice.
With more than 1.8-million beneficiaries, the Government Employees Medical Scheme (GEMS) secures the health and well-being of South Africa’s public service employees and their extended families. Through this service we work to improve public service delivery in every corner of South Africa by ensuring public service employees who fall ill are properly cared for and quickly returned to health, and work, and that those with chronic conditions receive the treatment they need to maintain their health.
GEMS entered the 2019 financial year in a solid financial position, with its assets far exceeding its liabilities, growing its total assets from R5-billion at the end of 2016 to over R12-billion at the close of the 2018 financial year (1 January 2018 to 31 December 2018). The Scheme entered the 2019 financial year with a member-contributions reserve ratio of 24.7%, up from 15.2% in 2017.
GEMS offers five main benefit options and one efficiency discounted option. The benefit options were each designed using a rigorous analytical approach taking into account the Council for Medical Schemes’ (CMS) requirements, member affordability and benefit design assessment. The Scheme’s primary goal is to improve affordability of and access to quality healthcare for public service employees, while the government’s overarching strategic objective is for GEMS to become the blueprint for the roll-out of its National Health Insurance (NHI) policy.
GEMS’ non-healthcare costs are significantly lower than those of other schemes in the industry, representing a saving for members of approximately R1.5-billion a year. This means that compared to other schemes, GEMS makes a larger percentage of member contributions available for healthcare funding. In 2018, the Scheme settled claims to the value of R30.6-billion (91.6-million claim lines). This represents a 7% increase from 2017, during which GEMS settled claims to the value of R28.6-billion (90.9-million claim lines). Claims management interventions saved R1.3-billion in 2018.
IDEMIA, the global leader in Augmented Identity, provides a trusted environment enabling citizens and consumers alike to perform their daily critical activities (such as pay, connect, travel and vote), in the physical as well as digital space.
Securing our identity has become mission critical in the world we live in today. By standing for Augmented Identity, an identity that ensures privacy and trust and guarantees secure, authenticated and verifiable transactions, we reinvent the way we think, produce, use and protect one of our greatest assets – our identity – whether for individuals or for objects, whenever and wherever security matters. We provide Augmented Identity for international clients from Financial, Telecom, Identity, Public Security and IoT sectors.
With 13,000 employees around the world, IDEMIA serves clients in 180 countries.
“Insight is the leading provider of independent actuarial advice and analytics services in the local healthcare market. Our advanced toolset continues to grow and evolve to assist funders and providers make sense of their healthcare data. We continue to invest in our people and technology to deliver solutions to our clients including funder-provider monitoring and contracting, quality of care measurement, class leading business intelligence services and detailed risk, demographic and geographic analysis services. Send an email to email@example.com to receive information on our services, research and events.”
“As the largest retail pharmacy chain in SA with over 530 pharmacies and 200 primary care clinics countywide, Clicks is a key service provider to the medical scheme industry and its members as a growing provider of over the counter, acute and chronic medicine to members. Our courier pharmacy Clicks Direct medicines, enables nationwide delivery of medicines to patients. In partnership with the Department of Health (DOH), over 200 Clicks Pharmacies act as a chronic collection pick up points for state patients, with over 90,000 parcels being collected every month. Clicks provides important healthcare services and advice across our primary care clinics , with a specific focus on preventative screening and maternal and child healthcare. We remain committed to working with the DOH on further initiatives to improve the access to healthcare for all South Africans.
Clicks wholeheartedly embraces the theme, Convergence 2030 – Healthcare Reimagined – as is evident in the rapid transformation of our leading healthcare offering to patients across south Africa.”
Thirty years on…Hosmed Medical Scheme continues to provide quality and affordable healthcare; still embodying the vision to Care for Life. For more information visit our website on www.hosmed.co.za; or call our Contact Centre on 0860 00 0048.
ICPA (Independent Community Pharmacy Association) is an organization which provides independent community pharmacies with a collective strength and a coherent voice that is heard by government, medical schemes, pharmaceutical suppliers and importantly, the consumer. ICPA represents a large pool of professionals in the healthcare sector with over 1 000 pharmacies, about 2 500 pharmacists and 20 000 supportive healthcare personnel spread across metropolitan, urban and rural South Africa. The objective of ICPA is to assist and support its members in securing a sustainable and successful future as independent, owner-managed pharmacies. In addition to this, ICPA strives to foster an understanding of the role that independent pharmacies play in delivering important healthcare services to the communities that they serve.
Our quest is to break into new frontiers in Health delivery, through innovation, dedication, passion & courage !
and through our compassion and insight – we see & know (have learned – through time & struggle) how to meet that need !
brought down to it's simplest form....
Khula Clinical Care Services is a disease management organization. Owned and managed by passionate clinicians with a nationwide clinical footprint that extends from specialists, laboratories and pharmacies. Khula takes pride in enriching the quality of each members lives and through them ; their families
AstraZeneca is a global, science-led biopharmaceutical company that focuses on the discovery, development and commercialisation of prescription medicines, primarily for the treatment of diseases in three therapy areas – Respiratory & Autoimmunity, Cardiovascular & Metabolic Disease and Oncology. The Company is also active in inflammation, infection and neuroscience through numerous collaborations. AstraZeneca operates in over 100 countries and its innovative medicines are used by millions of patients worldwide. For more information, please visit www.astrazeneca.co.za and follow us on Twitter @AstraZeneca.
Old Mutual Wealth is a fully integrated, advice-led wealth management business. It partners with leading financial planners to assist clients in reaching their financial goals. This is achieved through a tailored financial plan centred on clients’ unique investment objectives, goals and aspirations, to build a lasting financial legacy.
Allergan is a global pharmaceutical company. Allergan is focused on developing, manufacturing and commercializing branded pharmaceuticals, devices and biologic products for patients around the world, marketing a portfolio of leading brands and best-in-class products for the central nervous system, eye care, medical aesthetics and dermatology, and urology therapeutic categories
Dental Risk Company is a leader in dental managed care services with a network over 2200 signed and privately practicing practitioners. Our providers currently service 80% of our 1.2 million lives under administration. Receive excellent client service with DRC as your smile is our priority!
Learn more about us at www.dentalrisk.com
The ClaytonCare Group is an innovation healthcare services provider that provides centres of excellent for early rehabilitation of the medically complex, ventilated patient and the post-surgery recovery patient. Our hospitals have accredited High Care and ICU facilities to provide equivalent nursing and medical care to our patients. Our multi-disciplinary approach is in line with the vision of healthcare funders as they endeavour to manage escalating healthcare costs, while trying to ensure optimum outcomes for patients. Post-acute care is a cornerstone of the treatment pathway in the journey from the acute hospital to home.
Ramaph provides robust solutions that offer optimum value in the health care market.
Hospicheq is a hospital claims adjudication and verification system with unique clinical rules and expertise built in. Able to identify Fraud, Waste and Abuse timeously while ensuring the hospital claims are billed appropriately.
Tel: 012 666 7571/ 081 576 6647
Fax: 086 575 1049
Alignd offers comprehensive financing solutions for the optimal care of patients. Our approach aligns the incentives of patients, providers and schemes to deliver patient-centred, value-based healthcare. Our solutions bring together multiple components (benefit design, provider networks, patient support, data analytics and value-based payment mechanisms) into a coherent and mutually-reinforcing framework.
The Day Hospital Association (DHA) is an umbrella non-profit organisation that represent 45 registered private day hospitals in South Africa. Individually these day hospitals offer distinct comfort and cost advantages to patients and funders.
A cost-effective and convenient alternative for same day surgical procedures.
DENIS – “Looking after your SMILE”
DENIS is your innovative dental partner of choice. The world-class dental managed care service that DENIS offers, stems from combining more than 22 years of clinical expertise with cutting-edge technology. We are passionate about dental and strive to exceed all our clients’ expectations – now that is something to smile about.
2CANA SOLUTIONS | HiP – HOLISTIC INSURANCE PLATFORM
Leading insurance software specialists, 2Cana Solutions have a passion for bringing excellence to the industry. 2Cana Solutions’ approach is built on integrity and innovation.
2CANA’s clients include Bestmed, Momentum, Hollard, Old Mutual, Swazimed, PHA, TopMed, First Mutual Health, Alliance-Midmed, Bryte, Cellmed, MMI.
2Cana brings broad industry experience, deep technical expertise and a comprehensive solution to Medical Aid Administrators, Managed Care Organisations, general and life insurers.
The cloud-based Holistic Insurance Platform (HiP) provides:
- Zero entry costs - no capital costs and pay only for what you need, when you need it!
- Rapid implementation - delivering immediate benefits and slashing your time to market.
- Lead Innovation - enabling unprecedented speed and agility, cloud technology enables innovation efforts to take off.
2Cana’s team of 175 support clients throughout Africa, covering over 1.8 million lives/policies with an annual premium yield over R19bn. Let 2Cana Solutions and the HiP solution enable your digital transformation strategy – www.hiponline.cloud
3ONE is a leading healthcare actuarial firm, with significant experience across Africa. We focus on the delivery of true tangible consulting value & the analytical tools of the future. Call or SMS us to arrange a coffee in-between the conference sessions. It will be great to meet you and find out more about your business. Carl on +27826983396. Find out more about us at www.3one.co.za
Life Healthcare, a private hospital group, offers access to specialist focused, multi-disciplinary hospital and related healthcare services. With a focus on quality and clinical excellence – we place our patients at the centre of care. Life Healthcare offers world class facilities, expertise and compassion for those entrusted to our care. Improving and impacting lives everyday through quality measures – Life Healthcare is committed to helping our patients make the best possible decisions.
We operate 65 facilities in southern Africa; Alliance Medical across the United Kingdom, Italy and Ireland as well as Scanmed S.A. in Poland.
For further information, visit www.lifehealthcare.co.za
Medical Reviews International (www.medrev.com) is a provider of independent medical reviews and utilization management services. In parallel to managed care providers, MedRev services are focused on medical necessity of claims and identifying all medically inappropriate cases. Operating a large international specialists’ network in all medical areas and an advanced online management and analytics technology, MedRev helps clients reducing claims costs significantly whilst improving healthcare quality.
A Health Economic analysis by an independent healthcare consultancy has demonstrated that the Aptima mRNA HR-HPV Assay could save an estimated £11.3 million by averting 25,236 unnecessary colposcopies, 57,758 unnecessary HR-HPV assays and 171,306 cytology tests when compared to DNA assays in the English HPV primary cervical screening programme.
Tel: 011 804 4004
SA Home Care offers Doctor-led multidisciplinary homecare services to patients with advanced illnesses by facilitating continuity of care to patients in the comfort and privacy of their own homes in all the major centres in South Africa.
SA Homecare’s modus operandi is to work in tandem with the Doctors and Medical schemes to achieve patient satisfaction and enhance healthcare outcomes, whilst simultaneously reducing the cost of healthcare; our patient-focused intervention has resulted in a reduction of healthcare costs by up to 35%.
Furthermore, given the cumulative experience of our core team, we are well positioned to advise medical administrators how to unlock the value of homecare services for their schemes and members.
Office +27 71 640 2661 or +27 21 975 5409 or +27 31 827 0033