A holistic approach to managed healthcare

Assisting Schemes

Attain the desired risk and clinical management outcomes
by properly and efficiently assessing and managing risk

HOSPITAL BENEFIT MANAGEMENT

We ensure that all medical scheme rules and exclusions, as well as related protocols, plus procedures are managed in a cost-effective manner to meet the highest demands of quality and service.

DISEASE MANAGEMENT

We have designed programmes that are specifically structured to support members by improving the quality of care.

PHARMACEUTICAL BENEFIT MANAGEMENT

We focus on providing members of medical schemes with appropriate, cost-effective quality treatment according to Scheme rules, plus defined benefits.

assisting Schemes to attain the desired risk and clinical management outcomes.