Rx Health (Pty) Ltd is a registered managed care organisation (MCO) that is accredited with the Council of Medical Schemes. We specialise in providing customised integrated health risk and clinical management services to low-income medical schemes.
We guide medical schemes to attain clinical and financial outcomes by efficiently assessing and managing their risk, and ensuring the cost-effective management of benefits. We therefore aim to enhance patients’ health and quality of life.
Patients receive a coordinated set of evidence-based interventions, and have access to a client-friendly authorisation centre with consultants who we are equipped to provide individualised personal support. Based on our experience in the healthcare environment, we strive to reduce client's risk, as well as unnecessary healthcare costs by coordinating management information.
The authorisation centre is available 24/7/365. It is operated by a dedicated, experienced and committed team of professionals, comprising pharmacy assistants, nursing practitioners, case managers and medical advisors, who can ensure the highest quality of service due to their excellent understanding of the application of medical schemes' rules, exclusions, protocols and procedures.
We're market leaders in risk management both through providing effective risk and clinical management policies to the lower-income market, as well as providing employer groups with holistic solutions for the management of risks. We are continuously improving cost-effective management strategies and are focused on staff development in order to provide an improved quality of service to our clients.
We assist our clients in achieving their desired level of risk and clinical management outcomes, and to coordinate healthcare information to improve risk management. We do this by implementing a holistic approach to management practices in the healthcare environment.