The dominant fee-for-service payment model for healthcare in South Africa perpetuates a fragmented and reactive model of care. Clinical complications are treated as they occur and early investments in prevention are rare. The result is high costs and poor outcomes.

The rapidly rising cost of healthcare is a global problem. In South Africa, increases in medical scheme contributions are consistently well above the rate of inflation; in 2017 they grew by over 11%.

There is no single, easy answer to this complex challenge but part of the solution must be new reimbursement models which incentivise healthcare providers to focus on delivering ‘value’: improved outcomes at the same or lower cost.

We outline our unique offering in this service sheet.

For further information please contact Linda Bertolissio or Riina Rintanen.