Aligned with our vision Medscheme's Managed Care Division is passionate about promoting sustainable healthcare in the interests of the country, our clients and individual members.
We take an individualised, client-centric approach to health risk management and managed care, promoting sustainable healthcare through a suite of products that:
- ensure contributions remain affordable
- minimise inappropriate care in terms of cost and quality
- promote health
- ensure appropriate care for each member
- allow access to appropriate new medical technology
This is achieved simply and intuitively to ensure a market-leading client experience.
Our managed care solutions focus on six areas:
Each solution includes several components which may be applied either as a complete package or as stand alone products, depending on our client's specific requirements.
Our solutions are not only relevant to the management of health and healthcare risks but ultimately promote sustainable healthcare for individual members, medical schemes and the community at large.
For two consecutive years Medscheme's Managed Care Division has been awarded PMR.africa's top accolades for excellence in managed care and disease management.
Lifestyle Management at Medscheme
Healthcare is moving away from treatment of disease and symptoms towards wellness and the prevention of disease. In this new world of healthcare, people are encouraged to improve their health and wellbeing by providing and acting on relevant information regarding their state of health.
This trend has been integrated into Medscheme's managed care offering, in our drive to create a more sustainable healthcare environment. Our Lifestyle Management Programme uses South African clinical guidelines to encourage and empower people to take ownership of their own health and wellbeing.
The starting point is a personal health assessment which incorporates essential clinical measures. These assessments include weight, height, waist circumference, total cholesterol, glucose, systolic blood pressure and diastolic blood pressure; complemented by a short questionnaire which covers family and medical history, as well as basic lifestyle and depression screening.
The assessment is accompanied by an evidence-based lifestyle management programme, designed to achieve longer-term behavioural changes.
This unique integration of individualised managed care and lifestyle management ensures a holistic approach to members' health, promoting sustainability.
