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DISCOVERY SUSTAINABLE DEVELOPMENT REPORT 2016
INTEGRATED ANNUAL REPORT 2016
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Discovery Health is the leading medical scheme administrator in South Africa, providing administration and managed care services to over 3.2 million beneficiaries. The business has a market share of over 38% in the overall medical scheme market in South Africa, and manages 17 restricted medical schemes on behalf of leading corporate clients, as well as Discovery Health Medical Scheme, South Africa’s largest open medical scheme.
Discovery Health
Discovery Health
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DISCOVERY
HEALTH
Discovery Health is the leading medical scheme administrator in South Africa, providing administration and managed care services to over 3.2 million beneficiaries. The business has a market share of over 38% in the overall medical scheme market in South Africa, and manages 17 restricted medical schemes on behalf of leading corporate clients, as well as Discovery Health Medical Scheme, South Africa’s largest open medical scheme.
Discovery Health

OUR PERFORMANCE IN 2016

Discovery Health delivered a strong performance during the year under review.

Normalised operating profit increased by 12% to R2 265 million, and new business annualised premium income increased off a significant base by 22% to R6 577million (excluding the once-off take-on of Bankmed Medical Scheme in the previous year).

The period was characterised by high healthcare inflation across the industry. Despite this, Discovery Health and all of our client medical schemes continued to perform strongly, due to ongoing investment in best-in-class health system innovation. Discovery Health also maintained strong progress in the restricted scheme environment, and now has a total of 17 leading corporate medical schemes under management, comprising a total of 550 943 beneficiaries.

The onboarding of Glencore and Bankmed proceeded smoothly and further increased the scale of our portfolio in the closed medical schemes market.

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Dr Jonathan Broomberg
Discovery Health,
Chief Executive Officer
Dr Jonathan
Broomberg
Discovery Health,
Chief Executive Officer
SHARED-VALUE BENEFITS AND UNIQUE FEATURES OF DISCOVERY HEALTH

The success of Discovery Health is due to our ability to offer a fully integrated, value-driven healthcare operating system to our clients, centred on meeting the full spectrum of healthcare needs of client medical schemes. Discovery Health successfully operates beyond traditional administration and managed-care services, and provides ongoing product innovation, best-in-class service excellence, effective claims risk and fraud management, as well as the coordination and management of the quality of clinical services accessed by our clients. We deploy world-class actuarial, analytical, clinical, and research and development capabilities at every point in the medical scheme product cycle.

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PROGRESS TOWARDS OUR
2016 STRATEGIC
OBJECTIVES

In our previous report, we outlined strategic objectives in a number of key areas. In this section we report on our progress.

 
Build an integrated healthcare system for Discovery Health that ensures continued superior quality of care, seamless patient journeys and enhanced value for members

Our vision for an integrated healthcare system is set out in Healthcare 2020, available on the Discovery website, which focuses on the needs of patients, and identifies opportunities to create greater value for members of client medical schemes at the lowest possible cost. It envisages a cohesive system where healthcare professionals work in teams in integrated practice units and delivery systems, and are paid using innovative alternatives to current fee-for-service models such as value-based reimbursement models.

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