SPEAKERS & PROGRAM
Dr Amit N Thakker (Kenya)
CEO: Kenya Healthcare Federation
Dr Amit Thakker is chairman of Africa Healthcare Federation (AHF), chairman of Africa Health Business (AHB), founder and board director of the East Africa Healthcare Federation, chairman of Kenya Healthcare Federation (KHF) and the co-founder of Avenue Healthcare.
In 2004, the Kenya Private Sector Alliance created its health sector arm, the KHF, and Dr Thakker served as one of its founding directors. In addition to influencing public policy, KHF actively advocates for issues facing the health sector. It is also dedicated to engaging the government and all relevant stakeholders in achieving quality healthcare by maximising the contribution of the private sector in Kenya. He was elected as chairman of KHF in 2015. Under his leadership, KHF was instrumental in establishing the East Africa Healthcare Federation (EAHF) in 2012, which champions the same ideals at regional level covering Burundi, Ethiopia, Rwanda, South Sudan, Tanzania, Uganda and Kenya.
With the aim of facilitating the unification of all stakeholders in the health sector, Dr Thakker established AHB, a company that stimulates the business of healthcare in Africa; under his initiative, the AHF was launched, unifying the five regions of Africa (Central, North, South, West and East). AFH comprises 45 countries under a single health platform.
Dr Thakker has been awarded several accolades. He was voted the Best Male Entrepreneur of the Year’ by Rotary International in 1999. In 2004, he received the Chairman’s Award from the Kenya Medical Association, and in 2005, the Round Table Association of East Africa gave him its Best Chairman’s Award.
Dr Thakker has a bachelor’s degree in medicine and surgery from the University of Nairobi, Kenya and an executive MBA from National Insurance Academy (NIA) in India. He has also completed a health leadership training course at George Washington University, USA.
Cynthia Schoeman (SA)
Managing Director: Ethics Monitoring & Management Services Proprietary Ltd
Cynthia Schoeman is the managing director of Ethics Monitoring & Management Services (Pty) Ltd and a founding director of the Ethics Practitioners Association. She has over 15 years’ experience in the field of workplace ethics and governance, and has developed practical tools and services to support the effective and proactive management of workplace ethics. She is a published author in the area of workplace ethics, having written an ethics guide and two ethics books. She is a regular speaker on workplace ethics at conferences and is often interviewed on TV and radio as an ethics expert. She also lectures on ethics at most of South Africa’s top business schools.
Catherine Duggan (Rwanda)
Professor of Management and Political Economy and Vice Dean for Strategy and Research: ALUSB
Catherine Duggan is professor of management and political economy and vice dean for strategy and research at the African Leadership University School of Business (ALUSB), Rwanda. Prior to joining ALUSB, she was a professor at Harvard Business School (HBS) for nearly a decade, teaching courses on globalisation, political economy and leadership to MBA students and executives. She has also taught in MBA and executive education programmes at Saïd Business School (SBS) at the University of Oxford, and the Gordon Institute of Business Science (GIBS) at the University of Pretoria.
At ALUSB Professor Duggan is teaching in the MBA, developing the school’s executive education programmes, and writing a series of new case studies on business and the business environment on the continent. These projects continue work that she did at Harvard, where she helped develop and teach MBA and executive courses on the political economy of the business environment, and at Oxford, where she developed and taught Doing Business in Africa, an elective course offered in the MBA and executive MBA programmes.
Professor Duggan has won numerous awards. At HBS she was only the second woman in a decade to receive the Faculty Award for Outstanding Teaching in the Required Curriculum, an award she received in two consecutive years (2013 and 2014). Also at HBS she received the Charles M. Williams Award for Excellence in Teaching and was named the Berol Corporation Fellow. She is the author of a number of case studies on African firms and countries. She has also written several cases for Harvard and Oxford.
She earned a PhD in political science from Stanford University, where she was the GJ Lieberman Fellow for the Social Sciences. Prior to attending Stanford, she was an industry analyst for the telecommunications group at the law firm of Mayer, Brown & Platt (now Mayer Brown LLP), and received a BA with honours in political science from Brown University.
Dr Clarence Mini (SA)
Chairperson: Council for Medical Schemes (CMS)
Clarence Mini is currently the chairperson of the Council for Medical Schemes (CMS). He previously served as chairperson of the Board of Healthcare Funders of Southern Africa (BHF) and board member of the Government Employees’ Medical Scheme.
Prior to his current commitment, he also previously successfully fulfilled the following roles: principal medical officer for Port Elizabeth Municipality, national director for Family Health International and national coordinator and deputy national director of Management Sciences for Health.
He has served as co-chairperson of the National AIDS Convention of South Africa (NACOSA). NACOSA wrote the first National HIV/AIDS Plan for South Africa in 1994. He has served on the committee of inquiry into National Health Insurance (NHI), on the board of directors for the Hospice Palliative Care Association and as executive director of the MESAB Palliative Care Initiative.
He was a member of the core team that wrote the latest HIV/AIDS National Strategic Plan, the past president of the Gauteng Medical Association and the chairperson of the Gauteng Health Facility Accreditation Committee. He served as member of the board of the Institute for Human Evolution at Wits University and as a trustee of St Andrew’s School for Girls. He has been a member of the Johannesburg Mayoral AIDS Council, chairman of the board of directors for Africa Health Placements and corporate affairs executive for Thebe ya Bophelo Healthcare Administrators.
Vulindlela Lester Ndlovu (Zimbabwe)
Chief Executive Officer: Cimas
Vulindlela Lester Ndlovu is Cimas’ Chief Executive Officer, a position he assumed on 1 January 2016. He joined the group in 2013 as the group finance executive before being promoted to the position of group chief executive officer in June 2015.
He is a chartered accountant and holds a Bachelor of Accountancy degree from the University of Zimbabwe. He is a past president and council member of the Institute of Chartered Accountants of Zimbabwe.
He is a former managing director of BancABC Zimbabwe and of Lufuno Capital Partners, where he worked on private equity and consulting assignments in Africa and worked with Small Enterprise Assistance Funds (SEAF) in promoting the SEAF Global Vintage Flexible Fund. He is a former partner at KPMG Zimbabwe, where he started the KPMG corporate finance practice in Zimbabwe in 1997.
He has served on various other boards, including those of TA Holdings and Brainworks Capital Management.
Dr Debbie Pearmain (SA)
Independent legal adviser
Dr Debbie Pearmain has some 20 years of experience in the South African health sector in both the private and public environment. She spent about seven years working in the public health sector and was responsible for the drafting of major health legislation, the vetting of contracts and the management of litigation for the national Department of Health.
Her experience in the private sector includes working for a medical scheme administrator, the Hospital Association of South Africa, BHF and for the last four years as an independent legal consultant.
She was previously appointed by the Minister of Health to the Council for Medical Schemes, the Medicines Pricing Committee and the Ministerial Advisory Committee on NHI. She has a BA LLB from the University of the Witwatersrand and a doctorate in health law from the University of Pretoria.
Kuldeep Singh Rajput (Singapore)
Founder & Chief Executive Officer, Biofourmis Group
Kuldeep Singh Rajput is founder and CEO of the Biofourmis Group. Inspired by advances in biosensor technology, he took a break from his doctoral studies to build Biofourmis. Biofourmis is a fast-growing digital health start-up that has developed an AI-empowered health analytics platform, which uses readily available wearable biosensors and mobile technologies to continuously personalise user experience in order to optimise engagement and predict health exacerbation days in advance of a critical event.
He is an active member of the healthcare innovation and entrepreneurship community in Singapore, with a specific interest in technology-enabled healthcare innovation. During his PhD studies at the National University of Singapore, he built bioelectronics implants, which aim to control biological processes and treat diseases by modulating electric impulses. Prior to moving to Singapore, he was a researcher at MIT Media Lab’s Camera Culture Group.
He seeks to connect ideas and people to spark innovation. The team at Biofourmis is powered by the passion of its mission to improve the lives of patients by augmenting personalised care with digital therapeutics.
Charlton Murove (SA)
Head of Research: Board of Healthcare Funders of Southern Africa (BHF)
Dr Katlego Mothudi (SA)
Managing Director: Board of Healthcare Funders of Southern Africa (BHF)
Dr Mothudi is the managing director of the Board of Healthcare Funders of Southern Africa (BHF).
He is a qualified medical practitioner with over 21 years’ experience in health care, having held various positions in health care management and strategic leadership positions in both the public and private health care sector. Prior to joining the BHF, he worked at Sizwe Medical Fund, initially as the executive head for operations and clinical services, and then as the principal executive officer.
He holds a Bachelor of Science degree, in chemistry and applied chemistry. As a medical doctor he specialised in sports medicine. This afforded him an opportunity to work with various sports organisations and teams caring for athletes in different sporting codes. He has served on several boards and was also a deputy chairman of the Doping Subcommittee of the South African Football Association.
Natalie Africa (SA)
Senior Director for Global Health and Private Sector Engagement: UN Foundation
Natalie Africa serves as senior director for global health and private sector engagement at the UN Foundation. Since 2014 she has led private sector engagement for the UN Secretary-General’s Every Woman Every Child multi-stakeholder movement, mobilising business actions globally in support of women’s, children’s and adolescents’ health and supporting innovation and public-private partnerships.
She previously headed the Secretariat of the Business Call to Action, a business platform aimed at driving innovative, inclusive business models and hosted by the UNDP. Prior to joining UNDP she was senior program officer at the International Finance Corporation (IFC), where she designed and executed gender-inclusive programming with IFC investee companies in the financial, extractive and agribusiness sectors across Africa and south-east Asia. She has also held senior positions within the banking sector, working for Absa-Barclays in South Africa and HSBC Bank Bermuda.
She served as a diplomat with the South African Department of Foreign Affairs, including during the Nelson Mandela presidency, serving as counsellor for multilateral affairs in Paris and as director for West Africa. She kicked off her career in the area of women’s development in South Africa working for a start-up women’s micro-finance organisation, the Women’s Development Bank, and driving a historic national non-governmental campaign around the UN Beijing Women’s Conference.
Natalie holds a BA in history from the University of Jean Moulin III in Lyon, France, and an MA from the Graduate Institute of International and Development Studies in Geneva. She serves on a number of non-profit boards and currently lives in New York.
Dr Sipho Kabane (SA)
Acting Chief Executive and Registrar: Council for Medical Schemes
Dr Sipho Kabane is senior strategist at the Council for Medical Schemes (CMS), where he is responsible, among others, for the development and review of the prescribed minimum benefits and the management of the liaison between the CMS and the national Department of Health on key policy issues. Prior to this he worked in the national Department of Health, where he was responsible for the development and implementation of ‘Ideal Clinic’ initiatives at national and provincial level.
He has an outstanding record in managing province-wide health service provision with a focus on quality, reform and continuous improvement. He is skilled in managing diverse and multidisciplinary teams, as well as the financial and operational aspects of health departments. He is experienced in building and communicating strategy and vision, and has a strong understanding of economics and its effect on health services. A competent and inspirational leader and project manager, he is an active and productive member of numerous committees contributing to the health and well-being of communities and individuals.
His qualifications include a PhD in health systems from the University of Pretoria, an MPhil in economic policy from the University of Stellenbosch and an MBA from Heriot-Watt University (Edinburgh Business School), Edinburgh UK.
Mbuyiselo Botha (SA)
Media and Government Liaison Manager: Sonke Gender Justice
Commissioner Botha has worked for Sonke Gender Justice as media and government liaison manager for eight years. Through his advocacy work, Commissioner Botha has been featured in numerous newspapers such as City Press, Sowetan, Sunday Times, Sunday Independent and other community-based newspapers as both a commentator and columnist. He has participated in radio and television features and interviews and is widely recognised for his work in South Africa and across the world.
He worked as the dissemination officer for the International Red Cross based in South Africa in the 1980s and was a founder member and secretary-general of the South African Men’s Forum, where he dealt with issues of advocacy, training and community-based structure building. He co-hosts weekly talkshows on many commercial and community radio stations, reaching millions of listeners each week; these include Motsweding FM, Radio 2000 and Lesedi FM. Commissioner Botha currently serves on the boards Lifeline (Vereeniging), Genderlinks and the South Africa Institute for Social and Health Science, based at the University of South Africa. In 2007, during a women’s day celebration speech in Galeshewe near Kimberley, President Thabo Mbeki singled him out for special praise and expressed his appreciation for Commissioner Botha’s work with men with regard to gender equality in South Africa. Commissioner Botha sits on the finance committee of the CGE and also chairs the IT and Communication Committee. He’s currently completing his honours degree in gender studies at the University of South Africa.
Shivani Ranchod (SA)
Co-founder and CEO: Percept
Shivani Ranchod is the co-founder and CEO of Percept, a multidisciplinary consultancy driven by heart and curiosity. She is a healthcare actuary and a part-time academic at the University of Cape Town.
She holds a number of governance positions including being a board member of the Council for Medical Schemes. She is also currently a long-term advisor to the Government Technical Advisory Centre. The health system is the object of her intellectual affection, and she describes her work as bringing careful attention to bear on socially meaningful problems.
Dr Somadoda Fikeni (SA)
Dr Somadoda Fikeni is an acknowledged expert and specialist in the areas of political science, public policy development and analysis, history, political economy and heritage. He is recognised as a leading public commentator on politics, policy, economic, social and heritage issues in major South African and international media and forums. He is a professional public speaker.
He has received several honours and awards in South Africa and abroad, one of these being an honorary chieftaincy that was bestowed on him in Ghana. He is a consistent and passionate community development activist and has initiated a number of community development and charity organisations to mobilise resources for assistance of the poor and the disadvantaged. His main vehicle is the Ubuntu Charity Organisation that mobilises resources and distributes them to disadvantaged and vulnerable persons, especially children in rural communities. In the 1980s and 1990s, he used the Mount Ayliff Development Association (which later became a development agency) to implement community work.
He is an honorary professor at UNISA. He was also voted number one political analyst in South Africa on an SAFM programme which asked listeners to vote through calling in, SMS, Twitter and Facebook. He is chairperson of the Independent Development Trust (IDT) board and chairperson of the Eminent Persons Group for Sports Transformation in South Africa. He has just been appointed as a member of a BRICS think-tank forum.
He holds a BA and BA Honours (Unitra), an MA (Queens University, Canada) and a PhD (Michigan State University, USA).
He currently chairs the South African Heritage Resources Agency and the IDT. He has also chaired the Walter Sisulu University Council and has been both an interim chairperson and deputy chair of the Eastern Cape Development Corporation.
Moremi Nkosi (SA)
Group Functional Specialist - Public Policy: Medscheme
Moremi Nkosi holds a BA in Economics and Development Studies and a Master’s in Public Health specialising in health economics. He is currently employed at Medscheme as group functional specialist: public policy.
He previously served as the general manager for family practitioners and specialist strategy within Medscheme’s Strategic Advisory Unit. His portfolio of responsibilities included provider profiling, peer review engagements, FP upskilling as well as developing and implementing strategies for cost-effective pathology services. He has worked for the national Department of Health as a technical advisor on NHI with specific focus on policy development, reimbursement tools and broader health financing reforms, and served on the board of the Council for Medical Schemes.
He previously worked in the academic arena as a lecturer in health economics and health systems research. He has published a number of articles and book chapters focusing on health systems issues, including organisational culture, leadership and its impact on the functioning of hospitals.
Professor Mamokgethi Phakeng (SA)
Vice-Chancellor: University of Cape Town
Professor Phakeng obtained her junior degree, majoring in pure mathematics, at the University of Bophuthatswana, now North-West University in Mmabatho in 1987. She completed all her postgraduate studies, which ended with a PhD in 2002 at Wits University where she also served for five years as President of Convocation (2011-2016).
Her academic career was made at Wits, where she started as a research assistant in 1996 and left as an associate professor of mathematics education and founding director of the award-winning Marang Centre for Mathematics and Science Education in December 2007, to take up the position of executive dean of the College of Science, Engineering and Technology (CSET) at Unisa in January 2008. She had a very successful tenure as dean of CSET at Unisa and was promoted to serve as vice- principal of a newly established portfolio of Research and Innovation on 1 July 2011. When her five- year term ended in June 2016, she joined UCT as DVC for Research and Internationalisation. She has been appointed to the position of vice-chancellor of UCT from 1 July 2018.
In 2016 she was appointed by then deputy-president Ramaphosa to chair the HRDC Standing Committee on Mathematics and Science. She served as member of the board of the CSIR and chaired its RDI Committee till September 2017. She served as national president of the Association for Mathematics Education of South Africa (AMESA) from 2002 to 2006, chairperson of the Board of the South African Mathematics Foundation from 2005 to 2006, and secretary and member of the executive committee of the International Group for the Psychology of Mathematics Education (PME) from 2003 to 2007.
Cheurombo Pswarayi (Zimbabwe)
Founder and Managing Director: MedTours Africa
Cheurombo Pswarayi is an award-winning and goal-driven entrepreneur who has attended various medical industry conferences to stay updated with the industry trends. She is the founder and managing director of MedTours Africa, a medical tourism facilitating company. MedTours Africa works with medical aid companies in Zimbabwe such as Bonvie, First Mutual Health, Fidelity Life Medical Aid Society, Generation Health and MASCA, among others. MedTours Africa is partnered with a wide network of hospitals in India, the United Arab Emirates, Mauritius and Europe.
Her achievements have led to her being recognised in Zimbabwe and internationally where she was listed as one of the top 100 Most Impactful Healthcare Leaders Global Listing of 2018. She has attended conferences in South Africa, Turkey, China, Croatia, Dubai and India. She has been a speaker and a panellist at some of these conferences. She is also the founder and executive director of CJV Medical Supplies, a laboratory equipment supplier in Zimbabwe. She is the managing director and founder of a sanitary paper trader company in Zimbabwe, Paper Stocks Private Limited. Her achievements in the medical tourism industry include various awards; an award for entrepreneurial excellence from Megafest Business Awards, the African Women’s Award for most dynamic startup, the Live Wire Corporate Award for the best medical tourism company and winner in the services category from the Women in Conference and Awards. Apart from being a serial entrepreneur, she is an adventurous and well-read individual who enjoys sightseeing and travelling.
Dr Graham BA Hukins (SA)
Graham Hukins & Associates
Dr Graham Hukins holds a BSc (Bachelor of Science Physiology and Biochemistry),
MB BCh (Bachelor of Medicine and Surgery), M Prax Med (Master in Family Practice),
DPH, DOH, DTM&H (Diplomas in Public Health, Occupational Health and Tropical Medicine), M Med (Master’s in Community Health) and M Com (Master’s in Commerce - Business Administration).
He has lectured and consulted both locally and internationally on the design, implementation and management of cost-efficient health care systems. His particular interests are clinical governance, evidenced-based best practice, clinical epidemiology and the psychosocial aetiology of commonly occurring medical conditions.
Dr Mohsen George (Egypt)
Managing Director and Vice President: Health Insurance Organization
Mohsen George, a medical doctor, has been the vice-president of Health Insurance Organization (HIO) in Egypt since January 2014. For three years before this, he was its chief medical officer.
He has several areas of experience in addition to health insurance systems, including training and education, quality in health care and health financing.
He studied at the Harvard School of Public Health, George Mason University, Indian Institute of Management, Flagship Program of the World Bank Institute and the National Institute of Public Health of Japan.
He is a general and laparoscopic surgery consultant, and a member of the General Surgery Scientific Council of both the Egyptian Fellowship Board and the Arab Board of Health Specializations.
He's also a member of the European Pathway Association, the editorial board of the International Journal of Care Pathway, and the advisory board of the Journal of the Arab Board of Health Specializations.
Professor Malegapuru William Makgoba (SA)
Health Ombud: Office of Health Standards Compliance (OHSC).
Professor Malegapuru William Makgoba is a leading South African immunologist, physician, public health advocate and academic. He is a former vice-chancellor of the University of KwaZulu-Natal and former president of the MRC (SA). In 2013 he was recognised as ‘a pioneer in higher education transformation’, and awarded the Order of Mapungubwe in Silver. He is the national health ombudsman.
Educated at the University of Natal Medical School (UNMS) during the era of Steve Biko and the Black Consciousness Movement, Makgoba spent some years abroad as an immunology researcher before returning to South Africa in 1994 to champion transformation in higher education. Since then, he has been responsible for several major research initiatives around HIV/AIDS, most notably the South African AIDS Vaccine Initiative. He was also outspoken against the disastrous policy of AIDS denialism during the 2000s, coming into conflict with some of the most powerful politicians in the country at that time.
Recently retired from his 10-year tenure as vice-chancellor at the University of KwaZulu-Natal, he now chairs the Transformation Oversight Committee of Public Universities.
Throughout his career, he has demonstrated the vision, courage and integrity of a great leader, with a clear passion for improving South African lives and a laser focus on equal opportunity for all.
David Popik (USA)
Director: Special Investigation Unit
Dave Popik, CFE, is a seasoned health care executive with a unique blend of 25 years of experience in fighting fraud, from enforcement and healthcare informatics to information technology and business administration. As Florida Blue’s senior director of special investigations and physician ancillary services, he is directly responsible for all internal and external fraud investigations, risk management and data analytics to identify and prevent fraud, waste and abuse (FWA).
He has acquired significant clinical knowledge and experience in both the provider and payer segments of the health care industry. Prior to joining Florida Blue in 2012, he was a director at UnitedHealth Group where he also played a vital role in the payment integrity programme focusing on FWA operations. Previously, he worked at TriCenturion, LLC and Palmetto GBA (Blue Cross Blue Shield South Carolina).
He started his career with the South Carolina Highway Patrol, where he honed his investigative skills by working closely with various state and federal law enforcement agencies.
As a respected leader in public health care fraud, he was appointed to serve as a national board member and vice-chair of the National Health Care Anti-Fraud Association (NHCAA), a private-public association of health care fraud investigators, regulators and prosecutors. Additionally, he is a member of the board of directors for the National Anti-Fraud Advisory Board for the Blues (NAAB) and serves on the Healthcare Fraud Prevention Partnership (HFPP).
Fred Swaniker (Mauritius)
Founder & CEO: African Leadership University
Fred Swaniker is the founder and CEO of African Leadership University. He is deeply passionate about Africa and believes that the missing ingredient on the continent is good leadership. In line with this, he has co-founded three organisations that aim to catalyse a new generation of ethical, entrepreneurial African leaders: African Leadership Academy, African Leadership Network and African Leadership University. Collectively, these institutions aim to groom three million leaders for Africa over a 50-year period.
A passionate entrepreneur, he also served as founder and CEO of Terra Education, a global education company that today provides leadership training to about 4000 people annually at 46 sites in 20 countries in Latin America, Asia, Africa and Europe. Prior to his work in education, he co-founded Synexa Life Sciences, a biotechnology company with operations in Cape Town, Berlin, London and Dublin.
Prior to launching his entrepreneurial pursuits, Swaniker worked as a management consultant at McKinsey & Company in South Africa. He has been recognised as a Young Global Leader by the World Economic Forum and was listed by Forbes Magazine among the top ten young ‘power men’ in Africa. He has an MBA from Stanford University’s Graduate School of Business, where he was named an Arjay Miller Scholar, a distinction awarded to the top 10% of each graduating class. He holds a BA in economics with a minor in mathematical statistics from Macalester College (magna cum laude).
He was born in Ghana but has lived and worked in about 10 different African countries.
Dr Rajesh Patel (SA)
Head of Benefit and Risk department: Board of Healthcare Funders (BHF)
Head of the benefit and risk department: Board of Healthcare Funders of Southern Africa (BHF).
Dr Rajesh Patel is currently head of the benefit and risk department at the Board of Healthcare Funders of Southern Africa (BHF).
Prior to that, he worked as a family physician from 1987 to 1995. After leaving private practice he joined the medical aid industry. His roles in the industry have included medical advisor, scheme manager and clinical risk manager. Prior to joining the BHF in 2005, he spent two and a half years in the pharmaceutical industry. His special interests are quality assurance, value-based medicine and the application of public health principles in health risk management in the private sector.
He is a member of the health data ministerial advisory committee. Prior to this, he was a non-executive director of the Council for Health Service Accreditation of Southern Africa (COHSASA) and Health Quality Assessment (HQA), as well as a former chairman of the clinical review committee of HQA.
Dr Brian Ruff (SA)
CEO:Professional Provider Organisation Services
Dr Brian Ruff is a physician, rheumatologist and health economist. He holds a MB BCh (Wits, 1983), FCP (SA, 2002) Rheumatology, D HM E FP (UCT, 2002) and CPMD (Wits, 2006).
He is CEO of Professional Provider Organisation Services (PPO Serve), a position he has held since March 2015. PPO Serve is a healthcare management service company that helps organise clinicians into their own branded commercial teams to provide explicit clinical products for patients. Fees are for teamwork and accountability – whether from schemes, the state or from individuals; fee-for-service is never used. Multidisciplinary integrated, accountable teams produce better quality at lower costs for patients and populations – it’s the key reform needed in South Africa right now.
PPO Serve’s methodology includes detailed risk assessment to match every patient with the intensity of service they need; it also uses clinical outcome data driven for constant system improvement. The team is provided with a tailored patient clinical workflow system, the Intelligent Care System, which supports their proactive work.
Until March 2015, he was head of strategy at Discovery Health. He managed various divisions including risk intelligence, which did innovative clinical data and case mix analytics, and the integrated care unit, which drove supply side reform. His work included the development of a macro-economic model of the private healthcare sector.
From 1996 to 1999, he headed up a technical task team for the Gauteng Department of Health’s provincial healthcare services during the transition between apartheid and the democratic period. The focus was on service reconfiguration to provide effective and equitable care for South Africans.
Before that he was a clinician at various public sector hospitals and at Alexandra Clinic. He also worked for a period for the NHS in London.
Dr Nomalungelo Nyathi (SA)
Executive Director: Health Management: Medscheme
Dr Nomalungelo (Lungi) Nyathi is an executive director: health management at Medscheme. She holds an MB ChB and qualified as a medical doctor in 2003. She has worked extensively as a medical practitioner in both the private and public sectors. She originally joined Medscheme in 2010 and successfully led the GEMS managed care and Aid for Aids business units until 2015.
After that she provided strategic and clinical healthcare consulting to key role-players in the health sector. She returned to Medscheme in June 2016 and is now responsible for the ongoing development and enhancement of the health risk management strategy, new products and solutions, clinical and health risk thought leadership, as well as public health strategy.
Professor Helen Rees (SA)
Executive Director: Wits Reproductive Health and HIV Institute
Professor Helen Rees is a graduate of the Senior Executive Programme, Southern Africa, Harvard Business School and a member of the Royal College of General Practitioners, UK. In addition she is a doctor instructor for family planning, Royal College of Obstetricians and Gynaecologists, UK, and holds a Diploma of Child Health from the South African Colleges of Medicine, a Diploma of the Royal College of Obstetricians and Gynaecologists, UK, an MA Social and Political Sciences (CANTAB), Newhall College, Cambridge University, and an MB BChir (CANTAB), Newhall College, Cambridge University.
She is founder and executive director of the Wits Reproductive Health and HIV Institute at the University of the Witwatersrand in Johannesburg, where she is also a personal professor of obstetrics and gynaecology. She is an honorary professor at the London School of Hygiene and Tropical Medicine and an honorary fellow at Murray Edwards College, Cambridge University.
She has received many national and international awards for her contribution to African health and global health including being made an Officer of the British Empire by Queen Elizabeth II for her contribution to global health, and in 2016 being awarded one of the South Africa’s highest honours, the Order of the Baobab, for her contribution to HIV research and to the health of women and children. Her other awards include Lifetime and Gold awards for her distinguished contribution to science, society and women’s health by the South African Academy of Science, the South African Medical Association, the South African Department of Science and Technology and BHP Billiton.
She is internationally renowned for her research and policy work in reproductive health, HIV and vaccines, and has been the principal investigator on many HIV, STI and reproductive health clinical studies. She has over 200 peer-reviewed publications, to her name, has delivered over 200 plenary and keynote addresses, has chaired over 100 national and international scientific and policy committees, and served or chaired more than 100 conferences.
Professor Rees serves on many international scientific committees and boards. Among other positions, she is chair of World Health Organization’s (WHO) African Regional Immunisation Technical Advisory Group (RITAG) and its International Health Regulations (IHR) Emergency Committee on Polio.
Ishmael Mogapi (SA)
HFMU member and senior manager: Government Employees Medical Scheme (GEMS)
Ishmael Mogapi has over 20 years of law enforcement and risk management experience obtained from roles in both the public and private sectors. He currently a senior manager: operations risk at the Government Employees Medical Scheme (GEMS), a medical scheme established to help public service employees and their families to get the best possible healthcare at the most affordable rate.
He holds a BIuris (Vista University), LLB (UNISA) and GMP (GIBS) along with other relevant functional certificates from some of the leading academic institutions in the country. Before joining GEMS, he held various strategic managerial positions in the health administration business, where he advised and coordinated the fraud risk management activities of several medical schemes.
Craig Getz (SA)
Insight Actuaries & Consultants
Craig Getz is a consulting actuary with Insight Actuaries and Consultants. He is both a Fellow of the Actuarial Society of South Africa (FASSA) and a Fellow of the Institute of Actuaries (FIA). He has consulted to a wide array of stakeholders across the healthcare sector. This includes medical schemes, managed care organisations, hospital groups and provider groupings. His expertise lies in the application of actuarial techniques to provide his clients with expert strategic advice.
He has a specific interest in product development, alternative reimbursement models, benchmarking and profiling, and the identification of fraud, waste and abuse. He has overseen the development of the Insight diagnosis related grouper (DRG), which is the most widely used DRG in South Africa. He has also overseen the development of a range of provider profiling tools and systems.
Carl de Montille (SA)
Head: Stakeholder Relations – Netcare 911
Carl de Montille is the head of stakeholder relations at Netcare 911. He is responsible for specific areas of claim management and adjudication processes, as well as service provider and network management.
In addition to managing aspects of claim management, he has played a critical role in the development and execution of emergency medical services (EMS), fraud identification and investigation, with a strong focus on Netcare 911’s clients and contracted medical schemes. During his extensive career over the past 20 years as an emergency care practitioner, he has gained a thorough knowledge of the operational principles and practices of professional EMS management systems and related EMS regulations. His experience in EMS management has given him the ability to identify unethical behaviour and business practices consistently to ensure that he has successfully limited financial fraud and patient mismanagement within the EMS environment for many clients.
As a result of his success, he has taken on a more active role within the industry as an advocate for ethical business and patient practices.
Dr Ali Hamdulay (SA)
CEO: Metropolitan Heath and Chairman: BHF
Dr Ali Hamdulay MB ChB (UCT), M Fam Med (Stellenbosch)(Cum Laude), is currently the CEO of Metropolitan Heath. He is also currently a director on the boards of Metropolitan Health, MMI Health and BHF.
He joined Metropolitan Health Risk Management as clinical advisor in the Clinical Best Practice Unit in 2007. In 2009, he was appointed executive manager: disease risk management and was responsible for the design and management of healthcare programmes such as the cardiovascular, diabetes, psychiatry, spinal, maternity and pathology programmes for the company. He successfully led the development and implementation of the integrated DRM wellness programmes. In 2010, he was appointed executive manager: provider networks to enhance Metropolitan Health Risk Management’s value-based clinical offering to members of medical schemes and employer groups by increasing access to quality care networks and by steering the integration of managed care programmes with providers of healthcare.
In 2012, he was appointed general manager of the Health Provider and Policy Unit to take on the challenge of ensuring that Metropolitan Health Risk Management is the leading provider of strategic health provider management and policy services and products in the industry. In this role, he also drove the development of accessibility, relevance and robustness of evidence-based clinical policy and advisory services.
He graduated as the top master’s student in family medicine at Stellenbosch University in 2008 and obtained a postgraduate certificate in health technology assessment during the same year. In 2010, he completed the Metropolitan Senior Leadership Programme at the UCT Graduate School of Business. He attended Harvard Business School in 2014, where he completed the Executive Education: Value Measurement for Health Care Programme presented by Professors Michael Porter and Michael Kaplan; this has further influenced his thinking on health outcomes models and value-based healthcare.