EXHIBITORS & SPONSORS
BHF is proud to announce the date for the 19th Annual BHF Southern African Conference, the 2018 conference promises to be very exciting. The conference will be held at Sun City from the 17th – 20th June 2018.
Over 300 organisations are represented, and these include:
- Medical schemes
- Managed care organisations
- Government departments
Designations ranging from: Directors, Principal Officers, Trustees, CEO’s, CFO’s, Actuaries, Marketing Directors and Medical Advisors attend the annual event.
The 19th Annual BHF Southern African Conference will offer your organisation an opportunity to be directly involved by means of sponsorship and exhibiting.
If your organisation would like a customised package, we will gladly tailor the benefits to match your needs. Please contact Mary Manamela on 011 537 0270 or email her on email@example.com for more information.
Committed, attentive and empathetic
– this is what healthcare should be
Everybody is looking for an intelligent healthcare solution that delivers.
Now you can have it all – fresh ideas, innovation, originality and service excellence.
Everything you would possibly expect from a dynamic company with a proud track record and a reputation for delivering results.
Touching the lives of up to 10 million people a year, some beyond the borders of our country, Universal Healthcare is South Africa’s fastest growing, leading edge healthcare brand.
Our services include the administration of open and closed medical schemes, managed care, provider networks, corporate health and wellness, and loyalty programmes. We also provide corporate health products and services, occupational health and wellness solutions, local and international healthcare insurance, as well as healthcare-related IT, payment and switching solutions.
Renowned for its winning culture and pioneering role in the healthcare management industry, Universal Healthcare and the medical schemes under its administration continue to outperform competitors with impressive benefits offering unmatched value.
We’ve perfected the balance between quality, access, excellence of care and cost efficiency for over four decades. That is why we are there for you, every step of the way.
Tel: 011 208 1000
Your life is our purpose
Five pioneering products,
After 77 years in business, MediKredit has stood the test of time. We’ve also made a little history along the way, delivering a number of important firsts for the South African healthcare industry.
Think of MediKredit and the first generic reference pricing system, MMAP® developed in 1987 comes to mind, as does Therapeutic Reference Pricing and the all-important NAPPI® coding system, which remains the industry standard for the coding of pharmaceutical, surgical and consumable products.
During this time we also pioneered and perfected online real-time claims processing in the South African healthcare market.
Known as the intelligent pharmaceutical benefit management system that never sleeps, MediKredit guarantees uptime of more than 99.5% and a point of service response of less than five seconds. In addition, we provide a wholly owned electronic gateway to switch healthcare claims for public and private hospitals and healthcare professionals to healthcare funders.
Designed for speed, accuracy and absolute reliability the locally developed, internationally patented MediKredit system offers more than a million combinations of rules, thereby providing clients with the most accurate application of almost any conceivable benefit design option they could possibly wish for.
MediKredit, through its wholly owned subsidiary Performance Health, became an unconditionally accredited managed care organisation in 2004. Our service offering, which is steeped in precision and reliability, has also been underpinned by a formal ISO 9001:2015certified Quality Management System since 2003.
The healthiest decision in healthcare
Tel: 011 770 6000
EOH has a long and prosperous history in the health sector, spanning almost the entire value chain of the industry, from consulting and service planning, through to risk management and care delivery. Our focus is simple - improve healthcare delivery and find innovative and efficient solutions that benefit all.
Tel: 011 607 8124
In its 50th year of existence, Medshield Medical Scheme celebrates this significant milestone by reiterating its commitment to providing access to affordable healthcare cover to its members. Medshield, an open medical scheme, has been paying its members’ claims consistently for half a century – successfully navigating challenges brought about by the strictly regulated and competitive environment while skilfully managing the rising medical costs experienced throughout the healthcare industry.
Since its inception the Scheme has been serving various employer groups and individual members. Through consistent service excellence, compassion for its members, and dependability, Medshield has earned the trust of South Africans and is one of the oldest and highly rated medical schemes in the country.
Financial stability is a crucial element of a medical scheme. Medshield rates among the best and once again, for the 11th consecutive year received an AA- Global Credit Rating (GCR). The latest rating also confirmed a positive outlook status which confirms the Scheme’s ability to pay its members’ claims. Additionally Medshield has maintained a high reserve ratio, currently about 45%, which is much higher than the statutory requirement of 25%.
Experience in healthcare funding has made Medshield reliable and dependable over the years. These are just some of the hallmarks that have defined Medshield’s 50 year journey. More than 160 000 beneficiaries depend on Medshield to care for their healthcare needs and currently enjoy a choice of seven tailor made options that cater for these specific healthcare needs.
Medshield lives up to its mission of providing access to affordable high quality healthcare through sustainable partnerships. These strategic partnerships are negotiated for the wellbeing and health of the Scheme’s members, providing them with access to healthcare providers nationally. Robust and sophisticated technology systems, built delicately over the past years, have ensured that the Scheme offers convenient and quick payments to healthcare providers.
Medshield Contact Centre: 086 000 2120
An innovative specialist medical scheme administrator and managed care provider focusing on the corporate medical scheme market. This was an industry first for South Africa. Over the ensuing 42 years, Medscheme has become the largest health risk management and third largest health administration provider in southern Africa.
Driven by AfroCentric Health’s vision, Medscheme has consistently delivered innovative, affordable health risk management and medical scheme administration solutions. These solutions focus on achieving sustainability through effective health risk management, complemented by careful management of costs and a relentless drive for operational efficiency.
The company’s unmatched combination of client-centricity and expertise is founded on proven excellence in corporate governance, world-class information technology and health risk management. Medscheme is South Africa’s largest health risk management services provider and third largest medical aid administrator.
Contact number: 011 671 2000
AfroCentric Investment Corporation Limited (“AfroCentric”) is a black-owned investment holding company which is substantially invested in healthcare. AfroCentric was established in 2008 and is listed in the healthcare sector on the JSE.
Through its operating subsidiaries, AfroCentric provides health administration and health risk management solutions to the healthcare funding industry. In addition, AfroCentric provides a range of complementary services to its traditional medical scheme clients as well as a portfolio of healthcare-related enterprises. These services include IT solutions, transactional switching and specialised disease management.
Contact number: 011 671 2000
Helios IT Solutions
A comprehensive range of ICT-related services is provided to support healthcare businesses including innovative technology solutions, integrated medical scheme administration and health risk management systems (eg catering for complex governance requirements to more streamlined requirements), healthcare management systems for those affected by specialised diseases, network connectivity, outsourced technology solutions and data warehousing.
Contact number: 011 671 2000
IT platforms provided for clinical information management, pharmaceutical care management, integration of dispensing, primary care and practice management as well as wellness modules, integration (including switching) between healthcare stakeholders and healthcare providers.
Allegra is a tech-based contributor to the medical sector that empowers healthcare communities by providing access to information that enhances total personified healthcare.
Allegra has a complete personified care philosophy; our software gives you a full view of an individual’s health record. We understand that you are a critical part of a bigger healthcare ecosystem, and Allegra aims to provide you with accurate information pertaining to an individual’s health and wellness.
Contact number: 086 010 9103
National courier pharmacy with a vast delivery network in both urban and rural areas offering affordable, convenient, reliable and safe delivery of prescribed chronic medication – from private individuals to medical scheme members and beneficiaries of public healthcare sector programmes (CCMDD).
Contact number: 086 002 7800
Documentation Based Care (DBC)
Optimised, cost-effective, functional rehabilitation provided by DBC (Documentation Based Care) ‒ an individualised evidence-based multidisciplinary treatment approach to manage musculoskeletal disorders. License holder Klinikka provides equipment, maintenance and administration services to musculoskeletal treatment centres in South Africa.
Contact number: 011 758 8052
Essential Group (EssentialMed) is an innovative technology driven company that offers low-cost medical aid cover. The company prices its products competitively due to it being in a different regulatory space to medical schemes. This flexibility provides an opportunity to provide unique solutions to the currently uninsured market, without competing with the current schemes under Afrocentric.
Contact number: 086 170 7070
Distributor of surgical, device and medical consumables for hospitals and theatres, retail pharmacies as well as for home care/assisted living.
MMED is a specialist procurement and inventory management partner to the hospital and day clinic industry, specialising in the improvement of cost efficiencies through the distribution of medical devices, surgical consumables and pharmaceutical products. We operate similar divisions within the retail pharmacy and home care industry segments.
Contact number: 0860 555 998
Screening services – Arrangement of wellness days/events, personal health assessments, online screening, e.g. mental health and TB questions-based screening, HIV counselling and testing (HCT) services, breast examinations for women, PSA screenings for males above 40, eye screening, dental screening and flu vaccinations.
Contact number: 010 007 2236
Aid for AIDS was launched in 1998 and has since expanded its services across Africa. With our modular treatment programmes we’ve been able to take on clients of all sizes, in all business sectors, locally and internationally. We are the most experienced, knowledgeable and furthest-reaching HIV/AIDS management partner, ensuring members have access to the best care throughout their life. We also play a leading role in collaborating with and participating in government-led task teams involved in HIV/AIDS projects.
Our approach is to act as a care-coordinator between the funder, doctors, pathology labs, pharmacies and patients. Supported by a team of world-respected clinicians in the field, we enable the optimal care of patients with an end-to-end solution, backed by a custom IT system that has become the gold standard in HIV disease management.
Our programmes understand the needs of patients and equip them with the treatment and tools to lead normal, fulfilled lives.
Contact number: 0860 100 6460
Batsumi Claims Management Solutions has been providing third party and supply claims administrative services to the medical schemes and public health sector since 1995.
Our company purpose: “To assist our clients in creating equitable, sustainable, quality healthcare for all, in the quest for excellence in healthcare service.” This is achieved through the integration and balancing of the diverse needs of all stakeholders including the communities we serve.
Our services include comprehensive MVA & IOD claims administration and risk management services. Focusing on maximizing the recovery of costs incurred by our clients, in an effort to reduce financial shortfalls resulting from MVA & IOD-related claims.
This is achieved through the use of dynamic claim processing technology, which facilitates effective and swift submission of claims against the Road Accident Fund and the Compensation for Occupational Injuries and Diseases.
As a leader in the industry, Batsumi has expertise and skills to develop effective processes unique to every client and is committed to continuous process improvement to achieve best practice, increased productivity and render a high quality service to all its clients.
Our focused approach to payments and reconciliations provides us with the capability to proactively deal with any billing discrepancy swiftly and effectively.
Batsumi taking the hassle out of the claims.
Contact number: 012 431 9709
Insight Actuaries and Consultant
“Insight is the leading provider of independent actuarial advice and analytics services in the local healthcare market. Our advanced toolset continues to grow and evolve to assist funders and providers make sense of their healthcare data. We continue to invest in our people and technology to deliver solutions to our clients including funder-provider monitoring and contracting, quality of care measurement, class leading business intelligence services and detailed risk, demographic and geographic analysis services.” Visit www.insight.co.zafor more information.
Contact number: +27 11 541 0900
PPN - The Optical Network of Choice
For the last 24 years our approach has been to place more emphasis on professional fee increases whilst reducing the mark up on materials - Spectacle frames and clear lenses.
2019 is going to see PPN introduce a new dramatically better and even more cost effective benefit design.
No longer can schemes rely on coding systems to prevent fraud as any coding system is as effective as its weakest link.
Coding systems that solely rely on a provider’s input are no longer effective mechanisms to prevent fraudulent claiming.
“Code farming “has become the new buzz word.
Code farming has been promoted by;
- Different schemes paying for different codes causing providers to first establish if a certain code is covered by a scheme before charging.
- Indiscriminate Providers charging for as many codes as possible.
PPN has developed its own coding system that has been in place now for 24 years and is available on all practice management software systems for providers.
The PPN coding system that builds our optical benefit is identical for each and every Medical aid.
So PPN Providers cannot code farm.
In addition PPN has developed the most sophisticated fraud controls in the optical market.
And our new Telemedicine app “Eyepath “ is cutting edge technology that will allow for more accurate referrals between optometry and ophthalmology – ultimately saving medical aids significant costs from unnecessary referrals – Eyepath is also a unique tool to assist with Diabetic management and grading - CDE has engaged Eyepath to assist them deliver effective diabetic management.
Fact - 98% of all registered Optometrists have contracted with PPN.
Fact - Excellent service record for 24 years
Fact - The most sophisticated and effective fraud controls
Fact - Most cost effective basic benefit design
Fact - New innovative improvements constantly being developed
Fact - Cost effective and efficient optical benefit management
Fact - before contracting with anyone for optical benefit management you should allow us to demonstrate the effectiveness of using our initiatives.
email us on - firstname.lastname@example.org to set up an appointment and presentation.
Contact number: 041 506 5900
About Metropolitan Health
A division within the health solutions environment of MMI Holdings, Metropolitan Health’s key strategic focus is to achieve financial wellness for public sector communities by enabling and delivering sustainable integrated outcomes-based healthcare solutions as a transformed organisation.
Metropolitan Health looks after the administration of the Government Employees Medical Scheme and provides wellness services to a number of clients, covering over 1.8 million lives.
Through its strategic relations with key industry bodies and players, Metropolitan Health is actively involved in crafting the future of health in South Africa by playing a pivotal role in South Africa’s health reforms and contributing meaningfully to development and implementation of NHI and universal health coverage.
The ability to integrate with and leverage efficiencies in the broader MMI Holdings environment ensures that Metropolitan Health not only provides value for money but also keeps abreast of the latest developments in the industry and abroad.
Contact number: 021 480 4511
Fax: 021 480 4535
GEMS was specifically established to meet the healthcare needs of government employees. As a scheme GEMS offers five excellent healthcare benefit options: Sapphire, Beryl, Ruby, Emerald Value, Emerald and Onyx. Our goal is to help public service employees and their families get the best possible healthcare at the most affordable rate.
Our mission is to provide all members with equitable access to affordable and comprehensive healthcare, thus promoting member wellbeing. Our vision is that we become an excellent, sustainable and effective medical scheme that drives transformation in the healthcare industry, aligned with the principles of universal healthcare coverage
Call Centre: 0860 00 4367
As the largest retail pharmacy chain in SA, Clicks is a key service provider to the medical scheme industry and their members. Clicks plays the role of a dispensary providing acute & chronic medicine, & a primary healthcare provider through a network of over 200 Clicks Clinics. It is imperative that Clicks demonstrates to the industry in a clear manner how we are driving the national healthcare agenda of services for all through affordability, access, accountability, & professionalism, and looking towards the future of patient-centred healthcare.
Contact Number: 0860 254 257
We are Merck, a pioneering company that advances technologies for life. Across healthcare, life science and performance materials, we bring specialist and high quality products to the world.
Brilliant ideas are born at Merck. They can be life-changing, influencing how we tackle major illness, or integral to the objects we rely on. From cancer therapies and laboratory tools, to the screen on your Smartphone or the color of your car – Merck ideas are everywhere.
Our door is always open to collaboration. Long-term partnerships enable us to build business success with our customers and partners around the world. In 2015, we generated total revenues of € 12.8 billion.
Founded in Darmstadt, Germany in 1668, we are the world’s oldest pharmaceutical and chemical company. Over 350 years, we have grown to 50,000 people across 66 countries worldwide. The founding family remains the majority owner of the company.
We are known globally as Merck except for in the USA and Canada where we operate as EMD Serono, MilliporeSigma and EMD Performance Materials.
Contact number: 011 372 5000
Iso Leso Optics Ltd, a South African Optometric Network majority owned by practising optometrists. Their members are committed to delivering clinically sound and innovative eyecare to all patients.
This network has a reputation of delivering high quality service and products to their members and medical schemes.
Innovation lies at the heart of this progressive network, and Iso Leso can proudly claim to be a leader in introducing clinical programs widely accepted as the benchmark in optometric care.
Their ground-breaking Practitioner Enhancement Program (PEP) and their telemedicine development initiative in partnership with the Africa Vision Institute have introduced advanced clinical interventions on a primary level.
The Iso Leso Vision Partner Program is designed to deliver world class quality to patients via strategic alliances with global leaders in prescription lens manufacture.
You are invited to share their view by visiting their stand at the BHF Conference.
Tel: 011 340 9200
The educated, mentored, peer-reviewed and audited nationwide CDE Provider Network consists of 204 CDE ‘Centres of Excellence’, each with a CDE-Accredited doctor (50 led by a specialist) and over 336 contracted primary care general practitioners. The CDE Network includes global opinion leaders, who have been instrumental in developing national guidelines and are internationally recognised keynote speakers. The CDE is recognised worldwide for its continuous research, leadership, teaching, and its ability to bring innovative drugs, technologies and treatment approaches into the consultation room.
The benefits of the CDE DMP have been published internationally, including improved clinical metrics and reduced hospitalisations.
Membership of the CDE DMP is available to people with diabetes who are beneficiaries of 19 contracted medical aid schemes.
Contact number: 011 712 6000/011 053 4400
…The Difference in Administering Excellence
At Sechaba we are CARECHANGERS™. As medical administrator we are primed to improve people’s lives by bringing them innovative and affordable healthcare solutions. This outlook has ensured we deliver value to our current and potential member schemes. We balance our vast industry experience and rich heritage with technological innovation that helps clients better connect with their business through holistic managed healthcare and medical administration.
For more information please visit: www.sechabamedical.co.za OR +27 11 353 000.
MediSwitch pioneered Electronic Data Interchange in South African and this year marks our 25th year of serving the healthcare industry.
There are more than 12 000 healthcare businesses, including all retail pharmacies in South Africa, who benefit from using MediSwitch for the electronic submission of claims.
Our business purpose is to drive higher efficiencies in the operations of both funders and healthcare professionals, thereby facilitating:
- Improved cash flow
- Reduced exposure to financial risk
- Reduced administration hassle and expense
- Greater management control
www.mediswitch.co.za|0800 111 email@example.com
Africa’s undisputed leader in providing modern ICT business solutions to the insurance sector. 2Cana Solutions brings broad experience and deep technical expertise to clients in healthcare funding, administration, managed care, disease management and life and general insurance.
2CANA’s clients in the insurance sector include Bestmed Medical Scheme, Momentum Health, Swazimed, Private Health Administrators, TopMed Medical Scheme, First Mutual Health, Alliance-Midmed, Hollard Insurance Company, Bryte Insurance Company, Old Mutual and Cellmed Health.
Our flagship solution, HiP: Holistic Insurance Platform, provides a complete TPA or self-administered solution for health and general or short-term insurance products. The HiP solution enables you to dynamically and rapidly adapt to the changing market conditions and compliance requirements with innovative products and superior service levels.
- Comprehensive integrated healthcare funding solution.
- Significant depth of knowledge and extensive experience in the insurance and health insurance and medical aid administration space.
- Team of over 165 talented, qualified and passionate individuals
- Highly accredited and certified by our business partners.
2CANA Solutions currently supports more than 20 insurers in 15 countries across four continents with over one million policy holders and a total premium yield over R10 billion.
Contact number: 031 583 3200
Old Mutual Wealth is a fully integrated, advice-led wealth management business. It partners with leading financial planners to assist clients in reaching their financial goals. This is achieved through a tailored financial plan centred on clients’ unique investment objectives, goals and aspirations, to build a lasting financial legacy.
Contact number: 021 524 4400
Mpilonhle wellness and Brokers offers corporate wellness days and health promotion talks to medical aid schemes, companies, departments and communities in the South African footprint. Our health screening services include preventable lifestyle health risks such as obesity, sedentary, high cholesterol, stress, high blood pressure, diabetes, HIV. Contact us on firstname.lastname@example.org and 011 475 0817
Medipost is South Africa’s largest courier pharmacy with a 27 year successful track record in the dispensing and delivery of medication. Medipost specialises in seamless take-on processes and delivery of chronic, HIV, oncology and other speciality medication to any destination in South Africa. We are proud to serve both the medical scheme/private industry as well as NHI chronic patients.
Medipost’s technological advancements have set us apart from the rest of the industry and services are provided in all 11 official languages. Pharmacy personnel are trained in the scheme/client reimbursement rules, and can assist patients in understanding and following the authorization process in order to obtain their medication from the correct benefit.
As part of Medipost’s patient-centric service offering, we provide personal telephonic clinical consultations through our friendly and qualified pharmacists and pharmacists’ assistants. Delivery is free of charge to your destination of choice.
Life Healthcare, a private hospital group, offers access to specialist focused, multi-disciplinary hospital and related healthcare services. With a focus on quality and clinical excellence – we place our patients at the centre of care. We operate 64 facilities in southern Africa; Alliance Medical across the United Kingdom, Italy and Ireland; Scanmed S.A. in Poland and a joint venture with Max Healthcare in India.
Tel: 011 219 9000
The Day Hospital Association (DHA) is an umbrella non-profit organisation that represent 45 registered private day hospitals in South Africa. Individually these day hospitals offer distinct comfort and cost advantages to patients and funders. A cost-effective and convenient alternative for same day surgical procedures.