Insight

Actuarial and Analytics Excellence.
Insight delivers the full spectrum of actuarial services tailored for medical schemes, health insurers, and healthcare providers operating in over 25 African countries, including all BHF member nations. Our expertise includes pricing, benefit design, budgeting, monitoring, IFRS 17 reporting, and risk-based capital computations. Beyond traditional actuarial support, we provide strategic healthcare analytics to empower funders and providers to proactively manage claims and operations and enhance the value they deliver to members. Our proprietary clinical risk management toolkit, featuring the Insight Diagnosis Related Grouper (DRG) and the Insight Episode & Patient Grouper (EPG) underpin our solutions including our provider benchmarking platform, fraud, waste, and abuse detection platform, value-based reimbursement framework, and the development of robust provider networks, ensuring sustainable and efficient healthcare delivery.

End-to-End Data Solutions. Precision-Picked Platforms. Seamlessly Integrated.

Insight’s Data Solutions team provides end-to-end data management solutions embracing the future of AIOps—where data warehousing, business intelligence, and AI converge to automate processes and drive intelligent decision-making. Our solutions can enhance existing systems or be delivered as a fully hosted Data Engineering as a Service model. This approach gives organizations access to modern technologies, scalable infrastructure, and a multidisciplinary team—without the overhead of building it all alone. The Insight Data Solutions framework forms the foundation for all your analytical and AI requirements.

Clinical support. Governance guidance. Strategic advice.
Insight’s Health Solutions team is a specialist consulting unit at the forefront of health governance and clinical affairs. We offer advisory services across health policy, strategy, regulatory compliance, health technology assessment, medical advisory, clinical product development, clinical risk management, patient reported measures, outcomes monitoring, and quality improvement. Our expertise also extends to clinical coding and billing intelligence. Backed by a multi-skilled team of 20 technical experts – including doctors, pharmacists, health economists, and care quality specialists with a combined experience of over 200 years across the health sector. We work with healthcare funders, providers, pharmaceutical/medical device suppliers, government, and other industry partners to drive better clinical, operational, and system-wide outcomes.

Actuarial and Analytics Excellence
Insight provides comprehensive actuarial services for medical schemes and health insurers across 25+ African countries, including all BHF member nations. Our offerings include pricing, benefit design, budgeting, IFRS 17 reporting, and risk-based capital calculations. We deliver strategic healthcare analytics to optimize claims management and enhance value delivery. Our clinical risk management toolkit, featuring the Insight Diagnosis Related Grouper (DRG) and Episode & Patient Grouper (EPG), powers provider benchmarking, fraud detection, value-based reimbursement models, and robust provider networks.

End-to-End Data Solutions
Insight’s Data Solutions team offers integrated data management, leveraging AIOps to combine data warehousing, business intelligence, and AI for automated, intelligent decision-making. Our scalable solutions enhance existing systems or provide a fully hosted Data Engineering as a Service model. This delivers modern technology and expertise without the burden of in-house development, forming the backbone for all analytical and AI needs.

Clinical and Strategic Expertise
Insight’s Health Solutions team specializes in health governance, clinical affairs, and advisory services. With 20 experts—doctors, pharmacists, and health economists—offering 200+ years of experience, we support health policy, regulatory compliance, clinical risk management, and care improvement for funders, providers, and industry partners.