Criteria

 

Titanium Award for Excellence in Creating Access to Quality Healthcare:

Entrants will be adjudicated according to the following criteria:

  1.  This category is open to all medical schemes and healthcare service providers including laboratories, pharmaceutical organisations and private practices
  2.  Nomination must be made by nominee organisation and approved by the head of that organisation
  3.  The entry must include written consent from the project head and the head of the organisation.
  4.  The nomination must consist of a motivation covering the following areas:
         a) Detailed description of the initiative
         b) Practical achievements of the project
         c) Recognition of awards or commendations received
         d) Contribution to social & economic development
         e) Evidence of sustainability and project success
         f) Proof of ethical conduct
         g) Healthcare impact
         h) Press releases and media coverage of project
         i) Evidence of before and after effects of project
         j) Key contributors (personnel) working on the project and their background.

Titanium Award for the Best Integrated Report:

1) Who is eligible?
     a) Any BHF Member who is a Health Funder, Managed Care Organisation or Administrator

2) Entrants will be adjudicated according to the following criteria:
     a) An annual integrated report by organisations (BHF Members)

Titanium Award for Service to Membership:

CATEGORY A – MEMBER SERVICE

  1.  Claims turnaround times
  2.  Appeals turnaround times
  3.  Number of complaints per 1000 beneficiaries
  4.  Member satisfaction survey results
  5.  Are your scheme benefits accessible on your website?
         a) Yes or No.
  6.  If your answer is yes, please state how your scheme benefits are communicated to beneficiaries.

CATEGORY B – OPERATIONAL PERFORMANCE

  1. Percentage growth over the past three years.
         a) What is the composition of your management team?
         b) What is your organisation doing about skills development?
  2. 2021 credit rating.
  3. Proof of average increase in member contributions in the last three years.
  4. Are the medical scheme reserves over 25%?
         a) YES or NO
  5. Does the scheme have a health governance programme in place?
         a) YES or NO. If YES, provide proof of implementation.
  6. Does the medical scheme monitor health status measures, e.g. mortality, life expectancy and quality of care report?
         a) YES or NO. If YES, provide proof.
  7. Are preventative health care benefits in place?
         a) YES or NO
  8.  Entrants are required to provide:
         a) A schedule detailing preventative healthcare benefits compared with the BHF preventative care recommendations.
         b) A schedule detailing the funding of preventative healthcare benefits from risk.
         c) A schedule detailing the primary care benefits offered from risk.
  9. Does the scheme monitor health and productivity impact for employees?
         a) YES or NO. If YES, attach a copy of report.

Titanium Award for Young Achiever:

Entrants will be adjudicated according to the following criteria:

  1. Nominee must be younger than 35 years of age on 1 January of the year in which the award is made.
  2. Previous winners who are entering a 2nd time will be subjected to the selection criteria process as set out by the relevant authorising officials.
  3. Nominee can work in any sector within the healthcare industry.
  4. The nomination may be made by a co-worker. All nominations must be approved by the head of the organisation.
  5. Nominees must be able to make themselves available to be an ambassador for BHF and to promote the Young Achiever Forum within the healthcare industry.
  6. Nomination must include a motivation detailing the outstanding achievements of the nominee covering the following areas:
         a) Educational and practical achievements
         b) Recognition of awards received
         c) Contribution to social & economic development
         d) Evidence of continued professional development
         e) Papers and presentations delivered
         f) Leadership ability of the nominee and his or her contribution to building the image of the organisation and the healthcare industry in general.
  7. The entry must include written consent from the nominee and the head of the organisation.
  8. Nominee must be available for an interview with the adjudication panel if requested to do so.