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.