Discovery Health stands as the leading medical scheme administrator in South Africa, offering a comprehensive range of healthcare services to over 3.3 million beneficiaries. With a market share exceeding 40%, Discovery Health manages 18 restricted medical schemes for top corporate clients and the largest open medical scheme in the country, the Discovery Health Medical Scheme.
Shared-Value Benefits and Unique Features
Discovery Health’s success is rooted in its fully integrated, value-driven healthcare operating system. This system goes beyond traditional administration and managed-care services, offering:
- Product Innovation: Continuous development of new healthcare solutions.
- Service Excellence: Best-in-class service delivery.
- Effective Risk Management: Robust claims risk and fraud management.
- Quality Coordination: Superior management of clinical services.
Vitality: At the Heart of Health
Vitality, Discovery Health’s wellness program, plays a crucial role in promoting healthier lifestyles among members. By addressing health risks and encouraging healthier habits, Vitality aligns with the shared-value insurance model, which benefits both the insurer and the insured.
Value-Based Healthcare System
Discovery Health’s shared-value approach results in a value-based healthcare system that lowers costs and improves care quality. This approach leads to:
- Lower healthcare costs and contributions.
- Improved health outcomes, including lower morbidity and mortality rates.
- Reduced hospitalisation rates and shorter hospital stays.
Innovative Developments
Discovery Health continues to innovate with unique products and services, such as:
- Discovery HealthID: South Africa’s most extensive digital healthcare platform for doctors, providing access to patients’ electronic health records. This platform enhances healthcare integration, reduces medical errors, and eliminates unnecessary tests.
- Discovery Home Care: A service offering high-quality, home-based care from professional nurses, allowing members to receive care in the comfort of their homes.
Conclusion
Discovery Health’s commitment to innovation, service excellence, and value-based healthcare makes it a leader in the South African healthcare industry. By continuously developing unique assets and products, Discovery Health ensures that its members receive the best possible care, contributing to a healthier and more sustainable future.