About Discovery Health

Discovery Health is South Africa’s largest administrator of medical schemes

Discovery Health is the leading medical scheme administrator in South Africa, providing administration and managed care services to over 3.3 million beneficiaries. The business has a market share of over 40% in the overall medical scheme market in South Africa, and manages 18 restricted medical schemes on behalf of leading corporate clients, as well as Discovery Health Medical Scheme, South Africa’s largest open medical scheme.

Shared-value benefits and unique features of Discovery Health

The success of Discovery Health is due to our ability to offer a fully integrated, value-driven healthcare operating system to our clients, centred on meeting the full spectrum of healthcare needs of client medical schemes. Discovery Health successfully operates beyond traditional administration and managed-care services, and provides ongoing product innovation, best-in-class service excellence, effective claims risk and fraud management, as well as the coordination and management of the quality of clinical services accessed by our clients. We deploy world-class actuarial, analytical, clinical, and research and development capabilities at every point in the medical scheme product cycle.

At the heart of Discovery Health’s drive to make people healthier is Vitality. Through Vitality, Discovery Health can offer members of client medical schemes innovative solutions that help address their health risks and make them healthier, in line with the Vitality Shared-Value Insurance business model.

Discovery’s shared-value approach enables a value-based healthcare system that lowers healthcare costs, resulting in lower contributions compared to competitors, and measurable improvements in the quality of care. These are reflected in superior outcomes for members of client medical schemes, namely lower morbidity and mortality rates, lower hospitalisation rates and shorter hospital stays. The success of the model is also demonstrated by the sustained strong performance of Discovery Health Medical Scheme, and of the restricted medical schemes under our management.

To address the many challenges in the current healthcare environment, and to deliver on our mandate of providing a fully integrated healthcare management system for clients, Discovery Health continues to develop unique assets and products. Recent developments and enhancements include:

Full article here - https://www.discovery.co.za/medical-aid/about-discovery-health