CONSULTATIVE MEETING ON MUNICIPAL AND PRIMARY HEALTH SERVICES
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Transcript of CONSULTATIVE MEETING ON MUNICIPAL AND PRIMARY HEALTH SERVICES
CONSULTATIVE MEETING ON MUNICIPAL AND PRIMARY HEALTH
SERVICES
LA Health Medical Scheme and Discovery Health welcome the delegates
Presenter: Penny Thlabi
8 April 2011
Agenda
A strong partnership benefiting Local Government1
2
3
Summary of Key Performance Indicators
Making people healthier, enhancing and protecting their livesOn the way to Wellness
1
Agenda
A strong partnership benefitting
Local Government
Recognising key stakeholders
MedicalScheme
Services, expertise, infrastructure
Setshealthcare
policy
Regulatorof medical schemes
Funding mechanism
Protect members’ interests
Advice
Provision of benefits
Department of Health
Councilfor Medical Schemes
Board of
Trustees
Advisors Employers Members Providers
Administrator
Lifestyle products
CommunicationHealth Risk
ManagementOperations
Actuarial services
Finance and reporting
VitalityMarketing and
distributionTariff
negotiationsScale
Product development
Management
Shared strategic focuses
Build and maintainmembership and
solvency
Stableannual
contribution increases
Maintainingbenefits
Encouragehealthy lifestyles
Quality
Access
Competitive advantage
Affordability
Security
Agenda
Summary of key LA Health performance indicators
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Growth in solvency despite membership growth
2005 2006 2007 2008 20090%
5%
10%
15%
20%
25%
30%
35%
40%
LA Health has successfully and consistently been able to grow solvency levels whilst becoming the Scheme of choice for Local Government employees
2004 2005 2006 2007 2008 2009 2010 Latest* 16,000
20,000
24,000
28,000
32,000
36,000 35 642
16 800
Financial performanceKey LA Health observations for 2011
Accumulated Funds
Annualised Gross Contributions
Total Non-Healthcare Expenses
Membership
YTD DECEMBER
2011 2010
307,755,374 274,741,531
1,178,119,378 898,106,572
11% 12%
35 642 30260
2011 Contribution increases
LA Health Bonitas Hosmed SAMWUMED KeyHealth0%
5%
10%
15%
20%
25%
Highest
Competitor 1 Competitor 2 Competitor 3 Competitor 4
LA Health very competitive in its market and over the last 5 years managing increases within a narrow band
Agenda
Making people healthier, enhancing and protecting their livesOn the way to Wellness
3
Make people healthier, enhance and protect their livesOn the way to Wellness
1997: Launch of Vitality
“The initiative arises out of the fact that medical schemes focus largely on sickness and do not encourage preventative health care.”
Business Day, 14 November 1997
Vitality is the World’s longest standing, scientifically based wellness programme with more than 1.5 million members across the United States, United Kingdom and South Africa
Proven success in behavioural change and healthcare cost reductions through better outcomes
Today
Employee wellness
Wellness expertise, sophisticated data analysis capability, risk management and excellent products
Comprehensive platform of benefits and tools to• deliver employee wellness
• monitor the health and wellness of employees
Health assessmentsScreening testsHealthy lifestyle choicesIntervention strategies
Provide employer with information to understand employee health and wellness challenges
Stakeholder partnerships
Through the LA Health / Discovery relationship
• developing a partnership with SALGA to further enhance the lives of Local Government employees and
• South Africans
Thank you