Strategic issues - Life Healthcare - Audited group results and cash ...
Strategic issues - Life Healthcare - Audited group results and cash ...
Strategic issues - Life Healthcare - Audited group results and cash ...
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Funders (medical schemes)<br />
Key outcomes Key strategies Communication <strong>and</strong> engagement<br />
A reputation for ethics <strong>and</strong><br />
fairness in dealings with funders<br />
Negotiations with funders built<br />
on mutual respect <strong>and</strong> fair<br />
pricing structures<br />
Reputation for providing clinical<br />
excellence to their members<br />
Implementation of our ARM<br />
pricing strategies<br />
Largest market share with<br />
funders with regard to preferred<br />
network agreements<br />
<br />
case management <strong>and</strong><br />
payment<br />
Government<br />
<br />
strategy to ensure efficient<br />
pricing <strong>and</strong> sharing of savings<br />
with funders<br />
Utilise the ARM pricing strategy<br />
to drive preferred network<br />
deals which enhance hospital<br />
occupancies<br />
Implement electronic<br />
communication regarding case<br />
management to assist to driving<br />
efficiencies <strong>and</strong> faster payment<br />
Ongoing interaction <strong>and</strong><br />
feedback regarding utilisation,<br />
pricing, contracts <strong>and</strong> preferred<br />
network agreements<br />
Communicate our clinical <strong>and</strong><br />
quality excellence <strong>and</strong> patient<br />
satisfaction scores with the<br />
funders<br />
Key outcomes Key strategies Communication <strong>and</strong> engagement<br />
Supporting government service<br />
delivery through quality long<br />
term healthcare services<br />
<br />
<br />
education initiatives e.g. <strong>Life</strong>’s<br />
introduction of Isidima clinical<br />
risk management to Gauteng<br />
<br />
Supporting government’s<br />
initiatives to transform South<br />
African society <strong>and</strong> build a<br />
healthier nation e.g. <strong>Life</strong>’s<br />
participation in national<br />
HIV counseling <strong>and</strong> testing<br />
campaign<br />
Assisting in the development<br />
of appropriate healthcare<br />
regulation<br />
<br />
Health Insurance green paper<br />
<br />
sharing <strong>and</strong> best clinical <strong>and</strong><br />
administrative practices<br />
Contributing to skills training<br />
through public private<br />
partnerships<br />
Collaboration in drafting<br />
existing <strong>and</strong> new legislation<br />
e.g. pricing models <strong>and</strong> cost<br />
benchmarking<br />
Increasing access to hospital<br />
services through public private<br />
partnerships<br />
<br />
close interaction with<br />
government on healthcare<br />
regulatory matters <strong>and</strong> strategy<br />
<strong>Life</strong> <strong>Healthcare</strong> has a general<br />
business manager for health<br />
policy tasked with healthcare<br />
regulatory matters <strong>and</strong><br />
government relations <strong>and</strong><br />
strategy<br />
Ongoing communication on<br />
private/public sector <strong>issues</strong><br />
Liaison with government health<br />
departments through HASA<br />
Ongoing interaction on <strong>Life</strong><br />
<br />
partnership matters<br />
75<br />
LIFE HEALTHCARE INTEGRATED ANNUAL REPORT 2011
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