MOMENTUM METROPOLITAN HEALTH SOLUTIONS: MORE HEALTH FOR MORE PEOPLE FOR LESS - HANNES VILJOEN CEO HEALTH DAMIAN MCHUGH CMO HEALTH
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Momentum Metropolitan Health Solutions: More health for more people for less Hannes Viljoen Damian McHugh CEO Health CMO Health
Agenda 1 Transformation of our health business 2 Innovation 3 Digital capabilities 4 Growing market share 5 Conclusion
1
Transformation of our
health business
Our purpose: More health for more South Africans for less
The size of our health business
More than R800 million 11 million
2.5 million lives worth of claims claim lines per
paid weekly week
Transformation – Our family tree
PGC 30%
Thebe 19%
PGC Thebe Thebe
30% 19% 48%
2
Innovation:
A key to reinvent
Innovation – A key to reinvent
More demanding More youth
Increased expectations: Millennials have different
convenience, flexibility needs and want to
and personalisation engage digitally
Burden of Health Market
disease Inquiry More geriatrics
More self-indulgent
Ageing population needs
It’s all about me access to medicines and
care in the home
National Health
More sophisticated Insurance More diverse
Emerging middle Global growth of women
classes want smarter in the workforce
services
Innovation – A key to reinvent
U.S. recorded music revenues from 1980 – 2019, by format (adjusted for inflation)
$25 000
1999: $ 21.3 b
$20 000
Revenue in Millions
$15 000
2019: $ 8.5 b
$10 000
2014: $ 5.8 b
$5 000
$-
1980 1985 1990 1995 2000 2005 2010 2015
8-Track Vinyl Cassette CD Downloads Ringtones Streaming
Source: Recording Industry Association of America (RIAA)
Innovation – A key to reinvent
Interesting stats on millennials
What millennials purchase Check their phones
150
98% smart phones times a day
64% energy drinks
90%
of millennials will
54% organic food stay in a job for
10 years
50% home or more
if it came with
annual pay
40% on tattoos increases and
career opportunitiesInnovation – A key to reinvent
Why make it so to
inflexible? Why do I have
Built for me on’t
pay for stuff I d
need?
Millennials:
Why is there no what do Happy to help my
community
tech here? they want?
I don’t care about Why is it so
Cover my
your legislation expensive?
trauma
problemsInnovation – A key to reinvent
Flexible solution Incentivising
for benefit design behaviour change
• 62 993 HealthSaver accounts • 13 464 Members earn HealthReturns
• Average balance R7 300 • R41.5 million HealthReturns paid in 2020
• R25 million paid monthly • Average earning R300 per month
A doctor in Covering the employed
Health4Me
your pocket uninsured in South Africa
• Access to care, anywhere anytime 24/7 • Over 100 000 members getting cover
• 1.2 million users • Average premium R260 per month
• 5x more than any other provider • Growth in this market
• 7/10 calls resolved not needing face-to-face
intervention3
Digital capabilities:
Creating compelling client
engagementDigital capabilities
Your Health Saver account helps you
save for your medical expenses. Earn
Health Returns by living a healthy
lifestyle and spend when you need
them.
Get your monthly repeats, or
once off meds delivered
straight to your door.
Request an authorisation View and track your most Request a call from a
to ensure your claim will recent claims. Submit a qualified medical doctor.
be paid. new one.
See how you can save and
avoid extra expenses.Digital capabilities
Get your monthly repeats, or Download your benefit brochure Download your benefit brochure
once off meds delivered straight
to your door.Digital capabilities
Digital capabilities
Digital capabilities
8104239067079
New:
Members can now get all
their pre-authorisation
including a Covid-19 test
via WhatsApp4 Growing market share
Market share and growth
Administration – beneficiaries
6.8% 1.3% 31.7%
Public sector Open schemes Restricted schemes
growth growth growth
2 050 000 400 000 300 000
2 000 000 250 000
300 000
200 000
1 950 000
200 000 150 000
1 900 000
100 000
100 000
1 850 000
50 000
1 800 000 0 0
2017 2019 year to date 2021 2017 2019 year to date 2021 2017 2019 year to date 2021
Market Market Market
share: share: share:
72% 7% 18%
Data as reported in the CMS Sept 2020 report with altered Public and Restricted splitMarket share and growth
Administration – beneficiaries
7.8%
Total MHS Business growth
2 600 000
2 550 000
2 500 000
2 450 000
Market share: 28%
2 400 000
2 350 000
2 300 000
2 250 000
2017 2019 year to date 2021
Data as reported in the CMS Sept 2020 report with altered Public and Restricted split Outperforming growth in mature market
Data as reported in the CMS Sept 2020 report with altered Public and Restricted splitGrowth in health insurance
Health4Me – Health insurance
160 000
140 000
120 000
100 000
Growth: 82%
80 000
60 000
40 000
20 000
0
2017 2019 year to date 2021
Diversification into new markets5 Conclusion
Conclusion
Transformed Innovative Growth from Digital and AI
health integrated new and capabilities that
company solutions that existing change health
cater for channels experience
changing
market
So much more than administrationSadly what we see in this mature non-growing market is: Less health for South Africans for more Our purpose: More health for more South Africans for less
Thank you
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