MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed

 
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MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed
MORE COVER
     2021 Benefit and
     Contribution Launch
     06 October 2020

     MORE THAN A MEMBER. MORE WITH BANKMED.
MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed
Agenda

 01   Bankmed Value Proposition

 02   Industry Matters

 03   Bankmed Financials

 04   2021 Contribution Increases

 05   Plan Structure

 06   2021 Benefit Enhancements

 07   2019 Health Quality Assessment Results

 08   Communications Overview

 09   Client Management

 10   Q and A
MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed
Value
Proposition

              3
MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed
Partnership in                  Exclusivity and Responsiveness                38% Better Value                         Better Quality
Health and Wellness                      (Closed Scheme)                         in 2020 (NMG)                               (HQA)

               Commitment to Best-of-Class              Technology and Innovation                  Financial Stability
                  Member Experience                            as Enablers                              (GCR)
MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed
Our partnership spans over
 more than 100 years
       - and we are
                                            Solvency ratio
  still going strong                                                           Industry average

 Our financial stability            38.7%                       VS                     34.5%
      allows us to
   maintain value
  for our members            2018 Annual Financial Statements
                                                                       2018 Council for Medical Schemes Annual Report;
                                                                     The average for restricted schemes in 2018 was 41.9%
                                  2019: 40.5%
MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed
Your money is              Non-healthcare costs 2018
   spent on you
                                                 Industry average

     Non-healthcare
  expenses are the costs        4.9%        VS       8.2%
 associated with running
     the Scheme e.g.
administration and general     2019: 4.8%
 administration expenses
MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed
Industry Matters
MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed
General Industry Update

 1   Bankmed continues to stay close to
     industry developments

 2   Member of the Health Funders Association (HFA)

 3   Participating proactively to influence how
     the healthcare landscape changes

 4   COVID-19 dominating industry deliberations

 5   Bankmed has been diligent in its own
     response to COVID-19
MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed
Bankmed’s
Response to
COVID-19
MORE COVER 2021 Benefit and Contribution Launch 06 October 2020 - Bankmed
Details of Bankmed’s response is available on the
Scheme’s website
The Scheme’s response includes the following:

           In-and-out of hospital         Virtual and         Pulse Oximeter and
           cost of treatment paid         Telephonic       additional consultations for
           from insured benefits         consultations         high risk members

Tests paid for from        Relaxation of           COVID-19 Isolation
 insured benefits       networks, specifically       Hotel benefit
                           for COVID-19
COVID-19 clinical tracker

      COVID-19 cases by Province
                                                                                                                       BANKMED CONFIRMED CASES | 6 846 | 29 September 2020
                                                                       131
                                                                                                                      Tests                     Positive     COVID admitted
                                                                                                                                                                               Recoveries          Deaths
                                                                                                                    conducted                   members        members

                                                                         136                 Bankmed                  43 036                      6 846           904             6 548              110
                                                             4 342
                                               173

                                                      251                      610

                           87

                                                                                                         SA         4 152 480                    671 669           -            604 478            16 586

                                                       419
                                                                                                                                                                 13.2%           95.6%               1.6%
                                                                                                                                                               Proportion     Recovery rate    Case fatality rate
                     697                                                                                                                                        admitted       (DH: 94.3%)        (DH: 2.2%)

                                                                                                                                                                              90.0% National    2.5% National
                                                                                                                                                                               recovery rate   case fatality rate

*We have extended the definition of confirmed positive members to also include admissions coded with U07.1 but not confirmed through pathology testing yet
Bankmed COVID-19 experience
         As at 29 September

                   Distribution by age and chronicity                                              Admissions for COVID-19 positive members

 3000
                Distribution of positive members by age and chronicity
                                                                                                                                 904
                                                                                   Y     N                               Members admitted
                                       528
 2000

                                       2115
 1000
                              1086
                                                526
                                                                                                  1 014                          150                             78
                                                693     399
            210        278                              227       234                            admissions                      ICU                        Ventilator
     0
            0-10      10-20   20-30   30-40    40-50   50-60    60-70     70-80        80+
                                                                                                                              admissions                 admissions in ICU
                                              Age Band
                   Distribution of positive members by current status                                                    Admission costs
120%                                                   Deceased      Active    Recovered
100%                   3%                                       8%       14%       15%
                                                                6%                                          Completed                    Average     Average Length   Death
  80%                                                                    10%       8%                                     Total cost
                                                                                                            Admissions                    Cost           of stay       rate
  60%
            97%        97%    98%     98%      96%    93%
                                                                                             Other Wards       651       R 28 236 682    R 43 374         6.6         4.8%
  40%                                                          85%       76%       77%        High Care        158       R 17 737 330    R 112 262        9.7         5.9%
  20%                                                                                            ICU           71        R 21 199 023    R 298 578        16.6        34.8%
   0%                                                                                         Ventilation      79        R 33 867 578    R 428 704        18.8        68.8%
            0-10      10-20   20-30   30-40   40-50   50-60    60-70    70-80      80+          Total          959       R 101 040 613   R 105 360        8.9         12.5%
Source: Internal analysis
Utilisation of Virtual and Telephonic Consultations

                    Consultation Type          January to     July 2020      August 2020      September
                                               June 2020                                         2020

                  Virtual Consultations           135             96             45               22

                 Telephonic Consultations        4 069           2 755          1 271            673

                   Utilisation of Isolation Hotel Benefit                                         Pulse Oximeter Uptake
                   June 2020       July 2020       August 2020     September                                  August      September
                                                                      2020                                     2020          2020
  Number of            13               15               5               0
  Members                                                                               Number of Approved      424          59
                                                                                          Pulse Oximeters
Number of Days        105               116              24              0
Other Industry Developments

 1   Variety of other industry conversations underway, relating to legislation
     and regulations in the healthcare industry

 2   Bankmed is an active participant in these discussions

 3   Final report on the Health Market Inquiry (HMI) released in
     September 2019: But focus shifted to COVID-19

     COVID-19 also generated many views about the

 4   National Health Insurance (NHI):
     • Will implementation be accelerated?
     • Has COVID-19 made it impossible to prioritise NHI?

     Bankmed’s view: COVID-19 has imposed many lessons that are useful for
 5   solutions that we really need in the future, and we intend to stay engaged
     and contribute to the desired solution, in the best interest of our members
Bankmed
Financials
Financials

1   Bankmed’s Invested Reserves

2   Members Savings Accounts

3   The Financial Mechanics of Bankmed

4   The Two Key Financial Ratios

5   Reserve Management

6   Summary
Bankmed’s Investments

 1   YTD July: R3.65bn reserves invested

 2   Two additional multi-asset managers introduced in March
     2019, in order to further diversify investment manager skill

     Four multi-asset managers: INVESTEC,
 3   PRUDENTIAL, ALLAN GRAY and ABAX, and
     one Money Market manager: TAQUANTA

 4   Overall benchmark, related to medical inflation,
     amounts to CPI + 3.5% over a rolling 3-year period

 5   Due to ongoing economic conditions, the benchmark
     has not been attained over the last 5 years

     Bankmed’s Investment Committee closely monitors the
 6   performance of the individual investment managers, and
     the overall investment strategy of the Scheme
                                                                    17
Members Savings Accounts

       Applies to the Core Saver, Comprehensive and Plus Plans only

       Consists of contributions paid by members which are allocated to a members savings account and held
       there to settle certain healthcare costs that aren’t paid from Insured Benefits

       Although the member pays monthly contributions in this the regard, Bankmed offers the total annual benefit
       for utilisation as at 1 January

       Bankmed’s practice in this regard creates a risk of creating member debt to the Scheme, in the form of
       savings claw-backs

 50%   Bankmed allocates 50% of the interest rate earned on the Scheme’s money market portfolio to the members,
       although there is no obligation to pay members any interest

       The interest is calculated on a monthly basis , but credited to the members savings accounts once annually
The Financial Mechanics of Bankmed

                                                      GROSS CONTRIBUTIONS RECEIVED
                                                             (including savings)
    What comes in
    to the Scheme?                                      LESS: SAVINGS CONTRIBUTIONS

                                                        NET CONTRIBUTIONS INCOME

                                                  RELEVANT HEALTHCARE CLAIMS EXPENDITURE

                          INSURED HEALTHCARE CLAIMS        RISK TRANSFER ARRANGMENT
                                                                                                 MANAGED CARE EXPENDITURE
                                 (Non Savings)                     PREMIUMS
  What is paid from the
      Scheme on
    Medical Costs?              Hospital Costs               Premiums to provider who then       Fees paid to service providers who
                                  Doctors                  commits to cover certain healthcare   conduct managed care initiatives in
                                Medication etc.                 expenditure for the year          order to contain healthcare costs
The Financial Mechanics of Bankmed (cont.)

                                   GROSS HEALTHCARE RESULT

                                  NON-HEALTHCARE EXPENDITURE
 What is paid by                       • Administration Fees
 the Scheme on                     • Scheme Management Costs
 Administration
      Costs
(Delivery Costs)?

                    Value to           OPERATING DEFICIT
                    members

  Reserves                            INVESTMENT INCOME
  at work

                                          NET RESULT

                                                               20
The Two Key Financial Ratios

                Accumulated Reserves / Annual Contributions

  Reserve       • Key indicator of financial health, with statutory
                  minimum of 25%
   Ratio        • Balance between sufficient reserves and using
                  excess reserves to the benefit of members

                Operating Deficit / Annual Contributions
 Operating
                • Incur operating losses to the benefit of
   Ratio          members which investment income must cover
Reserve Management Strategy

                                                                         The actuarially
                                                                      forecasted reserve
    To maintain the                                                    ratio as at the end   The budgets for the
                                                The upper end of
   required level of                                                    of 2020 is 46.6%,    years thereafter will
                        Bankmed’s required       required reserve
  reserves to ensure                                                 due to the unusually        be aimed at
                           reserve ratio is   ratio was maintained
  long term financial                                                       low claims          stabilising the
                         between 35%-40%        in 2019, at 40.5%
    sustainability of                                                experience resulting      reserve ratio at
                                                  (38.7%: 2018)
      the Scheme                                                      from the COVID-19      approximately 38%
                                                                            lock-down
                                                                            measures.
Reserve Management Strategy (cont.)

         Year         Reserve Ratio
                       Ratio
         2016            40.1 %

         2017            38.8 %

         2018            38.7 %

         2019            39.2 %

    2020 (forecast)      46.6 %

  2021 (budgeted)        38.2%
Summary

     To keep contribution increases low while
 1   maintaining rich benefits, the Scheme needs
     to run sustainable operating deficits

     To run sustainable deficits the Scheme’s reserve
 2   levels need to be adequate in order to produce
     the required investment returns
     The required investment returns must be

 3   sufficient to cover the planned operating
     deficits and grow reserves adequately to keep
     the Reserve Ratio stable

     During times when investments are

 4   performing poorly, a Scheme has to generate
     savings elsewhere by utilising effective
     managed care initiatives and other cost cutting
     techniques.
Summary (cont.)

     Regardless of low investment returns, Bankmed
 1   has performed well enough over the past few
     years, to maintain stable contribution increases

     This has been achieved by savings generated on
 2   claims expenditure via effective managed care
     initiatives and favourable provider tariff negotiations

 3   Overall, Bankmed is well managed and financially
     sound, which is confirmed by its AA+ credit rating
2021
Contribution
Increases
Average Contribution Increases 2021
        Other Medical Schemes
                                 Momentum Health
                     DHMS         Medical Scheme       Bonitas               BestMed
                   0% (6/12)            3.9%           4.6%                  4.0%

0% increase for
the first 6
months of the
year after which
a 5,9% increase
will be
implemented

                            Fedhealth          CAMAF             KeyHealth             MedShield
                               8.8%            3.5%               5.0%                  5.9%
Annual Increase Comparisons
                                                                                                                            2016         2017            2018    2019     2020          2021
14

                                                                                        11,9
12
                                                       11
                                                                                 10,6                                    10,7         10,7
            10,2
                                                                                                         9,9
10                             9,5
                         9,2
      8,9                                                                                      8,7 8,9
                                                 8,6
                                                             8,3 8,2 8,2                                                                                                8,1 7,9
                   7,9                                                                                               8                                          7,8 7,9
8                                                                                                                               7,7
                                                                                                                                             7,3                                  7,3

6

                                                                                                               4,6
                                                                           3,9
4                                                                                                                                                  3,5                                   3,6

2

                                     0*
0
                  DHMS                                      Momentum                           Bonitas                          CAMAF                                   Bankmed
     * 0% increase for the first 6 months of
     the year after which a 5,9% increase will
     be implemented                                                                                                                                                                            28
2021 Bankmed Contribution Increases
     Plan         2015       2016       2017       2018       2019       2020       2021
                Increase   Increase   Increase   Increase   Increase   Increase   Increase
  Essential       3%         5%        6.5%        6%        5.5%        5%        2.5%
    Basic         6%         5%        6.5%       6.5%       6.5%        6%        2.5%
  Core Saver      6%         6%        7.5%       7.5%       7.4%        7%        3.5%
  Traditional    7.5%       7.8%        8%        8.25%      7.4%        7%        3.5%
Comprehensive    8.5%       8.5%        8%        8.5%       8.5%       7.8%       3.9%
     Plus         9%        9.5%        9%        8.75%       9%         8%        3.9%
   Average       7.9%       7.8%       7.9%       8.1%       7.9%       7.3%       3.6%

Annual limits of many medical categories were increased generally by 4.5%
Plan structure
A Plan to suit everyone
                                                                                                 Top of range Plan with savings and an ATB
                                    Plus                                                         (safety net) for when savings are exhausted

                                                                                      Comprehensive range of benefits paid from both insured
                         Comprehensive                                                and savings out-of-hospital

                                                                            Wide range of benefits with annual sub-limits for day-to-day expenses.
                         Traditional                                        Network Plan
Contributions

                       Core Saver                                 Hospital plan with a savings component for day-to-day expenses

                                                      Wide range of primary care benefits (including non PMBs) available via
                      Basic                           GP Entry Plan Network

                 Essential                  Lean, low cost Plan. Benefits limited to PMBs only available via GP Entry Plan Network

                Managed Care Programmes                                       Wellness-Based Incentive Programme
                                                                            Bankmed Balance available to all members
                Wellness and Preventive Care

                                     Benefit range and specific networks
Essential and Basic Plan Overview
                   Plan Benefits                         Essential Plan                                           Basic Plan
                                          Entry level Plan, suited for low healthcare needs.     Low contribution Plan with IH and OH benefits
Positioned for
                                                            PMB cover only                               and chronic disease benefits
Wellness and Preventative Care Benefits       Rich spectrum, expect for contraception                             Rich spectrum

Restricted GP Network                                            Yes                                                   Yes

Specialist Network                                               Yes                                                   Yes

GP Specialist Referral                                           Yes                                                   Yes
Hospital Network
                                                                 Yes                                                   Yes

Pathology, Radiology and Medication                                                Restricted formularies

Managed Care Programmes                                     HIV Programme and Oncology Programme: PMB level of cover only

Optometry Benefit                                                No                                         Isoleso Optometry Network

Basic Dentistry                                                  No                                                    Yes
Core Saver, Traditional, Comprehensive and Plus Plan Overview
       Plan Benefits                 Core Saver Plan                    Traditional Plan                Comprehensive Plan                          Plus Plan
                                  Young, healthy members with        Plan provides comprehensive                                              Designed for moderate to
                                                                                                       Plan suitable for moderate to high
                                 relatively low healthcare needs.   medical cover to meet moderate                                            high healthcare needs for
Positioned for                                                                                           healthcare needs for members
                                          Limited MSA for              to high healthcare needs.                                             members who want a savings
                                                                                                        who want a savings component
                                       day-to-day expenses                   Network Plan.                                                       component and ATB
Wellness and Preventative Care
                                         Rich spectrum                      Rich spectrum                       Rich spectrum                       Rich spectrum
Benefits
Medical Savings Account                        Yes                               No                                   Yes                            MSA + ATB
GP Network                                     Yes                               Yes                                  Yes                                   Yes
Specialist Network                             Yes                               Yes                                  Yes                                   Yes
GP Specialist Referral                         Yes                               Yes                                  No                                    No
Hospital Network
                                               No                                Yes                                  No                                    No

Managed Care Programmes                PMB level of cover                                Cover for both PMBs and Non-PMBs subject to pre-authorisation
Optometry Benefit                        Subject to MSA                        Insured                          Insured / MSA                            MSA / ATB
Basic Dentistry                          Subject to MSA                        Insured                              Insured                              MSA / ATB
Dental Admissions                  Emergency/PMB cover only                                                   R1 950 deductible

                                                                                                                                                                          33
2021 Benefit
Enhancements
The principles behind the annual
review include the following:
     To enhance benefits/innovation - these do come at a cost but are
 1   necessary to remain competitive and be the medical scheme of
     choice for the banking industry

 2   To optimise Risk Management in order to keep contribution
     increases as low as possible

     To consider a tiered differentiation in benefits between Plans
 3   especially for the “discretionary benefits” where members perceive
     value and would therefore consider higher premiums justifiable

 4   To lower out of pocket payments

 5   To improve member experience
2021 Enhancements informed by

       Minimal
  enhancements in
   favour of lower         COVID-19:         Mental Health   Member-centric
                                                                              Employer Group
     contribution        Lockdown/Job         issues on an    philosophy of
                                                                                 requests
  increases due to    insecurity/Isolation       incline        Bankmed
   the state of the
      economy
Mental Health Disorders
• Mental health disorders are emerging as the number one cost driver in the healthcare sector

• The impact of mental illness is not only felt in the healthcare sector. It is also the largest contributor to global disability and accounts for 10
  billion days of work lost on an annual basis

• The most common condition within the mental illness cluster is depression, typically accounting for greater than 50% of all members
  registered with a mental illness and more than 50% of total spend on mental health disorders
Mental Health Disorders
• “As many as one in six South Africans suffer from anxiety, depression or substance-use problems (and this does not include more serious
  conditions such as bipolar mood disorder or schizophrenia), according to statistics released by the South African Depression and
  Anxiety Group (SADAG)”
• Previously the focus was on four chronic diseases (cardiovascular, diabetes, respiratory and cancer) that contributes to 60% of deaths.
  The focus currently is on five chronic diseases that contributes to 75% of deaths, the fifth one being Mental Health
• The very concerning incline in Mental Health conditions is certainly
     • Impacting productivity of the employee base due to absenteeism and presenteeism
     • Impacting the claiming patterns
     • Impacting scheme sustainability
The Social Impact of Mental Illness
on South African patients

• 17% cannot take care of dependents

• 26% are separated or divorced

• 47% lose friends (a key part of their support network)

• 49% experience negative family relationships

• Only 27% of South Africans reporting severe mental illness ever
  receive treatment. This means that nearly three-quarters of these
  sufferers are not accessing any form of mental health care at all

• South Africa has one of the highest rates of
  gender-based violence (GBV)

• 23 South Africans commit suicide every day
The Social Impact of Mental Illness

 The lifetime prevalence of Depression in SA is 9.7% or 4.5 million.
     About 20% of South Africans will experience a depressive
   disorder at least once in a lifetime. Depression is a treatable
   condition and between 80% and 90% of people have a good
                      response to treatment.

 Depression has a serious impact on the South African economy.
 Depression costs SA more than R218bn in lost productivity:
 • R28bn is attributable to absenteeism
   (unscheduled absence from work)
 • R190bn is attributable to presenteeism
   attending work while unwell)
Mental Health Disease Management Programme

Comprehensive programme that includes both out-of-hospital and
in-hospital support. The following are some components of
the programme:
• Members on all six plans have access to the mental health programme,
  however plan benefits will apply with respect to condition cover
• The programme looks at strategies across the spectrum from the healthy to
  those members requiring comprehensive inpatient care
• The healthy and at risk segments are promoted through regular screening at
  wellness days and online
• Access to a mental wellbeing module on the website which includes
  information that promotes mental well-being e.g. advice on mindfulness,
  meditation exercises
• Access to counselling should someone at risk wishes to speak to a counsellor
• A primary care programme which is GP level of care. This is a crucial
  component and the mainstay of treatment
Mental Health Disease Management Programme

• The Premier Plus GP Network will play a pivotal role in this programme.
  This network is already managing Diabetes, Cardiovascular Disease and
  HIV for Bankmed. Mental Health will be an extension to the
  Premier Plus Programme
• The GP will enrol member onto programme e.g. Major Depression
  monitor compliance to medication, ensure follow up visits, script renewal etc.
• Coaching and educational material will be provided
• The programme includes a hospital DSP/Network which Bankmed is
  already participating in, case management and discharge planning by
  a care coordinator
• Enrolment on a relapse prevention programme to provide the necessary
  support on discharge to prevent unnecessary readmissions
• The implementation will be phased in. The employers EAP is included
  as part of this model
Frail Care

 1    Frail care is an existing benefit

 2    Members on the top 3 plans have
      access to this benefit

 3    The benefit is, however, complex.

 4    2020 benefit: 50% of cost limited to
      R470 per day

 5    2021 benefit: Flat daily rate
Health Quality
Assessment
(HQA)
Health Quality Assessment
• Benchmarking exercise in the funding industry
• Highlights key quality issues in the SA medical scheme industry
• Drives improvement in the delivery of evidence-based medicine
• 18 schemes participated in 2019 HQA from 9 different Administrators
• Comprised of 115 benefit options
• Represented 7,29 million beneficiaries
  (81,63% of the medical scheme population)
• 206 Indicators in four categories are evaluated, namely:
       1. Prevention and Screening
       2. Hospitalisation
       3. Maternity and New-born
       4. Chronic Disease Management
Definition of Quality

      Agency for         “the degree to which healthcare services for
  Healthcare Research      individuals and populations increase the
  and Quality (AHRQ)    likelihood of desired health outcomes and are
                              consistent with current professional
   defines quality as
                                          knowledge”.
Bankmed compared to Industry | 2019
Primary Care (Including Screening)

             Indicator                                                     Bankmed   Industry   Benchmark     CMS
             Flu vaccine coverage > = 65years (%)                          28.38%      20%         61%       3.85%
Prevention
             Pneumococcal vaccine coverage ≥ 65 years old (%)               9.60%     3.49%     72.7-77%      N/A
             Cervical Cytology coverage (previous 3 years) (%)             41.96%    32.67%     59.3-75.2%   15.99%
             Mammogram coverage (ages 50-74 years in previous 2
                                                                           37.90%    24.07%        72%       32.68%
             years) (%)
             Bone densitometry coverage for all females aged
Screening                                                                   9.25%     7.25%        N/A        N/A
             65 years or older (%)
             Colorectal cancer screening ≥ 50 years in previous year
                                                                           14.91%    10.79%        N/A        N/A
             (FOBT, %)
             Percentage of beneficiaries ≥ 2 years old visiting dentists   32.45%    21.61%        NA         N/A
Bankmed compared to Industry | 2019
Chronic Disease Management

               Indicator                                                      Bankmed   Industry

               HbA1c coverage for Diabetic patients (%)                       65.56%    60.31%

               Cholesterol related tests coverage for Diabetic patients (%)   60.33%    55.00%

               Monitoring Nephropathy for Diabetic patients (%)               71.56%    67.23%

  Diabetes     Podiatrist cover (%)                                            6.65%     3.52%

               Statin coverage (%)                                            62.08%    56.42%

               % of Hypoglycaemia related hospital events                      0.56%     4.59%

               Lower Limb amputations per 1 000 diabetics                      2.23      3.16
Bankmed compared to Industry | 2019
Chronic Disease Management

                 Indicator                                             Bankmed   Industry
                 Aspirin coverage for IHD beneficiaries (%)            83.04%    69.78%
                 Cholesterol test coverage for IHD beneficiaries (%)   61.63%    53.25%
Ischaemic Heart
                Statin Coverage for IHD beneficiaries (%)              82.05%    75.38%
    Disease
                Beta blocker coverage                                  52.48%    49.96%
                 Flu coverage of IHD registered beneficiaries          25.09%    18.66%
                 Lung function test coverage                           15.63%    11.47%
    Asthma
                 Flu vaccine coverage                                  16.01%    12.27%
Bankmed compared to Industry | 2019
Chronic Disease Management

                  Indicator                                                                  Bankmed   Industry
                  Flu vaccine coverage (%)                                                   25.17%    18.47%
Cardiac Failure
                  ACE & ARB inhibitor coverage (%)                                           56.56%    61.73%
                  10 day post discharge follow up (%)                                         13.2%    39.69%
 Depression       30 day post discharge follow up (%)                                        30.54%    47.47%
                  Multiple admissions for Depression                                          1.81%     0.78%
                  Flu coverage for COPD beneficiaries (%)                                    34.29%    28.77%
                  Lung Function test coverage for COPD beneficiaries (%)                     37.53%    33.52%
    COPD
                  COPD beneficiaries admitted once for respiratory condition (%)             31.40%    27.32%
                  COPD beneficiaries admitted more than once for respiratory condition (%)   10.82%     9.54%
Bankmed compared to Industry | 2019
Hospitalisation

                  Indicator                                     Bankmed   Industry

                  Stents                                         1.36      1.48
   Cardiac
                  Average length of stay for all cases (days)    5.93      5.45
 Procedures
                  Readmission for any reason within 30 days      8.04%    10.83%
Bankmed compared to Industry | 2019
Maternal and New-born

               Indicator                                                             Bankmed   Industry
               Number of Teenage Pregnancy (10-19 years inclusive) cases per 1 000
                                                                                      2.55      2.52
               teenage beneficiaries
               TSH Coverage in New Borns (≤ 6 weeks old) (%)                         90.31%    83.52%

Maternal and   Hepatitis B serology coverage during pregnancy                        65.97%    42.70%
 New-born
               HIV Screening during pregnancy                                        72.31%    46.02%

               Haemoglobin (Hb) test coverage during pregnancy                       80.38%    77.42%

               Caesarean Section rate                                                73.19%    76.04%
Bankmed
compared to
 Industry |
   2019
2021 Integrated
Communications
Overview
Our message to our client's and members

     Educate                  Delight               Add value

                              Enhance the
                                                 Your partner in health,
       Educate and          member journey
                                                      wellness and
    inform members          and experience
                                                    lifestyle design
                           across all channels
Key message 1
Educate

We help create a Smart member through educational and
informative campaigns:
A ‘Smart’ member:
• Better understands their benefits and Plan options to make more
  informed Plan choices
• Knows how to optimise their managed and preventative care
  programmes to stay healthy
• Is digitally savvy and can access Bankmed platforms i.e. App,
  website and social media platforms etc.
• Engages on multiple communication channels for convenience
  and ease of use
• Enhances their wellness and healthy habits through regular
  engagement in wellness initiative’s, PHAs, etc.
• Understands their health status and derives insights about their
  health to make informed decisions (data-driven insights)
Key message 2
Delight

            We delight our members by enhancing the member journey
                        and experience across all channels:

     App          Website         Social          Email                SMS                 Print
   Re-Launch      Re-Launch      Launched         Segmented       SMS optimised to     Print is on hold
  October 2020   October 2020     LinkedIn     communication       replace postal    unless specifically
                                March 2020       via email to     during COVID-19        required at
                                             specific audiences                       Employer Group
                                             i.e. members with                           Clients but
                                                co-morbidities                       online copies are
                                                     etc.                             always available
Enhancing the member journey and experience
App | Phase 1: new features

        New                   Benefit and                       Medicine                 Brand and screen   Phase 2 coming
    login screen              Limit tracker                     Tracker                   enhancements         soon….
 Provides members with     New design presents the           Keeps track of all the
     key messages.         member with a detailed        medicine a member needs
                          description of the benefit,    to take by adding it to their
                          the limits associated with         Pillbox. Reminds the
                                 the benefit,             member of when to take
                          how much has been used,       their medicine and when to
                            and which claims have             renew their script.
                         accumulated to the benefit.     Set the appearance of your
                                                            medicine so it’s easily
                                                        recognisable. Each medicine
                                                           reminder can be set up
                                                          precisely according to the
                                                                instructions set.
Enhancing the member journey and experience
Website | new features

Enhancing the member journey and experience across all channels:
Enhancing the member journey and experience
Linkedin

Get the latest information at your fingertips:
• Health and wellness information
• Industry news
• Topical information such as the COVID-19 pandemic
• Opinion pieces from our Healthcare and Clinical experts
• Member stories
• Participation in medical and health forums
• Benefit and Plan information
Key message 3
Add value

We add value to our members and clients through rich,
engaging and relevant content:
• Thought Leadership
• News blog on our website
• Collaboration with Employer Group Clients (Campaign toolkits)
• Access to information around the Global Pandemic and what Bankmed
  is offering members – COVID-19 webpage
Client
Management
Employer Clients

                   63
Client Management

• Custodian Support

• Roadshow Project Planning

• Marketing the Project

    • Preferred channels

    • Communications Content and Distribution

    • Encouraging employees to view digital presentations
      and schedule a virtual consultation if further clarity is required

• Project roll-out timelines
  (Including festive season closure and re-opening dates)
Contact Us

     www.bankmed.co.za

     0800 BANKMED (0800 226 5633)

     http://www.facebook.com/BankmedSA/

     http://twitter.com/Bankmed_SA

     Mobi App
MORE COVER
     Thank you
     Q&A

     MORE THAN A MEMBER. MORE WITH BANKMED.
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