Resolution Health Medical Scheme solvency on the up

Resolution Health Medical Scheme (RHMS) has been turned around into a compliant and financially stable environment within three months of the appointment of new Administrator and Risk Manager Agility Global Health Solutions – Africa (Pty) Ltd (AGHS - Africa).

RHMS has made remarkable strides towards turning historic difficulties into massive opportunities, says Mark Arnold, Principal Officer of RHMS. The reserves of the Scheme increased by more than one percentage point within the first two months of the new strategy and a monthly surplus of almost R7.5m more than budgeted was recorded for the month of January.

AGHS-Africa was appointed as administrator and risk manager for RHMS on 1 December 2009 after a due tender process was followed, and immediate strategies were implemented to reduce the non-healthcare expenses of the Scheme and put it on a road towards tremendous growth and improved risk management.

Prof Jacques Snyman, Product Development Director of AGHS-Africa said that one of the first tasks of AGHS-Africa was to integrate the existing fragmented service delivery model and ensure risk management was done on a “one version of the truth” integrated system and process. Furthermore, unnecessary outsourced processes were brought back into an integrated process to ensure that profit margins for the scheme are increased. The Patient Driven Care (PDC™) programme of AGHS-Africa is being implemented in phases, ensuring that patients now receive more user-friendly, but focused and scientifically substantiated assistance with regards to their chronic diseases, pre-authorisation and other clinical assistance.

Mike Collier, CEO of Agility Global Health Solutions and its global subsidiaries (including AGHS-Africa) also confirmed that AGHS-Africa is assisting with various organic and inorganic growth strategies for RHMS as the exclusive commercial medical scheme contracted to AGHS-Africa.