Medical Schemes Solutions

Chronic diseases are the largest drivers of cost and early screening. Diagnosis and identification of complications remains the best approach to reducing downstream claims

Provide digital managed care information and tools to providers, to improve awareness of care baskets, plans and managed care rules, and to drive reduced copay and higher chronic programme enrolment.

Integrate schemes’ formulary information into the most widely used electronic medicines resource and into a digital script workflow. This improves provider efficiency and reduces unnecessary copay.

Supply a directory tool for providers to efficiently find on-network specialists and hospitals in the region. It can also drive awareness of network updates. These lead to reduced copay and better member experience.

Deliver targeted digital CPD, clinical reminders and interactive webinars to providers. Work with EMGuidance’s expert content team to deliver educational, behavioural interventions tied to claim-reduction objectives.

Deliver highly targeted and engaged communication campaigns to network
providers only, or reach the majority of providers across the country instantly.
Drive awareness of benefit and network changes

Enhance the scheme network with skilled providers in targeted locations around the country, to ensure the best primary care services are available to all members no matter where they are.