Discovery Limited · JSE:DSY

Discovery — Discovery Health Medical Scheme — Shareholder Meeting (June 2018)

85 slides from Discovery's shareholder meeting presentation, Jun 21, 2018

  1. Slide 1: Welcome to the Discovery Health Medical Scheme Annual General Meeting

    FOR OUR MEMBERS Welcome to the Discovery Health Medical Scheme Annual General Meeting 21 June 2018

  2. Slide 2: Agenda

    Agenda 1. Welcome and quorum 2. Minutes of the 2017 Annual General Meeting - for approval 3. Tabling of the 2017 Integrated Report 3.1 Presentation by the Principal Officer of Discovery Health Medical Scheme 3.2 Presentation by the CEO of Discovery Health 4. Governance 4.1 Discovery Health Medical S

  3. Slide 3: Principal Officer presentation

    FOR OUR MEMBERS Discovery Health Medical Scheme | Annual General Meeting Dr Nozipho Sangweni, Principal Officer 21 June 2018

  4. Slide 4: Our purpose and vision

    Our purpose is to care for our members’ health and wellness by engaging the brightest minds and innovative solutions to provide access to affordable, equitable and quality, value-based healthcare that meets their needs now and sustainably into the future Our vision is to be the best medical scheme i

  5. Slide 5: How do we deliver on our purpose and vision?

    How do we deliver on our purpose and vision? Superior Stakeholder relations quality of care Lowest healthcare and excellent for members costs governance Focussing on Member-centric Sustainability prevention servicing and financial performance 5

  6. Slide 6: How do we deliver on our purpose and vision?

    How do we deliver on our purpose and vision? Superior Stakeholder relations quality of care Lowest healthcare and excellent for members costs governance Focussing on Member-centric Sustainability prevention servicing and financial performance 6

  7. Slide 7: Safely guiding our members through their healthcare journey

    Safely guiding our members through their healthcare journey Member campaigns Disease Management Programmes Value Based Contracts DiabetesCare CadCare KidneyCare Surgicom 7

  8. Slide 8: Caring for members with complex and emergency healthcare needs

    Caring for members with complex and emergency healthcare needs 10 highest individual member claims paid in 2017 = R 48 million R 6.8m Age 58, Long term use of a ventilator (cardiovascular related) 205 years R 6.0m Age 46, Long term use of a ventilator (gastrointestinal related) worth of contribution

  9. Slide 9: Ensuring our members have comprehensive levels of cover

    Ensuring our members have comprehensive levels of cover 97% overall In-hospital claims pay-out ratio (including medical specialists) - 2017 Executive Classic Essential Coastal Smart KeyCare 1% 2% 6% 7% 4% 4% 99% 98% 94% 93% 96% 96% Claims payout ratio Uncovered claims Notes: High in-hospital claims

  10. Slide 10: How do we deliver on our purpose and vision?

    How do we deliver on our purpose and vision? Superior Stakeholder relations quality of care Lowest healthcare and excellent for members costs governance Focussing on Member-centric Sustainability prevention servicing and financial performance 10

  11. Slide 11: Encouraging and paying for screening and prevention

    Proactively caring for our members by encouraging and paying for screening and prevention Number of members performing screening tests Health check results (2017) (2017) 349,942 Blood Blood glucose pressure ………………... ………………... 97.3% 88.8% in-range in-range 188,704 123,424 Cholesterol BMI 93,790 …………

  12. Slide 12: How do we deliver on our purpose and vision?

    How do we deliver on our purpose and vision? Superior Stakeholder relations quality of care Lowest and excellent for members healthcare costs governance Focussing on Member-centric Sustainability prevention servicing and financial performance 12

  13. Slide 13: Lowest possible contribution increases

    Keeping healthcare affordable for our members through lowest possible contribution increases DHMS headline contribution increase vs competitors (2018) 10.9% 10.1% 9.5% Top 8 scheme average: 8.8% 8.6% 8.7% 8.3% 8.4% 7.9% 7.6% Scheme A DHMS Scheme B Scheme C Scheme D Scheme E Scheme F Scheme G Scheme

  14. Slide 14: Contributions are competitively priced across all segments

    14 Contributions are competitively priced across all segments, usually with superior benefits Continuous improvement in contribution differential Average contribution differential P+A+C in 2018 20.9% 16.4% 14.6% 15.1% 13.1% 17.1% 16.4% 2.9% 12.0% DHMS next 8 DHMS next 8 DHMS next 8 DHMS next 8 DHMS

  15. Slide 15: 86.0% of contributions fund members' healthcare claims

    86.0% of contributions are used to fund members’ healthcare claims DHMS expense breakdown (2017) DHMS claims expenditure 86.0% 100.0% 7.6% 2.6% 2.5% 1.4% Gross Contributions Claims Administration fees Managed care fees Financial adviser and Surplus to member Scheme expenses reserves 15 Source: DHMS

  16. Slide 16: Contributions fund R51 billion of healthcare claims

    Contributions are used to fund R51 billion of healthcare claims Other – R1.2 bn 2.3% Medicine – R8.3 bn 16.3% 659,163 beneficiaries registered for chronic 37.2% medication R51 bn Hospitals – R18.9 bn 2017 718,755 hospital admissions DHMS claims expenditure Professionals – R22.4 bn 44.1% 6.7 million

  17. Slide 17: We protect our members' funds from inappropriate use

    We protect our members’ funds from inappropriate use Significant fraud savings Halo effect of R3.7 billion saving 1 Fraud savings and recoveries in 2017 (Rm) 472 0.95 323 333 0.9 195 0.85 0.8 0.75 Dec-15 Dec-16 Dec-17 May-18 YTD T0 T1 T2 T3 T4 T5 T6 T7 T8 T9 T10 Members benefit through a 0.75% lower

  18. Slide 18: Reducing administration expenditure among the lowest in the industry

    Members benefit through continuously reducing administration expenditure that is among the lowest in the industry Administration expenditure as % of gross Administration expenditure as % of gross contribution income (2011 – 2017) contribution income (2016) DHMS All other open schemes 9.4% Ranked 5th

  19. Slide 19: How do we deliver on our purpose and vision?

    How do we deliver on our purpose and vision? Superior Stakeholder relations quality of care Lowest healthcare and excellent for members costs governance Focussing on Member-centric Sustainability prevention servicing and financial performance 20

  20. Slide 20: Lower complaints improving member satisfaction

    Our efforts are realised through lower levels of complaints improving member satisfaction Lower levels of CMS complaints Consistently high member satisfaction CMS complaints per 1,000 beneficiaries 0.6 Member 9.14 0.55 Perception out of 0.5 Less than 800 Score 10 complaints out of 53.6 million 0.4 0

  21. Slide 21: How do we deliver on our purpose and vision?

    How do we deliver on our purpose and vision? Stakeholder Superior relations and quality of care Lowest healthcare excellent for members costs governance Focussing on Member-centric Sustainability prevention servicing and financial performance 22

  22. Slide 22: Strong, independent governance structures

    We protect our members’ funds through strong, independent governance structures accountable to DHMS Board Committees members services belong to elects  Audit  Clinical Governance  Disputes BOARD OF TRUSTEES governs  Investment BOARD COMMITTEES  Nomination  Non-healthcare Expenses mandates repo

  23. Slide 23: Our role in ensuring a seamless member experience

    Our role in ensuring members receive a seamless experience Members Providers Pharmacy Radiology Pathology Facilities Financial Advisers 24

  24. Slide 24: Best-practice outsourcing model with Discovery Health

    We apply a best-practice outsourcing model to govern our relationship with Discovery Health THE FIVE CORE PRINCIPLES OF THE VESTED OUTSOURCING MODEL A system of continuous value creation The outsourced model The contracts focus on There is agreement on The pricing model The governance relationship i

  25. Slide 25: Members receive increasing value from Discovery Health

    Our members receive increasing value from Discovery Health Value generated for DHMS members R 2.00 For every R1 spent on managed care and R 1.85 administration fees, members of DHMS derived R 1.73 R2 in value Reviewed by Deloitte 2014 2015 2016 27 Source: DHMS data

  26. Slide 26: How do we deliver on our purpose and vision?

    How do we deliver on our purpose and vision? Superior Stakeholder relations quality of care Lowest healthcare and excellent for members costs governance Focussing on Member-centric Sustainability prevention servicing and financial performance 28

  27. Slide 27: 2017 DHMS financial highlights: members' funds are secure

    2017 DHMS financial highlights: members’ funds are secure 2016 2017 Measure % change pampm1 (R million) (R million) Gross Contribution Income 54,056 59,711 8.4% Less savings contribution income (10,430) (11,009) 3.6% Net contribution income 43,626 48,702 9.5% Relevant healthcare expenditure2 (38,036

  28. Slide 28: Growth and sustainability

    How we know if we are delivering on our purpose and vision? We measure key metrics for a sustainable medical scheme: Membership size Absolute reserves Growth and sustainability Membership growth Financial strength Pricing sufficiency Plan movements Prudent investments Contribution increases 30

  29. Slide 29: Growth and sustainability: key metrics

    We measure key metrics of a sustainable medical scheme Membership size Greater risk pooling means more predictable claims experience and accuracy in pricing, leading to stable performance. Growth and sustainability Membership growth Continuous growth of young and healthy beneficiaries improves risk

  30. Slide 30: DHMS continues to grow and attract new members

    DHMS continues to grow and attract new members DHMS beneficiaries covered Dec 2016 Dec 2017 2.74m 2.78m 3,000,000 beneficiaries beneficiaries 2,800,000 2,600,000 2.1% Net growth in 2,400,000 principal members from 2016 to 2017 2,200,000 2,000,000 > 42 000 1,800,000 Beneficiaries added in 2017 1,600,

  31. Slide 31: Members are choosing DHMS as their preferred partner

    Members are choosing DHMS as their preferred healthcare partner Net growth in beneficiaries (2017) Open schemes market share (2017 Q3) 42,755 27,581 55.8% 8,850 Market Share 4,563 -1,130 -3,599 -24,571 DHMS Scheme A Scheme B Scheme C Scheme D Scheme E Scheme F DHMS Other Notes: Comparison amongst th

  32. Slide 32: New members are younger, improving risk profile

    New members are younger which positively impacts the Scheme’s risk profile DHMS ages less than a year annually New beneficiaries present a healthy demographic profile 1.5 years aging over a 5-year period 34.5 27.2 34.5 33.0 2012 2013 2014 2015 2016 2017 Average age of existing lives Average age of n

  33. Slide 33: Consistent stability in plan movements

    Consistent stability in plan movements More upgrades in 2017 than in 2016 Fewer downgrades in 2017 than in 2016 3.2% 3.2% 3.0% 2.9% 2.5% 2.3% Upgrades Downgrades 2015 2016 2017 2015 2016 2017 35 Source: DHMS data

  34. Slide 34: Financial strength

    We measure key metrics of a sustainable medical scheme Absolute reserves Demonstrates ability to meet large, unexpected claims variation. Financial strength Pricing sufficiency Surplus year-on-year reflects contribution levels that are in line with expected membership and claims. Prudent investments

  35. Slide 35: DHMS has significant reserves to fund members' claims

    DHMS has significant reserves to fund members’ claims Reserves1 (R billions) and Investment returns Industry ceiling credit rating solvency level 27.4% 10% p.a. R16.4 R14.2 AA+ AAA R12.9 GCR GCR R11.6 ROI rating rating R9.8 New industry ceiling R8.2 DHMS reserves higher than combined reserves for ne

  36. Slide 36: Consistently positive net healthcare results

    DHMS has consistently generated positive net healthcare results, in contrast to many other open schemes DHMS net healthcare result vs competitors (R millions) R 1,200 2015 2016 2017 R 1,000 R 800 R 600 R 400 R 200 R0 -R 200 -R 400 -R 600 DHMS Scheme A Scheme B Scheme C Scheme D Scheme E Scheme F Sou

  37. Slide 37: Growth and sustainability summary

    How we know if we are delivering on our purpose and vision? Membership size Absolute reserves 2.8m 55.8% beneficiaries market share R16.4bn 27.4% Growth and sustainability Reserves Solvency Membership growth For every R1 Financial strength Value for money spent on managed care 34.5 42,000 Pricing su

  38. Slide 38: Annual General Meeting

    FOR OUR MEMBERS Discovery Health Medical Scheme: Annual General Meeting Dr Nozipho Sangweni, Principal Officer 21 June 2018

  39. Slide 39: Agenda

    Agenda 1. Welcome and quorum 2. Minutes of the 2017 Annual General Meeting - for approval 3. Tabling of the 2017 Integrated Report 3.1 Presentation by the Principal Officer of Discovery Health Medical Scheme 3.2 Presentation by the CEO of Discovery Health 4. Governance 4.1 Discovery Health Medical S

  40. Slide 40: DHMS AGM

    DHMS AGM Dr Jonathan Broomberg, CEO of Discovery Health 21 June 2018

  41. Slide 41: Agenda

    Agenda 01 Review of 2017 performance 02 Key trends impacting DH and DHMS in 2018 and beyond 03 2018 Strategic objectives 43

  42. Slide 42: DHMS Performance

    DHMS Performance Growth Stability Security 56% 2.8 million lives 94% No movement 27.44% Market Share Solvency 42k 3% Upgrade R16.4bn Reserves New lives 3% Downgrade R2.45bn Net surplus 5% Annualised lapse rate AAA 1997 1993 1995 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 GCR credit rating 44

  43. Slide 43: Key local trends in 2018 and beyond

    Key local trends in 2018 and beyond 1 Trend Challenge  Slow GDP and  Pressure on scheme LOCAL TRENDS employment growth growth  Increasing disease burden  Increasing claims and premium inflation  Inefficiency and quality of care challenges 45

  44. Slide 44: Key global trends in 2018 and beyond

    Key local trends in 2018 and beyond 2 Trend Challenge  Rapid advances in  Claims inflation pressure medtech and pharma with very high cost products  Opportunities in: GLOBAL TRENDS  Omics and wearable devices  Genomics and personalised wellness/care  Apps  Telemedicine  Personalised disease

  45. Slide 45: Discovery Health's strategy for DHMS

    Discovery Health’s strategy for DHMS 01 Lowering healthcare costs 02 Superior quality of care for scheme members 03 Using digital technology to transform healthcare and member servicing 04 Making members healthier 47

  46. Slide 46: Discovery Health's social mandate: curbing medical inflation

    Discovery Health’s social mandate | curbing medical inflation Discovery Health average annualised inflation rates (2008 – 2017) VAT 1.9% 11.3% 1% 2.8% 6.1% 0.5% CPI Tariffs Demand side Supply side Claims inflation utilisation utilisation April 2018: VAT increase from 14% to 15% for the first time in

  47. Slide 47: Comprehensive and experienced fraud team

    Discovery Health has built a comprehensive and experienced fraud team – 71 fraud experts and proprietary software assets ~3.5 million 19 213 fraud probes 100 meetings with lives covered schemes conducted in the field suspected perpetrators & each month 300 cases per month 31 636 lines 14 376 lines ~

  48. Slide 48: Over R470 million in fraud recoveries and savings in 2017

    Over R470 million in fraud recoveries and savings in 2017 Recoveries and savings - 2015 to 2017 (R’ million) 472 Other 44 323 333 Forensics NDC 112 160 Hospitals 156 2015 2016 2017 Note: Figures unaudited 50

  49. Slide 49: Managed care interventions generated a 269% ROI

    Managed care interventions generated a 269% ROI Discovery Health managed care interventions in 2017 (R’ million) Fraud & Forensics Surgicals 472 Tariff, ARMs 269% ROI R 5 654m 53 and Preferred supplier arrangements 2,664 Medicines 1,225 2017 Savings R’m R 1 534m Funding R33bn policy (10%) 1,238 cumu

  50. Slide 50: Discovery Health's strategy for DHMS

    Discovery Health’s strategy for DHMS 01 Lowering healthcare costs 02 Superior quality of care for scheme members 03 Using digital technology to transform healthcare and member servicing 04 Making members healthier 52

  51. Slide 51: DiabetesCare programme

    DiabetesCare programme: leveraging incentives and technology to change patient and doctor behaviour ( BMI, HbA1c, Cholesterol, Blood pressure, Urine protein Waist adjusted ) 13% 11% 4.9% 78% 7.2% 65% 63% 52% 2.3% HBA1c Test Lipogram Usage Dietician Consult Diabetes Care (Sept 2017) Diabetes Care No

  52. Slide 52: KidneyCare Programme

    KidneyCare Programme: partnering with dialysis providers and specialists to measure and improve outcomes Admission rate Length of Stay per admission Detailed monitoring of key dialysis metrics 2.74 5.32 2.24 100% of dialysis centres and patients enrolled 1.54 5.10 1.36 5.03 5.00 Detailed reporting a

  53. Slide 53: Measuring patient reported experience (PREMS)

    Measuring patient reported experience (PREMS) High level trends GP patient survey measures  Sent: 146,851 Never/Sometimes Usually Always  Received: 26,049 Continuity of care 7% 15% 78%  Response Rate: 17.8% Doctors discuss medication 40% 23% 37%  Doctors involved: 5,510 Professionalsm of office

  54. Slide 54: Discovery Health's strategy for DHMS

    Discovery Health’s strategy for DHMS 01 Lowering healthcare costs 02 Superior quality of care for scheme members 03 Using digital technology to transform healthcare and member servicing 04 Making members healthier 56

  55. Slide 55: Comprehensive digital platform for DHMS members and doctors

    Comprehensive digital platform for DHMS members and doctors Members Healthcare Providers Case Managers  Personal Health Record  HealthID  Benefit Management  SmartPlan  Practice Manager System  App and web tools Connect  Clinical Vault  Virtual Assistant  Vitality Active Rewards  Care Mana

  56. Slide 56: DrConnect: Doctor advice on your device

    DrConnect: Doctor advice on your device Ask Questions Current features  140 000 doctors worldwide. >7 billion questions and answers. AI enabled  Video, voice or text follow up consultations 2,368 doctors Screen shot 326,393 patients  Personalised tips and checklists for your health Get Health Tip

  57. Slide 57: Member and doctor engagement with HealthID

    Significant member and doctor engagement with HealthID HealthID – regular users % of engaged doctors* 1886 68% 2000 1800 1600 1400 1200 Member consents >1.7m 1000 800 600 50 % year-on-year growth 400 “Electronic health record systems 200 such as Discovery Health’s HealthID improve the efficiency 0 o

  58. Slide 58: Operational performance better than global benchmarks

    Operational performance is consistently better than global best practice benchmarks First call resolution Customer effort score Telephone 76% Digital assisted 64% Discovery Health 80% 80% MBR Satisfaction Overall 68% Discovery Health 89% 50% Response time Benchmark 34 sec Telephone Health 19 sec Ben

  59. Slide 59: Discovery Health's strategy for DHMS

    Discovery Health’s strategy for DHMS 01 Lowering healthcare costs 02 Superior quality of care for scheme members 03 Using digital technology to transform healthcare and member servicing 04 Making members healthier 61

  60. Slide 60: Corporate Wellness: Wellness days for DHMS employers

    Corporate Wellness | Wellness days for DHMS employers Combined Wellness Days Wellness Centers A Premier offering combining all screenings  Corporate on-site clinics with option of into one event: occupational health  Premier screening for members on a scheme administered by Discovery Health  Trad

  61. Slide 61: Healthy Company: data analytics and personalised pathways

    Healthy Company | Integrated data analytics and personalised pathways allow for proactive intervention Episode Management Ongoing Management Prevention Screening Wellness Experience Wellbeing Assessments Engagement Risk Insights Interventions classification 63

  62. Slide 62: Healthy Company: Intuitive member journey

    Healthy Company | Intuitive member journey Physical wellness She gets expert advice She chats to her coach from a doctor on her on the Discovery App high blood pressure to manage her diet The Discovery Wellness A coach Sarah is on the road Experience has identified proactively to financial freedom 2

  63. Slide 63: Vitality: a simple and intuitive journey of health promotion

    Vitality | a simple and intuitive journey of health promotion 65

  64. Slide 64: Vitality impacts positively on health engagement levels

    Vitality impacts positively on overall health engagement levels 290 000 28 million 20 million Vitality Health gym visits Healthy Food checks baskets bought 2.7 million 3 milion 1.25 million movies watched Vitality Active flights booked Rewards earned 66

  65. Slide 65: Members engaging with Vitality Active Rewards

    An increasing number of DHMS members are engaging with Vitality Active Rewards, with positive behaviour change Vitality Active Rewards Trends (June 2016 to April 2018) 37% 29% of Vitality members on VAR of Vitality 19% members on VAR of Vitality members on VAR 362,317 294,184 196,355 June 2016 (actu

  66. Slide 66: Vitality engagement lowers disease burden

    Vitality engagement lowers disease burden and makes members healthier Heart disease Diabetes Lung disease 41% lower 53% lower 50% lower No Vitality Blue Bronze Silver Gold and No Vitality Blue Bronze Silver Gold and No Vitality Blue Bronze Silver Gold and Diamond Diamond Diamond Note: Disease specif

  67. Slide 67: Discovery Health and Vitality interventions saved DHMS R7.3 bn

    Discovery Health and Vitality interventions saved DHMS R7.3 bn in 2017 Impact of Discovery Health and Vitality on DHMS risk claims in 2017 R5.7bn R47.8bn 11.9% R1.6bn 3.4% R40.3bn • Age selection • Positive behavior change • Engagement selection Potential Risk Management Vitality Impact Actual Risk

  68. Slide 68: The Discovery Health System

    The Discovery Health System Better health Better healthcare Healthy Company: Managed Care Programmes 160 000+ screenings KidneyCare, CADCare, DiabetesCare Vitality Active Rewards: 37% uptake for members on Vitality Lower cost Technology 16% lower premium than market R800m invested in systems & techn

  69. Slide 69: DHMS AGM

    DHMS AGM Dr Jonathan Broomberg, CEO of Discovery Health 21 June 2018

  70. Slide 70: Agenda

    Agenda 1. Welcome and quorum 2. Minutes of the 2017 Annual General Meeting - for approval 3. Tabling of the 2017 Integrated Report 3.1 Presentation by the Principal Officer of Discovery Health Medical Scheme 3.2 Presentation by the CEO of Discovery Health 4. Governance 4.1 Discovery Health Medical S

  71. Slide 71: Remuneration Presentation

    FOR OUR MEMBERS 2018 Annual General Meeting Remuneration Presentation

  72. Slide 72: Agenda

    Agenda 1. Remuneration Governance 2. Trustee Remuneration Policy • Remuneration Methodology • Remuneration of the Board of Trustees 3. Proposed 2018 Trustee Remuneration • Trustees • Chairpersons 74

  73. Slide 73: Remuneration Governance

    Remuneration Governance  The Board of Trustees is responsible for the development and implementation of a Remuneration Policy for Scheme employees as well as the Board of Trustees and Board Committee members.  The Board of Trustees has delegated the responsibility of Scheme remuneration oversight

  74. Slide 74: Remuneration Governance

    Remuneration Governance  Adoption and Approval of Remuneration  Trustee remuneration - presented at this AGM for majority vote by members, after the approval thereof by the Board of Trustees, on recommendation of the REMCO.  Approval of Trustee Remuneration Policy  The Scheme’s Trustee and Board

  75. Slide 75: Remuneration Methodology

    Remuneration Methodology  Multi-year phased-in approach approved by 94.57% of the members in attendance during the 2015 AGM  R4 000 less 40%  The 2016 Trustee fee based on a professional fee rate and approved by 98% of the members in attendance during the 2016 AGM  R4 240 less 35%  The 2017 Tru

  76. Slide 76: Remuneration Methodology

    Remuneration Methodology  The objective of the remuneration policy for the Board and Board Committees is to provide a legal and policy framework against which all remuneration decisions are made, validated, implemented, approved and reported by the Scheme.  The DHMS REMCO engaged PwC’s Remuneratio

  77. Slide 77: Remuneration Methodology

    Remuneration Methodology  The total remuneration paid to Trustees is determined by the following elements and illustrative examples will be provided:  Number of meetings planned per year.  Preparation time for each meeting.  Duration of meetings.  Estimated time between meetings required by the

  78. Slide 78: Remuneration Methodology

    Remuneration Methodology  For 2018 the Scheme has made additions to the Remuneration policy. The changes made to the policy, do not deviate from the methodology and structure of fees as set out in the submission made to the CMS on 24 November 2014.  The policy has been updated to clarify the manne

  79. Slide 79: Remuneration Methodology

    Remuneration Methodology  Attendance at Board strategy sessions and other Board Committee strategy sessions  Board Strategy session - Trustees attending will receive the “Fee per Meeting” and Independent Board Committee members will receive remuneration at the hourly rate for the duration of their

  80. Slide 80: Remuneration of the Board of Trustees

    Remuneration of the Board of Trustees  Trustee training  Trustees are NOT paid for attending training or conferences over and above the training fees, travel costs, accommodation and subsistence costs.  Consulting fees  Trustees are NOT paid any consulting fees.  Incentive programmes  Trustees

  81. Slide 81: Proposed 2018 Trustee Remuneration – Board Chair

    Proposed 2018 Trustee Remuneration – Board Chair The table below provides an overview of the 2018 Proposed Board Chairman’s remuneration and is based on the methodology as discussed in the Remuneration Policy. The fees presented are on a VAT exclusive basis. Proposed fee build up for the Remuneratio

  82. Slide 82: Proposed 2018 Trustee Remuneration – Trustees

    Proposed 2018 Trustee Remuneration – Trustees The table below provides an overview of the 2018 Proposed Trustee remuneration and is based on the methodology as discussed in the Remuneration Policy. The fees presented are on a VAT exclusive basis. Proposed fee build up for the Remuneration of Trustee

  83. Slide 83: Proposed 2018 Trustee Remuneration – Chair of a Board Committee

    Proposed 2018 Trustee Remuneration – Chair of a Board Committee The table below provides an overview of the 2018 Proposed Chair of a Board Committee’s remuneration and is based on the methodology as discussed in the Remuneration Policy. The fees presented are on a VAT exclusive basis. Proposed fee b

  84. Slide 84: Remuneration Presentation

    FOR OUR MEMBERS 2018 Annual General Meeting Remuneration Presentation

  85. Slide 85: Agenda

    Agenda 1. Welcome and quorum 2. Minutes of the 2017 Annual General Meeting - for approval 3. Tabling of the 2017 Integrated Report 3.1 Presentation by the Principal Officer of Discovery Health Medical Scheme 3.2 Presentation by the CEO of Discovery Health 4. Governance 4.1 Discovery Health Medical S

Discovery Health Medical Scheme — Shareholder Meeting (June 2018) on 6ix