Discovery Limited · JSE:DSY
Discovery — Discovery Health Medical Scheme — Shareholder Meeting (August 2021)
90 slides from Discovery's shareholder meeting presentation, August 2021
Slide 1: For Our Members
FOR OUR MEMBERS DISCOVERY HEALTH MEDICAL SCHEME | ANNUAL GENERAL MEETING CHARLOTTE MBEWU | PRINCIPAL OFFICER 1
Slide 2: We exist for our members
We exist for our members Balancing growth whilst Supporting our Leveraging innovation to Driving greater ensuring the long-term Strong focus on governance members during the deliver the highest quality cost-effective value for financial sustainability excellence, risk management COVID-19 pandemic of
Slide 3: We exist for our members
We exist for our members Balancing growth whilst Supporting our Leveraging innovation to Driving greater ensuring the long-term Strong focus on governance members during the deliver the highest quality cost-effective value for financial sustainability excellence, risk management COVID-19 pandemic of
Slide 4: Impact of COVID-19 on healthcare 2020 and beyond
Impact of COVID-19 on healthcare 2020 and beyond 2020 / 2021 2021 / 2022 >2022 SURGE EBB & FLOW RECOVERY COVID-19 DEMAND Surge in infections Ebb and flow in infections Seasonal/Endemic infections Increased COVID-19 Surge in infections driven by Ebb and flow in infections hospitalization and mortalit
Slide 5: Impact of COVID-19 on Discovery Health Medical Scheme
Impact of COVID-19 on Discovery Health Medical Scheme Discovery Health Medical Scheme data to date DHMS daily new infections Members requiring a Members who needed extensive in- COVID-19 test hospital intervention (ventilation support) New DHMS daily cases Members tested positive and Members needing
Slide 6: Progression of the COVID-19 pandemic
Progression of the COVID-19 pandemic DHMS daily new infections 1st wave insights 7000 Non pharmaceutical interventions, including a stringent national lockdown were successful in flattening and delaying the COVID 19 peak, while 6000 alleviating the pressure on healthcare system 5000 Focus on prepara
Slide 7: Progression of the COVID-19 pandemic
Progression of the COVID-19 pandemic DHMS daily new infections 2nd wave insights 7000 Surge in infections driven by the Beta variant Confirmed cases 6000 Series of significant waves with widespread Admission rate outbreaks initially in Eastern, Western Cape and KZN caused by localized festive season
Slide 8: Progression of the COVID-19 pandemic
Progression of the COVID-19 pandemic DHMS daily new infections 3rd wave insights 7000 Different wave trajectory to other pandemics (eg. 1912 Spanish Flu). Third wave more severe Confirmed cases than first and second wave 6000 Admission rate Surge in infections driven by Delta variant - 30% - 60% mor
Slide 9: How members have used healthcare during COVID-19
How members have used healthcare during COVID-19 2020/21 saw the prioritisation of COVID-19 healthcare Resulting in a de-prioritisation of to manage the peaks of the pandemic non-COVID-19 healthcare DHMS COVID-19 tests Surgical admissions Demand Pre-COVID levels Additional and supply COVID-19 of sur
Slide 10: Net DHMS claims expenditure was 11% lower in 2020
Net DHMS claims expenditure was 11% lower in 2020 due to reduction in health-seeking behavior DHMS expense breakdown (2019) DHMS expense breakdown (2020) 100.0% 87.3% 100.0% 76.3% reduction in claims 2019 - 2020 7.4% 11.6% 2.5% 7.2% 2.5% 0.3% 2.6% 2.3% Claims Surplus to Claims Surplus to Managed car
Slide 11: Video
video @ Discovery Health Medical Scheme 11
Slide 12: Protecting and supporting our members during COVID-19
Protecting and supporting our members during COVID-19 Protecting our Adapting to changing Supporting through members healthcare environment financial relief initiatives Ensure members and employers Guarantee access to high-quality healthcare Support members to navigate the stay informed and protecte
Slide 13: First to launch COVID-19 WHO Global outbreak benefit
First to launch COVID-19 WHO Global outbreak benefit RISK ASSESSMENT & SCREENING TESTING ISOLATION Discovery Discovery Discovery App website call centre 2 PCR tests and antigen testing 4 PCR tests per healthcare discount at professional per year certain hotel groups 1 2 3 4 5 6 SCREENING OUT-OF-HOSP
Slide 14: Saving lives by identifying high-risk members and caring for them at home
Savings lives by identifying high-risk members and caring for them at home Using data to identify Significant reduction members at risk in mortality Pulse oximeter impact on mortality Cutting edge Progressive clinical insights benefit design 100% -48% 52% Supported by Retail clinical care team partn
Slide 15: Impact of the 2021 Contribution Freeze for members
Impact of the 2021 Contribution Freeze for members Maintains member affordability Financial relief for members Enhanced value for 2021 Reduction in salary worth of contribution savings for lowest weighted average increase felt by increases in 2020 DHMS members all medical scheme members in 2021 Incr
Slide 16: Preliminary vaccination data supports efficacy against COVID-19
Preliminary Discovery Health vaccination data supports efficacy of vaccination against COVID-19 Early signs of lower infection rates Improved reduction in relative risk 2nd dose after 1 dose of Pfizer of Pfizer Relative COVID risk of infection Non-vaccinated Relative COVID risk of admission Non-vacc
Slide 17: 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 12 months = R 13.2m Age 75: Respiratory infections, COVID-19 infection Surgical procedures following multiple major R 7.7m Age 49: injuries, COVID-19 infection worth of contributions to fund th
Slide 18: We exist for our members
We exist for our members Balancing growth whilst Supporting our Leveraging innovation to Driving greater value ensuring the long-term Strong focus on governance members during the deliver the highest quality for members at the financial sustainability excellence, risk management COVID-19 pandemic of
Slide 19: Innovation to deliver better healthcare for our members
Innovation to deliver better healthcare for our members Discovery Enhanced Mental Enhanced Diabetes Improve quality of care for Connected Care Wellbeing Programme Care Programme Discovery HomeCare Enabling digital healthcare Enhanced support Improving outcomes for Digital application which services
Slide 20: Increasing prevalence of Diabetes in the Scheme
Increasing prevalence of Diabetes in the Discovery Health Medical Scheme Significant pre-diabetic 93% increase in prevalence Diabetes in the 4th most DHMS population since 2010 prevalent condition Total diabetic population landscape YOY diabetic member growth Top 10 chronic conditions ‘000 Prevalenc
Slide 21: Providing a holistic response to diabetes
Providing a holistic response to diabetes Care co-ordination Access a Diabetes-specific Diabetes specific Remote by a primary multidisciplinary coaching and condition monitoring and treating doctor team of healthcare navigation management care at home professionals Member focused Virtual and physica
Slide 22: We exist for our members
We exist for our members Balancing growth whilst Supporting our Leveraging innovation to Driving greater ensuring the long-term Strong focus on governance members during the deliver the highest quality cost-effective value for financial sustainability excellence, risk management COVID-19 pandemic of
Slide 23: 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 Administration expenditure as % of gross contribution income (2011 – 2019) gross contribution income (2019) DHMS All other open schemes 9.4% Ranked 7th
Slide 24: Members receive outstanding value from Discovery Health
Our members receive outstanding value from Discovery Health Value generated for DHMS members R2.12 R2.00 R2.02 R2.03 R1.85 R1.73 on managed care and administration fees, members of DHMS derived Reviewed by Deloitte 2014 2015 2016 2017 2018 2019 Source: DHMS internal data; 2019 24
Slide 25: Weighted average risk contribution increase of 2.9% for 2021
Members experienced a weighted average risk contribution increase of 2.9% for 2021 DHMS estimated weighted average risk contribution increase vs competitors (2021) 8.70% Top 8 5.80% 5.90% scheme 5.00% 4.60% average: 4.00% 3.90% 5.1% 3.10% 2.95% Scheme A Scheme B Scheme C DHMS Scheme D Scheme E Schem
Slide 26: Contributions competitively priced across all plan types
Contributions are competitively priced across all plan types, usually with superior benefits DHMS relative contribution differential Comparative affordability by plan type Average Market average Extensive Day-to-day DHMS -17.4% Limited Day-to-day DHMS DHMS Hospital DHMS DHMS Low income DHMS 2009 201
Slide 27: Fraud measures saved the Scheme ~R1bn per annum
Discovery Health’s internal fraud measures have saved the Scheme ~ R1bn per annum Significant fraud savings and recoveries Cumulative halo effect of R14 billion (2012- April 2020) Fraud savings and recoveries (Rm) 1 R472 R469 R464 0.95 R423 R329 R323 R333 0.9 Rand (billions) R270 R239 0.85 0.8 0.75
Slide 28: We exist for our members
We exist for our members Balancing growth whilst Supporting our Leveraging innovation to Driving greater ensuring the long-term Strong focus on governance members during the deliver the highest quality cost-effective value for financial sustainability excellence, risk management COVID-19 pandemic of
Slide 29: 2019 DHMS financial highlights
2019 DHMS financial highlights: the Scheme is financially secure 2018 2019 Measure (R million) (R million) % change pampm1 Gross Contribution Income 64,649 69,855 8% Less savings contribution income (11,820) (12,632) 7% Net contribution income 52,829 57,222 8% Relevant healthcare expenditure2 (46,71
Slide 30: 2020 DHMS financial highlights
2020 DHMS financial highlights: the Scheme is financially secure 2019 2020 Measure (R million) (R million) % change pampm1 Gross Contribution Income 69,855 74,537 8% Less savings contribution income (12,632) (13,294) 7% Net contribution income 57,222 61,242 9% Relevant healthcare expenditure2 (50,19
Slide 31: Growth and sustainability
How do we ensure we are here for our members, tomorrow and into the future? Membership size Absolute reserves Growth and sustainability Financial strength Membership growth Pricing sufficiency Plan movements Prudent investments Contribution increases 31
Slide 32: Growth and sustainability
How do we ensure we are here for our members, tomorrow and into the future? Greater risk pooling means Membership size and accuracy in pricing, leading to stable performance. Growth and sustainability Continuous growth of young and healthy Membership growth and reflects attractiveness and competitiv
Slide 33: DHMS continues to gain market share through a challenging 2020
DHMS continues to gain market share through a challenging 2020 economic environment DHMS market share trajectory different to the Resilient DHMS membership base rest of the industry Change in Market Share DHMS market share trajectory Beneficiaries in 2020 3% 57.1% 58.0% 55.9% 56.0% 54.0% 1% 52.0% 50
Slide 34: Consistent pattern of stable plan distribution
Consistent pattern of stable plan distribution Downgrade Upgrade Downgrade Upgrade Downgrade Upgrade Downgrade Upgrade 2.5% 3.2% 2.9% 3.2% 2.9% 2.8% 1.6% 1.9% 2017 2018 2019 2020 ……………….. ……………….. ……………….. ……………….. No change No change No change 94.2% 94.0% 94.2% Source: DHMS internal data 34
Slide 35: Financial strength
How do we ensure we are here for our members, tomorrow and into the future? Demonstrates ability to Absolute reserves Financial strength Surplus year-on-year reflects that are in Pricing sufficiency line with expected membership and claims. Ensuring that are maximised within an Prudent investments a
Slide 36: DHMS is well-placed to manage healthcare utilisation uncertainty
DHMS is well-placed to manage healthcare utilisation uncertainty in 2021 and beyond Strong security and surplus to manage Favourable 2020 DHMS performance utilisation volatility in 2021 DHMS net healthcare Credit Solvency result 2020 rating ratio Surplus build-up Net healthcare result R 7,451 Reserv
Slide 37: Growth and sustainability
How do we ensure we are here for our members, tomorrow and into the future? Membership size Absolute reserves Beneficiaries Market share Reserves Solvency on managed Growth and sustainability Healthy new joiner profile care and Financial strength Value for money administration Average age Chronic pr
Slide 38: We exist for our members
We exist for our members Balancing growth whilst Supporting our Leveraging innovation to Driving greater ensuring the long-term Strong focus on governance members during the deliver the highest quality cost-effective value for financial sustainability excellence, risk management COVID-19 pandemic of
Slide 39: Responsible corporate citizenship
DHMS is conscious that it is part of the larger South African society, and acts in accordance with the principles of responsible corporate citizenship DHMS OPERATIONS Essential underpinning to conduct operations and Governance Excellence Robust risk management Regulatory compliance fulfil social obl
Slide 40: Strong, independent governance structures with member-elected Trustees
Strong, independent governance structures with majority member-elected Trustees Our governance structures To promote desired outcomes in accordance with King IV ACCOUNTABLE TO AN ETHICAL GOOD DHMS CULTURE PERFORMANCE MEMBERS ELECT SERVICES BELONG TO BOARD OF TRUSTEES REGULATES GOVERNS BOARD COMMITTE
Slide 41: Responsible corporate citizenship
DHMS is conscious that it is part of the larger South African society, and acts in accordance with the principles of responsible corporate citizenship Ensuring Scheme sustainability SCHEME SUSTAINABILITY through decisions based on sound values and ethics; ensuring inclusive engagement with stakehold
Slide 42: Improving member satisfaction
Ensuring Scheme sustainability and service levels through improving member satisfaction 0.6 0.55 Member 8.74 Only 401 Perception out of complaints out 0.5 of 47.6 million Score 10 claims 0.4 0.38 decrease 0.27 0.28 0.27 0.3 0.26 0.22 0.22 9.06 0.2 0.15 Overall out of Perception Score 10 0.1 0 2012 2
Slide 43: Building a better healthcare system for all
DHMS is conscious that it is part of the larger South African society, and acts in accordance with the principles of responsible corporate citizenship Ensuring Scheme sustainability for the benefit of members by BUILDING A BETTER HEALTHCARE SYSTEM FOR ALL contributing to the improvement and developm
Slide 44: Industry participation
Industry participation Supporting Health Market Protecting members’ funds Expanding access to healthcare Inquiry recommendations • Contributing to Health Quality • Signatory to the FWA Industry • Low Cost Benefit Options Framework Assessment to improve quality Charter measures for the industry – Ens
Slide 45: DHMS fully support the principles of NHI
DHMS fully support the principles of NHI We propose certain key Discovery Health Medical amendments to the bill in order Scheme fully supports the to strengthen governance, This supports better principles of NHI, and wants to improve clarity and enable the levels of healthcare for be a part of the s
Slide 46: For Our Members
FOR OUR MEMBERS DISCOVERY HEALTH MEDICAL SCHEME | ANNUAL GENERAL MEETING CHARLOTTE MBEWU | PRINCIPAL OFFICER
Slide 47: DHMS Annual General Meeting
DHMS ANNUAL GENERAL MEETING CEO Discovery Health | Dr Ryan Noach August 2021
Slide 48: Review of past performance
Review Member support Trends impacting of past throughout healthcare in performance COVID-19 2021 and beyond
Slide 49: Medical scheme industry performance reflects global healthcare trends
Medical scheme industry performance is reflective of global healthcare trends COVID-19 triggered medical Substantial operating surplus due Strengthened reserve position of scheme industry contraction to deferred healthcare medical schemes Medical scheme beneficiaries (million) Total open schemes net
Slide 50: DHMS demonstrates outlier performance over 2019 and 2020
DHMS demonstrates outlier performance over 2019 and 2020 periods Consistent stand out operating Solvency adequacy gives members Market share improvement performance peace of mind Change in Net healthcare result per average beneficiary Reserve build-up (R’ billion) Market Share DHMS market share (201
Slide 51: DHMS continues to show member value through a challenging economic environment
DHMS continues to show member value through a challenging 2020 economic environment Competitive contributions Resilient membership position Strong recovery in vs. industry vs. industry DHMS growth Headline contribution increases Change in number of beneficiaries (2019-2020) DHMS Lives, Jan 2019 – Ju
Slide 52: DHMS new growth represents a flight to quality
DHMS new growth represents a flight to quality Healthy Net new lives above Higher quality growth demographic profile pre-COVID-19 levels increase in good quality Younger new joiner profile Number of withdrawals lives joining DHMS Open Industry DHMS 22,100 New lives represent high quality growth 29.1
Slide 53: External survey results reflect improved customer sentiment
External survey results also reflect improvements in overall customer sentiment over the period Catalyst Research and Strategy results | 2020 9.1 8.6 8.4 8.3 8.2 8.2 8.2 8.2 8.1 8.1 Ability to adapt to client needs 8.0 7.9 7.9 7.9 7.7 7.7 Ability to resolve queries first time Issuing of policy
Slide 54: Dimension Data Global Benchmarking results for 2020
Dimension Data Global Benchmarking results for 2020 indicates DH outpaces benchmarks Customer effort score Member based research BENCHMARK 47% BENCHMARK 64% VIRTUAL AGENT 64% DISCOVERY HEALTH 89% WEB 65% DISCOVERY HEALTH IVR 65% Response time APP 75% BENCHMARK 5.5HRS EMAIL CALL 83% DISCOVERY HEALTH
Slide 55: Summary: Industry and DHMS position over 2020 and 2021
Summary | Industry and DHMS position over 2020 and 2021 period The open scheme Industry scheme DHMS DHMS members DHMS growth Quality of DHMS industry solvency improved outperformed the experienced the rebounded making new lives is healthy contracted over owing to reduced industry on lowest real up 2
Slide 56: Member support throughout COVID-19
Review Member support Trends impacting of past throughout healthcare in performance COVID-19 2021 and beyond
Slide 57: DH and national COVID-19 experience at a glance
DH and national COVID-19 experience at a glance Tests Positive Active Repeat Recoveries Members Deaths Vaccines conducted cases cases cases admitted administered 1,934,168 386,901 26,093 4,042 348,077 56,292 12,731 849,936 DH SA 15,752,534 2,638,981 158,584 2,402,020 78,377 9,962,111 Testing rate CO
Slide 58: Total cost of COVID-19 to DHMS is R7.9bn so far
Total cost of COVID-19 to DHMS is R 7.9bn so far COVID-19 related costs from start of pandemic (2020 full year and YTD July 2021), Rbn 71.7 10.5 15.5 91.2 74.1 130.9 203.2 2020 1,365.7 5,961.8 PLPM 2021 PLPM COVID Pathology Vaccinations Health Long Other PPE Oximeters Other** related professional CO
Slide 59: COVID-19 costs between R10k and R65k per episode
COVID-19 costs between R10k – R65k per episode, depending on age and underlying disease status Age <65 yrs with Age group >65 yrs AgeChronic < 65 with Chronic condition Age < 65 Age <65 yrs Conditions Out of Hospital 3.691 3.170 2.060 In Hospital 61.690 24.715 8.255 Total Cost 65.381 27.885 10.315 T
Slide 60: Hyper-innovation over COVID-19 period to support members
Hyper-innovation over COVID-19 period to support members throughout pandemic Our people DHMS members Healthcare professionals Our country Educate and inform Reimbursement Protection VBC arrangements COVID Alert SA Free VCs for all South Africans Hospital@Home and COVID Business support GP & Speciali
Slide 61: Protecting our people throughout the outbreak
Protecting our people throughout the outbreak Enabling remote work at Ongoing engagement % of staff Risk-adjusted matrix scale and support working from home Discovery’s clinical risk matrix 10,000+ informs the return to office strategy Staff working remotely 85% 6,400 The risk matrix monitors bo
Slide 62: Supporting members through COVID-19 period
Supporting members through COVID-19 period At Risk member management Employer support Premium concessions COVID business support R207m R163m Assist members to 50K SMME premium Member MSA understanding Lives protected concessions concessions their health risk Cumulative successful requests Risk Nurse
Slide 63: Contribution to national fight against COVID-19
Contribution to national fight against COVID-19 Free virtual healthcare platform for Support and involvement in the Development of SA’s official all South Africans with Vodacom Solidarity Fund contract-tracing app R10.0m Discovery CSI Fund donation R5.0m Discovery Foundation donation R3.7m Director
Slide 64: Contribution to the national vaccination effort
8 Meaningful contribution to the National vaccination effort Discovery vaccination site network Mass 1 Virgin Actives Mobile units vaccination sites Discovery Place Vaccinations delivered to members of Discovery Health administered schemes to-date Vaccinations / day / site ~3 000 ~750 ~4,000 ~250 Va
Slide 65: Vaccine navigator on Discovery Connected Care
Vaccine navigator on Discovery Connected Care supports end-to-end vaccination journey Access accurate information COVID-19 Information Hub Vaccination preparation guides Post-vaccination guides Registration and booking of a vaccination appointment Identification on arrival, tracking and remind
Slide 66: Seamless DHMS member journey through COVID-19 vaccination
Ensuring seamless DHMS member journey throughout COVID-19 vaccination process Total DHMS Vaccinations Risk category Service metrics 633K 36% ~7.3k Service level DHMS Total eligible Vaccinations Members per day* 86% vaccinated None High Risk 10k 739K DHMS Vaccinations MBR FCR 46% 47% 10.9% 81% CES HE
Slide 67: Publishing world leading analytics on vaccine safety and efficacy
Publishing world leading analytics on vaccine safety and efficacy Discovery Health insights hub Research with Medical Research Council Webinars and media engagements
Slide 68: Extending care in extreme circumstances to save every life possible
Extending care in extreme circumstances to save every life possible “I am a survivor today because of the treatment I received at the Tested positive for Condition deteriorated Patient made COVID-19 No ICU beds available in full recovery Life Hospitals and the quick decision First 7 days m
Slide 69: Discovery Health Brand Video
Discovery Health Brand Video
Slide 70: Trends impacting healthcare in 2021 and beyond
Review Member support Trends impacting of past throughout healthcare in performance COVID-19 2021 and beyond
Slide 71: Emerging healthcare trends
Emerging healthcare trends A Impact of Long COVID and importance of Wellness for resilience E B Emphasis on population Spotlight on equitable and healthcare to improve the affordable health access wellbeing of the chronically ill C D Focus on quality Continued expansion of through Value Based Care r
Slide 72: Long COVID trends are beginning to emerge
A Long COVID trends are beginning to emerge Evidence of Long COVID emerging Onset of diabetes mellitus Onset of cardiac conditions in healthcare claims post COVID post COVID Claim data post initial COVID suggest a lagging, extended COVID effect 2.75x Higher Risk of developing Diabetes 1.5x Higher
Slide 73: Vitality engagement has limited the impact of COVID-19
A Vitality Engagement has limited the impact of COVID-19 Engaged Vitality population experienced substantially lower COVID-19 mortality impact than rest of SA 81 000 Vitality COVID-19 infections 38% fewer deaths than SA experience 844 engaged COVID-19 case fatality rate Fewer lives lost on Vitality
Slide 74: COVID-19 spotlights the economic case for equitable access
B COVID-19 spotlights the economic case for equitable access, which also applies to other population health improvements SA expected GDP impact of accelerated GDP benefit of better health is on ~0.5% vaccine roll out yields 6x – 26x ROI additional growth** GDP Growth 2020 – 40 GDP per Additional GDP
Slide 75: Healthcare delivery in unconventional settings
C Healthcare delivery in unconventional settings has become a safe and viable alternative for care Day facilities have become the setting of choice to limit Convergence of data driven insights and the enablement COVID-19 exposure of remote monitoring has saved lives 56% Pulse oximeters for remote mo
Slide 76: Telehealth sky rocketed in 2020 and continues to grow
C Telehealth sky rocketed in 2020 and continues to grow, supported by COVID-19 dynamics Exponential growth in 2020 Accelerating COVID-19 factors % of US consumers using telehealth Regulatory In US, 80 new services were approved by 46% CMS (regulatory) with supporting changes to payer re-imbursement
Slide 77: On-demand healthcare delivery at home through Connected Care for Home
B C Enabling on-demand healthcare delivery at home through Connected Care for Home Detailed medical examinations End-to-end digital experience 24/7 doctor support and advanced virtual Including e-scripting, same-day medicine Discovery TytoCare Dr Network consultations delivery and automatic EHR upda
Slide 78: Convergence of clinical and data insights for care at home
B C Convergence of clinical and data insights to offer high quality care at home CODING CLASSIFICATIONS CLINICAL Enables SCHEMAS AND TOOLS GROUPERS Clinical criteria for the safe treatment of low acuity conditions Home-based care for members who are at risk of re-admission post hospital discharge Ho
Slide 79: Hospital @ Home COVID-19 ward
B C Hospital @ Home COVID-19 ward positively impacting members during the 3rd wave Ensuring access to hospital level-care from the comfort of your home Virtual consults 24-hour remote While in hospital, the An assessment in done on A nurse visits patient at home with doctor / nurse monitoring
Slide 80: Sustained investment in leading technology
B C Sustained investment in leading technology to improve operational capabilities >R1bn investment in upgraded admin and managed care systems over last 5 years BMS Billing engine Discovery E-Volve New claims system deployed New billing system developed New CRM system that integrates data over 5 yea
Slide 81: Investment in technologies to optimise operational efficiency
B C Investment in technologies to optimise operational efficiency and service levels Ask Discovery: AI based Virtual Enhanced New Business Smart View SMS Agent online journey for advisers enhancements Virtual agent Trend away from plastic cards globally and in USERS PM SESSIONS PM CES SCORE SA Reduc
Slide 82: Move to value accelerates in 2021
D Move to value accelerates in 2021, following shortcomings of Fee For Service during pandemic underutilisation Learnings through the pandemic Expected trends for 2022 Acceleration of acceptance of Building of care management Strengthened payer – and migration to VBC capabilities (multidisciplinary
Slide 83: Multiple value based provider contracting models
D Multiple value based provider contracting models Complexity Capitation agreement 4 Each year a minimum score is established and GPs achieving the score receive a Value Based Global fee Modifier of 5% of their total base remuneration. 3 Global fee caps growth in arthroplasty costs (reducing LOS Fix
Slide 84: Hospital Health Tracker
D Hospital Health Tracker: Insights that empower patient decision making and nudge to higher quality, at lower cost PaSS + [Mortality + Readmission] + [Negative Incidents +HAIs] fx = CPE Perception Efficiency Quality Safety Patient Optimising cost, Monitoring Measurement and experience case mix and
Slide 85: COVID-19 morbidity and mortality risk grows with chronic conditions
E COVID-19 Morbidity and mortality risk grows with number of chronic conditions Proportion admitted by number of Case fatality rate by number of Top chronic conditions chronic conditions registered chronic conditions 000’s Essential hypertension 36.3% 30 53% Hypercholesterolae 25.5% 20.4% 25 Diabete
Slide 86: Growing mental health issues are creating a burning platform
E Growing mental health issues are creating a burning platform Growing mental health issues, Business and economic cost of mental health is particularly amongst females significant 20.2% increase in Psychosocial claims for 25-29 age group Annual cost of mental health to UK business, (2019-2021) Bill
Slide 87: Enhanced support for mental health
E Enhanced support for mental health leads to increased enrollment and relapse prevention Key enhancements Intensity of intervention New Relapse Prevention Programme to identify High and support members who are at risk of relapse or IN-PATIENT TREATMENT in optimized psychiatric network recurrence
Slide 88: Discovery Health Coaches reducing cardiac re-admissions
E Discovery Health Coaches reducing cardiac re-admissions Cardiac pilot programme Health Coaches Better clinical outcomes Improved member experience % Members with no re-admissions MBR Scores Acute Myocardial Infarction Congestive Heart Failure (AMI) (CHF) Acute Myocardial 9 Infarction Congestive He
Slide 89: Discovery Health's strategic response to healthcare trends
Discovery Health’s strategic response to healthcare trends E Investment in care maintenance organisation for improved health Leveraging AI to improve Connected Care quality of care for wound care B Spotlight on equitable and affordable health access Virtual agent enhancements C Connected Customer Se
Slide 90: DHMS Annual General Meeting
DHMS ANNUAL GENERAL MEETING CEO Discovery Health | Dr Ryan Noach August 2021
Discovery Health Medical Scheme — Shareholder Meeting (August 2021) on 6ix