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HEALTH MANAGEMENT & NETWORK SERVICES (Pty) Ltd (HEALTHMAN)
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| HEALTHMAN (PTY) LTD |
OVERVIEW
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| Private Company |
No external shareholders |
| Offices |
Johannesburg and Cape Town |
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Management Team:
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- Healthcare Economics
- Healthcare Legal
- Healthcare Governance
- Finance & Administration
- Healthcare Analyst
- Network Support
- Finance & Project Management
- Clinical Advisory Panel
- Administration Support & risk management
- IT development team
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Casper Venter (Chartered Accountant)
Ernst Ackermann (Attorney)
Malcolm Brown (Chartered Accountant)
Ria Botha (Accountant)
Lodi Jordaan (Analyst)
Mandi Roos
Peet Kotze
Various Specialist Panels appointed by Groups
10 Staff members
14 staff members |
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Expertise
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Negotiations with Medical Schemes
Network Administration
Legal Support
Managed Healthcare Negotiations
Research & Financial Modelling in Health Care
Development of tariff schedules
Interaction with Council of Medical Schemes and Competition Commission
Interaction with Pharmaceutical Industry
Development and management of risk based contracts – capitation and global fees
Practice Management Support
Practice costing reviews
Data base administration
Forensic Reviews
Information technology
Employee benefit design |
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Client Base
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Ophthalmology Management Group
ENT Management Group
Gynaecology Management Group
Optometry – Chiasma/Iso Leso
Paediatrician Management Group
Psychiatry Association
Speech Therapy & Audiology
Physiotherapy Association
Occupational Therapy Association
Podiatry Association
SA Heart Association
SA Optometric Association
Rheumatology Management Group
Netcare 911
ER24
Third Party Insurance Litigation
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OVERVIEW OF HEALTHMAN EXPERTISE IN THE HEALTHCARE INDUSTRY
HealthMan commenced business during 1996 and since inception has only focussed on consulting to Private Practice. With one or two exceptions HealthMan has been involved with or initiated the structuring of most Specialist Management Groupings in South Africa.
HealthMan directors have been consulting to the HealthCare industry since the early 1980’s and have a wealth of industry knowledge. Some examples of which are:
- Strategic planning for Academic Hospitals
- Co Authors of Managed Care in South Africa
- Chairperson and members of South African Institute of Chartered Accountants Medical Scheme Technical Group
- Chairperson and members of Audit Committees of various Medical Schemes
- Introduction of CPT coding to South Africa
- Previous consultants to Radiology and Pathology
- Initiators of first multi disciplinary healthcare portal in South Africa
- Data base specific to certain specialist groupings in excess of R2 billion
- Managing capitation contracts for past 4 years
- Managing profiling programmes for certain medical schemes
- Current day to day interaction with all Medical Schemes
- Negotiating fee structures for various specialist groups
- Review and proposed new tariff schedules to Council for Medical Schemes
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