About PPS Healthcare
PPS is recognised as a company of value and integrity by professionals including lawyers, doctors, accountants, engineers, and many other professions that know, PPS is there for them and their families through every life stage – from graduation to retirement and beyond.
PPSHA has a proud history of providing the full suite of administration and managed healthcare services to several medical schemes in South Africa. Our expertise ranges across the domains of benefit design, pricing, and the execution of these benefits in the context of evidence-based care and a sophisticated client experience framework.
Our deep understanding of consumer behaviour, provider approaches and drivers of poor wellbeing and healthcare outcomes, allows us to provide innovative solutions to our clients that deliver on their strategic objectives. This acumen allows us to effectively partner with our clients by providing expert insight within the context of our client’s stated objectives.
To effectively achieve this, the entire eco-system in which our scheme’s operate needs to have a coordinated effort to achieve the envisaged outcome. We currently manage 200 000 medical schemes beneficiaries for administration and managed healthcare services.
PPSHA as a business, has 17 years of experience having received accreditation from the Council for Medical Schemes since 2005. In addition, PPSHA brings the valuable experience of working with the public sector employees in South Africa. We are a service delivery partner to the South African National Defence Force (SANDF) managing the Regular Force Medical Continuation Fund (RFMCF).
Our market leading managed healthcare solution has been implemented for our clients which undertakes to solve many of the fragmentation issues present in our industry. Our impeccable track record for the provision of administration and managed care services has been applauded by our clients and we are proud of the relationship held with our longstanding and new clients.
Our strength lies in our understanding of the health eco-system and what are the core levers that influence cost and outcomes.
Our track record in assisting schemes to improve their claims ratio’s is evident in the metrics of our long-standing clients where a progressive improvement can be seen over the years in the absence of reward programs and attracting the youngest risk profile in the industry.
We currently service six clients for whom we provide various solutions. Our portfolio of clients includes:
- Profmed Medical Scheme
- KeyHealth Medical Scheme
- Regular Force Medical Continuation Fund (RFMCF)
- SEDMED Medical Scheme
- De Beers Benefit Society (DBBS)
- Medical Scheme who prefers anonymity
At PPSHA, we believe that what we value internally will drive our behaviour externally. We therefore live by the following values:
We take ownership
Our people are empowered to deliver service excellence to our members, and we encourage leadership in all areas of the business.
We are curious
We are not satisfied with the status quo and are driven by the goal of constantly improving the solutions we offer to our clients. We are committed to innovation, giving staff the licence to experiment while recognising and responding to the unique, complex and changing needs of our clients.
We do the right thing
To be a leading provider of healthcare services by delivering customised, value-added solutions to our clients and their members with the aim of transforming healthcare and improving health outcomes.
Our dedicated, professional team seek to delight our clients and their members by providing outstanding, seamless service, affordable administration, differentiated health risk management and progressive innovation through technology and product design.