It has been known that every year that your

healthcare medical-aid premiums rise. Is this

because of new tariff prices medical service

providers charge based on new ICDs or claims?

Your customer members who pursue policies of

their own, adult and child dependents would expect

a rise that is reasonable and fair such that they can

afford. That rise from your side as a medical aid

administrator must be competitive to member

clients such that they may not churn. It must also

recover the risks as a result of claims.

Most advert contingency tables of medical-aid

premium plans comprise of main member, adult

and child dependents against the salary band the

main member belongs to. As the salary band

increases thus the medical aid premiums increase.

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718 Carlton View Building

36 Von Wielligh Street

Marshall Town

Johannesburg

2001

+27 84 088 6738

kgano.mefolo@kmbusiness.co.za

C o n t a c t U s

So how can we help you achieve period-to-period

premiums that are satisfactory to member clients?

By us at KM Business Analytics we have an

innovative methodology for you that assess the risk

premium and claim frequencies of your big claims

and premium contributions data. We firstly look at

the relating exposures to your risk. Among others,

these exposures may comprise of the number of

policies the member has, number of policy years

and the total premium charged. We thereafter

perform our advanced actuarial analytics to

estimate the risk premium using common

predictors such as age, tariff, diagnosis, residence,

gender, salary band, health status, etc. The risk

premium rates together with the claim frequencies

will at the end of the day assist us in drafting the

premium contribution table for the new period.

VolTAnalytics electric current for our African clients

The above shows some of the well-

known medical-aids and administrators

we can accomplish our management

consulting services on. We are capable

of engaging with these clients on part-

time basis for providing our health

actuarial services.

If we can accomplish our services for

big medical-aid schemes such as

Gems, Polmed, Bankmed, Discovery

and Transmed. Then it shows you that

we can do more at a greater extent for

smaller schemes. We helped these

schemes in the planning of premiums

such that they are compatible to the

sales and risk recovery sides. Our

methodologies have been reviewed by

various professionals that it works and

that it can achieve the objectives of any

medical-aid scheme within the health

insurance industry.

This is some consulting you have to…

CONSIDER ALL OF YOUR

CHALLENGES FINALLY OVER WITH

THE AID OF WORLD CLASS

CONSULTANTS

Within these industries, we do

consulting with most of the well-known

South African and International brands.

We offer them a range of services that

HOW CAN WE HELP YOU ON YOUR MEDICAL-AID PREMIUM PRICING

www.kmbusiness.co.za

KM Analytics

Kgano Mefolo

PR EF E RE D

PA RT N E RS