The Discovery Managed Care Integrator Qorus Innovation in Insurance Awards 2018 - Winner

Our annual new business comprises a 85:15 split between life insurance policies issued at standard rates and those with health risk loadings applied. The increased charge is usually attributable to lifestyle-related conditions such as obesity and diabetes or clients who are HIV+. These conditions have an immense impact on South African society. Significant evidence shows that people who manage their chronic conditions well exhibit far better mortality and morbidity. In line with Discovery’s core purpose to make people healthier and enhance and protect their lives, Discovery Life developed Managed Care Programmes for clients with chronic conditions, tailored to meet an individual’s health needs using the latest clinical recommendations, enabling them to enjoy a personalised journey to better health. The Managed Care Integrator provides customized dynamic underwriting by automatically adjusting a policyholder’s premium based on the outcomes of key health metrics obtained through engagement on their tailored Managed Care Programme. Policyholders receive an upfront discount of 10% of their health loading as credit for their future management of their condition. At the end of each year, their loading will automatically and seamlessly be reduced if they managed their chronic condition in line with set criteria. Policyholders are then refunded their excess premium paid if their risk is reduced - and if reduced to a qualifying level, they can unlock access to our full disability and dread disease product range. If policyholders manage their condition effectively, they can land up paying standard rates. This is unique to Discovery Life as no other life assurer in South Africa automatically adjusts a client’s policy based on the outcomes of key health metrics of chronic conditions.