“With prudent management and a diversified membership base, we have effectively built on the gains of recent years and made sure that our benefit options are enriched with the most relevant cover for each targeted segment of the market,” says Mark Arnold, Principal Officer of Resolution Health.
“There are few schemes that can attest to building reserves at the rate that we have achieved, even in the face of challenging factors within the industry and the economic climate, in recent years.”
Arnold notes that a number of factors have contributed to this impressive feat, including strategic interventions to diversify the Scheme’s membership base in target industries. “Having broadened the profile of our membership while keeping firmly in touch with the unique needs of each sector we serve, has allowed Resolution Health to grow sustainably,” he adds.
“By looking at the benefits members use most on each of our options, we avoid loading options with benefits that the target market for that option, are unlikely to use. This is one of the measures that enable us to contain contributions, as we align our options to suit every member at each life stage.”
According to Arnold, Resolution Health boasts one of the industry’s lowest claims per beneficiary ratios. “This is made possible through our managed healthcare systems that not only take proactive care of our members’ health but at the same time also succeed in containing costs. The system ensures that members’ benefits are used effectively and correctly by providers to avoid wastage and protect allocated benefits,” he notes.
Resolution Health also makes use of advanced technology and an artificial intelligence engine, which have been developed to detect improper claiming practices and provide protection against fraudulent claims so that members’ funds are protected, and contribution increases are kept to an absolute minimum.
“At the centre of all these layers of integrated protection – financial, clinical, technological and administrative – is the health of our members. Through understanding their needs and charting the best possible means of providing relevant healthcare cover within a financially sustainable framework, we foresee vast potential for further growth in the months and years to come,” Arnold concluded.