Board-level strategic proposalPrepared by Moz Tech Developers LDA

Thousands of patients.
One solution.
Multiple brands.

The future of healthcare is connected, intelligent and personal—one GDMS-powered clinical ecosystem delivering distinct branded experiences for every scheme, client and member community.

01 08

Healthcare funding sees
what happened.

3SixtyHealth already processes healthcare transactions at speed. The next opportunity is to connect that administrative intelligence more directly to the clinical journey.

Even when claims move electronically and in real time, the clinical decision happens first. The intelligence network extends 3SixtyHealth’s existing platform into the point-of-care workflow—adding structured evidence for earlier intervention, stronger coordination and more confident funding decisions.

Traditional administrationThe intelligence network
Claims after careVisibility during care
Disconnected documentsGoverned clinical evidence
Manual case chasingConnected event workflow
Member as policy + claimMember as a health journey
Reporting what happenedIntelligence for what comes next

A healthcare administrator that does not only finance care after it happens, but helps coordinate, evidence, govern and improve care while it happens.

THE NEW CATEGORYClinically connected managed care

Two powerful platforms. One continuous health journey.

We are giving 3SixtyHealth
the system and the app.

This proposal delivers a complete connected-health ecosystem—not a back-office platform alone.

The member carries 3SixtyHealth in their pocket. Providers and managed-care teams operate through the clinical intelligence layer. Authorised information moves safely between them, so wellness, benefits and real care no longer live in separate worlds.

LIVE PRODUCT ENVIRONMENT

Member experience meets clinical reality.

09:41●●●
3SixtyHEALTH
AM
WELCOME BACKHello, Amelia
22°Johannesburg
TODAY · MY HEALTH
86HEALTH
SCORE

You are in balance

Recovery is strong. Your care tasks are up to date.

HEART RATE72 bpmRECOVERY91%
CARE TASKAnnual health check dueREADY
HomeHealthCareCoverMore
3Sixty Clinical Intelligence System · Powered by GDMS LIVE ENVIRONMENT
GDMS hospital intelligence dashboard in day mode GDMS hospital intelligence dashboard in night mode
AUTHORIZED EVENTMEMBER.IDENTITY · VERIFIEDSOURCE · CONSENT · AUDIT RETAINED
3SIXTY MEMBER APP

Identity · consent · appointment · observation · authorisation

Results · care plan · medicine · follow-up

GDMS CLINICAL SYSTEM
01 / MEMBER-FACING3Sixty member appEveryday health · care · cover

A daily relationship with members: helping them understand cover, navigate care, manage health and stay connected before, during and after treatment.

Explore 24 app capabilities
CONSENTSECURE
CARE LINK
AUDIT
02 / CLINICAL + OPERATIONAL3Sixty Clinical Intelligence SystemPowered by GDMS

A complete clinical operating environment behind the network: longitudinal records, hospital workflow, diagnostics, pharmacy, telehealth, governance and intelligence.

Explore 12 GDMS domains
THE COMMERCIAL PROPOSITION3SixtyHealth receives a differentiated member experience and the clinical infrastructure required to make that experience real.

A scalable portfolio architecture

One intelligent core.
A distinct experience for every client.

The 3Sixty Clinical Intelligence ecosystem can operate as one secure, governed technology platform while presenting a purpose-built digital identity for each medical scheme, employer group or strategic client.

Each client receives an app and member journey configured around its own brand, benefit structure, communication style, service pathways and population needs. Behind those experiences, a common GDMS-powered clinical foundation preserves operating consistency, interoperability, security and economies of scale.

Sizwe Hosmed Medical SchemeMEMBER HEALTH APP
Good morning, Thandi Your health and benefits,
in one place.
Care · Benefits · Authorisations · Claims
≈25,000principal members≈58,000beneficiaries

2026 actuarial projections published by the Scheme.

SAB Medical AidMEMBER HEALTH APP
Welcome back, Michael Support for every stage
of your health journey.
Health · Family · Medicines · Virtual care
8,982principal members18,357beneficiaries

Membership at 31 December 2024, reported in the 2025 AGM booklet.

SHARED, GOVERNED FOUNDATION
3Sixty Clinical
Intelligence System
POWERED BY GDMS
  • One platform codebaseConsistent capability, controlled releases and lower duplication.
  • Brand-specific configurationIdentity, language, content, benefits, workflows and service journeys.
  • Scheme-level separationSegregated access, permissions, reporting, consent and audit controls.
  • Common intelligence layerStandardised clinical events and portfolio insight within approved governance boundaries.
THE OPERATING PRINCIPLE Shared technology does not mean a generic member experience.

Every client remains visibly and operationally distinct. The member sees the scheme they trust; 3SixtyHealth gains the efficiency and control of one extensible digital-health ecosystem.

The proposition in one page

Build around what
3Sixty already does best.

3SixtyHealth has already built an integrated, scalable administration and managed-care architecture. The opportunity is to extend that strength into a member-facing digital experience and the provider’s clinical workflow.

This proposal does not ask 3SixtyHealth to replace its claims, benefits, membership, billing, authorisation or managed-care platforms. It protects those investments and makes them materially more powerful.

GDMS creates a secure, structured and auditable flow of authorised clinical events between the 3Sixty app, participating providers and 3SixtyHealth’s clinical, managed-care and operational teams. 3SixtyHealth remains the authority for every financial, benefit and managed-care decision.

3SIXTYHEALTH REMAINS THE AUTHORITY FOR

Membership · Eligibility · Benefits · Managed-care rules · Authorisation · Claims adjudication · Funding · Provider governance · Member support

THE CONNECTED OFFER ADDS

3Sixty member app · Patient identity · Provider workflow · Clinical evidence · Diagnostics · Admissions · Discharge · Care continuity · Audit trails · Pathway intelligence

THE RESULTMore value from existing systems. Better evidence for existing decisions. A differentiated offer for schemes, employers, providers and members.

Heritage protected. Capability extended.

Built for the organisation
3SixtyHealth already is.

This proposal begins with 3SixtyHealth’s strengths: a long-standing healthcare heritage, integrated administration and managed care, sophisticated healthcare IT, established clinical programmes and a service culture centred on members and schemes.

1978Healthcare heritage

Founded by 38 healthcare professionals, mainly doctors, with a mission to expand access to quality healthcare.

70,000+Principal members

Access across the Sizwe Hosmed and SAB Medical Scheme administration portfolio.

40+ yrsIndustry experience

Deep institutional knowledge across healthcare administration, managed care and member service.

CMSAccredited capability

Administration and managed-care services within a fully integrated, beneficiary-centric model.

THE DIGITAL FOUNDATION WE BUILD ON

~95%Supplier claims submitted electronically

~50%Claims reported as executed in real time

95%+Published contact-centre service level

48 hrsEscalated-query response target

01 / HOSPITAL BENEFITS

Appropriate care, facility and provider

Structured admission evidence, high-cost case visibility, medical-adviser review and coordinated discharge directly support the existing hospital-management mandate.

02 / PHARMACY BENEFITS

Clinical context around funding rules

Diagnosis, prescription, laboratory monitoring, dispensing and adherence complement existing formulary, reference-pricing and exception-management capability.

03 / DISEASE + ONCOLOGY RISK

Prevention and longitudinal support

Member profiling, clinical support, pathway milestones and outcomes strengthen chronic, HIV, maternity, oncology and preventative-care programmes.

04 / SERVICE + INTELLIGENCE

One trusted entry point

The app complements—not replaces—the national contact centre, while connected provider evidence extends reporting and practice-profile intelligence.

ALIGNED TO 3SIXTYHEALTH’S VALUESService excellenceAccountabilityCreativityPassionDecisivenessIntegrityCollaboration

One member. One authorised care journey.

Connect the moments
that matter.

A governed exchange between participating providers and the teams responsible for helping members receive appropriate care.

01

Member

Needs advice, diagnosis, treatment or follow-up.

02

Provider network

Captures structured clinical events at source.

03

GDMS intelligence

Connects evidence, workflow and case timeline.

04

3Sixty managed care

Authorises, navigates and manages with context.

DESIGN PRINCIPLE

Minimum necessary information. Appropriate consent. Role-based access. A complete audit trail.

Strengthened. Not replaced.

3Sixty manages
the benefits.
GDMS connects
the care.

01

Clinical identity

Patient matching, longitudinal record and a traceable care history.

02

Provider workflow

Consultation, referral, admission, transfer, discharge and follow-up.

03

Diagnostic intelligence

Laboratory, pathology, imaging and treatment evidence in context.

04

Medicine continuity

Prescriptions, dispensing, reconciliation and chronic adherence support.

05

Governed evidence

Role-based permissions, audit trails and defensible case timelines.

06

Clinical intelligence

Programme, provider and pathway insight for faster managed-care decisions.

Start where clinical
clarity matters most.

Activate the right workflow for the right managed-care challenge—without replacing existing benefits, claims or funding rules.

01 / HOSPITAL BENEFIT MANAGEMENT

Manage the hospital journey—not only the invoice.

Give benefit teams the referral reason, clinical indication, diagnostics, major events, discharge summary and follow-up requirements in one structured pathway.

VALUE CREATED
  • Better high-cost case visibility
  • Faster, more informed authorisation
  • Stronger discharge planning
FRAUD + GOVERNANCE INTELLIGENCE

Compare the financial event with the clinical record behind it.

Time-stamped records, role-based access, change history and clinical-event timelines strengthen the evidentiary foundation available to 3SixtyHealth’s risk teams. GDMS supports investigation—it does not make allegations or replace established governance.

APP EVENTAUTHORISATION · AUDITEDMember source retained

Everything health. One living experience.

Useful every day.
Connected when care begins.

The 3Sixty-owned app platform is included in the proposed ecosystem and can be configured for scheme branding, benefits and programme rules. It combines member self-service, active health support and governed access to the longitudinal GDMS record.

Open the 3Sixty connected app demonstration
01 / MY HEALTH

Know your health

Personal health dashboardHealth recordsAI health insightsPreventative carePersonal health journey

A live view of health score, records, observations, care tasks, screening milestones and explainable next-step guidance.

02 / GET CARE

Reach care faster

TelemedicineAppointmentsEmergency SOSPharmacy + pathology

Find, book and consult; access virtual care; receive results; manage follow-up; and reach appropriate help or the national contact centre.

03 / MY COVER

Understand your benefits

Digital member cardBenefits + limitsAuthorisationsClaims tracking

One secure medical-aid identity with plan, dependant, eligibility, benefit, authorisation and claims visibility.

04 / DAILY WELLBEING

Build healthier habits

FitnessNutritionSleep + recoveryMental wellbeingRewards

Movement, workouts, food, hydration, recovery, wellbeing check-ins, personal goals, streaks and healthy-action rewards.

05 / CONNECTED HEALTH

Bring signals into context

Wearables + devicesECGBlood pressureBlood oxygenMedication

Member-authorised device and manually entered data retain source, time and consent context before clinical use.

06 / CARE PROGRAMMES

Support priority journeys

Chronic medicineHIV supportMaternityOncologyPrevention

Confidential programme tasks, benefit education, monitoring milestones and care-team contact remain connected without exposing sensitive information.

07 / FAMILY + WORK

Support the wider community

Family profilesEmployer wellnessCorporate dashboard

Consent-aware dependant support and privacy-protected aggregate employer insight—never access to individual medical records.

01CAPTUREMember · device · clinician
02VALIDATEIdentity · source · units
03CONSENTPurpose · permission · expiry
04UPDATE GDMSLongitudinal clinical record
05RETURN VALUEResults · plan · follow-up

Synchronization is subject to member consent, purpose, clinical relevance, identity resolution, validation and role-based access policy. The app never turns wellness participation into covert surveillance.

Not a thin integration

A complete clinical
operating system.

Twelve connected healthcare domains turn app engagement and provider activity into a governed, longitudinal care journey.

01

Identity + longitudinal record

Patient master index, clinical history, allergies, observations, diagnoses, procedures and member-authorised portal access.

02

Hospital + acute care

Outpatient, emergency, admissions, wards, transfers, beds, multidisciplinary coordination and discharge.

03

Laboratory + diagnostics

Orders, specimens, core laboratory, microscopy, molecular medicine, pathology, quality control and signed results.

04

Imaging + interpretation

Radiology ordering, CT, MR, X-ray, ultrasound, annotations, findings and qualified human review.

05

Blood services

Donor lifecycle, screening, collection, testing, preparation, crossmatch, bedside verification and haemovigilance.

06

Medicines + pharmacy

Prescribing, dosage, dispensing, stock, batches, medicine reconciliation, costing and auditable supply.

07

Surgery + perioperative care

Planning, pre-anaesthetic evaluation, monitoring, WHO checklists, operating records and recovery.

08

Whole-person care

Mental health, nutrition, paediatric, neonatal, chronic and infectious-disease pathways across a lifetime.

09

Telehealth + coordination

Availability, booking, virtual consultation, secure messages, vitals, national cases and follow-up.

10

Finance + enterprise

Clinical event to cost, charge, bill, payment, corporate accounts, procurement, assets and performance.

11

Collaboration + facilities

Secure teams, messages, presence, room occupancy, barcode events, biometric logs and department activity.

12

Governance + resilience

Users, roles, permissions, audit trails, offline continuity, standards and operation under imperfect connectivity.

THE CONNECTED RESULTThe app becomes clinically meaningful because GDMS is behind it. GDMS becomes member-relevant because the app brings care into everyday life.

From medical aid to health partnership

Make the member feel
supported, not processed.

The network is not simply an app experience. It is a more continuous care experience—before illness, during treatment and after discharge.

BEFORE CARE

Navigate with confidence

Clear benefits, appropriate provider navigation, fewer repeated forms, easier referrals and better preparation.

DURING CARE

Stay connected

Faster supporting evidence, coordinated diagnostics, visible care tasks and informed authorisation.

AFTER CARE

Continue the journey

Discharge plans, medicine support, follow-up appointments, chronic-care continuity and prevention.

PHASED MEMBER EXPERIENCE

Digital medical-aid identity

Benefit visibility

Care navigation

Appointments

Telehealth

Medication support

Diagnostic notifications

Family profiles

Wellness engagement

3SIXTY APPFOLLOW-UP PLAN · READYReleased by authorised care team

3Sixty Connected Care Pilot

Prove both platforms
in 90 days.

One member cohort. One care pathway. A configured 3Sixty app experience connected to the GDMS clinical workflow—and credible evidence for an enterprise decision.

01Days 01–30

Discover + design

Map the workflow, roles, permissions, data boundaries and baseline measures.

02Days 31–60

Brand + connect

Configure the 3Sixty app journey, onboard providers, connect evidence flows and train operational teams.

03Days 61–90

Run + evidence

Activate the cohort, measure member and operational performance, audit activity and prepare the scale recommendation.

WHAT WE MEASURE
Authorisationturnaround time
Evidencecompleteness
Follow-upmanual volume
Providerresponse + adoption
Case managerproductivity
Memberexperience signals
RECOMMENDED PILOT SCOPE
  • Hospital-facing authorisation workflow
  • One participating hospital or provider group
  • One defined high-cost case pathway
  • Member-app authorisation status
  • Clinical evidence and case-manager view
  • Discharge and follow-up continuity
TEN BOARD-READY DELIVERABLES
  1. Member and clinical workflow map
  2. Branded 3Sixty app pilot experience
  3. Roles, consent and data boundaries
  4. Provider onboarding and training
  5. Structured authorisation request
  6. Diagnostic evidence workflow
  7. Case-management view
  8. Audit and activity reporting
  9. Member + operational dashboard
  10. Outcome report and scale recommendation
OUR COMMITMENT

No extravagant savings claim before the evidence exists. The pilot establishes a baseline, measures operational impact and gives the Board hard evidence for an informed enterprise decision.

PILOT COHORTMEMBER ONBOARDING · ACTIVEConsent and identity verified

Designed for trust

Clinical connection
with clear control.

The network is implemented within agreed legal, information-security, consent, clinical-governance and operational boundaries.

01 / ARCHITECTURE

Modular by design

  • Defined integration boundaries
  • API-led design where agreed
  • Minimum-necessary data exchange
  • Data segregation and controlled environments
  • Backup, recovery and performance monitoring
  • Security testing before production
  • Formal incident and change management
02 / INFORMATION GOVERNANCE

Purpose and permission

  • Controller and processor responsibilities
  • Authorised purposes of processing
  • Consent and lawful sharing basis
  • Role-based access and retention rules
  • Provider obligations and audit review
  • Member communication and escalation
  • Termination and data handover
03 / CLINICAL GOVERNANCE

Authority stays clear

  • Treating clinicians retain patient responsibility
  • 3Sixty retains medical-advisory authority
  • 3Sixty retains managed-care and funding authority
  • GDMS supports workflow and evidence capture
  • Technology does not replace clinical judgement
  • Access is appropriate to role and purpose
  • Every material interaction is auditable
NON-NEGOTIABLE PRINCIPLEThe right information, available to the right authorised person, for the right purpose, at the right time.
CONSENT LEDGERACCESS PURPOSE · VERIFIEDRole · expiry · audit retained

A pilot today.
A proprietary network tomorrow.

A scalable new layer of value for schemes, providers, employers and future Southern African markets.

01

Higher-value managed care

A differentiated proposition beyond claims and benefit rules.

02

Better provider-network value

Cleaner evidence, faster interaction and measurable performance.

03

Employer-health expansion

A governed workforce-health and occupational-care product line.

04

Regional potential

Africa-ready workflows with live deployment and Portuguese localisation.

MOZAMBIQUE DEPLOYMENT ROADMAPFrom proven implementation to a growing hospital network.

GDMS combines a live operational reference with a disciplined expansion programme across strategically important Mozambican hospitals.

LIVE ENVIRONMENTHospital Central de QuelimaneOperational reference

Deployed across clinical records, laboratory, imaging, blood-bank processes, hospital operations and role-based access.

IMPLEMENTATION PREPARATIONPonta do Ouro HospitalTargeted before September 2026

Implementation planning and readiness preparation are underway for deployment before September 2026.

PLANNED EXPANSIONMaputo Central HospitalTargeted for early 2027

A phased implementation is being prepared for early 2027, subject to institutional readiness, approvals and agreed deployment scope.

COMMERCIAL PATHWAY

Launch the app and intelligence system together. Scale only when proven.

01 Strategic discovery

02 Connected app + GDMS pilot

03 Enterprise ecosystem licence

04 Member + provider expansion

05 Joint market opportunities

Final structure follows agreed app scope, member and provider volume, integration complexity, service levels and security requirements.

An implementation partner, not a rigid platform vendor

Built in Africa.
Proven in care.
Ready to adapt.

GDMS understands the difference between a demonstration and a working health platform.

The platform has been developed around practical hospital needs: clinical care, patient flow, laboratory, imaging, blood services, staff roles, permissions, administration and deployment support.

For 3SixtyHealth, this means direct access to a partner that can listen, configure, build and support—with founder-led engagement and the flexibility to create a capability that belongs to 3SixtyHealth.

Live hospital referenceClinical-workflow depthModular deliveryLaboratory + imagingRole-based controlsPortuguese localisationAfrican implementation experienceRapid configuration

A board-approved strategic discovery

Approve the path
to a 90-day pilot.

Approve a connected-care discovery that selects the highest-value pathway, defines the branded 3Sixty member-app experience, and connects it to the GDMS clinical intelligence workflow.

01 Select member + care pathway02 Define app + data governance03 Agree success measures04 Launch both platforms
DISCOVERY TABLE

CEO

Managed Care

Hospital Benefits

Pharmacy

Disease Risk + Oncology

Medical Advisory

Technology + Security

Legal + Data Protection

Provider Networks

Business Development

3SixtyHealth manages the benefits.GDMS connects the care.Together, we create better healthcare decisions.