This study aimed to explore and understand strategic adjustments that had been made by the largest medical scheme administrator in South Africa, Afrocentric Group to prepare for the NHI implementation in the Gauteng province. The study followed an exploratory qualitative approach and data was collected through semi-structured interviews in which 10 participants occupying middle to senior management positions in their various organisations took part. The most predominant theme that emerged from the interviews was that of partnerships and collaboration between the public and private healthcare sectors to make NHI a success. The findings revealed the significant role that medical schemes and medical scheme administrators such as the Afrocentric Group can play before and after the initial implementation of NHI. Private healthcare organisations already have the knowledge, expertise and digital systems needed to make NHI a reality. In addition, medical schemes and administrators could play a key role in providing public education and creating products and services that are based on the primary healthcare concept. This would help contribute towards expanding healthcare access to more members of the community and would expedite the general understanding of NHI.

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