Healthcare
Delivery
This
service is about ensuring that your employees can easily gain access
to necessary medical services and that the medical service providers
(clinics and hospitals) dispense their services in accordance to the
business rules you have set.
Healthcare
delivery also addresses the issue of monitoring medical providers as
a check on abuse. Often, this involves reviewing medicals bills to ascertain
appropriateness of the treatment as well as the cost.
Utilisation
Review
Utilisation
review is all about gathering, tracking and analysing your healthcare
transaction records. Each and every transaction is captured, scrutinised
and analysed to detect trends and uncover both threats and opportunities.
This information is often vital in establishing what course of action
your organisation must take to ensure that achieves its healthcare goals.
Utilisation
Report reports are presented to you both on a periodic and ad hoc
basis so that you have at your disposal the latest information that
impacts on your healthcare policies.This paves the way for timely business
decisions and the drawing up of appropriate action action plans.
Claims
Facilitation
Organisations
typically finance their healthcare programmes either from internal funds
or by way of insurance policies. If an insurance policy is involved,
making a claims against the insurer can prove to be a very technical
and time-consuming exercise. However, at R-Medic, we have the necessary
experience, skill and business relationships to help you submit a successful
insurance claim in the most painless manner possible.
Wellness
Programmes
Wellness
programmes are essentially preventive in nature. Various methodologies
are deployed to increase your organisation's awareness towards healthcare
issues in a effort to reduce incidences ot illness among your employees.