The best way to cut costs and improve results in any company is to invest in the quality of the service offered and in the control and transparency of processes. And it couldn't be any different with healthcare providers. Want to know more about How to improve your healthcare provider’s results in just 3 months? Continue reading!
One of the most important challenges in managing health plan operators is taking effective measures to reduce costs through the correct use of available resources.
Therefore, in addition to other measures to encourage the use of existing technical knowledge, integrated management must prioritize encouraging preventive medicine actions and a more effective monitoring of beneficiaries.
Furthermore, technology must also be used as a valuable resource, capable of enhancing a more strategic business performance.
In addition to the high loss rate of individual benefit plans, corporate benefit plans and membership plans, managers need to pay attention to the integration of the above resources to achieve more important cost control.
Do you want to know the best ways to reduce costs in managing healthcare providers in a short time? Check out some infallible tips from SAUDI experts below:
The efficiency of accident control
The healthcare provider's attrition rate is calculated based on the number of claims made by the beneficiary and the value of premiums received by the provider.
It is no news that ineffective claims control by healthcare providers has a negative impact on their financial balance.
Excessive use of health plans, especially when the need for this attitude is not proven, will increase costs and even harm the operator's overall financial management.
Therefore, it is necessary to take some measures to more effectively control costs and avoid the collapse of healthcare providers' financial management.
In addition to technology, preventive medicine and sports actions encourage beneficiaries to develop healthier lifestyle habits, improving their quality of life and general health, which is of great help to healthcare provider managers.
Optimize integrated management and reduce costs
When reducing costs for healthcare professionals, it is important to consider that medications and preventive monitoring are important for the success of these measures.
Especially for patients with certain risk groups, monitoring makes prevention the most valuable tool, thus controlling costs by not having to perform expensive tests.
For high-cost materials such as OPME, it is necessary to carry out technical and standardize the quoting process of these materials.
Therefore, creating a calendar of actions that encourages control of certain groups can be an attitude that leads to cost reduction for the department.
As for technology, resources that involve the use of data crossover and big data can identify beneficiaries who could worsen the condition or disease.
With this data, the operator can once again take decisive preventive measures.
Today, technology is no longer a cost, but an ally for healthcare providers, mainly in terms of cost control and reduction.
The operator database is an excellent source from which information can be extracted to generate important preventative measures, thus providing effective cost control methods.
Combining internal procedures and preventive measures is an intelligent solution for controlling costs, making supplementary healthcare service providers even more efficient.
4 tips to improve financial results at your operator:
Monitor the default rate
Default is one of the main problems for healthcare providers. With the pandemic, the default rate increased due to the financial situation and employability of beneficiaries, individuals or companies.
To prevent the situation from getting out of hand, pay special attention to user registration, closely monitor patterns, and control the rate of late customers.
Have an effective billing policy
To properly manage delays, it is very important that your company develop a collections policy, which stipulates the process for how to contact the beneficiaries of delays:
- Will the billing email be sent or will someone call?
- Who sends the duplicate blank?
- How far in advance?
When receiving payments, care must be taken not to harm the relationship and to ensure that health plan beneficiaries continue to use the company's services.
Develop a correct billing strategy
When it comes to defaulting on a health plan, it is necessary to consider issues other than credit recovery. Be flexible and try to understand the reasons for not paying the monthly fee.
Present a solution for the debt to be paid and prove that the company is a partner of the beneficiary. This friendly attitude can increase your chances of paying off debt.
Negotiating overdue installments is not an easy task, to achieve the desired results it is important to apply specific strategies.
Sometimes, the company has the same sales team cover the defaulter, which is a big mistake!
The beneficiary does not always want to cancel the health plan, he just needs to renegotiate the debt.
Therefore, the ideal way of recovering credit and retaining users is professional and outsourced active collection, made up of professionals specialized in service, who know the rights and obligations of beneficiaries, and who are supported by the ANS and for Consumer Legislation.
Some companies offer only this type of service, offering automatic dialers, dedicated and dedicated call centers, digital call recorders, among other differences.
With this, your team can focus solely on selling and introducing new beneficiaries, maintaining a good relationship between your company and customers.
Provide quality service to beneficiaries
The number of user complaints from companies that operate with health plans is generally high. According to Ombudsman Report – REA 2020 (base year 2019) released by ANS in October this year, of the 331,777 complaints received by the Ombudsman in 2019, 17.8% involved the SAC.
During this period, the proportion of complaints from operators to SAC increased (this project represented 7% of the total in 2018).
Therefore, pay attention to the quality of your company’s service. Technology is an important ally for the company and can simplify the process, but nothing can replace humanized service.
Get to know SAUDI
O SAUDI is a system designed to maintain the “financial health” of Supplementary Health Plan Operators.
Our software automates the process of audit of accounts of medical service providers, enabling a clear vision for both sides (operators X service providers) and a significant reduction of unnecessary costs in the first 3 months of use.
Contact with our experts and learn about our personalized solutions for your healthcare provider to GROW in a very well-structured way!
