Changes in the healthcare sector have been made with several digital transformations, mainly due to the crisis caused by Covid-19, which has caused many healthcare processes to innovation in supplementary health were accelerated. The need to innovate in healthcare is changing the way we think about processes and operators are seeking to improve the quality of service, optimize resources and reduce costs.

At the last Health Tech, an event held by Assespro-RJ, sponsored by SAUDI, companies showed some innovations that could impact health in the coming years, the benefits generated and how to adopt these solutions in the services offered by the sector.

According to a report produced by Global Market Insights, the market for healthtech should reach US$ 504 billion by 2025. In Brazil, it is already possible to notice the growing interest of large companies in this field, both in the emergence of startups focused on this sector and in the training and learning of the medical community, which is also increasingly active in thinking and developing solutions aimed at monitoring, prevention, diagnosis, etc.

Health innovation case

One of the companies participating in the event, Win Social, a partner of MAG Seguros that is also part of the Mongeral Aegon Group, is present in more than 20 countries operating in the areas of insurance, investments and pensions in Brazil, innovated by holding the Assembly online.

Suddenly with the pandemic, many companies had to adapt to new processes and choose technologies that people could follow, especially because it would not be possible to move the in-person assembly entirely online.

However, the financial result was very good and quick. The company held three meetings per year, R$ 500,000 each event and an increase of 50% on the format change.

What if it weren't for the pandemic? This is an unanswered question, because the work was already being done, but like everything else, it had to be accelerated due to the pandemic. Even with all this crisis, the company did not accommodate itself. And even with everything returning to normal, he was aware that he needed to continue innovating, because it is essential to bring new things to the business.

With an eye on the future, new cycles are already being thought of

After a period of digital insufficiency came the rise in medical treatment with telemedicine, online sales, salesforce, chatboots, API management, RPA, medical cost predictability close to real time.

Systems that enable predictive analysis where high costs can be mitigated, automation of medical audit where you can have a reduction in medical costs, data cloud, data shared in the cloud to meet the various needs of the business.

To reduce costs, primary attention will be given to the customer because this company does not use illness but health, prevention and care of patients aiming to reduce costs.

To innovate, it will be necessary to have people, processes, and technology well integrated. Processes must be agile in practice, focused on continuous improvement. Evolution needs to be gradual.

In the near future, healthcare will be managed by technology companies with healthcare products. There are several players entering the market very strongly. The search for improvement is a journey that never stops.

Operators see opportunities for innovation in their operations with the individual at the center. Empowering the individual and accompanying them on their life journey is one of the objectives of the operators, as well as Win Social.

An example of this was a person who was denied insurance due to their glycemic level. The client sought to improve his life so he could have a healthier life and be able to get his insurance. The company gave him empowerment, a way for him to help himself.

How UNIMED-Rio uses technology to its advantage

Another participant in the event that is using technology to support customers and help them have a better quality of life and, on the other hand, reduce costs is Unimed-Rio.

Per-app integrations to perform a customer follow-up and in the near future, an exchange of customers between regions, are some solutions for the operator.

There is an information sharing initiative between the Unimed group, electronic medical records, initiatives even from the government itself to establish electronic medical records standards for sharing and all care with the LGPD. This is a challenge to be able to create and run this electronic medical record well so that customer care in the end is much better executed.

To give an example, the following would be: an exam that a patient takes in the city of Rio de Janeiro today, when he returns to his city of origin, it will be possible to see that individual's entire history.

Another very big challenge is the remuneration model for operators and providers. This is a model innovation in itself. Unimed is currently working on a pay-for-service system. Fee For Servisse, and it does not focus on quality, service, or the patient. It is a challenge for the operator to get this entire chain surrounding the operators to accept and understand that this model needs to change for overall efficiency.

For operators, this model is very expensive. For providers, they earn well, but on the other hand, the patient is also the loser, so, each with their own perspective, it is necessary to be able to create these current models, with these new perspectives.

That's where the healthtechs, where they often enter as an innovative model, with new providers, without market defects, with the ability to generate another business model much more focused on care and quality, challenges that large operators see themselves presenting.

Keeping up with innovation trends in supplementary healthcare

Now that you are aware of the innovation cases of these major players in the healthcare market, take the first step by getting to know the system SAUDI, aimed at maintaining the “financial health” of Supplementary Health Plan Operators.

Our software automates the process of medical audit of service providers, enabling a huge gain in transparency for both sides (operators X service providers) and a significant cost reduction.

Acting throughout the entire process, from authorization request for medical procedures from the network of providers, through OPME and Concurrent Audit, to their respective release for payment, the objective of SAUDI is that companies in the area become more healthy and reach better results through transparency and adequate management of your care costs.

The result is surprising in the first 3 months of use!

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