Supplementary healthcare is a crucial sector for guaranteeing access to quality healthcare beyond the public system. To guarantee the efficiency and quality of the services offered, it is essential to constantly monitor and evaluate performance using specific metrics.
Learn about the main metrics used for supplementary health indicators:
1. coverage rate: This metric assesses the proportion of individuals covered by health insurance in relation to the total population. A high coverage rate indicates wider access to supplementary health services, while a low rate may indicate access challenges or inequalities in the distribution of health plans.
2. utilization rate: The utilization index measures the frequency with which beneficiaries use health services, such as medical consultations, exams and hospitalizations. This helps to identify patterns of use and demand for health services, allowing for better resource allocation and strategic planning.
3. Hospitalization rate: This metric examines the proportion of beneficiaries requiring hospitalization in relation to the total number of beneficiaries. A high rate of hospitalizations may indicate health problems in the insured population or even deficiencies in primary care, while a low rate may suggest good control of chronic diseases and health promotion.
4. Customer Satisfaction Index: Customer satisfaction is fundamental to assessing the quality of the services provided by healthcare operators. Regular satisfaction surveys help to identify areas for improvement and ensure that beneficiaries' needs and expectations are adequately met.
5. Complaints rate: This indicator tracks the number and type of complaints received by healthcare operators, whether related to coverage, customer service or quality of services. A high rate of complaints can indicate systemic problems that need to be addressed in order to improve the beneficiary experience.
6. Provider Network Performance IndexThis index assesses the quality and efficiency of the health service providers that are part of the operators' accredited network. Aspects such as waiting times, the success rate of procedures and the qualifications of professionals are taken into account to ensure that beneficiaries receive high-quality healthcare.
Use the Analytics SAUDI and guarantee the best performance
Regularly monitoring and analyzing these metrics is essential to guaranteeing the effectiveness of the services provided, improving internal processes, sustainability and financial results in supplementary healthcare.
As SAUDI Analytics it is possible to design efficient Business Intelligence (BI) for companies in the health sector.
By closely monitoring performance through these (and other) key indicators, healthcare operators can identify areas for improvement, promote best practices and ultimately provide quality care to beneficiaries.
Before starting the implementation of Analytics SAUDI, it is important to define the specific objectives you want to achieve and the functional and technical requirements of the system. This will help guide the entire process and ensure that BI meets the company's needs.
Speak to us today with a specialist from the SAUDI team and understand how we can help you gain all the advantages that your health insurance company can have by defining and closely monitoring your indicators! ; )
