Efficient cost management is one of the biggest challenges for health insurance companies. Auditing medical bills is essential for ensuring compliance and avoiding waste,
Relationship management in supplementary healthcare is fundamental when it comes to establishing solid partnerships with hospitals, clinics, laboratories and suppliers of hospital materials. Clear communication and
Staff training and development are central to the success of a healthcare operator, especially in the face of the sector's specific challenges and demands. Training employees in
Artificial intelligence in healthcare is becoming as disruptive a force as in many sectors. With the advance of machine learning technologies, natural language processing and predictive analytics,
Verticalization in supplementary healthcare refers to the vertical integration strategy adopted by health insurance providers. This means that a single company controls several stages of the healthcare process.
Waste in supplementary healthcare is a significant challenge that affects the sustainability of healthcare systems around the world. Reducing waste not only improves efficiency and
Supplementary healthcare in Brazil faces constant challenges, from financial sustainability to the quality of care provided to beneficiaries. Traditionally, the predominant remuneration model is fee-for-service (FFS),
The Importance of Patient Management in Access to Health Services: An Approach for Health Operator Managers is the subject of this article, which aims to update professionals on the importance of patient management.
Hospital admission authorization (AIH) is a highly bureaucratic process for a healthcare provider, due to the need to ensure compliance with regulations, verification of plan coverage
In this article we present the benefits of the SAUDI Medical Follow-up module, also known as Concurrent Audit, Per-Event Audit, Local Audit or Bedside Audit. It is a system that
