 | Health Care is a volatile industry with many participants.
Yet the basic transactions remain the same;
Patient feels unwell
Patient visits Doctor(s)
Doctor(s) treat Patient
Doctor(s) bill Patient
or,
If Patient is insured, Doctor(s) bill Health Insurance Fund.
But along this seemingly simple chain, there are many participants, each wielding influence and shaping the direction of modern health care, and creating a web of contact points and a wide spread of information.
Assuming the patient is insured, Health Insurers become the single central point of data collection, and analysis is a natural extension to data collection.
Up until now, the process of data collection and analysis has been performed primarily to detect abuse and over servicing in an effort to contain the costs of healthcare delivery.
Expensive and highly qualified human resources have been employed to micro manage the costs of episodes and encounters, frequently leading to confrontation and frustration between role players.
Health care administration systems should be able to perform many routine functions such as; fraud detection, service and drug pricing, the monitoring of over servicing, the abuse and overuse of the system. This enables the freeing up of valuable human resources to concentrate on; managing actual treatments, measuring outcomes, and the developing and refining of effective wellness programs, protocols and treatment plans for insured patients.
NHA, in conjunction with leading experts in Health Care Management, and in response to calls from it's clients, has extended it's respected administration system, Medware, to include a comprehensive health care management suite, Careware, designed to maximise the availability of rich data in a central point, and enable skilled managed care personnel to monitor, manage, define, and refine effective Managed Health Care.
In keeping with the NHA philosophy of inclusive design, the new system has secure entry points for all role players, ensuring that every participant has ready access appropriate and useful information that will ultimately benefit the patient, and by extension, the patient's risk pool within the fund.
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Careware