Description and optimization of health insurance company processes

We offer a description of existing processes using of appropriate tools, including designing their optimization based on our experience with the specific environment of health insurance companies.

Auditing selected segments of health insurance

ICT segment, contractual segment, reimbursement of health care segment, the segment of registers, the analyses and statistics segment.

Implementation of projects

The coordination and management of new projects, including negotiations with suppliers.

Health care management

Designing the methodology for managed or integrated health care, tailor-made for a specific health insurance company, including designing electronic medical books; based on the practical knowledge of the environment of Czech insurance companies and the legislation in the Czech Republic.

Assignment for creation of specialized SW

From mapping of key users´ needs, to a detailed written specification and creating assignment specifications for selection procedures, managing software  project development and implementation.

Design of management information systems

Design of decision-supporting systems for health insurance companies' management.

Design of systems of artificial intelligence

Design of systems for the practical application of the principles of artificial intelligence and fraud management in health insurance companies (usually in the auditing section,, marketing, MIS, and checking the collection of premiums).

Design of portal solutions

Design of portal solutions based on experience in designing health insurance companies portals

Training

We will train your staff in matters relating to the operation of selected parts the environment of health insurance companies; our trainers are familiar with the environment and the current legislation in this country.

Mergers of health insurance companies

Consultancy in the preparation of merging of health insurance companies based on the practical experience of our consultants.

Data analyses

Data analyses of income and expenditure of health insurance companies based on knowledge of DRG methodology and on practical knowledge of data interfaces for documents transmission, data interfaces for the regular reporting to the Ministry of Health, IHIS and NRC.