Core System for insurance companies

We provide financial management support systems, management information systems and tools for advanced data analysis and data development modelling.

These tools will help you in the following critical areas:

1. Supporting the ongoing management of your healthcare facility
2. Supporting negotiations procedures during the year
3. Analysis and modelling of developments 

With our systems, you will improve your financial performance, leading to improved quality of care for your patients.
 

The software that we provide:

• can monitor the progress of economic performance,
• can forecast the results of economic performance,
• supports the parameterisation of the healthcare provider's operational systems.

Depending on reimbursement methods and regulatory constraints, we can track both ongoing and cumulative performance to support your facility managers' decision-making. 

On the basis of continuously collected data and data from the previous year, or a moving average for several previous years, we can create a forecast of the economic result for the current period.

Our system enables the estimate of parameters used for ongoing reimbursement or for regulatory purposes, which are normally reported by health insurance companies, and they can be used in the context of a negotiation procedure, for example:

• to calculate the estimate of the amount of the monthly prepayment by increasing the volume of care paid in the segment in the reference period by the percentages set out in the reimbursement decree.
• to estimate reimbursement for unique individuals.

Once the year is closed, our system will calculate the actual reimbursement amount as a recalculation of care for the reference period and for the completed year.

With our management applications, we can custom-program tools to help you with financial analysis and development estimates.

We can use the proven Qklik or popular BI platform to develop and manage financial and data analysis tools, or develop a customized application to meet your specific needs.