United Africa Health

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we promote preventive care ,Wellness and create access to smart care . Our advanced e-health platform simplify health record keeping , offer personalized health , fitness and insurance solution for all our members .
We help our members experience the wired health and fitness world . At UAH we offer fabulous local and global “All discount” deals .

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United Africa Health

  1. 1. Your health & value delivery partner
  2. 2. Who we are ?We are Next gen wired healthcare and insurancesupport service company, In collaboration withAmerican medical practice group and investor backedhealth tech start up.Our partners : AGS Health, Paramount health , Hyjiya, Eximius InfoTech , Vocalcom.Our People Experience : 150+ yrs. of collective people experience in the field of health care , Pharma, technology outsourcing , Insurance , Investment banking , Media Marketing and advertising.
  3. 3. What we do ? we promote preventive care ,Wellness and create access to smart care . Our advanced e-health platform simplify health record keeping , offer personalized health , fitness and insurance solution for all our members . We help our members experience the wired health and fitnessUAH has partnered with reputed insurance world . At UAH we offer fabulous local and global “All discount”companies , health care providers ,pharmacies, deals .major retail outlets , grocery stores , airlines , touroperators , hotel chains, spa centers , fitness clubs ,gyms , e- gadget store , sports shops , beauticians ,fuel station, auto care centers, telecom provider ,banks and many more … in order to facilitate youwith best local and global deals at discounted price . Wellness promotion . Health care marketing & Benefit consulting . Health Administration . Health Risk Management . E- Health Records .Tele health . Tele Underwriting . Pre policy check up . Health outsourcing skill development .International Outsourcing and health off shoring support services
  4. 4. Our product and service portfolioTo customers : To Insurer & corporate health plans :• Health and wellness plans• E-integrated collaborative health records • Health TPA services• Doc on call services – Video health • Revenue generation services• Emergency assistance • Health Risk & managed care services• Personalized health , fitness training plan and • Health Plan Design diet management portal • Re insurance• FDA approved diet supplement and nutrition • Tele Underwriting products • Pre policy check up (Life)• “All discount” deal program • Health data analytics and technology• Health Gadgets solution• Health Benefit consulting • Unified contact center & communication• Home care and remote monitoring services • Revenue generation services Hospitals : • Retention , collections and renewal Revenue cycle management management . Revenue generation support All in one marketing platform Contact center Because with us, you get : . . .
  5. 5. Global Health & Insurance -BPOFront End Processes•Claims data entry Information Capture•Imaging •Pre-registration•Mailroom services •Patient AdmissionCore Administrative Functions •Insurance eligibility and verification•Member eligibility •Discharge and Financial Counseling•Enrollment and administration•Benefit plan managements Charge Capture/Billing•Claims adjudication•Premium billing •Dictation and Transcription Management•Payments and benefits explanation •Code and Abstract•Appeals •Medical Records Storage and Retrieval•Credit balance recovery •Initial Contractual AdjustmentCustomer Service •Claims edit process •Bills Submission•Call Center Services•Email and Chat Receivables ManagementCare Management •Claim Status •Denial Management•Pre-certification•Referral authorization. •Secondary and bill resubmit•Discharge planning •Cash posting•Case management Revenue EnhancementProvider Management •Collections process•Provider setup and maintenance. •Management reporting•Credentialing•Performance analysis
  6. 6. Our Vision: “To be the innovative healthcare and insurance Industry value add supportservice provider “Our Mission: To Create better access to modern “wired care ” and get all our members staycloser to healthy lifestyle ,accelerate smarter consumerism , enable savings , deliver morevalue and better experience for all.Values:Integrity , Fairness , Innovation , Leadership , Accountable ,Competitiveness and Team work.We are Committed in delivering: Better Care ,Improving efficiency , enabling performance &quality ; enable innovation , in order to build more value to all , coupled with higher level ofprofessionalism and friendliness .Founder -Humanitarian belief : “Grow to Give, Give to Grow “
  7. 7. Our foundingmember team Prabhumurthy (MA,MBA,CFP) Entrepreneur , young visionary and Professional executive start up . Managing partner –Eximius info tech & Co -founder - United Africa health, is a management graduate from one of Indias most renowned institutions and has a wealth of experience & 10 yrs. of success in Business development ,Marketing , business modeling , wealth advisory, outsourcing and international business . Before his start up initiative ,heading international business and strategy for Med scheme, one the largest health care group in south Africa , and he been instrumental towards developing and implementing global business strategy ,and in Identifying M&A transaction in the United States and Asia . Dr Abhithab Gupta Radiologist by profession with 20 + years of healthcare experience , he is regular faculty at NIA and have authored more than 10 medical book. Dr .Abhithab , held several Sr management and c- level position in India’s leading insurance and administration companies , wealth of health management experience and currently managing more than 5 million lives in India . His contribution toward developing innovative health insurance product and national e- health strategy is remarkable in the Indian market.
  8. 8. Our TechnicalOur Strategic advisory Partners team • Largest Health administration & outsourcing Prabhumurthy , Dr Abhithab Gupta , Dr Eric , Dr Harish company in India & costa Rica , in total our partners Singh , Dr Chan , Dr Singh, Mr Krishana praharaj , Mr administer over 8 million lives Roy Sanders , Dr Lyness , Dr Bill Hall , Dr Andrew , & • American Physician group & ACO’s other International /Local technical operations and • Telemedicine group process expert team, with relevant industry experience • Start up Tech & Health Outsourcing companies in the more than 20 + years . united states Our Technical advisory team has played a key high level role in large health care companies , IT/BPO, Investment firms ,Health administration group in India , Mauritius , south Africa, United States ,UK ,has rich Our approach to business : domain expertise in the health care , BFSI and Collaboration . Globalization . Innovation outsourcing space. We believe in : People , process , knowledge and technology We guarantee : Customer satisfaction ,value addition , cost savings , Innovation and growth to our partners .
  9. 9. How we help the UAH : Valueinsurance summarycompanies ? • UAH , help insurer to reduce health claims cost and health plan admin expenses • UAH help Insurer simplify health claims process and new client acquisition • Our proprietary communication platform help insurer to device effective member communication strategy and improve customer experience “ better retention , much better revenue “
  10. 10. Health risk , Audit & Managed care as a service At UAH , All health plan risk management Our target member wellness service delivered by qualified medical communication strategy and professional and global health risk managers approach help insurer develop : • Effective Communication • Create Awareness • Improve bottom-line profitability Improved business performance & plan Reduced Claim cost Profitability
  11. 11. “My Value supplement card :Product feature & Benefit:- overview• Wellness and personalized health portal unlimited access• Medical records on 1 GB flash drive• Second medical opinion – With local and international specialist• Tele medicine – Doc on call service *• Home care assistance and emergency care - on call or press of a button*• Out patient and preventive care plans• wellness and nutrition plan• Health Benefit and wealth consulting – Benefit expert service• Access to more value deals and benefits ….
  12. 12. How our value supplement card help the insurer and our member ? Our Value supplement card product support insurer to introduce new value add services to their customers and help insurer differentiate their product from completion. Other benefits to insurer : Our supplement plan and value health platform improve health data efficiency and analytics , improve customer brand loyalty and help them offer more savings to their customers with “our value deal program “ Our members or Users - We offer 10% discounts on all insurance premium , free access to fitness world and other value deals . • Priority medic service – Doctor visiting patient home • Wellness tool and gadgets • First consulting on call - for minor symptoms call your doctor helpline or connect online • Elderly Home care assistance – “Express your love and care to your elderly by gifting our home care assistance device ” In case of any un attended emergency situation, we alert the family members , physician network ,near by health facility and alert the ambulatory service . • E- Health records - “No more paper file , No more searching “ UAH 1 GB Flash Card will allow members to organize personal care and treatment history ,all in one place ,accessible any where any time, and over a click our members may request a second opinion with any doctor of their choice . • “Electronic health records & gain access to first line care via telephone & Internet”
  13. 13. Who will benefit from our product ?• Individual - savings on spending , new health care experience , comfort and extra care .• Corporate - Express their care for their employee wellbeing and by managing staff member health , they can avoid health insurance premium increase “ proactive approach towards saving cost “• Providers - Extensive marketing – meaning more sales , more revenue and visibility• Hospitals - Alternate platform to promote well ness and care• Insurer : Reduction in claims cost , healthy business bottom line.
  14. 14. Our Technology solutions Snap shot
  15. 15. TPA – Third Party Administrator TPA acts as a Facilitator between Insured & Insurer. Our product for TPA offers the following : Total benefit administration including hospital, daycare, and clinic claims processing. Rich, high performance reporting at-a-glance access to the information you need in just a few keystrokes. Automated Preauthorization Workflow for high speed processing of preauthorizations received by fax or mail. Advanced correspondence logging for single click access to Word documents, emails, or Excel spreadsheets previously sent to clients or insured, along with SMS and email push features. Automated Electronic Claims Queue Processing for Streamlined processed of claims. Open Architecture Database design allows access to data by your existing applications or reporting tools. In the process of HIPA compliance including security tracking, patient security features, and acceptance of all HIPAA data formats.
  16. 16. Integrated collaborative health records – portal snap shot
  17. 17. PHR (Permanent Health Record)
  18. 18. PHR (Permanent Health Record) PHR is a permanent health record on the web, which is lifelong archive of person’s medical history. It can be accessed online anytime, anywhere, and by anyone with the required security credentials.Permanent Health Record contains: Basic personal information Medical insurance coverage details Immunization records Medical history (past & current) Medication information Information of Allergies “Smart Tag” technology that keeps track of members information as a critical care access report which can be accessed in the case of a medical emergency
  19. 19. Benefits of PHR 24*7 access and handy source of entire medical history Pro-active approach to tackle emergencies Increased consciousness towards one’s own health Life time health insurance records and health checkup records Online health record accessible Members will be able to add, edit or upload new record as and when required Unique identification (username/ password) for everyone We can upload the scanned copy of original documents Tracking Of Insurance details 100% Accuracy
  20. 20. Pre Policy Health Checkup
  21. 21. Pre Policy Health Checkup (Dashboard view)
  22. 22. Products: Pre Policy Health Check Pre Policy is intranet/internet based web application providing common platform to the insurance company, corporate, individual, hospital provider & management where they can interact with each other. It is complete Business Optimization of Process of Health Check up, for clients who opt for Insurance Policy. Following are the main features: Exhaustive MIS for Insurance companies and corporate, Providers, Administrator. SMS and E-push integration throughout the system for periodic updates. Reporting of all processes, all appointments, TAT reports, and accounts reports Separate Logins for Agents, Development officers, Insurance companies, Corporate. Annual health checkup for corporate is available. Facility to customize the packages and rates for each Diagnostic Center, Insurance company, and corporate. Reports can be fetched in various formats as per the requirements. Integrated accounts module that takes care of invoices, debit note & Payment Received.
  23. 23. Pre Employment Pre Employment Health Check up is a Business Optimization Process of Pre Employment health Checkup for the Employee by Corporate. It is intranet/internet based web application providing common platform to their corporate, individual, hospital provider & management where they can interact with each other. Following are the features: Separate Logins for Agents, Development officers, Insurance companies, Corporate. Annual health checkup for corporate is available. Exhaustive MIS for Corporate, Providers, Administrator. SMS and E-push integration throughout the system for periodic updates. Facility to customize the packages and rates for each Diagnostic Center, Corporate. Reports can be fetched in various formats as per the requirements. Reporting of all processes, all appointments, TAT reports, and accounts reports Integrated accounts module that takes care of invoices, debit note & Payment Received.
  24. 24. Annual Health Checkup Annual Health Check up is a Health Check up Process for Employees by Corporate every year. It is intranet/internet based web application providing common platform to their corporate, individual, hospital provider & management where they can interact with each other. Following are the features: Integrated accounts module that takes care of invoices, debit note & Payment Received. Facility to customize the packages and rates for each Diagnostic Center, Corporate. Separate Logins for Agents, Development officers, Insurance companies, Corporate. SMS and E-push integration throughout the system for periodic updates. Reporting of all processes, all appointments, TAT reports, and accounts reports Annual health checkup for corporate is available. Exhaustive MIS for Corporate, Providers, Administrator. Reports can be fetched in various formats as per the requirements.
  25. 25. Tele - Underwriting
  26. 26. Tele - Underwriting Tele - Underwriting Teleunderwriting is a new tele-interview underwriting system for proposers seeking medical insurance policies. Features Immediate risk analysis - Our system enables the interviewer to analyze the risk for more than 40 common diseases on the spot. Effective Call center office automation – Optimizes the use of your call center and office manpower to save you money as well as increase efficiency. Health Data gathering – Which can be useful to insurance companies as well as the Ministry of Health. Benefits Increase productivity - spend less time on paperwork and more time doing what you do best meeting with clients and selling. Improve turnaround time - more detailed information to the underwriters, which reduces the need for the most time-encompassing requirements. Alleviate awkwardness - Applicants often prefer providing personal information to a third-party interviewer rather than face-to-face with an agent who may be a friend or associate.
  27. 27. Tele – Med• Interactive health care over distance using information or telecommunications technology• Telemedicine brings the expertise of a specialist to the point of care and allows that expertise to be customized to that patient• Telemedicine facilitates the provision of medical aid from a distance. It is an effective solution for providing specialty healthcare in the form of improved access and reduced cost to the rural patients and the reduced professional isolation of the rural doctors. Telemedicine can enable ordinary doctors to perform extra-ordinary tasks.• Using telecommunications and computers to exchange information to support medical decision making a. Medical Records – EMR and PHR b. Literature search c. Decision support d. Remote monitoring e. Consultation and Conferencing
  28. 28. Wellness Portal
  29. 29. Wellness PortalPortal Benefits:• Provide a focus for purchaser, provider and consumercommunication.• Ensure timely and cost effective communication• Provide greater consumer access to information abouthealth care providers• Enhance the community in healthcare networks• Provide a secure file exchange and storage environment• Provide technology to emerging consumer to consumersupport groups for chronic conditionsWellness and Health Portals Sections:•Many content options and wellness and health programs•Implementation of client specific information, such as: • Medical Directories • Health Benefits for Employees•User progress and usage reports•Intranet and Internet accessible•Health Risk Assessments•Weight Control Programs•Disease Centers•Health Tools
  30. 30. Current TechnologiesMicrosoft .Net Platform 2.0,3.5: The .NET Framework is: Common Language Runtime – provides an abstraction layer over the operating system, Base Class Libraries – pre-built code for common low-level programming tasks, Development frameworks and technologies – reusable, customizable solutions for larger programming tasks. The .NET Framework allows applying common skills across a variety of devices, application types, and programming tasks, integrate with other tools and technologies to build the right solution with less work and Build compelling applications faster. We are using C#, VB.Net Languages with other features in ASP.Net.SHAREPOINT : Microsoft SharePoint, also known as Microsoft SharePoint Products and Technologies, is a collection of products and software elements that includes, among a growing selection of components, web browser based collaboration functions, process management modules, search modules and a document – management platform. SharePoint can be used to host web sites that access shared workspaces.
  31. 31. Current TechnologiesCurrent Technologies WCF / WPF /WWF (WF)DATABASE LANGUAGE(SQL SERVER): Windows Communication Foundation (WCF) is Microsoft’s unified programming model for building SQL Server 2005 has reduced application downtime service-oriented applications. It enables developers increased scalability and performance and tight yet flexible to build secure, reliable, transacted solutions that security controls. integrate across platforms and interoperate with existing investments. SQL Server 2005 makes it simpler and easier to deploy manage and optimize enterprise data and analytical Windows Presentation Foundation (WPF) provides applications. developers with a unified programming model for building rich Windows smart client user experiences It enables you to monitor manage and tune all of the that incorporate UI, media, and documents. It databases in the effective way. provides Databinding, Built in Animation, Templates Failure of the primary system applications can & Styles, Resource management. immediately reconnect to the database on the secondary server using Database Mirroring. Windows Workflow Foundation(WWF) is a SQL Server 2005 provides a new capability for the framework that enables users to create system or partitioning of tables across filegroups in a database. human workflows in their applications Has Features of XML Multidimensional Expressions Microsoft Silverlight is a new cross-browser, cross- (MDX) and XML for Analysis (XMLA). Integration with the platform implementation of the .NET Framework for Visual Studio development environment provides more building and delivering the next generation of media efficient development and debugging of line-of-business experiences and Rich Interactive Applications(RIA) and business intelligence (BI) applications for the web. It runs in all popular browsers, including Microsoft Internet Explorer, Mozilla Firefox, Apple Safari, Opera.
  32. 32. We focus on building and enhancing the N-LayerArchitecture, and hence all our applications are not veryload-intensive on servers as the load is shared.Distributed Application Architecture is used where wecan distribute application’s parts into multiple server.We focus on Making application’s ready for Web Form.Focus on distributing caching topologies.Integrated Application and Project ManagementtechniquesFocus on Business Intelligence tools integrated within theapplication.
  33. 33. United Africa Health Thanks you Prabhu Murthy (MA,MBA,CFP) Entrepreneur & Sales optimisation Consultant Mob:+230 4231666 ; Skype : prabhumurthy PrabhumurthyM Prabhumurthy Maduraimuthu

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