brief presentation on marketing and TPA

1. POSTING PRESENTATION
ON
MARKETING & TPA
BY AYSHATHUL FEMITHA
9897

2. Marketing
• It is the study and management of exchange
relationships.
• Marketing is the business process of creating
relationship with and satisfying customers.

3. • Marketing of health care look mainly on 4
factors:
Service provided
Location of service being provided
Price : should be fair
Promotion: how and what the prospective
patient learns about organization and service
it offer
Public relation : helps to build up goodwill
and image to influence the opinions

4. • LOCATION: marketing and TPA section is
located in ground floor of old building YMCH
• It is easily accessible for all the patients and
patient parties, from OPD, front office etc

5. ORGANOGRAM
COO
I/C OPERATION
MARKETING EXECUTIVE
3 FIELD
WOKERS
4 CLERICAL
STAFFS

6. ACTIVITIES OF MARKETING
DEMONSTRATION
Majestic view of hospital to public
•Flex and cut outs,
•News paper
•Social medias
•Television
•Radio
•Banners
•Posters
•Brochures
•Digital standee

7. FIELD WORK
• Among politicians
• Collaboration with doctors for patient referral
• Community work
• Home visits

8. CAMPS
IN HOUSE
CAMPS
OUTSIDE
CAMPS
• sneha
mitan camp
•Lung
function
test camp
•Medical
camp at
Shivamoga

9. Health card promoters
• The people who are distributing the health
card to the public
• Some agents are distributing at an incentive of
30rs per card
• Some are distributing without any benefits to
them
• 27 buses in north Karnataka is providing cards
like this

10. • 22 information centres are there, in that
financially supported 4 centres
• Harihar centre is exclusively for YMCH
• Mainly patients are coming from Davangare
• 10-15 regular camps are doing there per
month
• These centres are for assessing health status
like vitals signs and blood sugar, guiding
patients, distribution of referral card and to
get Yen Mitras
Patient information centre

11. THIRD PARTY
ADMINISTRATOR
(TPA)

12. THIRD PARTY ADMINISTRATOR
• TPA function as intermediates between the
insurance provider and the policy holder and its
key function is processing of claims and
settlement
• The TPA issues ID card to policyholders, which
have to be shown to the hospital authorities and
verified before availing any cashless
hospitalisation services
• TPA sends all the documents necessary for
consideration of claims, along with bills, to the
insurer for the reimbursement

13. TPA IN YMCH
• Located along with marketing department
• It provides various insurance schemes
• There are 10 desks
• Each one is facilitated with computers
• It is corelated with all departments both IP
and OP

14. Organogram
COO
I/C operations
Insurance in-
charge
1 attender9 clerical staff

15. INSURANCE SCHEME
• Its for all the people of Karnataka state includes RTA
cases too
• Cards are provided through govt hospitals
• Has 1 year validity after that renewal should be done
• For APL 30% discount in all services and for BPL free of
cost services
• They are treated in govt hospital if any facilities are not
available in that hospital then they refer to other
hospital
• only with the referral letter from a govt hospitalthis
concession is available
• 100 rs should be give as travelling allowance and follow
up medications for 5 days after discharge
AROGYA KARNATAKA

16. • For all people belong to Kerala state
• It covers services upto 30,000 adults and upto
60,000 for senior citizens
• Need smart card named CHIS and for elderly
SCHIS
• Doesn’t cover alcoholism related diseases and
injuries, HIV patients , transplantations,
• Excludes oral medications and supplements
• Maximum 5 persons in a card
• TA charge of Rs 100 and 5 days medicines should
be provided
RSBY KERALA

17. • For all the govt employees and their dependents of
Karnataka who has not covered under any other
scheme
• Any speciality can be included
• 1.5 lakh per year is covered
• For all the employees and their dependants who
is earning below 21,000 per month
• Includes the maternity benefits, for temporary
disablement, individual medical expenses
JYOTHI SANJEEVNI SCHEME
EMPLOYEE STATE INSURANCE SCHEME

18. • Integrated tribal development project
• Started since 5th five year plan
• For the improvement o tribes
• District blindness control society
• Covers all ophthalmic surgeries
ITDP
DBCS

19. WORK FLOW
•ADMISSION
•PATIENT
COUNSELLING
•SUBMISSION OF INSURANCE
CARD
•CHECK FOR VALIDITY
•REGISTRATION
•DISCHARGE
•SUBMISSION OF BILLS AND
SUMMARY FOR INSURANCE
CLAIMING
FRONT
OFFICE
TPA SECTION

20. SUGGESTION
• Make aware of specialities provided and
doctors available through proper website of
hospital
• Insurance for students are done with united
India insurance but students are not aware
that ,hence the students should be insured
from the admission itself for further medical
benefits