Network management for an insurer in Thailand
Qantev helps a major Thai insurer to identify accurate negotiation insights to solve inefficiencies in it’s network of medical providers.
The challenge
The insurer faced challenges like increased costs, inefficient care coordination, limited provider access, poor patient satisfaction, data inaccuracies, compliance issues, and difficulty in monitoring provider performance and quality, due to the lack of a proper network management tool.
- Manual process to manage their provider network and building business cases
- Lack of dedicated and advanced tooling
- Lack of holistic monitoring
The solution
The insurer has chosen to adopt the Qantev platform to overcome their challenges. The platform was deployed within their ecosystem in less than 6 months.
- Deployment of the Qantev Network Management module
Key results
Qantev enabled tangible business results and costs savings in record time.
- Reduced future claims cost by 2%
- Identified +170 pricing anomalies against comparable providers to get a discount or reduce an increase
- Highlighted anomalies in +56 types of care