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Our outpatient programme known as ‘MediNet’ will enable employers and insurance
companies to efficiently and effectively administer and manages employees’
medical benefits. ‘MediNet’ programme deploys a fully-integrated benefits
administration solution to manage claims from a panel of network healthcare
providers and other sources.
In today’s competitive business environment, ALLIANCE recognizes that
organizations desire to provide good hassle free medical benefits to retain
human talent in its Employees’ Benefits Programme.
Organizations are also saddled with the labour-intensive and primarily
paper-based processes associated with medical claims that are time-consuming
and repetitive. It is an error-prone and inefficient process thus represents a
significant cost to organizations which adds little justifiable value.
As an outsourced service provider, we provide the expertise and enabling
technologies for companies to virtually eliminate the time-consuming process
inherent in the reimbursement of employees’ medical claims via ‘MediNet’.
‘Medinet’ is an easily accessible web-based solution with intuitive easy-to-use
functionalities and reporting capabilities.
ALLIANCE medical network management is the ideal one-stop solution to employee
medical benefits, claims administration, management and reporting.
Its business model is grounded on the following:
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Access to Islandwide Clinics – ALLIANCE administers her
programme ‘MediNet’ through more than 200 affiliated clinics strategically
appointed islandwide with good accessibility for employees and members of the
public. This convenience for your employees to seek treatment without having to
pay cash upfront thus eliminates the hassle of reimbursement and enhances the
level of welfare.
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Independent Doctor Clinics – ALLIANCE affiliated clinics are
mostly owned by independent doctors or small medical group practices where
doctors are focused on providing quality healthcare to patients and their
family members.
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Accreditation of Providers – ALLIANCE validates providers’
credentials through its domain and intimate knowledge in the healthcare
industry and networking with medical professionals. Acting on HR feedback and
regular audit to medical claims, ALLIANCE ensures that a high level of
healthcare standards is maintained.
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Policies Driven – ALLIANCE manages the provider network in
accordance with its clients’ company policies on referrals to specialists,
diagnostic laboratory and other tests as well as drug and clinical procedures
pricing. ALLIANCE is able to ensure uniform pricing and provides consultancy
and advice to companies on best practices in the management of healthcare
costs.
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Robust Information System – ALLIANCE web-based system is a
robust and tested system deploying the latest .Net technology capable of
consolidating employees’ medical benefits, monitoring healthcare cost,
measuring efficiencies and generating ad hoc reports for Clients with a click
of a mouse.
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Single Point of Contact and Availability - Our Clients only
deal with ALLIANCE as a single point of contact while employees can access to a
wider chain of clinics islandwide.
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Reduced Administrative Costs - Online claims submission from
providers, data entry through ALLIANCE as TPA and Client’s benefit enrolment
and management eliminate inefficient paper processes and data entry, resulting
in savings and increased efficiency.
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Improved Data Integrity Reduces Errors - Our business rules
driven system ensures accurate administration and delivery of claims via
straightforward processing with a single point of data entry, thereby
significantly reducing claim errors from providers and members. In addition,
our management reporting tools provide details of transactions, supported by
complete and accurate data.
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Easy Access to consolidated information - ’MediNet’ is
web-based and can be seamlessly integrated with Clients’ internal systems to
provide updated and easy-to-access information to employers and employee. This
self-service feature allows HR to redirect resources and focus on more
value-added activities to their organization.
To facilitate ease of management, HR can easily download Utilization Management
Reports for ad-hoc reporting and validation. An enhanced security features
allow only authorized access to relevant information.
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Competitive Pricings and Uniform Rates - We have standardized
our pricing for certain expensive medication and surgical procedures. These
rates are captured in the system and applied across our affiliated network
providers.
Corporate Clients can leverage our existing infrastructure with full Hardware
and Software development capabilities to manage data without hefty investment
in system integration and manpower resources.
Company HRs will be able to administer employee’s medical records and monitor
health trends through information available on our web-based ‘MediNet’ system,
which can include reports to track costs and measure efficiencies.
Depending on individual organization’s employee benefits policy, ‘MediNet’
programme can customize schemes based on:
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Capping of $x per visit
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Capping of $x per year
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Co-payment of $x per visit
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Co-payment of x% per visit
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Co-payment and capping (combined)
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Fee for Service
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Other special schemes
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