Cost Analysis and Prediction
Health costs in Brazil increase each passing year. Hospitalization costs show a 95.8% variation between 2008 and 2013, while the country’s inflation for the same period was 31.3%*.
Since most health insurance contracts come from corporations, they are the ones who are mostly affected by cost increase. According to consulting company Towers Watson, over the next years, the average cost of health insurances on payrolls can be up to 14% by 2019, and over 25% by 2034*.
InfoSalutis developed the Cost Prediction and Analysis for the WebSalutis system, which has the main purpose of helping companies to analyze how employees’ health resources are being spent.
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How Does It Work?
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Health insurance expenses are processed by the WebSalutis system, which generate different reports with the institution’s cost analysis.
While using the WebSalutis system for Cost Analysis and Prediction, the client is also able to compare health costs and information from a database with over 400 hospitals and clinics throughout Brazil.
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Benefits
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- Full disclosure to suppliers regarding expense analysis.
- Information organization, knowledge of how health resources are being spent.
- Savings opportunity with the analysis of main expenditures, making it possible to make better deals with suppliers.
- Comparative analysis of average prices offered by different suppliers, such as: services, materials, etc.
- Global view of partners, suppliers, and main points that need to be improved.
- Prediction of the amount of claims.
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System Differentials
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- Assistance and financial benchmarking — possibility of performing different types of online comparisons using a database with over 400 hospitals and clinics throughout Brazil. In addition to comparing costs, it is possible to identify which service suppliers are better.
- Health costs prediction.
- Identification of individuals with chronical diseases, with the possibility of following-up their treatments and suggesting prevention programs.
* Source: Exame Magazine (edition 1090 — 05/27/2015)
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Reports
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- Grouping of individual costs.
- Total expenditure
- Hospitalization
- Urgency/Emergency
- Doctor’s appointments and lab exams
- Expensive exams
- Total cost for dependents
- Ranking — Position of each user in the company’s health care use.
- Health insurance use statement for the whole company, during a specific amount of time.
- Total costs (BRL)
- Claim amount (%)
- % of payroll
- Average cost per costumer (BRL)
- Monthly costs (BRL/month)
- Costs for type of service (BRL) (consolidated and monthly)
- Costs per segment (consolidated/monthly)
- Costs per type of TUSS (Unified Terminology for Supplementary Health Exams)
- Costs per Group and Subgroup for TUSS procedures
- Costs per employee (consolidated and monthly)
- Costs per member/dependent (BRL)
- Co-pay costs (BRL/%)
- Pareto chart for costs x user
- User expenditure list
