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
Disease Prevention and Health Promotion
Online tool for preventing disease and promoting health. Was developed with the purpose of providing knowledge for our users on the importance of modifying detrimental health behaviors and habits.
Using interactive and easy to answer online questionnaires, the system identifies the user’s health profile and provides guidelines and tips for preventing disease. Each user receives individual orientation according to their health profile created during the evaluation, which is able to identify over 60 risk factors. Users can answer risk evaluation questionnaires for:
- Cardiovascular Disease
- Colon Cancer
- Breast Cancer
- Ovarian Cancer
- Prostate Cancer
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Benefits for Health Insurers
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- Reducing the amount of claims
As the population gets older and advanced medical resources begin to cost more, health insurers are making less money. Prevention measures are proven to be more effective for reducing health costs.
- Obtaining customer loyalty
Offer to your costumers a high-value tool and promote your brand by showing that you care about their health. Furthermore, the WebSalutis system helps your company to get closer to corporate clients.
- Evaluating and monitoring your clients
The WebSalutis system allows the evaluation and monitoring of disease risks of your clients. Using a control panel, it is possible to analyze in real time many disease risk variables.
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Benefits for the Companies
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- Identifying risk factors and behaviors
In an interactive manner, your employee can fill-out questionnaires in the WebSalutis system that will evaluate their risk factors and behaviors, in addition to their knowledge regarding different health-related aspects. Individual information is confidential.
- Comparing company groups
Compare the disease risk of groups of employees. Plan on-site and distance educative campaigns in a customized manner, according to the real necessities of each group.
- Educating your employee
Health information is individualized for the risk profile of each employee, and was developed using strict scientific methods.
- Increasing your employee’s productivity
Your employee’s health is part of your business! Healthy employees produce more and miss less days of work. Furthermore, costs related to your employee’s health can negatively affect your company’s budget.
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System Differentials
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- Large geographical reach — possibility of reaching all regions of Brazil.
- Available 24/7 — the system can be accessed from any computer, without shift limitation and weekend restrictions.
- Immediate individual feedback by the end of the questionnaire.
- Employee has access to their system-identified risk group and also to the measures that can be taken to improve their health.
- Personalized health promotion through articles, videos, and newsletters.
- HR manager has full access to provided information, such as registration data and statistics from mapped risk factors.
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Reports
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The system has a digital interface, so managers can follow-up registrations and the results obtained.
- Online report updated in real time
- Participation
- Health profile — risk groups and factors
- Health profile evolution
