Waste in supplementary healthcare is a significant challenge that affects the sustainability of healthcare systems around the world. Reducing waste not only improves efficiency and
The claims rate, which represents the proportion of claims (complaints or reimbursement requests) in relation to the total value of premiums received by a health insurance company, is one of the most important factors in the health insurance industry.
Supplementary healthcare in Brazil faces constant challenges, from financial sustainability to the quality of care provided to beneficiaries. Traditionally, the predominant remuneration model is fee-for-service (FFS),
The Importance of Patient Management in Access to Health Services: An Approach for Health Operator Managers is the subject of this article, which aims to update professionals on the importance of patient management.
Hospital admission authorization (AIH) is a highly bureaucratic process for a healthcare provider, due to the need to ensure compliance with regulations, verification of plan coverage
Supplementary healthcare is a crucial sector for guaranteeing access to quality healthcare beyond the public system. To guarantee the efficiency and quality of services
From material resources to human time and talent, waste in healthcare has a significant impact on the sustainability of the sector. Because it is the most precious and essential resource for well-being
The effective implementation of Business Analytics combined with Artificial Intelligence in the management of chronic diseases offers a new paradigm for the proactive approach to health. By integrating data from
Over the years, medical auditing has undergone significant changes and evolutions, adapting to changes in the healthcare sector and ensuring the quality and efficiency of the services provided. In this
In the context of supplementary healthcare, ESG (Environmental, Social and Governance) plays a fundamental role in promoting sustainable development, social responsibility and good governance of companies in the sector.
