MOVE FROM PAYER TO PARTNER

In an increasingly regulated context, with rising healthcare expenditure, and new entrants in ambush, innovation is not a luxury but a necessity to achieve differentiation. Insurers play a crucial role in the health sector worldwide but their current role is extremely different according to country-specific health and welfare policies. On the international stage, the common factor is that insurers need to change and are trying to move from a simple “payer role” to become a partner, a reference point (a “player”) for all their customers' health-related needs.

Since then, how to succeed in this transformation?

Choose the digital revolution to enhance this player role is a great opportunity.

Digitisation is penetrating healthcare sector the same way it has penetrated all other activities of daily life. It allows the connection of 3 main stakeholders: patients, healthcare providers and insurers, which are the key players of the health chain.

It offers tremendous opportunities for tomorrow's health in terms of prediction, prevention, patient participation and personalization. Two main advantages for insurers : the possibility to realize cost savings, and increase customer’s loyalty through customized services.

Cegedim covers the entire value chain with high value added solutions

Cegedim capitalizes on its 45 years’ experience covering the entire health value chain to propose high value added solutions that help you transform your business and becoming a real Care Player. It’s the only player dedicated to health with solutions both for insurers and healthcare providers, able to accompany them in their transformation thanks to a global approach.

DIGITAL INNOVATIONS TO SERVE THE INSURERS' REVOLUTION

To help insurers play a new role in the healthcare system, Cegedim proposes the valorization of new services, at each stage of the healthcare journey.

 

Big Data

Big Data

 
Big Data obviously causes a fundamental transformation. And for good reason: volume, variety and speed of creation of information have never been so high. Insurers need to analyze this data that will allow a hyper-customization of service and prices, adjusted in real time for all customers. In short, by offering each one a "tailored industrialized". Cegedim Insurance Solutions accompanies you in this process with its Big Data solution.

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Prevention

Prevention


Rather than waiting for illnesses to strike to start the treatment, healthcare is now focused on preventing them. It allows patients to keep healthy in the long run and insurers to save costs since prevention costs less than cure.
 
Cegedim Insurance Solutions proposes a digital platform which gives customers a complete, personalized solution using a range of value-added tools and content. We offer MyWellnessPartner to manage and optimize good health every day with coaching programs and monitoring tools, and MyHospiPartner with a range of services to get support before, during and after a hospital stay. These prevention solutions are connected to the healthcare providers' systems we provide so that they be promoted to their patients.

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Healthcare providers assessment

Healthcare providers assessment

 
During the illness, insurers will guide and take care of diagnosed and sick patients. Thanks to our digital assessment platform, insurers will have a real-time information of their healthcare networks so they can provide better advice to patients regarding the best provider according to their need. They will be able to communicate some scores directly to the patients via portals or mobile apps.
 
It will enable cost containment since it favours cost-effective providers and better negotiation of contracts, and will increase customer satisfaction and loyalty. Indeed, the out-of-pocket expenses for patients are lowered and quality of treatment is optimised.

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Online appointement

Online appointment


To help the patient during treatment, Cegedim Insurance Solutions also provides personalized healthcare services as online appointment. With one click, the patient requests an appointment at a medical center through the web portal, choosing the date and time based on the physician’s availability.

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Teleconsultation

Teleconsultation

 
Provide healthcare services to your patients when and where they need it. With “Cegedim Video-consultation Service”, certified healthcare professionals can offer patients an alternative way to receive care. It enables doctors to open consultations with their patients when they are needed and perform vital check-ups and care anytime from anywhere.
 
Full integration with the health care record enables professionals to issue electronic prescriptions, notes, screenings and recordings of vital signs data.

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Electronic Health Record

Electronic Health Record


To better guide and care the patient, it’s important to maintain and manage health information on a unique platform.
 
Cegedim Group provides you this EHR solution, completely integrated to our teleconsultation system, so information about electronic prescriptions, notes, screening and vital signs data can be added.

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Health Insurance Lifecycle Management Platform

Health Insurance Lifecycle Management platform

 
To connect all this ecosystem together, insurers need to implement a shared platform, linking its components to accelerate its digital transformation. It will improve the services enjoyed by your customers and contain processing costs by eliminating redundancies in data capture and automating the handling of low-value claims.

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Core System

Core system


Cegedim provides core systems for insurers and healthcare providers. They are interconnected to the digital solutions to transfer the data needed. They also provide a range of secured responsive portals to guarantee real-time information to all stakeholders.

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