Technology Healthcare in the Middle East The Middle
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Technology & Healthcare in the Middle East The Middle East in Numbers Globally 5 The largest health information company in the world, with extensive local, regional, and global presence 2. 8 2. 5 2. 3 0. 5 OECD KSA GCC Levant Egypt High Population Growth (2015, %) 10. 9 0. 6 OECD 2. 1 2. 4 1. 8 KSA GCC Levant Egypt High Inflation Rate (Avg. Annual %) 2. 3 OECD 4. 3 4. 7 4 3. 5 KSA GCC Levant Egypt Promising GDP Growth Forecast (2020, %) 9 OECD 6. 6 3. 8 3. 2 KSA GCC Levant 5. 2 Egypt Healthcare Spending as % of GDP (2015) 1
Regional healthcare themes are focused on Economy, Efficiency & Experience $ Connectivity & Integration Patient Level Costing Revenue Cycle Management Quality Metrics & Indicators Increase Efficiency • • Reduce Operational Cost Enhance Effective Communication Improve Revenue Cycle Management Reduce Errors, Fraud, Waste and Abuse Enhance Patient Experience • • Communicate Effectively Explore Options Based on Quality Ratings Improve Healthy Lifestyle (Mobility Enabled) Increase Patient Satisfaction Improve Clinical Outcomes • • Enhance Patient Safety Improve Medical Practice Enable Advanced Health Research Empower Disease Management Grow the Health Sector • • Monitor & Engage Effectively Improve Health Sector Competitiveness Enhance Medical Tourism Improve Healthcare Services to the Population 2
Connectivity and Integration platforms need to provide choices to Providers $ Connectivity & Integration Patient Level Costing Revenue Cycle Management Quality Metrics & Indicators 01 Unified Healthcare Language 02 Standardized Communication Structures 03 Strong Integration Capabilities 04 Centralized cloudbased platform 3
Revenue Cycle Management has lead to more efficient usage of infrastructure and Return on capital $ Connectivity & Integration Patient Level Costing Revenue Cycle Management Quality Metrics & Indicators 01 Strong Patient Billing Capabilities 02 Real-time Validation Capabilities 03 Strong Integration Capabilities 04 Promote Private and Public. Private Partnerships 4
Patient level costing is helping Providers understand their profitability and implementation of clinical pathways $ Connectivity & Integration Patient Level Costing Revenue Cycle Management Quality Metrics & Indicators 01 Enables Proper Pricing of Services 02 Connects data of hospital financial and clinical systems 03 Strong Integration Capabilities 04 Powerful reporting for appropriate decision making 5
Patient reported experience and clinical quality metrics such as HEDIS/NCQA measures are driving better clinical outcomes $ Connectivity & Integration Patient Level Costing Revenue Cycle Management Quality Metrics & Indicators 01 Standardized marketwide quality ratings 02 Transparent sharing of information to public 03 Helps in designing interventions to improve quality 04 Opportunity for quality and/or performance-based reimbursement 6
Examples from our region – Implementation across the patient journey 01 The Dubai Health Authority’s Claims & Connectivity Program 02 03 17 Technology Capabilities Connecting entire payer and provider community on a single platform Enabler & Driver Of higher participation of private players in the healthcare market Efficiency & Effectiveness Realization through intervention and rating measures based on real-time data 7
Examples from our region – Reduction in fraud/abuse; New measures aimed at controlling waste and improving quality of care 01 The Dubai Health Authority’s Claims & Connectivity Program 02 Started Small In 2016, managed In 2012, only 1 payer and 1 large provider group piloted the system 4+ million Transformed Market 2, 500+ More than 17, 000 healthcare professionals trained on technology and medical coding Insured patients Healthcare provider facilities 67+ Insurance companies/TPAs 03 Its only the beginning DHA sees a bigger opportunity ahead in using technology for new initiatives 200+ Request managed per second 8
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