Healthcare payers

Health payers are moving away from their traditional coverage of episodic, acute care services, in favour of more forward-thinking, integrated health provision with a focus on prevention, chronic condition management and better coordination of healthcare services.

Within this context, all health payers also face the significant challenge of how to maintain quality of care while dealing with major budget restraints. A two-fold strategy must be taken: optimise current resources and implement co-payment systems. Steria excels in these aspects of health and gives health payers a number of business benefits, including:

• Co-funding of health resources - Public Private Partnership
• Real knowledge of available resources and population needs
• Improved communications with government health agencies and care delivery organisations

Cost reduction starts with resource optimisation

Created and delivered by Steria in Spain, the Civitas® Enterprise Master Person Index (EMPI) is a complete health resource planning solution for nine communities and two cities covering more than 20 million insured individuals. The backbone of the e-Health system, Civitas® is a highly sophisticated database-driven analytical tool that enables the accurate identification of each individual and links patient data across every healthcare outlet, from hospitals and surgeries to outpatient centres and rehabilitation facilities. On a strategic level, it also analyses the distribution of population to ensure resources are available where people actually need them. Having identified health professionals and medical resources in addition to the patients, Civitas is able to manage and ultimately optimise the resources in the healthcare service portfolio.

Communication is key

With over 20 years’ consulting experience in healthcare, Steria knows that the market demands communication between all players in the health system at all levels, and we understand what it takes to move into a fully interoperable system. We know the complexities of healthcare provision at all levels and across European borders. Our competencies in interoperability standards make us ready to move organisations into a HOA- (health oriented architecture) based Universal Interoperability Health Hub (UIHH).

Steria is experienced in the fully operational Cohesion Funds solutions for the control and management of patient exchange between regional health services, handling the flow of information for the allocation of compensation funds based on the healthcare services that have been provided.