Q3 AGENDA General Calls amp Cases Statistics Personal Health Advisor EMS cases comparison Claims and cost Overview Level of care and Service provider statistics Calls and Cases Summary YTD Comparison ID: 917696
Download Presentation The PPT/PDF document "Alliance Midmed Overview" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Alliance Midmed Overview
Q3
Slide2AGENDA
General
Calls & Cases Statistics
Personal Health Advisor
EMS cases comparison
Claims and cost Overview
Level of care and Service provider statistics
Slide3Calls and Cases Summary YTD Comparison
Calls have
increased
by
40%
in
2017 when compared 2016 year to date.
Calls
stats
comparison
CALL STATS
Jul
Aug
Sept
YTD Total
INBOUND
2016
10
6
11
40
SERVICE LEVEL
2016
90%
100%
100%
90%
INBOUND
2017
12
9
9
99
SERVICE LEVEL
2017
100%
100%
100%
100%
Slide4Utilization remains low on Personal health advisor line
.
Personal Health Advisor
Personal Health Advisor
Utilization
Jul
Aug
Sept
YTD Total
INBOUND CALL STATS
2017
0
0
0
0
Slide5EMS
cases have shown an
increase of 30%
when comparing
2016
to
2017
Emergency Medical Services Cases Comparison
Slide6CLAIMS & COST VARIANCE ON PRODUCT CATEGORY
Inter hospital transfers
increased by 57% and Primary
cases have shown
a 78% increase
comparing 2016 and the same period for
2017. 78% increase in the amount paid when comparing 2016 to 2017.
Product Category
Number of Claims
% of Claims
Amount Paid
% Cost Variance
2016
2017
2016
2017
2016
2017
2016/ 2017
Inter Hospital Transfer
14
22
33.33%
30.56%
R 77 854.54
R 142 022.58
82%
Primary
28
50
66.67%
69.44%
R 95 792.21
R 165 918.39
73%
Total
42
72
100%
100%
R 173 646.75
R 309 940.97
78%
Slide7Top
7 Product
Category Statistics (
2017
YTD
)
Nature of Problem - Comprehensive Summary
ALLIANCE MIDMED - ALLIANCE MIDMED: September 2017
Nature of Problem
MTD
YTD
Product Category
# of Cases
% of Cases
# of Cases
% of Cases
UPGRADE TRANSFER
1
100.0%
15
24.2%
MVA
0
0.0%
10
16.1%
ABDOMINAL / RENAL INJURIES AND PROBLEMS
0
0.0%
8
12.9%
BREATHING DIFFICULTIES
0
0.0%
6
9.7%
DIAGNOSTIC TRANSFER
0
0.0%
4
6.5%
DOWN GRADE TRANSFER
0
0.0%
4
6.5%
SPORT INJURY
0
0.0%
3
4.8%
HYPERTENSION OR HYPOTENSION
0
0.0%
2
3.2%
CVA / NEURO
0
0.0%
2
3.2%
DEHYDRATION
0
0.0%
1
1.6%
DIABETIC / ENDOCRINE PROBLEM
0
0.0%
1
1.6%
FALL FROM HEIGHT / STUMBLING
0
0.0%
1
1.6%
CHEST PAIN / CARDIAC
0
0.0%
1
1.6%
CHILD BIRTH / MATERNITY / GYNAECOLOGICAL
0
0.0%
1
1.6%
COLLAPSE / FAINTING / SYNCOPE
0
0.0%
1
1.6%
CONVULSION / SEIZURE
0
0.0%
1
1.6%
PYREXIA / HIGH TEMPERATURE
0
0.0%
1
1.6%
TOTAL
1
100%
62
100%
Slide8Emergency Level Of Care
2017 YTD
Level of Care - Comprehensive Summary
ALLIANCE MIDMED - ALLIANCE MIDMED: September 2017
Level of Care
MTD
YTD
Service Sub Type
# of Cases
% of Cases
# of Cases
% of Cases
ILS
1
100.0%
25
40.3%
BLS
0
0.0%
24
38.7%
ALS
0
0.0%
13
21.0%
TOTAL
1
100%
62
100%
Slide9Reports