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
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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
Slide10