Throughout the Middle East/North Africa (MENA) region, private health insurers, self-funded schemes and government health plans rely on MedNet for expert assistance in providing insureds with state-of-the-art healthcare and customer service. Today more than ever, our forward-looking support in key functions throughout the healthcare and insurance value chain can help you secure future business excellence.

Administrative services are just the beginning of what we can do for you: insurers turn to MedNet for expert support in product design, pricing, medical risk evaluation, medical management, healthcare provider (network) management, claims management, training and consulting services.

As part of Munich Re group, we also deliver effective risk finance solutions. From traditional reinsurance to sophisticated financial reinsurance concepts, MedNet can develop the customised programme you need to excel.

You can draw from our modular services for a package tailored to your needs in delivering excellent healthcare and customer service to your insureds. Our support options can be divided into four main areas:

• Third-party administration (TPA)

  • MedNet's comprehensive range of TPA services is aimed at expense-ratio optimisation. Our cost-effectiveness and efficiency measures focus continuously on process management, optimisation and reengineering.
  • 1. Claims and cost management
    2. Policy administration
    3. Process optimisation and reengineering
    4. Business and knowledge process outsourcing

• Managed care

  • With a broad spectrum of managed care services, MedNet provides access to high-quality healthcare and ensures significantly better outcomes and optimised healthcare costs. Experience and expertise enable us to control costs while maintaining top quality.
  • 1. Medical and care management
    2. Prospective and retrospective medical review
    3. Case and discharge management
    4. Utilisation and outcome management
    5. Healthcare provider network management

• Health risk assessment and management

  • Through rigorous healthcare risk assessment and innovative risk management, MedNet delivers loss ratio optimisation for increased profitability and long-term business viability. These state-of-the-art services concentrate on key business processes.
  • 1. Health insurance product design
    2. Health insurance product pricing
    3. Medical underwriting support
    4. Data analysis and performance reporting

• Training and consulting support

  • Based on the in-depth expertise gained from over two decades of successful operations across the globe and within the Middle East region, MedNet provides training and consulting to help you excel. Our specialists support your business functions like health insurance, managed care and TPA activities.
  • 1.Consultative reinsurance
    2. In-house TPA set-up
    3. Healthcare network consultancy
    4. Managed care and call centre solutions

Contact

Your needs are as individual as your organisation. We at MedNet want to hear all about your goals and the challenges you face – and we want to show you what we can do for you. Let’s talk!