Medical Cost Containment

Services

Our MCC program saves significant claims costs for our insurance and assistance clients, while fostering a much smoother hospitalization process for patients.

 

 

Our Motivation

As a medical assistance organization in one of the world’s top tourist destinations, it is our top-priority to support our partners from the insurance and assistance industries. Making use of our know-how on local dynamics, great relations with medical facilities and commitment in healthcare quality, we prevent inflated healthcare costs, over-treatment and over-charging, especially in touristic areas, and pull treatment costs down significantly. Our award-winning cost containment program also means avoiding prolonged hospitalization and unnecessary bureaucracy which contribute to the peace-of-mind of patients.

 

What Makes Us Better?

Medical Facility Network

In 30 years, we’ve established an extensive network that contains the best-in-class medical facilities in Turkey and the region. We have long-standing relations with each of them, hold valuable insight regarding their operations and maintain a seamless communication. The widest-spread one in the region, our network comprises constitutes the back-bone of our award winning Medical Cost Containment program that blesses our clients with value, transparency and quality.

Temos in partnership with marmassistance

Through our strategic partnership with Temos – a leading accreditation body that specializes in the facilitation of international patients and medical tourism, we ensure medical facilities in Turkey understand, embrace and integrate fair pricing policies and efficient patient processing into their operations for a smoother process between insurer-assistance-hospital-patient.

Transparent Reporting

We know the importance of consistent risk rates, claims costs and the ability to follow and foresee trends for the  insurance sector. Through comprehensive and frequent statistical reports we provide on a region, period, diagnosis and facility basis, our clients have a crystal clear picture of what is going on and how well we perform.  Our clients enjoy the privelage of utterly transparent MCC solutions that let them better monitor the progress and have more precise forecasting on their operations.

In-House Medical Team

Our medical team that employs 11 medical doctors – by far the highest in the region – have a hands-on knowledge on the individual culture of each country in the region, enjoy great relations with all facilities in our network, are experts in cost reduction measures and continuously audit these hospitals to ensure higher-quality health care.

 

Our Solutions

Discount Agreements

marmassistance secures a written agreement with the preferred service providers, as we believe reality is legality. Discounts are provided to marmassistance by medical facilities and doctors, who are members of our preferred service providers network. The discount rates are defined in the service provider agreement.

Cost Investigation Services

Our program handles investigation of invoices received directly from the insured or sent to us by our partners, in order for us to determine whether the invoices coincide with the treatment given and whether the invoices and reports are originals or not.

Medical Cost Monitoring

Our cost containment team monitors treatment costs regularly to prevent the occurrence of excessive invoicing. The monitoring process starts with an estimation of the medical expenses per case based on the treatment and diagnosis. At the end of the treatment we automatically screen the medical expenses for discrepancies on a line-by-line basis, including, but not limited to unnecessary testing, treatment, excessive charging and duplicate charged billing errors.

Cost Estimation System

marmassistance has a unique and reliable database which is frequently updated by an in-house computer programmer. All data from the service providers are recorded in the database with no exceptions and an in-house statistics specialist turns these data to information. This information is used for cost estimation and cost containment processes. We are able to provide a cost estimation service for any specific diagnosis according to any certain hospital or any region. This system can also be used in referrals of patients.

Cost Break Down

Our system is based on a line-by-line control of the proformas. Two medical doctors perform double- and cross-checking in every single file. Statistical back up and second options are the other instruments we use in our cost containment system.

 

References

View All
  • adac
  • anwb
  • bp
  • exxon
  • ford
  • inter_sos
  • mercedes
  • mutas
  • cigna
  • direct_line
  • md
  • sos_int
  • chevrolet
  • demirsigorta
  • arc_logo_ref