Human resource is the most important resource any country has. Without it or the lack of it directly affects the economy. Keeping this resource active and healthy is part of good governance. This is the reason behind why a hefty amount of our taxes is allotted by the government to health care services. However, this is still not enough. The allotment only covers a minute part of the actual need and cost. It cannot cover the entire hospital bill once a worker becomes a patient. This fact forced the health care industry to improve its commercial aspect. It gave birth to the HMO business model which the US federal government imposed private firms to secure insurances from for their workforce in 1973.
This initiative was further improved. After the initial launch, loopholes were seen so guidelines were set to safeguard the people’s right to health plan coverage. Health Maintenance Organizations (HMO) and Health Care Companies mushroomed in the United States in 1977. Other countries followed suit.
HMO covers medical care rendered by doctors and other health professionals who agreed by contract to treat patients. This is in accordance with their accredited HMO’s guidelines and restrictions. This exchange deal assured for a steady stream of customers for both medical practitioners and HMOs, a “win-win” business strategy. HMOs cover emergency to disease treatment.
With the growing and aging population, globalization, along with the emergence of new medicine, vaccines and pathogens; the demand in health care coverage is in its highest wherein one plan covers multiple beneficiaries. Proper data management to keep track of entitlements, comprehensive list of services, cost, both old and new medical affiliates as well as client information must always be updated by HMOS and health care companies.
HMO in the Philippines is a much-desired employment benefit that attracts targeted professionals to join companies. Plan benefits like emergency, dental and in or out patient care is paid by plan holders monthly which is either taken out of their salary or paid fully by the company. There is tight competition in this subsector as well. These companies are always on the look-out for leads. Pursuing prospects entail a lot of time and cost. A lot of manpower is needed to secure continuity in acquiring medically-insured customers both on an individual and corporate scale level. Business process outsourcing in the Philippines answers this call.
Akron Global, as acts as “gatekeeper” and an extension HMO company in the Philippines that direct customers to medical services they are entitled to in affiliated establishments and accredited primary care physician (PCP) like specialists or general practitioners (GPs).
To outsource HMO in the Philippines lets you have a customer service hub using BPO resources keen on following HMO guidelines. Such guides customers on how to maximize their benefit or the limitations of their plan. Information like allowable fees for each defined medical procedure insured patients may avail from accredited specialists are given to customers. Each interaction is systematically tracked and recorded
Additionally, outsourcers may also secure an exclusive telesales team dedicated on cold calling and setting appointments with leads which will be endorsed to telesales who will follow up on interested prospects to jumpstart the sales process.
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