Center for Health Market Innovations (CHMI)

Programs

MediKredit

last updated Jun 21, 2012

Overview

Implementing organization: 
Integrated Healthcare Solutions LTD
Legal Status: 
Year Launched: 
1941
Stage: 
Existing/expansion stage
Income Level of Target Population: 
All income levels

Funding

Primary Source of Funding: 
Out-of-pocket payments

Technology

Technology Used: 
Computer › Apps/Software, Computer › Internet
Summary: 

MediKredit is an independent technology company that offers financial and clinical risk management solutions to both funders and providers of healthcare, through online real-time (OLRT) management of healthcare transactions.

Key program components: 

MediKredit's adaptable healthcare claims processing and managed care services are designed to accommodate the complex benefit design as well as other processing requirements of our clients, and specializes in providing underserved public health facilities and clinics with health information systems. MediKredit is rapidly expanding into other countries in Africa.

MediKredit’s healthcare claims processing functionality extends to all healthcare claim types, including pharmacy, doctor, public and private hospital claims. This is enabled by MediKredit’s innovative proprietary claims processing and managed care systems which lie at its core.

MediKredit has five core beliefs, all of which help the program serve the community at the best of its abilities:

Informed Members

  • Guaranteed system availability and detailed response means that members understand their financial and clinical risk situation at Point of Service.

Flexible IT Systems

  • The highly flexible rules-based system at MediKredit ensures that Medical Scheme product design and creativity is never inhibited by system constraints.

Meaningful Reporting

  • All MediKredit products result in accurate, timeous, patient-centric, information for impact assessment and decision-making. We also make sure it's always accessible and logical to every level of user. MediKredit is uniquely positioned to provide our clients with representative benchmarks to assess their performance against the industry.

Corporate Governance

  • MediKredit is an independent player in Healthcare, not owned by either Funder or Providers of healthcare and is thus an independent 3rd party data supplier. MediKredit's business processes are also carefully governed and audited against ISO 9001:2008 standards.

Proactive Healthcare Solutions

  • MediKredit's strategic planning and industry involvement ensure its clients are always ready for industry challenges and changes.

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