Digitising Health Financing

Challenges in digital health payments between patients, payors (like insurance companies), and healthcare providers: (i) Delayed Reimbursements: Reduce waiting times for healthcare providers to receive payments for services rendered; (ii) Payment Reconciliation Challenges: Solve for difficulties in reconciling payments between different parties that lead to errors and disputes.

Enabling simplified digital processes across the insurance value chain: (i) Streamlined Applications: Simplify lengthy, complex insurance application forms to attract more customers; (ii) User-Friendly Comparisons: Aggregator platform for easy policy comparisons, and relevant gov't schemes based on customer profile; (iii) Efficient and Easy Claim Submissions: End-to-end digital process to submit and process claims which reduces time, and manual effort for customer and processing authorities.

Challenges related to ensuring government health schemes equitably reach everyone: (i) Equitable Access: Ensure government health schemes reach all, especially communities and target groups for whom the schemes are designed; (ii) Barrier-Free Access: Remove geographic, infrastructure, and socio-economic barriers for universal healthcare access.

Challenges centered on spotting and preventing fraud in healthcare: (i) Fraud Prevention: Mechanisms to prevent healthcare insurance fraud, minimizing financial losses and maintaining trust; (ii) Phantom Billing: Solutions that can detect and deter phantom billing thus reducing resource drain, misuse and overall costs; (iii) Identity Theft Protection: Create strategies and tech to safeguard personal information, preventing misuse in fraudulent claims.