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Health

Empowering your talent to prioritize patient care

Our Health services unlock new potential through automation and allow healthcare providers to focus on what matters most - delivering exceptional care to their patients.

 

The healthcare industry faces increasing challenges like ageing demographics population, changing legislation, expensive treatment methods, people’s behavioral changes, or shortage of skilled labor. All of that resulting in exploding cost structures. While new business models begin to develop and technology offers more than ever digitalization opportunities than ever, most traditional players in the health sector are stuck in old, physical processes.

Designing simple and user-friendly patient and insured journeys is not a simple task. Various regulatory reforms and keeping up with technological innovation add even more complexity to finding the best setup.

Understanding how to navigate through these local market conditions is essential.​

OUR SERVICE INCLUDE:

Claims & Case Management

SPS provides automated omni-channel claims services from receipt of claims, capturing and processing of data, to applying business rules for settlement. Our health claims specialists handle complex cases in best-shoring delivery set-ups. Additionally, SPS handles insured inquiries on clients’ business systems and takes care of day-to-day back-office operations.

doctor working

Automated TARMED Claims Handling

SPS operates a standardized and highly scalable Swiss claims automation service, from omni-channel claims receipt, data processing to application of business rules allowing straight through processing of health claims.

health-insurance-claim-form

E2E Disease Program Management (DMP)

SPS provides DMP services for chronicle diseases on a highly automated technology platform. The service covers data processing and enrichment, creation of data records, correction procedure by telephone and archiving of data records and images. Data analytics and customized reporting complement our services.

Over 125 million sets of DMP documentation from over 60,000 doctors have been processed in our data center since 2004​

doctor checking a X-ray

Image Data Management

SPS performs photo capture for health insurances, offering a cost-effective multi-device solution to create insurance cards. Our AI-based white label solution automatically processes and validates images. We create the entire customer communication including cover letter, forms and insurance card and transfer of master data records.

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Outpatients Administration

SPS provides clients with booking admin services to enhance patient experience and optimize clinical efficiency. Our services aim to reduce health inequalities and improve health outcomes by saving patients time and money, while also providing a smoother administrative process. 

A doctor working with the computer

CASE STUDIES

Processing incoming mail at Sanitas

The decision was made to outsource this service for technical and strategic reasons. The aim was to allow Sanitas to focus more on its core business, increase customer satisfaction through shorter processing and throughput times, vastly improve the quality of documents, and avoid the additional investment associated with a major internal process optimization.

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Customer loyalty optimized by SPS

The retention and loyalty of health insurance policyholders are becoming more and more important, especially in times of ever-increasing competition. Individual communication is a buzzword which is frequently used these days. SPS offers an omnichannel solution in the health-care sector which is tailored to personal insurance requirements in the circumstances in any given case, thereby tapping the full potential of an individual approach.

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Omnichannel solutions of healthcare documents

The German Federal Government uses disease management programs (DMPs) to ensure that chronically ill patients receive high-quality care based on structured analyses.The largely automated, long-term evaluation process, jointly implemented and digitalized by SPS and the DMP (ARGE) working groups, ensures that patient care is optimized for disease profiles like diabetes, asthma or breast cancer, among others, with treatment progress being documented and undergoing plausibility checks on a quarterly basis. 

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Automated off-site services

SPS has been running the post room operations at Guy’s Hospital and St Thomas’ Hospital since 2015. When, in 2016 the Trust initiated a Cost Improvement Programme targeting a 10% reduction in corporate and overhead costs, they approached SPS to deliver £100k of savings within mail services. SPS launched a project to re-engineer the outbound mail process and realised almost £200k of savings within the first nine months and a total of £577k by the end of the first fiscal year.

READ THE COMPLETE CASE STUDY

GET IN TOUCH WITH OUR EXPERTS

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Improve patient experience

SPS applies local health knowledge and offers tailored digital transformation solutions that bridge the talent shortage for processing patient and client interactions. We help our health clients standardize and automate processes, make patient or insured data available and re-design insurance and hospital back-office processes. This frees up capacity and allows your talent to focus on what really matters – the patients.

When digital information flows, efficiency increases and operations become scalable. SPS offers end-to-end strategies for processing health claims or care applications, managing chronic diseases or the entire outpatient experience. As a global player with Swiss roots, we help our clients through the complexity of a fast-changing environment, ensure secure information and data processing, resulting in simplified customer interactions.​

Leading health players rely on SPS to both capture savings and improve patient experience.

Doctor checking his phone

DISCOVER OTHER RELATED SOLUTIONS

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Customer Communications

Transition seamlessly into the digital era with our trusted omnichannel solution

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HR / Payroll

Relieve the burden on HR departments

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Data & Business Process Management

Transform the way you connect with your clients and manage the entire customer lifecycle