Healthcare Facilitation to Patients coming to India for Medical Treatment

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Healthcare Facilitation to Patients coming to India for Medical Treatment

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Ltd, a company promoted by Vipul group is engaged in the managed healthcare ... Madras Medical Mission. Malar Hospital. Ahmedabad. Sterling Hospital. S A L Hospital ... – PowerPoint PPT presentation

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Title: Healthcare Facilitation to Patients coming to India for Medical Treatment


1
Healthcare Facilitation to Patients coming to
India for Medical Treatment
2
Introduction
About Us
Vipul MedCorp Pvt. Ltd, a company promoted by
Vipul group is engaged in the managed healthcare
facilitation has obtained a license from IRDA
for TPA activities (Health) and offers its
clients a wide array of services and products in
the following areas
  • Third Party Administration (Health) services
    (TPA)
  • Claims Handling, Management Back office
    operations
  • HealthCare Assistance Services
  • Outpatient HealthCare facilitation Management
  • Tailor Made Insurance products
  • Second Medical Opinion
  • Cost Containment Services
  • Preferred Service Provider (PSP) Networks
  • Evacuation Services Health Care Facilitation
    to Patients visiting India

3
Promoters and Management
Promoters
Vipul MedCorp Pvt. Ltd. has been promoted by
Vipul Group. Vipul Group (consisting of Vipul
Motors Ltd., Vipul Infrastructure Developers Ltd.
and Vipul Facility Management Pvt. Ltd.) is
promoted by Mr. Vinit Beriwala and Mr. Punit
Beriwala, third generation entrepreneurs The
promoters have a long-term vision of providing
Complete Health and Medical Insurance products to
the largely untapped Indian population. Manageme
nt The Company has appointed, Mr. Rajan
Subramaniam, a Management graduate and a
qualified Insurance professional, as its CEO. He
has wide experience in the TPA Industry and is
assisted by qualified professionals from the
field of Insurance and Healthcare.
4
Profile of Vipul Group
Vipul Motors Ltd is the 3rd largest dealers of
Maruti Cars in India with approx sales of 10,000
cars per annum and an annual turnover of approx
300 cr. It operates dealerships in Faridabad,
Noida, Gurgaon and Jaipur with Workshops and
repair centers. It has been ranked 129th amongst
Indian Companies in 2003, by Business Standard
magazine (Jan 2004). Vipul Infrastructure
Developers Ltd. is engaged in real estate
development projects covering residential,
commercial complexes, shopping malls and
hotels. Some of the projects executed /
undertaken by the company - Orchid Square -
Orchid Plaza - Orchid Agora - Global Fortune
Hotel - Orchid Floors / Garden (residential
schemes) Vipul Facility Management Pvt. Ltd.
is involved in management of properties,
day-to-day housekeeping and security services,
predictive and preventive servicing of electrical
and mechanical equipment. The Company has a
technical tie-up with Johnson Controls USA, a
Fortune 500 Company, and is managing prestigious
buildings viz. - Statesman House - PVR -
AEZ Square - Global Business Park -
Millennium Plaza - Orchid Square
5
Our Infrastructure
Vipul MedCorp - Infrastructure
  • Headquartered in Gurgaon with branch offices in
    New Delhi, Noida, Faridabad, Brindavan,
  • Jaipur, Mumbai, Kolkata Bangalore.
  • Wide Medical Network of over 2000 hospitals ,
    Diagnostic Center Chemists.
  • Operates a 24/7 Assistance Centre.
  • Tailor-made software developed in-house with
    full web-based access for Claims Tracking, On-
  • Line Access and Querying.
  • Professional manpower presenting our clients
    with benefits derived from our knowledge
  • experience of the medical network , TPA
    Insurance fields.
  • Dedicated Panel of Doctors, enabling us to
    render Second Medical Opinion, Case Management
  • and Medical Procedure Audit.

6
Product Vision
Vipul MedCorp Product Vision
  • To increase medical care capacity
  • To augment the existing Product/Service
  • To provide the client with 24 hrs. service
  • To provide one stop shopping for all medical
    needs
  • To resolve the medical problem in a fast,
    efficient and convenient manner (improve employee
  • productivity).
  • To combine Medical Services with tailor made
    Insurance Products and offer Cash Less Services.
  • To render cost containment services to our
    clients on their medical claims
  • To offer total Health Intermediary Insurance
    administrative solutions
  • To offer hassle free health care facilitation to
    Patients visiting India for Medical Treatment.

7
Competitive Advantage
Vipul MedCorp Competitive Advantage
8
Country-wide Hospital Network
Vipul MedCorp Major Network Hospitals across
India recommended for Expat Patients
Delhi NCR
Mumbai
Kolkata
  • Indraprastha Apollo Hospital
  • Batra Hospital
  • Holy Family Hospital
  • Sir Gangaram Hospital
  • Metro Heart Institute
  • Escorts Heart Institute
  • Indian Spinal Injury Centre
  • Kailash Hospital
  • Sitaram Bharatiya Hospital
  • Rajiv Gandhi Cancer Institute
  • VIMHANS Hospital
  • Shroff Eye Center
  • Breach Candy Hospital
  • Asian Heart Foundation
  • Lilavati Hospital
  • Jaslok Hospital
  • Hinduja Foundation
  • Bombay Hospital
  • Shroff Eye Center
  • BM Birla Heart Centre
  • Salt Lake City Medical Centre
  • AMRI Apollo Hospital

Chennai
  • Apollo Hospital
  • Vijaya Hospital
  • Madras Medical Mission
  • Malar Hospital

Bangalore
  • SagarApollo Hospital
  • Wockard Hospital
  • The Bangalore Hospital

Pune
  • Jehangir Hospital
  • Grant Medical Centre

Hyderabad
  • Apollo Hospital
  • Care Hospital
  • MedCiti Hospital
  • Yashoda Super Speciality
  • Hospital

Chandigarh
Ahmedabad
  • Fortis Heart Institute
  • Inscol Tertiary Care Hospital
  • Sterling Hospital
  • S A L Hospital

9
Services for Patients Visiting India
Vipul MedCorp Services for Patients Visiting
India
  • Evacuation Services i.e. Medical repatriation
    and medical escort.
  • Cashless Medical Service Facilitation at Network
    Hospitals up to limit authorized by Mission /
  • Government / Patient / Insurer
  • Processing of hospital bills after completion of
    treatment
  • Cost Containment services by tariff control and
    negotiated settlement
  • Online assistance to Expat patients during
    hospitalization monitoring
  • Priority admissions in Hospitals
  • Hospitals / Nursing Homes all over India
  • Tariff rationalization Provider accreditation.

10
Services for Patients Visiting India
Evacuation Services
  • Vipul MedCorp receives Medical history of
    patient online through website, before arrival in
  • India
  • Vipul MedCorp performs triage based upon the
    patients symptoms
  • Upon arrival, patients state is evaluated
  • In case patients state is critical, a
    state-of-the-art ambulance will be provided fully
    equipped
  • with life savers including ventilator, and
    accompanied by a critical Care Specialist.
  • In case of non-critical cases, patient will be
    escorted to restroom in a standard ambulance

11
Services for Patients Visiting India
Hospitalization and Discharge
  • Vipul MedCorp will choose and identify the type
    of admission required
  • Priority Admissions in hospitals all over India
  • Vipul MedCorp will set-up the required medical
    appointments and also schedule the actual
  • admission
  • In case of overbooking at Multi-Specialty
    hospital, interim arrangements will be made at
    triage
  • hospital / nursing home
  • In case of delay in admission, Multi-Specialty
    Hospital Consultant will visit Patient at triage
    hospital
  • Admission and Discharge coordination with
    hospital
  • Cash Less facilitation at hospital up to limit
    authorized by Mission / Govt / Patient / Insurer
  • Monitoring of treatment on a routine basis
  • Second Medical Opinion for critical cases

12
Services for Patients Visiting India
Administrative Services
  • Travel arrangement in India
  • Stay arrangement
  • -- Before Hospitalization
  • -- Post Hospitalization till onward journey
  • Ticketing
  • Send off till flight departure
  • Local attendant
  • Stay arrangement for attendant
  • Liason with Embassy / Mission / Govt / Insurer
  • Communication arrangements throughout stay at
    India
  • Ambulance / Vehicle arrangements

13
Services for Patients Visiting India
OnLine Web-based Access/ Software Support
  • Patient / Mission can access Vipul MedCorps
    website anywhere in the world
  • Patients details / Medical Conditions are
    entered online
  • Patients Family / Mission will get online
    Patient status daily
  • Hospital Records / Discharge Summary hospital
    Bills can be viewed online
  • Bills / Repriced Bills / Hospital Tariff can
    also be viewed online
  • Communication with Vipul MedCorp triage center
    on online basis
  • Vipul MedCorp will present the patients
    complete Health Report online
  • Mission / Govt. will be provided complete
    statistics of Patients / Claim / Hospital Bills
    position /
  • Disease analysis on monthly/periodic basis

14
Operational Flow
Vipul MedCorp Operational Flow
15
Claim Management and Control
Cashless Facilitation Procedure
  • Receipt Record of Data Member Enrollment of
    Patients Visiting India
  • Pre-Admission Authorization after checking
    Doctor Prescription, Admission Form, Hospital
  • Information
  • Hospital submits Original bills along with
    Doctor Prescription, Diagnostic Reports
    Discharge
  • summary

Claims Control
Original Bills are verified scrutinized against
Standard Discounted Tariff - Cost Containment by
Medical procedure audit Bill scrutiny - 2nd
Medical opinion taken for complicated cases -
Repricing done on case to case basis.
Cost Containment
Cash Less Medical Services Lead to Bill Scrutiny
before release of payment - Discounted Rates
Eliminates Reimbursement Frauds - Medical
Procedure Audit / Elimination of unnecessary
prescriptions - Case Management All the above
leads to Cost Containment lowering of Medical
cost
16
Strategic Advantages
Vipul MedCorp Strategic Advantages
  • Access to Insurance / Risk Market Statistics
    Actuarial database
  • Integrated web based software
  • All India Set-up
  • Infrastructure created for 100 seat Data Centre
  • Cashless facilitation at over 2000 Hospitals /
    Nursing Homes / Medicine Shops / Diagnostic
    centres
  • in 170 Cities
  • Web enabling for claims tracking and on-line
    access
  • Medical team of 15 Doctors
  • International expertise in tariff
    standardization cost containment through ties
    with overseas TPA
  • Claims Control and Cost Containment Services,
    lowering the Medical costs

17
Corporate Office 515 Udyog Vihar,
Phase-V Gurgaon - 122016, Haryana Tel No.
91-124-2438270-75 Fax No. 91-124-2438276 Regi
stered Office Plot No. 208, Site I, Shankar
Road Scheme, New Rajinder Nagar, New Delhi
-110060 Tel No. 91-11-28741511 / 28745512 Fax
No. 91-11-28742286 Email info_at_vipulmedcorp.co
m Website http//www.vipulmedcorp.com
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