Solutions for

Private Health Insurers

Driving improved care, greater clinical efficiency and better client outcomes

Healthcare globally is in the throes of radical transformation. Costs are increasing, driven by the burden of managing chronically ill patients; an aging population; lack of effective care coordination; and advances in medical science providing revolutionary (yet costly) procedures and therapies.

Governments and other healthcare funders face challenges in delivering a better patient experience, to achieve better patient outcomes, while reducing costs and engaging individuals to manage their own health. New innovative thinking and tools are needed to help them deliver better care while balancing the health demands of the population.

Private Health Insurers need to manage their risk in this changing environment - identifying members who are chronically ill or in danger of developing a chronic condition that will most likely be very costly for the insurer. Engaging members in their own wellness and healthcare, from early on, is a powerful way for health insurers to manage their members and build risk profiles. Collaborating with healthcare providers and sharing information is an even better way to ensure each party has the complete picture of an individual when making decisions regarding their health.

Benefits for Private Health Insurers

Faster sharing

Our solutions provide an efficient and integrated health system where clinical information from various data sources is available immediately on desktop or mobile. Healthcare professionals can identify, manage and communicate with all members of a patient's clinical and private health insurance network. This results in accurate medical care, a reduction in the duplication of services, and improved on-going care coordination.
In real time

Our solutions provide access to a patient’s medical record in real time, at every point in the circle of care, from hospital to home. Our patient engagement tools ensure that the patient, their caregivers and the provider, have access to and can contribute to an accurate longitudinal patient record. Over time, our solutions assist healthcare professionals to deliver quality care and improved health outcomes including fast primary care referrals to private specialists.
Quality experience

We provide a fully integrated solution to ensure the smooth management of member flow, with fast referrals and seamless management to medical assistance. Providing a quality experience for individuals retains current members and entices others to invest in private health insurance.
High cost members

As the population ages, long-term conditions are going to be a major health burden for every health system globally. The ability to identify the population at risk, and apply Precision Medicine to identify the perfect treatment and prevention strategy for each individual, is essential.
Pathway management

With proactive management of long-term conditions, we establish healthcare pathways for chronic diseases and complex conditions, as well as providing the infrastructure to deliver Precision Medicine, providing targeted treatments for each individual. Care providers can produce dynamic care plans to monitor an individual's progress and easily view and track clients to ensure the best health outcome for individuals.
Health and wellness

Our solutions can establish clear healthcare pathways for promoting health and wellness programmes. Insurers can collaborate with care providers and individuals to ensure all parties are engaged and active in monitoring the individual's health: viewing, amending, observing and progressing goals set for the individual to achieve.

Orion Health has been able to bring together all the technical aspects in what is a really complex and difficult area and bring our vision to life. They have been tolerant and patient – and most of all they have listened to what we are trying to achieve. We now have a partner who is embedded with our clinical teams in hospital and primary care and is intuitively working with us to create something that works for both patients and our community.

DAVID MEATES

CEO, Canterbury District Health Board, NZ
Orion Health’s product portfolio continues to be one of the leading platform for Health Insurance organisations.

CHILMARK RESEARCH

2015