Ronco, an IT company based in the Cayman Islands originally launched its healthcare offering 4 years ago under its affiliate company, Ronco Global Healthcare Solutions Ltd (RGHS).
RGHS has now won the consulting contract to assist GCI Group internally, with the delivery of a project to the Dubai Health Authority (DHA). The DHA launched its mandatory National Health Insurance program on 1 July 2016, moving from a state-funded system to a reimbursement model. The 4-year, multi-facility, eight-figure dollar contract aims to allow the DHA to revolutionize the revenue management process through automation, rather than the traditional method of manually processing claims and scrubbing data.
RGHS is the authorized representative for the GCI Group, a global software house that has written and developed a health information system catering to hospitals, healthcare facilities, pharmacies and insurance providers. The software has two unique modules that focus on revenue management, including real-time insurance adjudication and claims management, and an end to end pharmacy and stores management solution.
“We have a unique, rules engine based software that allows us to apply any logic the client requires to automate what is currently a lengthy and high cost process,” Mr. Kana Thamby, CEO of GCI said. “The software, which fully integrates with other clinical, financial and administrative systems, will allow for real-time claims resolution, eliminating manual errors, reducing claim times, accounts receivable, potential insurance abuse and dramatically reducing the time it takes for providers to get paid.”
The software is intelligent in that it is able to read insurance policies line by line, apply checks and balances to medical codes as well as allowing for a provider to submit a ‘clean claim’.
“We are pleased to have been appointed by GCI to assist them with the DHA and other projects globally. The software is innovative, cloud and e-portal enabled and current. A provider, a pharmacy and a patient can have their claims processed in less than a fifth of the time it normally takes. The insurance company becomes more efficient and the end result is a better managed, patient-care system,” Mr. Darrell Hines, MD of RGHS said.
As more countries move to reform their health insurance programs, GCI and Ronco are uniquely positioned to address a changing market in line with the imminent advent of the Electronic Medical Record becoming a reality.
September 6, 2016 – Cayman Reporter
