United africa health services to insurer & health care providers

“Enabling Business Innovation & Driving Growth Together”

Who we are ? United Africa Health , professional health care and tech start up in collaboration with

American medical practice group and investor backed health technology start up group .

Our Experience : 150+ yrs. collective people experience in the health care , technology

and Insurance

What we do ? Wellness promotion . Health care marketing & Benefit consulting . Health Administration .

Health Risk Management . E- Health Records .Tele health . Tele Underwriting . Pre policy check

up . Health outsourcing skill development .International Outsourcing and advanced health

off shoring support services

We are innovative because : We Know to think without the box

With us : WIN . WIN. WIN (every one is a winner )

We love : “ To give more value & care to our customers “

We ensure : Your savings

We ASK our customers : why spend more , when your get more for less.

We create : New health & technology enabled care experience to all our customers

UAH Solutions – snapshot

Health benefit administration +

Contact centre BPO

H.Risk Management /Fraud/e-health risk assessment tool

Payer /provider claims processing

Tele/Medical underwriting Case management

Scheme design Coding /billing services

Pre policy check – life Health Technology & consulting

E-health & wellness portal Health outsourcing training academy – VLE

My wellness 2 wealth card E-Patient records

International travel assistance & medical tourism

Real time claims adjudication

Mobile policy Issuance unit Online policy renewal /fin serve portal (e-distribution)

Our Vision: “To be one of the respected & innovative healthcare Industry support

service provider “

Our Mission: “United Africa Health ® exists to serve all health care & insurance

industry stake holders in providing cost effective , innovative ,quality and

advanced value add e-enabled health support services.

Our innovation goal ,is to implement wired care in Mauritius by end of 2013.

Humanitarian Missions: “Grow to Give, Give to Grow “

Executive socio vision: Building health skill and creating 3000 + outsourcing jobs in

Africa during the next 3 years, and contributes positive impact and change in

Rural Africa.

United Africa Health – Innovative technology enabled Wellness promotion and health care discount

marketing company” our advanced e- health platform simplify health record keeping, administration and

enable new way of patient care, Patient engagement in Mauritius.

We aim to promote Wellness & Care in Africa, and create access to convenient, safe, sustainable and affordable

care anywhere, anytime via Internet and telephone. UAH enable Indian ocean region health care industry to “Go

Green “a paperless health care environment with in no time and no initial cost.

We at UAH thrive to create new healthcare opportunity to young Africa health professionals , enhance earning to

medical practice /providers and build health care skill in Africa by our unique service lines a. Tele health b. Health

outsourcing c. Tele radiology . UAH unique services lines drive foreign revenue and more jobs in Mauritius and

Africa .

United Africa Health - We simplify health care & Insurance industry challenges , as a result Our

solutions create highly technology enabled unified Health care environment and improve care, Industry

performance and profitability .

UAH- “ we are unique , because of our business model , approach and technology” and we are cost effective ,

with us 100% each and every one who engage with is a clear winner .

“Guaranteed cost savings coupled with fresh health care experience”

Prabhumurthy (MA,MBA,CFP)

Entrepreneur , young visionary and Professional executive start up . Managing partner –

Eximius info tech & Co -founder - United Africa health, is a management graduate from one

of India's most renowned institutions and has a wealth of experience & 10 yrs. of success in

Business development ,Marketing , business modeling , wealth advisory,

outsourcing and international business . Before his start up initiative ,heading international

business and strategy for Med scheme, one the largest health care group in south Africa ,

and he been instrumental towards developing and implementing global business strategy

,and in Identifying M&A transaction in the United States and Asia .

Dr Abhithab Gupta

Radiologist by profession with 20 + years of healthcare experience , he is regular faculty at

NIA and have authored more than 10 medical book. Dr .Abhithab , held several Sr

management and c- level position in India’s leading insurance and administration companies

, wealth of health management experience and currently managing more than 5 million lives

in India . His contribution toward developing innovative health insurance product and

national e- health strategy is remarkable in the Indian market.

Our founding

member team

Our Strategic

Partners • Largest Health administration & outsourcing company in India & costa Rica , in total our

partners administer over 8 million lives

• American Physician group & ACO’s

• Telemedicine group

• Start up Tech & Health Outsourcing companies in the united states

Our approach to business :

Collaboration . Globalization . Innovation

We believe in :

People , process , knowledge and technology

We guarantee :

Customer satisfaction ,value addition , cost savings , Innovation and growth to our partners .

Our Technical

advisory team

Prabhumurthy , Dr Abhithab Gupta , Dr Eric , Dr Harish Singh , Dr Chan , Dr Singh, Mr Krishana

praharaj , Mr Roy Sanders , Dr Lyness , Dr Bill Hall , Dr Andrew , & other International /Local

technical operations and process expert team, with relevant industry experience more than 20 +

years .

Our Technical advisory team has played a key high level role in large health care companies ,

IT/BPO, Investment firms ,Health administration group in India , Mauritius , south Africa, United

States ,UK ,has rich domain expertise in the health care , BFSI and outsourcing space.

Identified GAPs and Challenges

• Building customer loyalty & multi channel engagement - “as is” good , but not

the best

• Growing the bottom line ,reducing cost ,controlling fraud ,improving

Health Service level

• Marketing and distribution – limited innovation in terms of Marketing &distribution

modelling

• Sales - Traditional product selling , no value selling happening

• Product innovation - Health

• Despite the fact , all the reputed insurers & health care providers have implemented high end

technology , still battling to get out of the old habit of printing piles of paper ..

• Early adoption & implementation to new age tool s & technology

• Government : Creating jobs /building skill / boosting economic growth

How we help the insurer ,corporates ,health care provider , customer and economic

development

Insurer : Our health services , technology and innovative business approach helps insurance companies to reduce the

health claim cost ,administration cost , enable innovation and improve customer experience

Scheme owners /corporates : Our “Well ness 2 wealth “health product design help corporates to manage their employee

health and extend care at work place , and help them avoid health premium increase , create access to comfort care &

wellness . “ Healthy Mind & Health y Body = more productive employee , happy family , healthy society”

Health care providers : Our “wellness 2 Wealth “ product help provider to enable technology innovation , care

innovation , improved e- referral system , higher patient engagement , promote preventive care and well ness culture ,

after all our product help the provider grow their business bottom line ,with no extra cost .

Private practice : We help young medical practice with administration and practice management , mean while we also

help them improve practice earning s , by our allied health services.

Customers : Our” Wellness 2 wealth “ product create access to advanced & innovative line of care , Savings up to 20% on

health and financial services product purchase , E- health records , 24/7 Emergency assistance service , Unlimited access to

wellness portal , where they can self manage their health over a click, and more value deals around the island .

Government : National health outsourcing skill building , in order to meet the health outsourcing service buyer market

compliance , and as result a . we attract more USD /GBP/ EUR revenue in to the island b. More jobs c. More qualified

skill d. improved citizen lifestyle e. We bring down youth un employment rate

Health care

Technology

Outsourcing Health

Academy

Distribution

Health admin & Health Risk Management - Insurer /Scheme owners • “Product innovation “ - our preventive care & wellness approach will reduce your claims cost

• Quite simple to differentiate your business from the competition , just supplement our value add service..

• Real time reporting , Real time adjudication , Tele health underwriting , Instant issuance of health policy ,

printing e-card ,E- health records , predictive health risk modelling and many more features …..

Doctor

At UAH , your health business risk managed by qualified

medical professional and global health risk managers

Reduced Claim cost Improved Provider performance &

plan Profitability

Preventive care approach

“My wellness 2 wealth” supplement card :Product feature & Benefit: - overview

• Wellness and personal health portal unlimited access

• Medical records on 1 GB flash drive

• Second medical opinion – With local and international specialist

• Tele medicine – Doc on call service *

• Home care assistance and emergency care - on call or press of a button*

• Out patient and preventive care plans

• wellness and nutrition plan

• Health Benefit and wealth consulting – Benefit experts

• Access to more value deals and benefits ….

Health care

Technology

Outsourcing Health

Academy

Distribution

Business

United Africa

Health TM

Just imagine …. All your customers will have access to our unique value add services

Priority medic – Doctor visiting patient home

First consulting on call - for minor symptoms call your doctor helpline or connect

online

“My wellness 2 wealth “ supplement plan

Elderly Home care assistance – “Express your love and care to your elderly by gifting

our home care assistance device ”

In case of any un attended emergency situation, we alert your family members , your

physician , near by health facility and alert the ambulatory service as well.

E- Health records - “No more paper file , No more searching “ UAH 1 GB Flash Card

will allow you to organize your personal care and treatment history, accessible any

where any time, and over a click you can request a second opinion with any doctor of

your choice .

“Electronic health records & providing care via telephone & Internet”

“Promoting wellness and care , taking health care back to home “

Who will benefit from our product ?

• Individual - savings on spending , new health care experience , comfort and extra care .

• Corporate - Express their care for their employee wellbeing and by managing staff member

health , they can avoid health insurance premium increase “ proactive approach towards saving

cost “

• Providers - Extensive marketing – meaning more sales , more revenue and visibility

• Hospitals - Alternate platform to promote well ness and care

• Insurer : Reduction in claims cost , healthy business bottom line.

United Africa Health –Our Services

Health benefit administration + Contact centre BPO

H.Risk Management /Fraud/e-health risk assessment tool

Payer /provider claims processing

Tele/Medical underwriting Case management

Scheme design Coding /billing services

Pre policy check – life Health Technology & consulting

E-health & wellness portal Health outsourcing training academy – VLE

My wellness 2 wealth card E-Patient records

International travel assistance & medical tourism

Real time claims adjudication

Mobile policy Issuance unit Online policy renewal /fin serve portal (e-distribution)

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United Africa

Health

Our Technology solutions Snap shot

TPA – Third Party Administrator TPA acts as a Facilitator between Insured & Insurer. Our product for TPA offers the

following :

Total benefit administration including hospital, daycare, and clinic claims processing.

Rich, high performance reporting at-a-glance access to the information you need in

just a few keystrokes.

Automated Preauthorization Workflow for high speed processing of

preauthorization's received by fax or mail.

Advanced correspondence logging for single click access to Word documents,

emails, or Excel spreadsheets previously sent to clients or insured, along with SMS

and email push features.

Automated Electronic Claims Queue Processing for Streamlined processed of claims.

Open Architecture Database design allows access to data by your existing

applications or reporting tools.

In the process of HIPA compliance including security tracking, patient security

features, and acceptance of all HIPAA data formats.

PHR (Permanent Health Record)

PHR (Permanent Health Record)

PHR (Permanent Health Record) PHR is a permanent health record on the web, which is lifelong archive of person’s medical

history. It can be accessed online anytime, anywhere, and by anyone with the required

security credentials.

Permanent Health Record contains:

Basic personal information

Medical insurance coverage details

Immunization records

Medical history (past & current)

Medication information

Information of Allergies

“Smart Tag” technology that keeps track of members information as a critical care

access report which can be accessed in the case of a medical emergency

Benefits of PHR

24*7 access and handy source of entire medical history

Pro-active approach to tackle emergencies

Increased consciousness towards one’s own health

Life time health insurance records and health checkup records

Online health record accessible

Members will be able to add, edit or upload new record as and when required

Unique identification (username/ password) for everyone

We can upload the scanned copy of original documents

Tracking Of Insurance details

100% Accuracy

HRA (Health Risk Assessment)

HRA (Health Risk Assessment)

Health Risk Analysis Provides an overview of personal health risk based on biological risk factors, normalized for age & sex, and medical history. Assessment of severity or likelihood of an adverse health outcome due to an exposure to environmental, biological, or social conditions through a comprehensive questionnaire. HRA helps in identifying & managing risks for different diseases. It is beneficial for program planning, implementation & evaluation. HRA reports also can be used for the research purpose & in policy development.

Pre Policy Health Checkup

Pre Policy Health Checkup (Dashboard view)

Products: Pre Policy Health Check Pre Policy is intranet/internet based web application providing common platform to the

insurance company, corporate, individual, hospital provider & management where they can

interact with each other. It is complete Business Optimization of Process of Health Check up,

for clients who opt for Insurance Policy. Following are the main features:

Exhaustive MIS for Insurance companies and corporate, Providers, Administrator.

SMS and E-push integration throughout the system for periodic updates.

Reporting of all processes, all appointments, TAT reports, and accounts reports

Separate Logins for Agents, Development officers, Insurance companies, Corporate.

Annual health checkup for corporate is available.

Facility to customize the packages and rates for each Diagnostic Center, Insurance

company, and corporate.

Reports can be fetched in various formats as per the requirements.

Integrated accounts module that takes care of invoices, debit note & Payment

Received.

Pre Employment Pre Employment Health Check up is a Business Optimization Process of Pre Employment

health Checkup for the Employee by Corporate. It is intranet/internet based web

application providing common platform to their corporate, individual, hospital provider &

management where they can interact with each other.

Following are the features:



Exhaustive MIS for Corporate, Providers, Administrator.


Facility to customize the packages and rates for each Diagnostic Center, Corporate.




Received.

Annual Health Checkup Annual Health Check up is a Health Check up Process for Employees by Corporate every

year. It is intranet/internet based web application providing common platform to their

corporate, individual, hospital provider & management where they can interact with each

other. Following are the features:


Received.

Facility to customize the packages and rates for each Diagnostic Center, Corporate.





Exhaustive MIS for Corporate, Providers, Administrator.


Tele - Underwriting

Tele - Underwriting

Tele - Underwriting

Tele - Underwriting Teleunderwriting is a new tele-interview underwriting system for proposers seeking medical

insurance policies.

Features

Immediate risk analysis - Our system enables the interviewer to analyze the risk for

more than 40 common diseases on the spot.

Effective Call center office automation – Optimizes the use of your call center and

office manpower to save you money as well as increase efficiency.

Health Data gathering – Which can be useful to insurance companies as well as the

Ministry of Health.

Benefits

Increase productivity - spend less time on paperwork and more time doing what you

do best meeting with clients and selling.

Improve turnaround time - more detailed information to the underwriters, which

reduces the need for the most time-encompassing requirements.

Alleviate awkwardness - Applicants often prefer providing personal information to a

third-party interviewer rather than face-to-face with an agent who may be a friend or

associate.

Tele - Underwriting

Tele – Medicine • Interactive health care over distance using information or telecommunications

technology

• Telemedicine brings the expertise of a specialist to the point of care and allows that expertise

to be customized to that patient

• Telemedicine facilitates the provision of medical aid from a distance. It is an effective solution

for providing specialty healthcare in the form of improved access and reduced cost to the

rural patients and the reduced professional isolation of the rural doctors. Telemedicine can

enable ordinary doctors to perform extra-ordinary tasks.

• Using telecommunications and computers to exchange information to support medical

decision making

a. Medical Records – EMR and PHR

b. Literature search

c. Decision support

d. Remote monitoring

e. Consultation and Conferencing

Wellness Portal

Wellness Portal

Wellness Portal Portal Benefits:

• Provide a focus for purchaser, provider and consumer communication.

• Ensure timely and cost effective communication

• Provide greater consumer access to information about health care providers

• Enhance the community in healthcare networks

• Provide a secure file exchange and storage environment

• Provide technology to emerging consumer to consumer support groups for chronic

conditions

Wellness and Health Portals Sections:

•Many content options and wellness and health programs

•Implementation of client specific information, such as:

• Medical Directories

• Health Benefits for Employees

•User progress and usage reports

•Intranet and Internet accessible

•Health Risk Assessments

•Weight Control Programs

•Disease Centers

•Health Tools

Current Technologies Microsoft .Net Platform 2.0,3.5:

The .NET Framework is: Common Language Runtime – provides an abstraction layer over

the operating system, Base Class Libraries – pre-built code for common low-level

programming tasks, Development frameworks and technologies – reusable, customizable

solutions for larger programming tasks. The .NET Framework allows applying common skills

across a variety of devices, application types, and programming tasks, integrate with other

tools and technologies to build the right solution with less work and Build compelling

applications faster. We are using C#, VB.Net Languages with other features in ASP.Net.

SHAREPOINT :

Microsoft SharePoint, also known as Microsoft SharePoint Products and Technologies, is a

collection of products and software elements that includes, among a growing selection of

components, web browser based collaboration functions, process management modules,

search modules and a document – management platform. SharePoint can be used to host

web sites that access shared workspaces.

Current Technologies DATABASE LANGUAGE(SQL SERVER):

SQL Server 2005 has reduced application downtime increased scalability and

performance and tight yet flexible security controls.

SQL Server 2005 makes it simpler and easier to deploy manage and optimize enterprise

data and analytical applications.

It enables you to monitor manage and tune all of the databases in the effective way.

Failure of the primary system applications can immediately reconnect to the database on

the secondary server using Database Mirroring.

SQL Server 2005 provides a new capability for the partitioning of tables across filegroups

in a database.

Has Features of XML Multidimensional Expressions (MDX) and XML for Analysis (XMLA).

Integration with the Visual Studio development environment provides more efficient

development and debugging of line-of-business and business intelligence (BI)

applications

Current Technologies WCF / WPF /WWF (WF)

Windows Communication Foundation (WCF) is Microsoft’s unified programming model for

building service-oriented applications. It enables developers to build secure, reliable,

transacted solutions that integrate across platforms and interoperate with existing

investments.

Windows Presentation Foundation (WPF) provides developers with a unified programming

model for building rich Windows smart client user experiences that incorporate UI, media,

and documents. It provides Databinding, Built in Animation, Templates & Styles, Resource

management.

Windows Workflow Foundation(WWF) is a framework that enables users to create system or

human workflows in their applications

Microsoft Silverlight is a new cross-browser, cross-platform implementation of the .NET

Framework for building and delivering the next generation of media experiences and Rich

Interactive Applications(RIA) for the web. It runs in all popular browsers, including Microsoft

Internet Explorer, Mozilla Firefox, Apple Safari, Opera.

We focus on building and enhancing the N-Layer Architecture, and hence all our

applications are not very load-intensive on servers as the load is shared.

Distributed Application Architecture is used where we can distribute application’s

parts into multiple server.

We focus on Making application’s ready for Web Form.

Focus on distributing caching topologies.

Integrated Application and Project Management techniques

Focus on Business Intelligence tools integrated within the application.

Thanks you

United Africa

Health

Prabhu Murthy (MA,MBA,CFP)

Entrepreneur & Sales optimisation Consultant

Mob:+230 4231666 ; Skype : prabhumurthy

PrabhumurthyM

Prabhumurthy Maduraimuthu

tel:+230 4231666

Documents

United africa health services to insurer & health care providers