HRM is the first organization to launch the managed health care offering in Zimbabwe where there are over 25 registered medical aid societies covering more than I million lives.
The organization is a division which is wholly owned by 2CANA Solutions Zimbabwe. Durban based 2CANA Solutions, the parent company, is a market leader in providing IT services to the financial services industry and launched its Health Information Platform (HIP) to the SA healthcare sector 3 years ago, which has made a major impact on the healthcare sector.
Efficiency is improved via HIP’s business process configuration and management tools while customer service is enhanced via HIP’s seamless multi-channel communications centre. Better risk management is made possible by HIP’s intelligent decision support solutions and expert rules and protocol based processing.
HIP underpins all four drivers within the HRM business model – its robust flexible system, strong managed care protocols, efficient administration system and the trademarked Demand Management service. The system is flexible, scalable, robust and reliable. This flexibility enables us to rapidly adapt and to accommodate client requests.
To improve the quality of health for Zimbabweans through utilising innovative health solutions, to maximise the health outcomes of individuals and hence maximise the returns on investment of our clients.
Pre-authorization services for hospitalization and chronic cases: all non-emergency cases are authorized before admission into hospital
Keeping track of all hospital in-patients. Interventions are performed when cases vary from the norm in respect of Length of Stay.
Our Maternity Care Management Program provides support and education to pregnant beneficiaries and encourage proper ante and post natal care and help with benefits.
The Chronic Medication Authorization Program provides patient education and professional counselling, ensuring patient involvement and compliance, resulting in significant cost savings to the scheme
Disease management program is conducted pro-actively thereby reducing the risk of disease deterioration and facilitates significant improvement, thus eliminating avoidable costs, e.g. admission to hospital and emergency rooms.
Chronic and Hospital benefit design advisory services: by benchmarking and reporting to the schemes thereby assisting medical schemes with benefit design from the information obtained
Employer Wellness Programs and benefit design advisory services.
Comprehensive reporting: Analysis of utilization, risk factors and review of costs incurred providing medical schemes with excellent management information, e.g. caesarian section rate or hospitalization rate.
Prospective review through discharge management: where patient rehabilitation and prolonged nursing care are called for, arrangements are made for appropriate step down care.
Demand Management: helping members to make the appropriate decisions, matching the right treatment at the right price and time.
H.I.V. Program Management: Registration on the HIV program, authorization of ARVs and monitoring compliance and adherence through counselling.
Pre-authorization
Case Management
Maternity Care Management
Chronic Medication Authorization Program
Employer Wellness Programs
Discharge Management
Demand Management
Pre-authorization
Case Management
Maternity Care Management
Chronic Medication Authorization Program
Disease Management Program including H.I.V
Chronic and Hospital benefit design advisory services
Wellness Program benefit design advisory services
Employer Wellness Programs
Comprehensive reporting
Discharge Management
Demand Management