Cost containment is our forte but without reducing employee’s eligibility & benefits. As the current fee payment is by “fee for service” there is a tendency to perform more procedures and surgical operations. We encourage conservative treatment as often patient would recover after appropriate physiotherapy or other treatment.

Chronic metabolic disease can be monitored to reduce complications and better cure can be achieved and this will also reduce much expenses. These complications cause the patient high morbidity and mortality as well whilst treatment of these complications are also extremely expensive.

There is a high incidence of billing errors and these are reduced efficiently by our claims team and the accompanying doctors. The inflation rate in healthcare for Malaysia is about 13% - 15% making it the second highest in the Asia Pacific region. Therefore, billing audit needs more attention.

Many cases can be treated as Out-patient or Daycare but are admitted and this is very expensive driving the costs of healthcare and it’s inflation higher. Some patients are admitted because they do not have out-patient benefits so they choose to be admitted for treatment to pass on the bills to the insurer not realising the expenses are much higher.