Managed Care Services
To offer the best overall solution for our client schemes PPS Healthcare Administrators make use of discipline experts to update protocols on a continuous basis.
Our services include:
- Hospital Benefit Management
- Pharmaceutical Benefit Management
- Oncology Management
- Disease Risk Management
- Maternity Management
- Reporting and practice pattern analysis
Medical advisors are available full time to advise on cases to pre-auth, managed care services, underwriting decisions and to assist with various other decision making processes.
We interface with any of our scheme’s chosen 3rd party service providers which include service providers for:
- HIV and Aids Management
- Optical Benefit Management
- Dental Benefit Management
- Emergency Transport Management
- Loyalty Programme Management