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08:30 |
Registration And Morning Coffee |
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08:30 |
Opening Remarks From The Chair
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A Comprehensive Overview Of The GCC Healthcare Insurance Industry And Outlook For The Future
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| 08:45 |
A 360 Degree Perspective: The GCC Healthcare Insurance Industry - Where Are We Now And Where Do We Need To Be?
- The short term and long term implications of escalating healthcare costs
- The impact of the current economic climate on the GCC healthcare insurance industry
- Ensuring that healthcare is of high quality and accessible to all: The role of insurers, employers, regulatory authorities and healthcare providers
Dr. Altijani Hussin, Manager, Health Economics, Supreme Council Of Health, Qatar
Dr. Ala Al Atari, CEO, Medcare Hospital, UAE
S. Venkatachalam, CEO, National Life & General, Oman
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| 09:30 |
Does The Healthcare Insurance Industry Hold The Key To Improving Quality And Effectiveness Of Healthcare In The GCC?
- Assessing the healthcare insurance industry’s role in driving high quality healthcare
- Building healthcare insurance products that provide comprehensive coverage and an industry that supports the development of high quality healthcare
- How can healthcare providers and regulators support the healthcare insurance industry to drive development of better healthcare?
Dr. Ashraf Ismail, Managing Director, Joint Commission International, UAE
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| 10:15 |
New And Changing Healthcare Regulations And Their Impact On The Healthcare Insurance Industry
- The state of regulatory healthcare in the GCC and vision for the future
- New and changing regulations: How will they shape the development of the healthcare insurance industry?
- What are the compliance challenges that the healthcare insurance industry will be faced with?
Paul Hetherington, Head Of Planning, Health Authority Abu Dhabi, UAE
Dr. Altijani Hussin, Manager, Health Economics, Supreme Council Of Health, Qatar
Laila Al Jassmi, CEO, Health Policy & Strategy Sector, Dubai Health Authority, UAE
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| 11:00 |
Meeting Accelerator
This unique facilitated networking session will give you a rare opportunity to meet your peers from different companies across the GCC in 30 minutes. You will have less than a
minute to exchange insights and gain new perspectives with each professional. So be prepared with your most pressing concerns and bring lots of business cards. |
| 11:30 |
Morning Refreshment Break |
| 11:45 |
Employers Perspective Of The Decision-Making Process In Selecting An Insurance Provider: What Do Employers Want?
- Understanding what employees want: Is unlocking the depth and type of coverage, accessibility to networks and customisation key to the decision making process?
- Determining coverage limits that meet employee expectations whilst maintaining cost effectiveness
- Building employee satisfaction: Does timely processing of claims and authorisation ensure a better customer experience?
- Is there flexibility in negotiating down payment and premiums?
- How can availability and ability to answer questions and offer guidance to the insured: Good customer service from insurance providers
Hani Nowilathy, Head Of Policies, Bank Al Jazira, KSA
Dr. Mansoor Anwar, Director, Medical & Occupational Health Services, Du, UAE
Mohammed Jawwad Qazi, Director, Shared Services, Mazrui Holdings, UAE
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| 12:30 |
Becoming The Healthcare Insurance Provider Of Choice: A Roadmap To Excellence
- Flexible coverage and customised products that engage and retain employees:
- Addressing the idiosyncrasies and individual differences
- Maintaining a supportive, mutually beneficial relationship with the employer
- Developing effective customer service initiatives
Dr. Sunil Menon, Vice President, Health, Dar Al Takaful, UAE
Dr. Beena Nair, Head of Life and Medical, Arabian Scandinavian Insurance Company, UAE
Robert Grey, General Manager, Bahrain National Life, Bahrain
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| 13:15 |
Networking Lunch |
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Combating Healthcare Insurance Misuse, Abuse And Fraud
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| 14.15 |
Misuse And Abuse Of Healthcare Insurance By The Insured And Healthcare Providers: What Is The Root Cause And Can It Be Controlled?
- What is the misuse and abuse of health insurance costing the industry?
- Uncovering the root cause of misuse and the main incentives of those involved: The insured and healthcare providers
- Do monitoring claims and regular inspection viable short term solutions
- Developing long term solutions: Does team work between insurers, employers, authorities and healthcare providers hold the key
Dr. Ala Al Atari, CEO, Medcare Hospital, UAE
Dr. Sven Rohte, Chief Commercial Officer, National Health Insurance Company (DAMAN), UAE
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| 15:00 |
Detecting And Preventing Healthcare Insurance Fraud: Reducing The Number Of Fraudulent Invoices And The Related Losses
- The scale and prevalence of healthcare insurance fraud, its impact on the industry and the loss of profitability
- Identifying and establishing fraud indicators to enable early detection and prevention
- Does effective fraud prevention call for a collaborative effort between all stakeholders: Developing a sustainable, integrated fraud prevention strategy
Robert Grey, General Manager, Bahrain National Life, Bahrain
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| 15:45 |
Afternoon Refreshment And Networking Break |
| 16:00 |
Improving Authorisation And Claims Processing To Offer A Better Patient Experience
- Are automated authorisation and e-claims the future of health insurance transactions?
- How can healthcare providers effectively manage transactions and track claims?
- Disputable claims: Quick resolution with minimum inconvenience to the patient
Dr. Beena Nair, Head Of Life and Medical, Arabian Scandinavian Insurance Company, UAE
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Effective Network Management
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| 16.45 |
Is Effective Network Management And Regulation The Key To Controlling Claims, Tariffs And Misuse?
- How to build and maintain open communication channels with healthcare providers in your network and what is its impact in controlling claims, tariffs and misuse?
- Developing effective monitoring and tracking strategies for claims and transactions
- Does improving networks information access and knowledge contracts and benefits overcome the challenge of misuse?
Dr. Sunil Menon, Vice President, Health, Dar Al Takaful, UAE
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| 17:30 |
Pharmacy Benefit Management (PBM) As A Tool In Managing Misuse Of Healthcare Insurance And Reducing Costs
- Using Pharmacy Benefit Management as a strategic tool in combating misuse healthcare insurance by healthcare providers
- How can Pharmacy Benefit Management improve consumer compliance?
- Developing a strategy to overcome the common challenges of Pharmacy Benefit Management
Rafiq Halani, General Manager, Islamic Arab Insurance Company (SALAMA), UAE
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18:15 |
Closing Remarks From The Chair
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| 18:30 |
End Of Healthcare Insurance Forum Day 1 |