This is the second post in a new blog miniseries on Agile Global Health’s philosophy across four of our company’s key performance areas: clinical, financial, logistical, and experiential/customer service management. What does it mean to us to monitor and manage each of these aspects of our clients’ healthcare experience? Why do we do it? How do our actions make a difference?
Today, we address the second of these, the financial. Agile’s financial system is comprised of three different parts: our Treatment Management Center (TMC), Revenue Cycle Management (RCM), and Finance. This assembled team brings a broad background of educational achievements, including university and advanced degrees and professional certificates, as well as considerable experience in certified private and public accounting, business analytics, and management experience in commercial enterprises, hospitals, and private healthcare clinics. We’ll begin by introducing these elements to understand how they each contribute.
- The TMC role is to seek out and obtain pricing from our hospital network based on patient medical records and diagnoses, ensuring our patients receive the best care from the best providers at the best price. TMC support continues during the implementation of the selected hospital’s treatment plan, as the patient or funder may have questions or the patient’s evolving condition may require changes to the previously approved plan. The TMC team, made up of two physicians and three patient care consultants, is based in Bengaluru, India.
- The RCM role is to gather and assemble all costs for medical and logistics services associated with each patient’s implemented care plan; next, its members perform an accuracy audit and then reconcile the patient’s account, resulting in either a claim for an additional payment or a refund. RCM associates conduct each of these functions in accordance with Agile’s established policies, procedures, and timely service commitments. RCM’s members are distributed globally. “In order for us to be successful as a team, we built a decentralized and well-coordinated system,” says David Spisak, RCM Director.
- Finally, there’s the Finance team. Its role is to manage Agile’s ever-growing accounting needs and balance reporting, compliance, dynamic market developments, and tax requirements in the many countries where we operate across Asia, the Middle East, Africa, Europe, and the U.S. The Finance team’s members are similarly spread worldwide.
So, what is the guiding philosophy that unites these disparate parts of Agile’s financial mechanism? It’s straightforward: reliable cost estimates, strong controls, and dedicated historical analysis repeatedly refine our financial data cycle. Together, these steps deliver the highest quality care for the greatest number of patients at the most efficient cost, as well as ensure the smooth operating of Agile’s business processes that enable access to and oversight of that care.
This philosophy plays out on two levels. First, there’s the financial management of each individual patient we serve. At this microcosmic level, our financial management helps funding organizations or self-paying individuals plan appropriately for treatment costs. Because our financial management is inherently infused with our clinical management insights, we’re able to assist hospitals and healthcare providers maximize the volume of patients they can treat. When treatment is complete, each individual’s financial data becomes part of a secure historical database that enables Agile to better predict treatment costs and trends over time, allowing us to best serve institutions and governments for which we manage healthcare for large populations. Says Senior Global Accountant Marcus Cleveland, “We track critical milestones in a patient’s care cycle to continuously improve data quality and financial accountability.”
And what about this philosophy at the macrocosmic level of Agile’s overall financial management as an organization? “Very simply put, by our Finance team members doing well on the business side to sustain operations, we enable the responsible funders, the physicians, and healthcare systems with which we work to do good for our patients,” says Guy Zahn, Agile’s Chief Operations Officer. Close monitoring and management of ongoing costs and delays or changes in treatment, and comparing these to historical costs and the original clinical estimate, result in operational efficiencies and cost savings. “In this sense, our financial philosophy is all about managing the broad financial outcomes,” reflects Morgan Darwin, Agile’s Chief Executive Officer. “It’s about creating predictability, accountability, and transparency while utilizing financial resources to their maximum potential, especially the limited resources of public institutions or corporate resources of private institutions.”
Agile’s financial management is unique, reflecting our commitment to improving healthcare access and quality while incentivizing the development of economically sustainable health systems. But our financial approach isn’t the only distinctive aspect of our overall management. Stay tuned to this blog to learn about our logistical and experiential management, too!
Agile Global Health
Agile Global Health is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
This post launches a new blog miniseries on Agile Global Health’s philosophy across four of our company’s key performance areas: clinical, financial, logistical, and experiential/customer service management. What does it mean to us to monitor and manage each of these aspects of our clients’ healthcare experience? Why do we do it? How do our actions make a difference?
Today, we address the first of these four, the clinical. Responsibility for our patients’ clinical management rests primarily with our Treatment Management Center (TMC) in India, with support from our Destination Management Centers (DMC) throughout the world.
Agile’s philosophy on clinical management is simple. “We believe that high-quality, cost-effective treatment options ensure that our patients obtain the right care at the right time and the best value, as defined by their unique circumstances,” says Saraladevi Gangadhara, Agile’s India TMC Director. In action, this means we identify our clients’ medical requirements, source the best possible array of treatment plans from specialized doctors, and present these to our patients with full transparency.
What does it mean to us to monitor and manage the clinical aspect of healthcare service and delivery? “We view continuous clinical monitoring as a means to respond with timely, customized medical management solutions,” explains Yashvi Mudgal, Patient Services Manager in Agile’s India DMC. “We as a DMC team monitor every case closely throughout treatment. Client documents, medical updates, and any changes to treatment plan are updated constantly in our secure, cloud-based patient management system, the Orsalus Exchange (OEX). This platform allows real-time patient developments to be shared across the Agile support mechanism, so that our monitoring effectively drives ever-responsive patient management.”
As you might imagine, there are many data points to monitor in the clinical realm. Our process begins with collecting complete medical records, including diagnostic test results, prescription information, discharge summaries from previous treating facilities, legal documentation in transplant cases, and proof of fitness to fly, if the patient is traveling abroad for care. “The TMC manages the front-end gathering of these materials,” says Amrita Ramesh, Agile’s Head of Service Delivery for India. “We at the DMC then support operations and services during the patient’s treatment.”
“The DMC records stage changes, like hospital admission, discharge, shifts between the ICU and the operating theater or ward, etc.,” explains Ankur Gupta, Agile’s National Director and Manager for India. “We note the number of days in each stage, the criticality of the patient as informed by their treating doctor to either our Operations Officer or the patient’s attendant, any tests the patient undergoes, the number of treatment sessions prescribed for their particular care regimen (chemotherapy, radiation, physiotherapy, etc.) and when each takes place, and the doctor’s opinion of patient progress throughout. At treatment conclusion, we also track the full discharge summary and any specific requirements for equipment or medications to support mobility during the journey home, and/or continued treatment there.”
Why do we do it? Moving from the tactical to the strategic, our team gives their answers. “We monitor these data to ensure that patients have a smooth medical experience with Agile when they reach their treatment destination,” says Ms. Gangadhara. “Agile’s monitoring enables the TMC to track treatment progression and therefore to validate, as necessary, further care recommendations and expenses to their funder,” Mr. Gupta adds. Further, says Ms. Mudgal, “The detailed information we maintain on each patient produces a comprehensive treatment record, which helps our clients’ home physicians continue an appropriate course of care upon the client’s return. It also aids in obtaining accurate and insightful medical opinions for future care.” Ultimately, the robust data assembled by Agile’s astute clinical monitoring over time also supports our unique ability to provide clinical analysis that guides governments, research and development institutions, and other healthcare organizations on the life cycle of disease. Agile’s dedication to capturing and evaluating clinical metrics generates better care outcomes, realizes funding efficiencies, and enhances quality of life for our patients and partners.
Our CEO, Morgan Darwin, sums up Agile’s clinical management philosophy like this. “We work with our partner medical authorities to define the correct clinical path as quickly as possible. Then we monitor and manage the clinical path to assure its most timely execution. This means making certain it is closely followed and that any deviations are fully justified and promptly approved or denied, all in order to reduce clinical risk, care costs, and patient suffering. Finally, Agile is well-known for our consistent follow-up after treatment conclusion, and our dedication to measuring outcomes so that – over time – our data and analysis drive systemic clinical improvements. A real-life example of this is how Agile’s clinical metrics collection throughout our management of the Kenya cardiac program spurred professionalism within Kenya’s national healthcare system.”
Ms. Gangadhara reiterates Mr. Darwin’s sentiments: “Agile’s unique business model collects and responds to clinical insights from the beginning to the end of our patients’ treatment experiences. Our clinical management brings professionalism to a disorganized industry in a way that has a direct and positive impact on people’s health and livelihoods.”
We’re proud that our clinical management distinguishes Agile in the crowded, chaotic healthcare marketplace. And we’re excited to share with our readers how our innovative management approaches also apply to the financial, logistical, and experiential aspects of our work! Find future installments in this miniseries on our blog.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.