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Quality through specialisation

GHP solutions

A cohesive care chain

GHP Solutions is our control and data center which, in partnership with our customers, enables to address an individual's problems as early as possible and to streamline every care journey. Comprehensive data on the care chain makes it possible to work preventively, to provide the right care at the right time and to avoid unnecessary care.

Focusing on the whole care chain instead of isolated parts of it generates higher quality, service and cost efficiency. GHP Solutions forms strategic collaborations in which we take full responsibility for a population's good health outcomes and the cost of achieving them.

Today's care is too fragmented and costly. Quality outcomes are not monitored to a sufficient extent. And digital solutions are scarce. There are too few incentives to create efficient care chains and to implement the initiatives that provide the best outcome for the patient in the long term. A more cohesive and modern care chain is an important solution to these challenges.

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Care providers and those who order and finance care should together focus on patients receiving the right level of care, following up and evaluating the total costs of treating a patient’s injury and on one of the most important goals – how well health care manages to help the patient so that improved health and a return to a normal life/job quickly become a reality. In a system where there is a common view that medical outcomes should be the point of departure for how health care is organised and financed, patients’, insurance companies’ and care providers’ interests coincide. The current system, with fragmented courses of care and a focus on cost per measure taken, and with limited follow-up of quality and the total cost, goes down the wrong path and care as a whole is ineffective. In order to ensure that the patient is truly well-informed and that he/she does not bounce around in the health care system, a somewhat longer first appointment is often needed. This reduces the total cost and gives the patient a better experience. However, it is difficult for individual care providers to win procurement processes as they have higher costs for new appointments. This is a recurring theme in health care. The fragmented reimbursement model also results in the development of new technology and innovation being limited, as these investments often lead to increased costs and reduced revenues for care providers.

Coordinated care chain – Solutions has full responsibility for planning the patient’s care. This reduces the amount of administration and we gather all the necessary information when we first come into contact so that it can then be passed on down the care chain. As GHP purchases care via Solutions from both its own and other clinics, the segment contains the total turnover from these transactions. However, a large part of the profits are in the Nordic Region segment, which provides care for all the patients mediated via Solutions.

Digital tools – when we look at whole populations, much greater value is gained from digital tools, which often allow more efficient use of resources. Solutions is our digital engine where we ourselves and our partners develop, test and implement new digital tools in health care. Our way of working enables us to create unique digital offerings that we as a care provider can also implement in the existing health care structure in order to realise digitalisation’s full potential directly.

Big data – in Solutions we build up structured knowledge about how a population seeks and utilises health care. This knowledge and the in-depth insights gained enable us to focus on the patient groups with the greatest needs, to develop tailored courses of care focusing on improved efficiency and quality, and also to follow up whether we meet the goals that we have set up.

The GHP Solutions model

GHP Solutions means that we go from reimbursement per measure taken to reimbursement based on population responsibility, with a sliding scale based on quality outcomes. This means that GHP has an opportunity to optimise all of the care chains by concentrating, for example, on very well educated patients and new technical solutions. In Sweden we work in this way together with Skandia and Trygg-Hansa in the fields of orthopaedics and spine care. We are working on developing the model in other diagnostic areas as well. By taking on responsibility for the entire care chain, GHP can control patient flows and choose competencies in care providers based on the needs of insurance policy holders, and new ways of working and processes can be used, thus making patients’ encounter with health care more efficient. This means that we the care provider go from focusing on doing as much as possible each day to ensuring that what we do is as right as possible. These are two very different perspectives.

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