An extensive domestic and international healthcare network

Intellisures has established an industry-leading healthcare service network covering all first, second, third and fourth-tier cities and some fifth-tier cities in China. Our unique market position allows us to help Chinese insurance companies and TPAs conduct real-time data exchange with 99% of U.S. healthcare institutionsthrough Electronic Data Interchange (EDI).

Managed care benefit plans, driven by data

Given the lack of integration between the commercial insurance industry and the health industry, meaningful healthcare data is not systematically collected and analyzed. The lack of quality data hinders the development of innovative health insurance products and adequate product risk management capabilities, limitingthe development of commercial health insurance industry.

By integrating and analyzing both cross sectional and longitudinal health data down to the specialty disease level, Intellisures provides actuarial modeling and data support for reinsurer and insurers in their quest to innovate their health product lines. Furthermore, Intellisures enables carriers to maintain managed care product management capabilities after product-launch by providing a comprehensive data solution embedded in the overall product and service design.

Integrated care management with bundled payment

Value-based healthcare refers to a health system in which providers are compensated based on health outcomes of the members being served. In such, hospitals and doctors are rewarded for helping patients improve their health status and reduce the occurrence and impact of diseases according to the principles of evidence-based medicine.

In traditional health systems, medical services are typically charged either through fee-for-service or through capitation. Consequently, providers will inevitablely tend to provide services that are either excessive or inadequate.

To provide large local populations in different regions with high quality and affordable healthcare services that supplement the public health system, Intellisures aligns with partnering medical institutions, post-acute care service providers, long term care facilities, medical device and pharmaceutical companies, medical technology companies and third party labs to build integrated care management services, which then to be paid for based on accurately measuring health outcomes and the corresponding medical costs.

Specialty disease benefit plan

In the fields of oncology, cardiovascular and cerebrovascular diseases, orthopedics and other specialty disease areas, Intellisures integrates various specialty services that are not covered or only have limited coverage through the public health insurance scheme. Intellisures is thus able to create a patient-centered specialty disease benefit plan to fulfill market needs for services from medical institutions and other high value services to prescription drugs, post-acute care and specialty diagnostic tests. After purchasing the specialty disease benefit plan, patients can obtain evidence-based medical services and improve their medical outcomes to live healthier lives.