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GKSD ime.

Comprehensive Solutions in Private Market Development & Enterprise Risk Management

GKSD Ime is specialized in Private Market Development and Enterprise Risk Management (ERM) & Claims Services, operating along the entire value chain of private and intermediated healthcare with a strategic approach and diversified know-how.

We act with a dual role as a specialized Advisor for healthcare realities:

• in order to drive revenue growth through Strategic Agreements with insurance companies, health funds, welfare providers and companies, provide Strategic Analysis to support management in decisions and at the same time improve the Patient Journey with innovative digital and physical solutions.

• supporting companies in managing their risks and MedMal claims.

Thanks to this distinctive expertise, GKSD Ime can represent a driver of expansion in the private healthcare sector, promoting innovation, partnerships and new business opportunities. The goal is to create a more accessible, efficient and sustainable healthcare ecosystem by offering highly specialized consulting services to health providers.

Private Market Development

Private Market Development (PMD) drives healthcare innovation through strategic partnerships, digital transformation, and data-driven decision-making. Our approach optimizes access to care for companies and employees, enhances market intelligence, and strengthens competitive positioning. We streamline the patient journey with digital solutions, automation, and integrative models for a seamless experience. Through strategic consulting, we support partners in implementing scalable, high-efficiency solutions.
Expansion of Partnerships and Conventions

  • Advising our clients during the negotiation and stipulation of strategic agreements with Supplementary Health Funds, Assistance Funds and corporate welfare operators.

  • Structuring of facilitated models of access to care for companies and employees.

  • Optimization of the private and intermediated healthcare portfolio to maximize value and profitability.

Market Intelligence and Competitiveness

  • Advanced analysis of B2C, B2B and B2B2C market trends.

  • Rate benchmarking and competitive positioning.

  • Strategic use of data for the personalization of the healthcare offer.

  • Territory analysis for potential new service launch.

Innovation and Digitization of the Patient Journey

  • Development of digital solutions for interconnection with Affiliated Entities.

  • Automation of booking management and simplification of payment and refund processes.

  • Implementing integrative healthcare models for a seamless patient experience.

  • Patient journey analysis for both outpatient and inpatient services and optimization.

Business Performance & Growth Management

  • Continuous monitoring of the financial performance of the private segment.

  • Data-driven decision making to optimize turnover and reduce inefficiencies.

  • Credit management strategies and proactive recovery.

Development and Launch of Innovative Offerings

  • Creation of high value-added products for the intermediated private segment.

  • Activation of prevention campaigns and health initiatives for the corporate world.

  • Optimization of the offer for target customer segments, with the creation of tailored services.

  • Definition of Patient Retention Activities.

Strategic Consulting and Network Empowerment

  • Support to partners in the implementation of tailor-made healthcare solutions.

  • Definition of scalable and high-performance operating models.

  • Change Management and Training programs for all stakeholders.

Enterprise Risk Management & Claims Services

We offer a comprehensive Enterprise Risk Management (ERM) framework, supporting organizations in identifying, assessing, and mitigating risks through various methodologies, with a focus on a Total Cost of Risk perspective. Our services include risk management, the implementation of ERM systems, insurance portfolio optimization, and strategic advisory to enhance overall risk resilience while reducing costs. Within these services, we also provide claims management expertise, handling the full lifecycle of claims, from case evaluation and financial impact assessment to resolution strategies. We provide detailed reporting and advisory services for corporate decision-making. Our approach ensures coordination among key stakeholders, including legal consultants, forensic experts, and medical professionals, while maintaining strict compliance with evolving regulations. Additionally, we develop tailored loss prevention programs and strategic risk mitigation solutions to optimize risk retention and claims fund management.

 

•       Enterprise Risk Management (ERM) Framework

o   Supports organizations in identifying, assessing, and mitigating risks through various methodologies.

o   Focuses on a Total Cost of Risk perspective.

o   Covers risk management, ERM system implementation, and insurance portfolio optimization.

o   Provides strategic advisory to enhance overall risk resilience and reduce costs.

 

•       Claims Management Expertise

o   Manages the full lifecycle of claims, from case evaluation to resolution strategies.

o   Conducts financial impact assessments and provides detailed reporting for corporate decision-making.

o   Ensures coordination among key stakeholders, including legal consultants, forensic experts, and medical professionals.

o   Maintains strict compliance with evolving regulations.

o   Develops tailored loss prevention programs and strategic risk mitigation solutions.

o   Optimizes risk retention and claims fund management.