Our Quality Assurance Process
Annual Recertification of Provider
This is a Quality initiative of HEALTHCARE HMO LIMITED, which is carried out in order to ensure that the providers in the network maintain and improve on the standards of their facility and medical equipment. Facilities are re-audited and credentialing is also updated.
Provider Satisfaction Survey
This is done periodically in order to obtain feedback from the providers, and upgrade the network.
 Member/Client Satisfaction Survey
This is also done periodically in order to obtain feedback from our clients which assists in upgrading the HEALTHCARE HMO quality services.
Provider Forum
This is a periodic meeting between HEALTHCARE HMO LIMITED and the providers on the network where issues affecting/relating to the scheme are discussed.
Utilization/Case Management
Case management is a collaborative approach to providing and coordinating health care services. A nurse, utilization/case manager, will work with you, your family, physicians and other health care providers to ensure you or your family member receives all the necessary services to promote your health and oversee any illnesses or health conditions.
Quality Assurance Management
This involves collecting, maintaining, monitoring and assisting in setting standards that ensure that HEALTHCARE HMO LIMITED Network is designed to manage members’ expectations of high quality and affordable healthcare.