The PRISA - Case Monitoring Team process involves interaction between patients, healthcare providers, and insurance companies/underwriters to achieve optimal outcomes in terms of both health and cost.
The goals of PRISA – Case Monitoring Team are:
- Ensuring the Effectiveness of Treatment: Monitoring the patient's health progress, ensuring that the treatment provided is effective, in accordance with the policy, and the applicable diagnosis and medical protocols.
- Cost Control: Controlling treatment costs to remain within the limits approved by the policy and determining alternative treatments without reducing the effectiveness of the treatment itself.
- Preventing Service Abuse: Ensuring that the medical procedures performed are not excessive or not in accordance with the patient's medical needs.
- Coordination of Health Services: Providing support to patients in planning follow-up care or aftercare after being discharged from the hospital. PRISA – Case Monitoring Team consists of experts in the fields of health insurance, nursing medicine, and pharmacy who have the expertise and experience in monitoring the treatment/care of patients/participants.
