Regresar

Diseño de un modelo de negocios para una empresa administradora de servicios médicos

Abstract:

This work aims to design a new business model for medical services management companies, to increase their income and improve their chances to be at the forefront in their business field. In this case we custom-made a model for NESEC S.A., which is a service company specialized in medical services management for the end users of private medical insurers, that is, their business is based on the contracts that they hold with them. This company has an opportunity to generate another source of income, as a result of the change in the law that applies to prepaid medicine (October 2016) which stipulates that when a person has a need for medical care their private health insurance must first enter in effect to have them covered, which is an imposition that made insurance companies or pre-paid medicine companies rethink their estrategies and refrain from providing services to corporations or increase their services costs for corporations. As a result there are sectors of the market left unattended becoming this and excellent opportunity to create a strategy that benefits both parties, client and service provider. This is why we developed a model in which the company NESEC S.A. is able to independently offer their services to large private companies, to coordinate and manage the medical services of their employees without the need to hire expensive plans from private health insurance companies. Also, the new management model proposed doesn't interfere with current contracts that NESEC S.A. already has with their previous clients.