Empowering
Health
Insurance

Al Driven: Expert Led

Optimal Decisions, Lower Costs, Quality Outcomes

FAWE in the Australian Healthcare system: ABC television network programme

Kirontech in partnership with Synapse and ABC television network in Australia produced a very significant TV programme broadcast on Monday 8 April 2024 exposing significant levels of potential FAWE in the Australian Healthcare system.

Download the full report behind the programme:

The Kirontech Platform empowers Health Insurers with focused solutions:

Payment Integrity

Ki> Payment Integrity

Fraudulent Claims

Reduction in payment of fraudulent claims

Waste

Detect & manage wasteful practices

Abuse

Enable prevention of Abuse and corruption

Partner with Ki to unlock an ROI of 5-15x

Intuitive, comprehensive, accurate Fraud, Waste, and Abuse detection, investigation and Health Outcomes Management

Optimise Payment Integrity and Health Outcomes with a focus on high-value cases and optimal ROI

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Data Integrity & Readiness

Ki> Data

Ki>Data delivers Data Readiness

Ki>Data lays the foundations of AI-driven pre/post payment and health outcomes optimization

Ki>Data delivers key Foundational Elements

+ data granularity management
+ hybrid real-time/batch data management
+ data encoding
+ entity rules & relationships

Ki>Data enables application of AI

Enables a high- quality healthcare system by detection and prevention of Abuse and corruption

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Our data science specialists dive into the details of your data and the way your business works to help you make the most of our platform. They provide guidance on:

Health Outcomes and Quality

Ki> Health Outcomes

Insurers use Ki> Health Outcomes to drive differentiation in competitive markets

Better outcomes lead to fewer complications, less repeat visits, driving claims cost down

Healthier members are happier members. Members, see you care!

Optimise Payment Integrity and Health Outcomes with a focus on high-value cases and optimal ROI

Optimising Payment Integrity & Health Outcomes for Insurers worldwide

Blood Money
FWA in Pathology

Blood tests are a prime source of fraud and abuse. They are cheap to perform, have high mark-ups and typically can be performed with no harm to the patient once the sample taken.

Spotting Fraud
Know Where to Look

Dr. Simon Peck exposes challenges in Health Insurance fraud detection. Automation, like Kirontech's HIP, is crucial for proactive prevention and efficient case management.

Stopping
Waste and Abuse

Dr. Simon Peck, Kirontech's Chief Medical Advisor, advocates a holistic approach to combat Health Insurance Fraud, blending negotiation, mediation, and technology for effective results.

AI-driven : Expert-led

The interaction between ML systems and Medical Expertise is at the heart of Kirontech’s success

Kirontech Differentiators

Leading
AI

The leading AI for Health Insurance Optimization

Medical
Experts

Leading Payment Integrity Medical Experts

Seamless
Integration

Integrates seamlessly into leading Health Insurers’ ecosystem

Leading
Platform

The leading Payment Integrity and Health Quality Outcomes Platform in UK/Europe

Start now with Ki>Accelerator

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Download the full report

Ki> Accelerator
3 simple steps to Savings

KI> Accelerator is a 2-hour interactive, virtual workshop designed for Health Insurers starting a journey to optimise Payment Integrity with a focus on high-value cases and optimal ROI.

Ki> Accelerator

Book KI> Accelerator

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Luis

Clinical expert

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CEO