Problem

Up to 40% of healthcare funding is wasted

Most health financing systems run on pen and paper, which limits transparency into how funds are spent. This creates an environment where up to 40% of all healthcare funding is wasted.

Inefficiencies: A lack of operational data contributes to the inefficient management of resources. This leads to drug stock-outs, costly small batch purchasing, and over or under utilized staff.

Fraud: Inaccurate data that is expensive to audit creates opportunities for fraud. Providers claim payment for care they didn’t provide, falsify reports, and solicit bribes from patients.

Ineffective care: Aggregated data makes it difficult to assess the quality of care. This allows medical errors and ineffective care like unnecessary antibiotic prescriptions to go unrecognized.

According to the WHO, reducing waste should be a primary financing objective for countries moving towards universal healthcare. Allocating funds more efficiently makes it possible to finance quality care for more people.

Approach

We’re using technology to build a health financing system with unprecedented transparency. Real-time data lets us reduce costs, improve quality, and expand access to care.

Patients enroll and access subsidized healthcare

Community workers enroll patients door-to-door and use our platform to collect each patient’s fingerprints, photo, and house GPS location. Patients receive a card with a digital code that is tied to their record.

Once enrolled, patients can access primary healthcare at their local clinic for a small copayment per visit. Our platform is designed to work with the thousands of clinics that already exist in most developing countries.

Clinics log data about each encounter

Clinic staff identifies patients by scanning their card or fingerprints. The process takes seconds and eliminates identification fraud and errors. With each encounter, staff logs data on the services, labs, and drugs that patients receive via a simple mobile interface. We contact patients to collect outcomes and patient experience data.

We pay the clinic and use data to improve the system

We pay the clinic a flat monthly fee per enrolled patient to subsidize the cost of care, regardless of whether the patient accesses services. This capitation model shifts the responsibility for managing costs onto the clinic, simplifies billing and incentivizes preventative care and efficiency.

Data is synced across the system whenever there is internet, giving us an unprecedented view into whether patients access care at the right time, receive care in the right way, and achieve better health. This lets us reduce costs, improve quality, and expand access to care.

Pilot

We’re piloting this system in Uganda

We’re working with local partners to conduct a pilot in Rwibaale, Uganda. The system is being designed and built in Rwibaale with direct input from patients and providers.

Preliminary indicators

Since March 1, 2017

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Encounters in the last week

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We are conducting the pilot in partnership with African Mission Healthcare Foundation and Ugandan Catholic Medical Bureau.

Vision

Universal healthcare

In 2015, 197 countries set a goal to achieve universal healthcare by 2030. If we prove technology makes it possible to finance quality healthcare at a low cost, we hope governments will adopt this system to fund universal healthcare.

Follow our progress

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Contact us

Get in touch if you have questions about our work or want to get involved.