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Agis Health Insurance AWBZ

AGIS Health Insurance deploys Mendix to get its critical procurement application up and running within six weeks by implementing and deploying a two-portal online application for AGIS employees and healthcare providers’ personnel to automate the tendering, delivery, management and monitoring of healthcare services.

Challenge

In 2006, the Dutch government decided to transfer parts of its AWBZ mental healthcare program to the private insurance sector, thus creating a new healthcare system with regulated competition. To comply with the new rules, insurance companies, such as Agis, are obliged to contract healthcare providers for these hard-to-insure treatments and services. In every region, one insurer is granted a concession by the government to deliver in-kind insurance. The insurance company bears only administrative costs associated with this delivery and is completely compensated for healthcare costs.

Requirements

Agis was looking for a fast and cost-effective way to procure AWBZ-related healthcare and to process and manage the resulting information. At the same time, the solution needed to offer healthcare suppliers and customers an improved service, and fully comply with Dutch and EU regulations, including a critical deadline.

Solution

    • Agis implemented and deployed a two-portal online application for Agis employees and healthcare providers’ personnel to automate the tendering, delivery, management and monitoring of healthcare services— with a budget of €2.5 billion—provided under the Dutch Exceptional Medical Expenses Act (AWBZ)

    • The procurement module was delivered in a record six weeks; the remaining two project phases took between four and eight weeks

     

    mendix_plaat case_pdf

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