Our Mission
To be a leader in introducing innovative health financing mechanisms to improve access and enhance the value and effectiveness of health care for the people in Malaysia.
To create a healthy and strong competitive market for health care financing by operating as an efficient organisation that is a benchmark to others.
To provide an equitable, effective and efficient source of funding to supplement mainstream public funding for health care such that strong health services for the community can be sustained.
To expand accessibility to quality healthcare services by enhancing the utilization of the public-private provider ecosystem.
Our Core Values
A
Accountability
We take the initiatives to own our responsibilities and to exceed expectations
C
Commitment
Dedicated to the well-being of our stakeholders
T
Teamwork
We work as a team to be more effective and efficient
R
Reliability
Consistently good in our quality
I
Integrity
We are trustworthy and act in good faith. We do it right
T
Technology & Innovation
Continuously improve our services and processes by embracing new and better ways of doing things
E
Empathy
We care about our stakeholders
Our Capabilities
Strategic Purchasing
Developed PeKa B40 benefit package for relevant target group, payment mechanisms & contracting of providers, purchasing the right healthcare services and management of providers. Through price negotiation we have successfully saved government over RM10 million.
ProtectHealth Digital Management System
ProtectHealth proprietary in-house software capable of storing the data of the eligible recipients, providers, medical reports, statistics, medical audits, claim status among many others. All providers are connected through our digital system.
Medical Claims Management
Through our in-house medical claims management, we organised, billed, filed, updated and processed more than 500,000 medical claims related to patient diagnoses, treatments and medications.
Customer Relationship Management
Responsible for the development and maintenance of mutually beneficial relationships with strategically significant partners and stakeholders. Manages all inquiries through telephone, e-mails and social media.
Medical Audit
Responsible for a step-by-step analysis for the quality improvement of patient outcomes and financial risk protection for an effective and efficient healthcare system. Performed GP audits both periodic and random, also investigated data anomalies.
Community Outreach
We have reached out and served our beneficiaries with our community outreach programmes. To date, we have successfully organized 49 outreach programmes nationwide and it has garnered international recognition and won Best Presentation during the 2nd International Conference on Public Health and Well-being 2021.