Corporate Profile
Qualicorp Consultoria e Corretora de Seguros S.A. (“Company” or “Qualicorp”) is one of the leaders in Brazil in the administration, management and sale of group, corporate and Affinity health plans. Provides healthcare services, serving more than 1.4 million beneficiaries through more than 400 Professional Associations and/or Class Entities, more than 100 partner HMOs, which allows the Company to negotiate with the HMOs more favorable prices and conditions for the benefit of its beneficiaries
The Company was founded in 1997 with the goal of expanding access to private health plans, to quality health and lower prices to the Brazilian population. In Qualicorp’s business model we do not directly incur actuarial risks, healthcare coverage or medical expenses reimbursement, but part of our revenue may be subject to variable compensation clauses, which are impacted by the variation in the loss ratio of the portfolios sold by Qualicorp. An innovative approach to the administration and management of health benefits has been adopted, combining “pre and post-sale” services through a range of administrative, financial, operational and commercial solutions, aiming to add value in the service provision to clients, consumers and partners.
Qualicorp’s main objective is to offer the population health plans that meet their needs with quality and affordable prices.
The Company provides health benefits contracting, sales and administration services, consulting services for health benefits management, third-party administration (TPA) services and information technology applied to health care. These services are provided through the two segments described below:
Affinity Segment (Group Affinity Plans) and SME
We negotiate contracts with HMOs through customized health solutions for Professional Associations and/or Class Entities members. The Company’s clients can save up to 50% relative to what its beneficiaries would pay for a comparable individual health plan. In addition, the Company provides exclusive brokerage services to distribute these plans directly to professional association members. Specialized and personalized services are also offered (i) to beneficiaries: inclusion and registration with HMOs, monthly fee billing, assistance to resolve administrative issues and concierge services; (2) to Professional Associations and/or Class Entities: outsourcing of operational, financial and commercial services, relieving them of providing such services, in addition to creating incentives for new affiliations and loyalty of their members; and (3) to Health Plan Operators (HMOs): sales, billing and guaranteed payment for the first 30-days past due.
Qualicorp is the primary interface with beneficiaries, which leads to high customer retention rates and creates cross-selling opportunities for other products such as dental, life insurance and other complementary products.
We also broker health care plans for small and medium-sized enterprises (SME) with up to 29 employees. The factors driving the growth of health care coverage for SMEs are similar to those for large companies, but the distribution strategy differs due to the lower volume and fragmented nature of this customer base. We have successfully leveraged our brokerage strength in the Individual and Family segment to reach small and medium-sized businesses. We believe we offer significant advantages to health care providers in this segment, given the challenges of offering health plans to smaller clients.
Health Solutions Unit
The Health Solutions Unit is composed by the companies listed below and, through it, the Company expands its service offering to the TPA segment, in line with its strategic guidelines, widely disclosed to the market since its IPO.
Connectmed CRC Consultoria Administração e Tecnologia em Saúde Ltda. (“Connectmed”), a company controlled by Qualicorp, incorporated on November 26, 2009, is a healthcare solutions and technology platform company and offers services for various healthcare segments, in particular, for supplementary healthcare (HMO: self-management, insurance companies, cooperatives and group medicine). The main pillars of services offered are: (i) Complete BPO (complete outsourcing of a healthcare operation); (ii) medical regulation and auditing; (iii) processing and analysis of medical bills; (iv) call center specialized in health; (v) licensing of health systems, platforms and applications; (vi) specialized consultancies; (vii) health management (beneficiary monitoring programs); (viii) management and formation of accredited network, among others. With more than a decade of experience in the healthcare market, it offers a customized portfolio of products and services that can be selected and integrated in a specific way for each business.