A holistic approach to managing healthcare benefits
GlobeMed Lebanon is the leading and most trusted Third-Party Administrator (TPA) in Lebanon. In line with market requirements and best practices, and leveraging advanced technology solutions, our specialized professionals support payers in effectively managing their healthcare benefits portfolio. Our aim is to build a lasting partnership that achieves:
- Better cost containment through preferential tariffs and enhanced claims management.
- Operational efficiency by digitizing, automating, and optimizing workflows and business processes.
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Superior Customer Journey with Best-in-Class Cost Containment Measures
Pharmacy Benefits Management services (PBM) are designed to improve both the insured members’ journey and payers’ financial performance by proficiently managing drug utilization for both acute and chronic prescription drugs. It also promotes patient safety through real-time alerts related to their specific medical conditions. The advanced solution digitizes pharmacy claims processing and can be offered as a standalone service or as an integrated module within the full healthcare benefits management services.
Pharmacy specialized & other distinguished services
Better adherence to treatment. Enhanced cost containment. Improved patient safety.
Generic Substitution
Based on the coverage policy, directing client’s insured members to less expensive but equally effective medications with automated calculation of copayments.
Automated Cross-Border
Allowing insured members to use their insurance card at any contracted healthcare provider in various countries where GlobeMed operates in the MENA region, to receive their medical services and medications. The service is highly automated generating instant coverage decisions based on the members’ policy details.
Customer Care
Exceptional multi-lingual call center providing 24/7 support.
Automated Cross-Border
GlobeMed’s Automated Cross-Border service, one of the first in the world, allows insured members to use their insurance card to access medical service providers in various countries where GlobeMed has contracted networks of healthcare providers. The service is highly automated, generating instant coverage decisions for outpatient claims based on the member's policy details.
Insured members will receive entirely hassle-free healthcare services upon the simple presentation of their access card at more than 24,000 contracted GlobeMed healthcare providers across the MENA region.
Click here to know more about the international and regional servicing.
Clinical Coding Training Program
In 2002, GlobeMed launched the Clinical Coding Training program in collaboration with the renowned Saint Joseph University, one of the most respected educational institutions in Lebanon and the region. The benefits of the coding training program became evident and hundreds of professionals from the private and public sectors have completed the training program.
Health Information Analysis Diploma Program
GlobeMed Group and the renowned Saint Joseph University have teamed up to offer students a tailored diploma program in Health Information Analysis. The online program, taught by a team of professors from USJ and GlobeMed, was first launched in October, 2020.
The diploma program, consisting of 20 credits, gives students the opportunity to acquire the necessary skills to transform data into meaningful information and make the most of data to assist their top management to make better informed decisions. It allows them to work at many institutions such as hospitals, laboratories, healthcare centers, polyclinics, research centers, ministries, insurance companies, etc.
Actuarial Services
We have always embraced the scientific approach to managing healthcare. In this spirit, we provide our clients with actuarial services through our franchisor, GlobeMed Group, offering a range of specialized services through a dedicated team of qualified and certified actuaries. These include product design, ratemaking, reinsurance support, actuarial monitoring and reporting, early warning systems, and health-related studies and bulletins, etc.
