Gap 1
No pre-confirmed pricing.
Cases are approved on estimates. Invoices arrive after treatment with line items no one pre-validated. By the time the bill is reviewed, there is no leverage left.
For Insurers With An Existing International Programme
You have the programme.Here is what we find whenwe look inside it.
Most international healthcare programmes have the same five gaps. Not because they were badly designed – but because they were built around what existed when each market opened, not around what insurers actually need today.
Gap 2
No invoice reconciliation.
Negotiated discounts exist in contract documents but are rarely verified in actual billing. Hospitals know more about each invoice than the payer ever does.
Gap 3
No clinical pre-validation.
Cases are authorised on a referral and a quote — without an independent clinical review. Some treatments are not necessary. Some destinations are not right. Most programmes never check.
Gap 4
No post-discharge continuity.
The programme ends when the patient is discharged. Complications come back as fresh claims. No one connects them to the original case. The same patient creates two claim files.
Gap 5
No outcome data.
Utilisation data exists. Spend data exists. Outcome data — the only data that tells you whether the spend is working — does not.
We do not approve cases on a budget. We validate them.
Most insurers approve overseas budgets they cannot verify. The number arrives from a referring agent. There is no second opinion on the clinical case or the price. By the time the invoice lands, the leverage is gone.
A proprietary clinical and pricing validation discipline sits inside CCP — the part of the platform that brings sanity to the approval before it happens. The mechanics belong in a conversation, not on a website.
Book a Discovery CallMonthly Burn vs Budget
What CCP Replaces
CCP does not improve your programme. It replaces the parts working against you.
You keep what works. CCP fills every gap above. The cost of those gaps is, in our experience, always larger than the cost of CCP — but the actual quantification is specific to your book. How we identify and quantify the gaps for your programme is the work of the first conversation.
Begin a Conversation
Bring us your programme. We will show you what we'd replace.
We do not present at you. We listen to what your organisation actually needs, and we tell you honestly whether CCP is the right fit.