Quality assurance key to HMO operations – Avon

The Managing Director and Chief Executive Officer of Avon HMO, Mrs. Adesimbo Ukiri, while unveiling a collection of six health plans designed specifically for individuals, families, groups and associations in Nigeria, said quick responses to customers complaints is very important in managing HMO effectively since human lives are involved.
She explained that the plans are designed to accommodate a wide section of Nigerians; ensuring adequate coverage of the typical and prevalent ailments found in the country whilst providing quality care at affordable costs.
Ukiri disclosed that Avon Core plan is priced from as low as a N15,000 annual payment, whilst there are also international plans developed for  Nigerians who travel frequently and want assurance of seamless healthcare coverage no matter where they are in the world.
She stated that the plans will supplement Avon’s existing suite of health plans for companies and businesses.
Ukiri said that the new plan comes on the heels of the announcement by the NHIS that Avon HMO has been licensed and accredited as a national HMO.
She said: “Avon HMO is thus able to offer not only its own private health plans, but also the full array of National Health Insurance Scheme (NHIS) plans to individuals, associations, communities and governments across all states and regions.”
Ukiri emphasized the role Avon HMO plays in raising quality assurance standards in the Health Insurance industry saying, “Our focus on quality assurance is painstaking and we work very closely with Provider Hospitals to ensure that our enrolled members receive the best care.”
“For instance, Avon HMO Case Managers have scheduled daily visits to hospitals to engage with enrolled members on admission, overseeing the care they receive and providing further assurances; over 75 per cent of all recorded admissions are visited in this manner.”
She further indicated that Avon HMO Care Coordinators also work with Provider hospitals to achieve adherence to agreed Disease Management Protocols and Drug Formularies to sustain high levels of clinical and pharmacy quality to Avon HMO’s enrolled members.