On Track Innovations Ltd, (OTI) announced that Smart Applications International Ltd. (SMART), a Kenyan company committed to delivering technology driven secure healthcare solutions, has placed an order for an additional 100,000 MediSmart cards which are to be issued by multiple medical scheme managers. In accordance with OTI's recurring revenue strategy, revenues from this product are obtained from both products and licensing fees per issued card. OTI’s wholly owned subsidiary, OTI Africa, is responsible for the development and support of the MediSmart product. 

Of the 200,000 cards supplied to date, approximately 150,000 are in issue and SMART has established a network of more than 1000 points of service at hospitals, pharmacies and general practitioner sites across Kenya, with planned expansion to an additional 500 points of service, enabling patient authentication, verification of benefits and claims processing in a seamless electronic process. Among MediSmart users in Kenya are leading brands such as Equity Bank, Barclays Bank, Standard Chartered Bank, Unilever, Tetrapak, the Serena Group of Hotels, Nestle, the National Social Security Fund (NSSF), the Teachers Service Commission (TSC), AON Insurance Brokers, UAP Insurance Company and more. 

Oded Bashan, Chairman and CEO of OTI said, “MediSmart is providing the different stakeholders in the medical industry with a safer, more accurate and cost-effective way to provide medical services while interfacing with existing systems in place. The MediSmart business model is yet another example where OTI is focusing on high margin projects with recurring revenues. These projects have a longer initiation process but provide solid long term revenues for OTI.” 

MediSmart, developed by a team of healthcare industry experts at OTI with system process design support by SMART, provides complete medical history, biometric identification and co-payment options. As it is estimated that 35% of claims in the healthcare sector in Kenya are fraudulent, MediSmart serves to address fraud and in so doing ensures that the valuable resources required for healthcare are in fact directed to the provision of such care. Moreover, MediSmart enables the introduction and effective management of joint state and private sector funding and service delivery models. 

With OTI’s MediSmart, SMART is able to provide a complete healthcare solution including cards, readers and related software that are seamlessly integrated with hospital management systems; up to 75% of patients in Kenya receive their primary healthcare services at public hospitals. The OTI MediSmart solution offers secure and fast front-end patient authentication and benefit verification at the service provider level. It allows for electronic clinical data capture and electronic claim and/or report generation, taking into consideration benefit rules in respect to services provided and benefit utilization. At the same time the information is recorded on each patient's personal MediSmart card (or mobile data repository), relevant data is transferred to the corporate and insurer levels. With MediSmart, statements and invoices are generated faster, administration time and cost are reduced and, since claims are authenticated electronically, it further guarantees payment and reduces payment cycles at the provider levels. The OTI MediSmart solution offers the following benefits: 

• Authentic member identification – biometrically 

• No over expenditure – members use only the benefit balance on their cards 

• Faster member scheme rules verification 

• Remote communication with card for benefits renewal or update 

• Remote member cancellation 

• An improvement in clinical decision making by facilitating the communication of client-option/plan specific guidelines,

  protocols, rules and warnings amongst all role players in the healthcare sector 

• Reduction of human error, medical risk, service errors or Rx 

• Easy and rapid access to essential patient medical information in case of emergencies 

In addition, the solution helps eliminate: 

o Payments for fraudulent services not rendered 

o Over expenditure in line with benefit balances 

o Over servicing such as procedures that are carried out when they are not necessary 

o Over prescribing, such as seen in excessive pharmacy prescriptions 

o Ethical drug substitution and over pricing with generics bought in bulk 

o Non-compliance with Price guidelines.