COMPANY PROFILE

ProtectHealth Corporation Sdn. Bhd. (ProtectHealth) was incorporated on 19 December 2016 as a wholly-owned subsidiary of ProtectHealth Malaysia (PHM), established under the Ministry of Health, Malaysia (MOH). As a not-for-profit company, we coordinate, administer and manage initiatives related to financing healthcare services as mandated by MOH.

ProtectHealth Corporation were established with:

• National Health Financing
• Strategic Purchaser: Public – Private Partnership & Reducing Healthcare Costs

ProtectHealth is the implementer of healthcare schemes and programme as entrusted by the MOH as shown:

• Hospital Services Outsourcing Programme (HSOP)
• Skim Perubatan MADANI
• Skim Peduli Kesihatan untuk Kumpulan B40
• Private Medical Practitioners’ and Healthcare NGOs’ participation in the National COVID-19 Immunisation Programme
• Electronic Services Provider for Skim Perlindungan Insurans Kesihatan Pekerja Asing (SPIKPA)

Our capabilities:

• Strategic purchasing
  Developed PeKa B40 benefit package for relevant target group, payment mechanisms & contracting of providers, purchasing the right healthcare services and management of providers.
• ProtectHealth Digital Management System
  ProtectHealth proprietary in-house software capable of storing the data of the eligible recipients, providers, medical reports, statistics, medical audits, claim status among many others. All providers are connected through our digital system.
• Medical Claims Management
  Through our in-house medical claims management, we organised, billed, filed, updated and processed more than 500,000 medical claims related to patient diagnoses, treatments and medications
• Customer Relationship Management
  Responsible for the development and maintenance of mutually beneficial relationships with strategically significant partners and stakeholders. Manages all inquiries through telephone, e-mails and social media.
• Medical Audit
  Responsible for a step-by-step analysis for the quality improvement of patient outcomes and financial risk protection for an effective and efficient healthcare system.
• Community Outreach
  We have reached out and served our beneficiaries with our community outreach programmes. We have successfully organized more than 100 outreach programmes nationwide and it has garnered international recognition.