Introducing ClaimCalcPro's Sustainability Modeling feature—the financial infrastructure that empowers maternal health clinics to close the funding gap and achieve lasting sustainability.
Average deficit per normal delivery
Claim recovery rate achieved
Faster reimbursement cycles
Maternal health clinics in emerging markets face an unprecedented financial crisis. Operational costs far exceed insurance reimbursements, creating a structural deficit that forces clinics to reduce bed capacity and compromise patient outcomes.
In Kenya, for example, the average operational cost for a normal delivery is Ksh 85,000, yet the Social Health Authority (SHA) reimburses only Ksh 30,000. This Ksh 55,000 deficit is not an anomaly—it is the structural reality that drives clinics toward insolvency.
When clinics cannot cover operational costs, they make impossible choices: reducing bed capacity, deferring equipment maintenance, losing skilled staff. Financial instability directly translates to reduced service capacity and deteriorating patient outcomes. Preventable deaths become inevitable.
ClaimCalcPro's new Sustainability Modeling feature provides real-time, data-driven analysis of the gap between provider costs and reimbursement rates, empowering clinics to move from reactive financial management to proactive sustainability planning.
Analyze clinical costs vs. SHA rates instantly. Our system maps every service to its financial reality, providing transparency that was previously impossible.
Identify and correct claim errors before submission. We ensure documentation completeness to minimize rejections and maximize revenue recovery.
Move from 85% to 98% claim success rates. Our technology eliminates revenue leakage and ensures clinics receive what they're entitled to.
Reduce cycle times from 90 days to 35 days. Ensure clinics have cash-on-hand for emergencies and operational continuity.
Before: 85% claim success rate (industry standard)
After: 98% claim success rate (ClaimCalcPro standard)
For a clinic with 100 deliveries per month, this 13% improvement generates Ksh 4.68M in additional annual revenue.
Before: 90-day reimbursement cycles (cash flow crisis)
After: 35-day optimized cycles (cash-on-hand)
53% faster reimbursement enables clinics to maintain operations and respond to emergencies.
Discover how ClaimCalcPro bridges the fidelity gap in healthcare delivery, ensuring financial sustainability enables quality patient care.
A clinic operating at a perpetual loss cannot invest in quality, retain skilled staff, or ensure the availability of life-saving resources. ClaimCalcPro provides the financial infrastructure necessary to ensure that every patient receives the highest standard of care.
When clinics are financially healthy, they can deliver the quality of care that patients deserve.
Learn how ClaimCalcPro's Sustainability Modeling feature can help your facility achieve financial stability and deliver better patient outcomes.
Visit us at www.claimcalcpro.online