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Record W4238925259 · doi:10.2523/86850-ms

Medical Cost Control in an Oilfield Service Company, Nigeria

2004· article· en· W4238925259 on OpenAlexaboutno aff
Uche Okorocha

Bibliographic record

VenueProceedings of SPE International Conference on Health, Safety, and Environment in Oil and Gas Exploration and Production · 2004
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicEconomic, financial, and policy analysis
Canadian institutionsnot available
Fundersnot available
KeywordsCitationBusinessHealth careService (business)Library scienceOperations researchEngineeringComputer scienceMarketingPolitical science

Abstract

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Medical Cost Control in an Oilfield Service Company, Nigeria Uche Okorocha Uche Okorocha Schlumberger Search for other works by this author on: This Site Google Scholar Paper presented at the SPE International Conference on Health, Safety, and Environment in Oil and Gas Exploration and Production, Calgary, Alberta, Canada, March 2004. Paper Number: SPE-86850-MS https://doi.org/10.2118/86850-MS Published: March 29 2004 Cite View This Citation Add to Citation Manager Share Icon Share Twitter LinkedIn Get Permissions Search Site Citation Okorocha, Uche. "Medical Cost Control in an Oilfield Service Company, Nigeria." Paper presented at the SPE International Conference on Health, Safety, and Environment in Oil and Gas Exploration and Production, Calgary, Alberta, Canada, March 2004. doi: https://doi.org/10.2118/86850-MS Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll ProceedingsSociety of Petroleum Engineers (SPE)SPE International Conference and Exhibition on Health, Safety, Environment, and Sustainability Search Advanced Search AbstractIn an oilfield service company in Nigeria that provides free health care for its employees and their dependents, the cost of health care was found to be extremely high, largely because of abuse by the employees, and also because of exploitation by the hospitals. A health management consultant was hired who introduced measures aimed at reducing the cost without compromising the quality of health care. The cost dropped by 30% in the first year, and by an additional 32% in the second year.IntroductionIn Nigeria, because of the lack of a functional national health care program in the face of poverty and disease, one of the attractions of working in the oil industry is free health care for the employees (nationals) and their dependents. The companies usually provide free health care through a retainer agreement with private hospitals. For the hospitals, it is also a major breakthrough in business to be retained by an oil company.In our company, with the downturn in the industry in 1999, a closer look at the enormous cost of health care became necessary. This led to the hiring of a health management consultant primarily to control the cost of health care.Cost Escalation FactorsThe following were identified as factors leading to high medical bills:Abuse of free medical by the employees.The company provides free medical care for the employee, spouse, and up to four biological children under 21 years of age. It was regular practice for employees to take other people outside those covered by the program to the retained hospitals for treatment at the expense of the company. These other people might have been parents, neighbors, or friends.There was also a general tendency to make frequent or unnecessary visits the hospital.Since the controls were lax, employees often presented forged receipts for medical expenses and got reimbursed.In some cases, the employees collected cash from the doctors who in turn sent bills in the employees' names to the companyAlternative treatment. Huge costs were also incurred by the employees by patronizing herbalists, native doctors (juju men), bonesetters, spiritual healers, traditional birth attendants (TBAs), etc. The employees simply produced receipts and got reimbursed. Very often, the cases got complicated and eventually the patients had to return to the hospital, further increasing the cost.Too many hospitals retained by the company. The company operates in three locations in Nigeria (Port Harcourt, Warri, and Lagos) where it retained the services of 36 hospitals. Each of these clinics sent monthly medical bills to the company.Abuse by the hospitals. The hospitals were overinvoicing the company. This could hardly be questioned since the authorities within the company lacked the professional competence to evaluate the treatments given and challenge inflated charges. Company employees and dependents were being hospitalized unnecessarily to try to justify high bills.Cost-Control Measures IntroducedThe following measures were introduced in January 2000 to reduce health care costs:Streamlining of hospitals through an audit process. This measure reduced the total number of retained hospitals from 36 to 10. The selected clinics are given strict guidelines by the company's doctor.Standardization of rates through negotiation in order to provide benchmarks for invoicing and to check arbitrary charges.Each employee or dependent was issued a personalized hospital attendance identification card from the company. This checks the treatment of non entitled persons. Keywords: proposal, nigeria, society of petroleum engineers, medical cost control, typhoid fever, medical bill, statistics, spe 86850, health care, clinic Subjects: Health This content is only available via PDF. 2004. Society of Petroleum Engineers You can access this article if you purchase or spend a download.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.656
Threshold uncertainty score0.555

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.057
GPT teacher head0.269
Teacher spread0.212 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Published2004
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