Governance, Compliance and Data

Clinical, financial and datagovernance for your selectedCCP service.

Clearly define roles and responsibilities, establish decision-making authority, and specify information access permissions before the programme is activated.

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Clinical Governance

  • Independent specialists provide clinical assessments based on the records available.

    MediGence coordinates the agreed service. Treatment decisions remain with the appropriate clinicians; benefit and expenditure authorisation remain with the payer.

  • Case coordination follows the selected product.

    Managed cases have an agreed coordination and escalation structure. The standalone clinical-validation service delivers its review without treatment case management.

  • Quality protocols across the hospital network.

    Network hospitals are selected and continuously reviewed against documented quality criteria. Underperformance removes a hospital from the network.

Financial Governance

  • Financial visibility through the agreed episode.

    Managed cases connect the approved budget, recorded expenditure, supporting bills and reconciliation. Changes are documented for the appropriate payer review.

  • Invoice reconciliation, line by line.

    Every invoice received from a hospital is reconciled against the pre-confirmed bundle. Items outside scope require explicit approval - not silent inclusion.

  • Transparent insurer reporting.

    Cost, scope, variance, and outcome are reported per case. Aggregate dashboards available - case-level evidence always accessible.

Data, Security and Compliance

  • Data handling requirements reviewed before deployment.

    Discuss access roles, hosting, retention, cross-border transfers and integration requirements with the technology team. Publish specific controls and certifications only after they are verified for the relevant deployment.

  • Encryption in transit and at rest.

    Industry-standard encryption applied to every layer of CCP - clinical data, financial data, member identifiers.

  • Role-based access.

    Insurer teams, employer teams, broker teams and MediGence teams see only the data their role authorises. Audit logs are persistent and reviewable.

  • Regulatory frameworks aligned to your jurisdiction.

    CCP's operating posture is built to align with HIPAA-equivalent and GDPR-equivalent standards. Specific certifications discussed during onboarding.

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Bring your governance team. We will answer line by line.

We do not present at you. We listen to what your organisation actually needs, and we tell you honestly whether CCP is the right fit.

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