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Customer Snapshot

Closer to the People with SAP HANA – a Quantum Leap in Technology

6 million

hospital cases handled every year by AOK.

 

AOK is Germany’s largest health insurance fund, and for over 130 years has guaranteed high quality medical care for its approximately 24 million members. With over 53,000 employees in over 1,200 offices — they ensure members receive all the services needed: quickly, competently, and without bureaucracy. SAP helps AOK to service their customer better.


Company

AOK Bundesverband

Headquarters

Berlin, Germany

Customer Website

www.aok.de/

Revenue

€69.6billion (2011)

Number of Employees

54,489 (2011)

Implementation Partners

---

Line of Business

Service

Industry

Insurance

Featured Products

SAP HANA database, SAP Customer Relationship Management

History

From the inception of social health care

    

  • 1883The first local health funds in Germany emerged as providers of health insurance for blue collar workers.
  • 1894The first association of health funds was founded in Germany.
  • 1930During the time of German dictatorship, self-administration of health insurance funds was replaced by state control.
  • 1948The local AOK’s regrouped to form the “Vereinigung der Ortskrankenkassenverbände” (Union of Local Health Insurance Fund Associations).
  • 1987The umbrella organization of the AOK community became known as the AOK Bundesverband (Federal Association of the AOK).
  • 1990The AOK embarked on the establishment of new regional AOK‘s in the five eastern states of reunified Germany.
  • 2008The Federal Association of the AOK moved its headquarters to Berlin.

Business Model

Solidarity is key

The electronic patient’s card is every AOK member’s key to all the services their health insurance fund provides. The "benefits in kind" principle guarantees that people with health insurance never have to pay for doctors’ services themselves. Except for a small co-payment for prescriptions, doctors’ appointments are free of charge — regardless of how often the patient needs a consultation — and, patients are free to choose their own doctor. Every person covered by statutory health insurance in Germany pays a contribution rate of 15.5 per cent of earnings, set by the state.

 

The AOK offices are the first point of contact for members with any questions about their health insurance coverage. Over the phone or face to face, AOK also provides experts to advise members on a vast array of health issues.

Success Strategy

Making prevention the best medicine

AOK intended to analyze patient, prescription, and insured data to find patterns that could increase the likelihood of an illness later in life. Then, they could reach out to the insured right away and offer preventive care, thus hopefully preventing future illness.

 

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“A health insurance fund should really be two steps ahead as opposed to being there to only solve problems.”

With a high volume of data, AOK knew the
fastest analysis tools
would be required to be
most instrumental in illness prevention – an area
with great optimization potential.

The Challenge

New competitive situation

“Traditionally AOK didn't have to deal with industry competitors. Then the government decided to create a competitive environment for all health insurance funds. That resulted in different kinds of processes and IT solutions.”

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AOK chose SAP’s in-memory database solution to run an efficient business and at the same time attract more clients. And because of that solution it manages its operations efficiently and in turn can reinvest a large portion of the standard premiums contributed into improving services for its clients.

Enter SAP

SAP is the right partner

Originally, the idea of developing the software landscape on their own didn´t work — so AOK required a standardized solution, and chose SAP for this endeavor based on previous positive experiences with SAP. Later on when the millennium came, they were looking for a way to further develop the landscape. And then it was time for a re-orientation and a proof of concept with SAP. The outcome of that was the industry´s standard solution named oscare®.

 

SAP is the multichannel management of all technical processes, and has a fully developed campaign management as well as an integrated reporting and monitoring.

The SAP Experience

More than meeting requirements

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With SAP CRM, AOK provides a scalable platform for health insurances, which proves hopeful for stabilizing customer loyalty and attracting new customers.

 

Enabling a 360° view of the customer

Running Better

The ripple effect of SAP success

An insurance provider can achieve maximum success when running oscare® because of the tight integration with SAP products, such as SAP ERP with Financials and Human Resources, SAP Customer Relationship Management or SAP Business Warehouse.

Benefits

Better services offered to AOK members

Thanks to oscare®, AOK consolidated its own processes and is now positioned so well in numerous national subsidiaries that it can win even more clients in the liberalized German healthcare market. This is because it manages its operations efficiently and in turn can reinvest a large portion of the standard premiums contributed into improving services for its clients.

 

And, with SAP CRM, AOK is able to communicate with their customers through all channels as well as efficiently convert huge volumes of data.

Today

A new level of service

AOK works hard to provide its members with a better standard of health care. For instance, it has developed its own structured treatment programs for people with chronic diseases. These programs benefit from scientific monitoring and evaluation, and an integrated quality management system to ensure their constant improvement.

 

It sets standards in other fields, too. Integrated care is a good example. Different stages in treatment — doctor’s surgeries, hospital, nursing homes or rehabilitation — are coordinated for maximum efficiency. Patients are spared duplicate procedures and therapy is more effective.

 

For AOK members, this constitutes the best possible health care at an affordable price.

Journey Ahead

Continuing best care and prevention with SAP HANA

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Transforming the relational business data warehouse

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