Soluciones Mercados provides digital health platforms that enable insurers, brokers, employers, and financial institutions to manage complex, high‑cost medical cases, improve outcomes, and contain expenses. Their globally‑connected solutions integrate clinical guidance and intuitive user experiences, allowing partners to offer differentiated health benefits and streamline case management across fragmented health systems.
Funding
Funding not disclosed
Founders
Product
Problem
Insurers, brokers, employers, and financial institutions face high costs and inefficiencies when managing complex, high‑expense medical cases. Fragmented health systems, incorrect diagnoses, and unnecessary procedures increase claim expenses and reduce patient outcomes. International cases add further coordination challenges.
Solution
Soluciones Mercados delivers digital health platforms that centralize case management for these organizations. The platforms integrate clinical expertise, second‑opinion services, and specialist referral pathways to ensure accurate diagnoses and appropriate treatments. Real‑time analytics and workflow tools enable proactive clinical guidance, reducing unnecessary surgeries and high‑cost claims. A globally connected network of medical providers gives partners access to international expertise, facilitating seamless handling of cross‑border cases. The user interfaces are built for digital‑first experiences, offering intuitive, scalable portals for claim administrators, beneficiaries, and care teams. By embedding these capabilities, insurers and related firms can differentiate their health benefits, improve patient satisfaction, and contain medical expenses.
Target Audience
Primary customers are health insurers, insurance brokers, corporate benefits managers, TPAs, banks, credit‑card issuers, retailers, insurtechs, and fintech platforms seeking to embed advanced medical case‑management into their product offerings.
Features
- Integrated case‑management dashboard that consolidates claims data, clinical notes, and specialist recommendations in a single view
- Second‑opinion service powered by an international network of physicians, enabling diagnosis revisions in 20‑40% of reviewed cases
- Automated referral engine that matches patients to the most appropriate specialist based on condition and geography
- Clinical decision support analytics that flag high‑cost procedures and suggest alternative care pathways
- Secure, cloud‑based platform with multilingual support for managing international medical cases
- API suite for seamless integration with insurers’ existing policy, billing, and CRM systems