The Performance Indicators of an Insurance Organization from the Viewpoints of the Health-care Providers

Introduction: One of the measures of organizational success and the rate of achieving organizational goals and objectives is the assessment of the organizations' performance indicators. This study aimed to investigate the performance indicators of a large insurance organization from the viewpoints of the service providers. Methods: This was a cross sectional and descriptive-analytical study conducted in 2012. A sample size of 70 administrators or the contracts managers of medical centers under contract with the studied insurance organization were determined using a multi-stage sampling method. The required data were collected using a researcher-made questionnaire. Collected data were analyzed using SPSS 21.0 and some statistical tests including ANOVA, Independent-Samples T-Test, Kruskal-Wallis, and Friedman tests. P<0.05 was considered statistically significant. Results: The results showed that "The necessity of breaking the insurer's financial relation with the service provider" (with the mean of 4.50) and "The levels of satisfaction from the time of insurance organization reimbursement" (with the mean of 2.06) were the highest and lowest priorities, respectively. Conclusion: Determining the actual and realistic cost of services, increasing the interaction and collaboration with service providers on decreasing insurance deductions, developing insurance policies commensurate with treatment methods, and reviewing the insurance contracts are the most important factors insurance organizations should consider in formulating their strategies.