Listen to an experienced, global panel of insurance professionals present, discuss and answer your questions on the theme of “Health Technology & Impact on Insurance”.
Brought to you by The Digital Insurer and sponsored by KPMG.
3. Discussion Agenda
Rebecca Pope
KPMG
Framing Health Tech
Simon Spratt
Haelthtech
Connecting the
Healthcare Value Chain
Adrienne Mendenhall
ACCESS Health
How Insurers can take
advantage of innovations
Strategy
Alistair Wickens
Quealth
Insurers using Health Tech
for better decision making
Topics for discussion
• 4 presentations
• 5 rapid fire polls and Q&A throughout– wisdom of the crowd
• 15+ minute panel discussion with your Q&A
• 75 minutes in total
4. Questions & Answers
How to participate:
If you have a question please type into the Q&A area
If you have a comment please type into the chat area
Session format:
The moderator will use a combination of his own questions
and those from the audience
Each presentation will have a Q&A and poll
11. Document Classification: KPMG Confidential
The KPMG name and logo are registered trademarks or trademarks of KPMG International.
The information contained herein is of a general nature and is not intended to address the circumstances of any particular
individual or entity. Although we endeavor to provide accurate and timely information, there can be no guarantee that such
information is accurate as of the date it is received or that it will continue to be accurate in the future. No one should act on
such information without appropriate professional advice after a thorough examination of the particular situation.
12. Snap Poll
12
Q. Which one of the following medical advances most interests you
from an insurance perspective?
1. Machine learning for diagnostic scans (e.g. detecting breast cancer)
2. 3D printing of organs
3. Genomic profiling for disease likelihood
How to participate:
Just respond to the question when it appears on your screen
14. Problem Statement
1. Poor profitability challenging many insurers despite very high growth in Asia - inefficient
administration / weak claims mgt / challenging provider relationships
2. Low satisfaction and engagement of group scheme members - lack of mobile / long time to
serve/claim and significant gaps
3. Underinsured / protection gap is a large and growing problem across Asia for both life and
healthcare. Needs are not close to being fully met and aging will bring further challenges
Asia’s EB & Healthcare market has some deep-rooted problems
For every $100 in premium paid, here is what percentage is paid to each area.
A ”challenged” insurer Best
Practice
15. Insurers Have become Risk Carriers & are losing the Health Battle
• Insurers have become uniquely - Risk Carriers
• Little connectivity with the Groups and Individuals the insurers cover
• Have become isolated through a lack of connectivity with the market
• Rely heavily on 3rd party relationships e.g. Brokers, TPA’s
We need them to Make Money
• Insurers have become uniquely - Risk Carriers
• Static insurance products
• Poor options to connect to the people who matter
• Slow responsiveness e.g. Claims, Electronic Adjudication,
Underwriting, Renewals, Data & Analytics
• Tech is the mechanism to reach & bridge the chasm:
• Connect directly to the member
• Connect providers, TPA’s, Groups in real-time
• Provide platforms that deliver information and processes for
better risk management & growth
16. Utilise a collaborative
Utilise a collaborative, cloud based framework and is built for the internet to allow access
to any part of the health insurance system, real-time
Consistent user experience
Cloud-based software provides consistent
and well-designed user experience
Simple service integration
Software as a service fulfills all needs from
parties with well-defined services protocol
Data Single Source of Truth
Single data repository decrease processing
time and errors
17. Technology fit for Insurers Purpose...
Deliver better benefits, at lower cost, to more employees, across Asia.
18. Market Validation
The current approach is Inefficient,
Inaccurate and no-one is happy
Inconsistent user experiences
Different applications with different user
experiences
Complex integration
Multi-application systems and process
Errors increase cost
Data passed through systems with errors or re-entry
efforts
No real-time synchronization costs time and user
satisfaction
Up to 16 system
touch points
across
multiple systems
Data passed
between
systems subject to
error and re-keying
Days to
approve claims
Up to 90 days
to pay claims
Claims & Admin
staff costs up to
60% too high
Fragmentation is a lot to do with the problems &, ironically, many insurers have lost
control of risk management
19. Snap Poll
19
Q. The health value chain is changing as healthcare services combine
with insurance provision. Which of these models do you think will
prevail?
1. Employer led models e.g. Amazon / JP Morgan / Berkshire Hathaway
2. Insurer as health care provider models e.g. Bupa
3. Insurer as first point of contact for health services e.g. Good Doctor
App
4. Insurers focus on financial indemnity
How to participate:
Just respond to the question when it appears on your screen
24. Snap Poll
24
Q. Which of the following technology categories are most
plausible for partnerships with the insurance industry?
1. Digital health
2. Fintech
3. E-commerce
4. Telecoms
How to participate:
Just respond to the question when it appears on your screen
28. 28
Proactive health coaching
incentivises consumer to
take action.
• Lower exposure as
health risk improves
• Valued additional
benefit for customers
• Positive impact on
retention
Constant stream of health-
related data from wearables
and trackers.
• Continuous user
engagement
• Dynamic product
pricing
Accuracy of Quealth score
makes this a potential proxy for
underwriting.
• Pre-underwritten
insurance
• Single-click insurance
• Immediate on-boarding
• Lower cost of distribution
Pre-selection of risk before
offering a product.
• Targeted signposting
of products and
services
• Preferential product
pricing
We all recognise that the application of a well-validated
health score opens up new possibilities for insurers
29. 29
The challenges of better decision-making
How do you deliver
the optimum balance between
maximum predictive accuracy
and minimum data input?
How do you ensure
data remains relevant?
How do you
maintain engagement?
Essential data
Minimising the initial data set required whilst
achieving sufficient underwriting accuracy
(smart, efficient data modelling).
Stealth data
Surreptitiously acquiring updates of
data over time through ongoing health
coaching interactions and, similarly,
acquiring additional types of
information over time through the
same means.
Value is derived through ongoing,
health-positive interactions with
policyholders.
Integrated data
Acquired through integration with third
party devices and apps (this essentially
relates to biometrics - weight and activity
mainly but also medical data that people
sometimes track themselves such as
blood pressure and cholesterol).
Has the additional benefit of delivering
validated data (or at least more validated
than self-reported, particularly with
respect to physical activity).
30. Snap Poll
30
Q. Will IoT based medical advisory services be sufficiently robust to
drive widespread (meaning majority) adoption of personal health
monitoring on a real-time basis by 2028?
1. Yes
2. No
3. Difficult to say
How to participate:
Just respond to the question when it appears on your screen
32. Snap Poll
32
Q. Which of the following areas is most important for health
insurers to invest / adopt
1. Health Claims technology including adjudication and AI
2. Digital and video access to medical advisor services
3. General Upgrade of healthcare insurance admin systems
4. Open API platforms to allow integration of multiple health
tech innovations in the years to come
5. More frequent, lower cost medical testing to help keep
customers monitor their health and keep wealth
How to participate:
Just respond to the question when it appears on your screen
34. Post webinar activities
Recording will be emailed to registered participants
Our next webinar will be on 10th May on the topic of “Simplifying Customer Experience”.
Registration is now open: https://www.the-digital-insurer.com/event/the-digital-insurer-
webinar-simplifying-customer-experience/ OR go to Events / Webinars from the home page!
Please give us your feedback
If you would like to follow up with any of the panelists
- Hugh Terry: hugh.terry@the-digital-insurer.com
- Will Pritchett: Will.Pritchett@KPMG.co.uk
- Rebecca Pope: Rebecca.pope@kpmg.co.uk
- Simon Spratt: simon.spratt@haelthtech.com
- Adrienne Mendenhall: adrienne.mendenhall@accessh.org
- Alistair Wickens: alistair.wickens@quealth.co
Notes de l'éditeur
Introducing the panelists
Introducing the discussion agenda