TOP TRENDS IN HEALTH INSURANCE: 2020...TOP TRENDS IN HEALTH INSURANCE: 2020 Copyright ©2019...
1
TOP TRENDS IN HEALTH INSURANCE: 2020 Copyright ©2019 Capgemini. All rights reserved. The health insurance industry is evolving and undergoing change Insurers are adopting change-management strategies To thrive over the long term, firms must adopt Inventive Insurer competencies: Health care expenses (as a percentage of US GDP) rose from about 13% in 2000 to nearly 18% in 2017 1 2000 2017 Insurers are becoming more transparent to bolster customer trust Market forces pressure the health insurance industry to realign A holistic insurance experience offers members a wide range of value-added services Insurance chatbots offer an engaging and guided customer experience Wearables and digital platforms drive changes in behavior and increase Rx adherence Insurers are leveraging predictive analytics for risk profiling and early intervention APIs drive data interoperability within the healthcare industry Automation boosts claims processing efficiency and may enable real-time payments CHANGING BUSINESS ENVIRONMENT EVOLVING CUSTOMER PREFERENCES EMERGING RISK LANDSCAPE ENHANCING OPERATIONAL EFFICIENCY Aging population Complex medical conditions Medication non-adherence Tech-savvy customers OPPORTUNITIES CHALLENGES Emerging technologies Customer centricity Agile products Intelligent processes Open Ecosystem 1 Historical National Health Expenditure Data, Centers for Medicare & Medicaid Services 2 Net annual medical trend rate refers to anticipated percentage increase in medical plan unit costs net of inflation 3 Global Medical Trend Rates report 2020, Aon Globally, average medical trend rates are expecting to reach 8.0% in 2020, which is nearly 5 percentage points more than the average (3.1%) inflation rate 13% 18%
Transcript of TOP TRENDS IN HEALTH INSURANCE: 2020...TOP TRENDS IN HEALTH INSURANCE: 2020 Copyright ©2019...
TOP TRENDS IN HEALTH INSURANCE: 2020
Copyright ©2019 Capgemini. All rights reserved.
The health insurance industry is evolving and undergoing change
Insurers are adopting change-management strategies
To thrive over the long term, firms must adopt Inventive Insurer competencies:
Health care expenses (as apercentage of US GDP) rose from about 13% in 2000 to nearly 18% in 20171
2000 2017
Insurers are becoming more transparent to bolster customer trust
Market forces pressure the health insurance industry to realign
A holistic insurance experience offers members a wide range
of value-added services
Insurance chatbots offer an engaging and guided customer experience
Wearables and digital platforms drive changes in behavior and increase Rx adherence
Insurers are leveragingpredictive analytics for risk
profiling and early intervention
APIs drive data interoperability within the healthcare industry
Automation boosts claims processing efficiency and may
enable real-time payments
CH
AN
GIN
G B
USIN
ESSEN
VIR
ON
MEN
TEV
OLV
ING
CU
STOM
ERP
REFER
ENC
ESEM
ERG
ING
RISK
LAN
DSC
AP
EEN
HA
NC
ING
OP
ERA
TION
AL
EFFICIEN
CY
Agingpopulation
Complex medical conditions
Medication non-adherence
Tech-savvycustomers
OPPORTUNITIESCHALLENGES
Emergingtechnologies
Customercentricity
Agileproducts
Intelligentprocesses
OpenEcosystem
1 Historical National Health Expenditure Data, Centers for Medicare & Medicaid Services2 Net annual medical trend rate refers to anticipated percentage increase in medical plan unit costs net of inflation3 Global Medical Trend Rates report 2020, Aon
Globally, average medical trend rates are expecting
to reach 8.0% in 2020, which is nearly 5 percentage
points more than the average (3.1%) inflation rate
13%
18%
