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The future of private
health insurance
Medibank today
2
Products &
services
PHI, travel insurance, life cover, pet insurance, health
management services, telephone and online health
and wellbeing services.
Customers
3.8 million PHI customers, state and federal
governments, area health services and district health
boards, corporate clients, 300,000 overseas students
and visitors.
Service delivery
188 points of presence including 99 retail centres, 46
agencies and 43 clinics.
More than 2 million telephone and online triage and
care management per annum.
Employees
(headcount)
4600 staff across all divisions and subsidiaries,
including almost 1800 clinical staff.
The future of private
health insurance …
what do our
customers want?
3
70% of this group
have underlying
chronic disease
Too often the focus is all about costs
Customers want their private health insurance to give them
four key things
Value
Simplicity
Flexibility
Relevance
The ‘ideal’ health insurance is focused on flexibility,
simplicity, relevance and value
The ‘ideal’ health insurance is focused on flexibility,
simplicity, relevance and value
Cover for the things
that keep me happy,
healthy and functioning
Finding out about healthy
living to stay healthy and
not use healthcare
Being able to choose the
features that are relevant
to me today
I want to be covered for all
family members and for all
impacts from ill health
Being rewarded for not
having to use healthcare all
the time
See the person I want,
when I want, with the
same level of benefit
Knowing what I am
up for, up-front
Being covered for the full
expense, not gap, no
payments on the day
And private health insurance becomes especially
important when customers are managing major life
changes ...
Once I had kids,
I realised that we
all needed the
best protection…
You just don’t
want to be left
managing the
unknown …
Customers view health insurance differently to other
insurances ... there is an expectation it will provide a better
standard of healthcare
NON-HEALTH INSURANCE
 If your possessions are lost
or damaged insurance
compensates you for it.
 This type of insurance is all
about keeping the status
quo/not losing anything.
PRIVATE HEALTH INSURANCE
 Health is a personal and
individual thing – there are
many shades of grey.
 Health insurance is about
protecting and looking after
myself.
 Health insurance is about
getting a better and more
superior healthcare outcome.
Private health insurance should allow me to look after my
health as I choose …
Reduce the
burden on the
public system
To provide quicker
access for some
non-emergency
services …
To provide greater
financial coverage
for some medical /
health services
To provide better
quality healthcare
experiences
(non-medical)
Customers wanted us to help them with their health
A new service; a change in how
we interact with our members.
The first integration
exercise - insurance
and health solutions.
The Effect
The healthcare challenge
…while our ability to pay is reducing
Source: IGR2010
The Effect
Significant change possible
through better intervention…
Cost at current health
system trajectory
Healthy and
productive population
…but with behavioural
modification and better
management
Medibank’s purpose has changed from health insurance to
health assurance
Health Solutions
For Bet er Health
PrivateHealth Insurance
Total Health
t
Building an integrated health business structure
‘The Medibank Effect’
Private
Funding
MedibankPrivate
Private
Funding
Building an integrated health business structure
‘The Medibank Effect’
Private
Funding
MedibankHealthSolutions
MedibankPrivate
Private
Funding
Public
Funding
Building an integrated health business structure
‘The Medibank Effect’
Private
Funding
Public
Funding
MedibankHealthSolutions
MedibankPrivate
Private
Funding
Building new gateways
New healthcare platforms
New models of care
A network of
trusted providers
Reduced costs
Better patient
outcomes and
experience
Contracted Provider Networks
Gateway Navigation and Referral
Increased
efficiency
Access
to the
right care
At the
right time
New Healthcare platforms …
Anywhere Healthcare
Today is
suddenly a
much better
place
Integrated care co-ordination…
A more efficient process
1. Continuity of care
across secondary
and primary sectors
2. Continuity of
patient information
and support
3. Co-ordination
of providers
“Care Team”
Self navigating the system
Random care
Random care
Coordinated care
The Effect
Coordinated care
Future: Integrated health system
(eg ADF)
One telehealth nurse can
support over 6,000 patients
30
Dental and Optical clinics Telephonetriage
Diseasemanagement
and health coaching
Immigration / Visa Medical
anywhere>
<healthcare
AnywhereHealthcare
WorkplaceHealth
Garrison Health
Travel Doctor
MHSand PNICbusinesses:
Now Medibank members are seeing the benefits of
integrated health services
31
A healthcare system for the future
Patient and
care team
Individual
care plan
Focus on diet,
exercise and healthy
behaviours
Patient has
responsibility for
their own health
Thank you.
Any questions?

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ΤτΕ: Ανάπτυξη 2,3% και πληθωρισμός 2,8% φέτος
 
Building pressure? Rising rents, and what to expect in the future
Building pressure? Rising rents, and what to expect in the futureBuilding pressure? Rising rents, and what to expect in the future
Building pressure? Rising rents, and what to expect in the future
 

George Savvides

  • 1. The future of private health insurance
  • 2. Medibank today 2 Products & services PHI, travel insurance, life cover, pet insurance, health management services, telephone and online health and wellbeing services. Customers 3.8 million PHI customers, state and federal governments, area health services and district health boards, corporate clients, 300,000 overseas students and visitors. Service delivery 188 points of presence including 99 retail centres, 46 agencies and 43 clinics. More than 2 million telephone and online triage and care management per annum. Employees (headcount) 4600 staff across all divisions and subsidiaries, including almost 1800 clinical staff.
  • 3. The future of private health insurance … what do our customers want? 3
  • 4. 70% of this group have underlying chronic disease Too often the focus is all about costs
  • 5. Customers want their private health insurance to give them four key things Value Simplicity Flexibility Relevance
  • 6. The ‘ideal’ health insurance is focused on flexibility, simplicity, relevance and value
  • 7. The ‘ideal’ health insurance is focused on flexibility, simplicity, relevance and value Cover for the things that keep me happy, healthy and functioning Finding out about healthy living to stay healthy and not use healthcare Being able to choose the features that are relevant to me today I want to be covered for all family members and for all impacts from ill health Being rewarded for not having to use healthcare all the time See the person I want, when I want, with the same level of benefit Knowing what I am up for, up-front Being covered for the full expense, not gap, no payments on the day
  • 8. And private health insurance becomes especially important when customers are managing major life changes ... Once I had kids, I realised that we all needed the best protection… You just don’t want to be left managing the unknown …
  • 9. Customers view health insurance differently to other insurances ... there is an expectation it will provide a better standard of healthcare NON-HEALTH INSURANCE  If your possessions are lost or damaged insurance compensates you for it.  This type of insurance is all about keeping the status quo/not losing anything. PRIVATE HEALTH INSURANCE  Health is a personal and individual thing – there are many shades of grey.  Health insurance is about protecting and looking after myself.  Health insurance is about getting a better and more superior healthcare outcome.
  • 10. Private health insurance should allow me to look after my health as I choose … Reduce the burden on the public system To provide quicker access for some non-emergency services … To provide greater financial coverage for some medical / health services To provide better quality healthcare experiences (non-medical)
  • 11. Customers wanted us to help them with their health A new service; a change in how we interact with our members. The first integration exercise - insurance and health solutions.
  • 14. …while our ability to pay is reducing Source: IGR2010
  • 15. The Effect Significant change possible through better intervention… Cost at current health system trajectory Healthy and productive population …but with behavioural modification and better management
  • 16. Medibank’s purpose has changed from health insurance to health assurance Health Solutions For Bet er Health PrivateHealth Insurance Total Health t
  • 17. Building an integrated health business structure ‘The Medibank Effect’ Private Funding MedibankPrivate Private Funding
  • 18. Building an integrated health business structure ‘The Medibank Effect’ Private Funding MedibankHealthSolutions MedibankPrivate Private Funding Public Funding
  • 19. Building an integrated health business structure ‘The Medibank Effect’ Private Funding Public Funding MedibankHealthSolutions MedibankPrivate Private Funding Building new gateways New healthcare platforms New models of care A network of trusted providers
  • 20. Reduced costs Better patient outcomes and experience Contracted Provider Networks
  • 21. Gateway Navigation and Referral Increased efficiency Access to the right care At the right time
  • 22. New Healthcare platforms … Anywhere Healthcare Today is suddenly a much better place
  • 23. Integrated care co-ordination… A more efficient process 1. Continuity of care across secondary and primary sectors 2. Continuity of patient information and support 3. Co-ordination of providers “Care Team”
  • 29. Future: Integrated health system (eg ADF)
  • 30. One telehealth nurse can support over 6,000 patients 30
  • 31. Dental and Optical clinics Telephonetriage Diseasemanagement and health coaching Immigration / Visa Medical anywhere> <healthcare AnywhereHealthcare WorkplaceHealth Garrison Health Travel Doctor MHSand PNICbusinesses: Now Medibank members are seeing the benefits of integrated health services 31
  • 32. A healthcare system for the future Patient and care team Individual care plan Focus on diet, exercise and healthy behaviours Patient has responsibility for their own health