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1 of 16
March 2015
Health Insurance
Innovations
Presented by Andrew Dart
January 2017
2
A Stealth Public Health Program
Launched in July 2016
• Captured 500 million members world-wide
• 78% of members are millennials
• Average of 20 million members active each day
• Program generated 144 billion steps
• Members 26% more active after joining the
program
3
Pokémon Gone?
However, success was short lived
• People became bored quickly – “just a lot of walking around”
• It needed something more to keep people coming back (engagement)
• After 6 weeks members went back to pre-game levels of activity
Only recently has Niantic learned from the experts….
Daily &
Weekly
Bonuses
Achievement
Badges In Game Events
4
Vitality Active Rewards – Engagement
Turning a reward into a penalty; the Apple Watch is
free if all targets are achieved over 2 years
Source: Discovery website
5
Vitality Active Rewards – Peer Pressure
The Vitality program has also
enlists another powerful
motivating factor – Peer
Pressure.
Having a network of people
with aligned & dependant
purpose helps reduce
individuals from dropping out.
Pokémon Go hasn’t got this
just yet 
6
Vitality 2017 More emphasis on activity
Source: Moneyweb.co.za
In the past it was relatively
easy to achieve Gold status by
doing the basics plus a few
gym visits.
In 2017, the basics only get
you ½ way. You need to be
active for a good part of the
year (20 weeks) to achieve
Gold.
The focus has shifted
decisively towards
engagement and evidence-
based activities.
7
Vitality: Value creation via behavior change
Sales Selection LapsesBehavior
More clients join;
take-up more rider
benefits; and buy-up
cover
Healthier lives join Healthy lives stay
Unhealthy lives leave
Consumers engage
and change their
behavior
Blue Bronze Silver Gold Market premium
Sales &
Selection
effect
Behavioral effect
Lapse
effect
Source: TDI Webinar 2016
8
250 000
Vitality Health
Checks
10 million
discounted
gym visits
20 million
HealthyFood
baskets bought
R1 billion
HealthyFood
cash back
2.5 million
discounted
movies
1 million
discounted
flights booked
1.8 billion
Discovery
Miles earned
Over 10 000
Team Vitality
members
South Africa SA insured
population
Vitality
members
Gold and
Diamond
Vitality members
63 yrs
67 yrs
81 yrs
87 yrs
Vitality Results
Source: TDI Webinar 2016
9
Some insurers using wearable data
10
Other connected devices
11
IoT Health Scoring Platforms
Caters for 100’s of devices
and has a holistic health &
wellness scoring system,
including sleep quality
Caters for 100’s of devices
and has a clinically proven
predictive algorithm for a
range of diseases. Coaching
capability.
Platform ingests telematics
data from general, life and
health insurance purposes.
Strong digital marketing &
partner ecosystems capability.
12
Virtual Doctor visits
Physical visits cost from $100
to $125 while virtual visits
cost between $40 to $45.
Customers save time as they
can get immediate answers
for family medical issues
24x7
However only 20% of
consumers have heard of this
and only 5% have used a
virtual doctor
In 2016, 59% of large US employers included Telemedicine as
an option, up from 16% in 2014; 30% in 2015 Mercer 2016
13
Using AI within Health Insurance
Medical Chat Bots
Your.MD (top) from the US
and Babylon Health (bottom)
from the UK able to triage
cases before handing off to a
human doctor (in-person or
virtual)
14
AI Doctor (Medical Assistant)
The WHO predicts that the world will face a deficit of some 13
million doctors and health care professionals over the next 20
years.
15
AI Health & Fitness Coach
Using AI to engage and serve customers 24x7 on a fully personalized basis
March 2015
Health Insurance
Innovations
Presented by Andrew Dart
@ITInsuranceGuy

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Health Insurance Innovation Summit 2017 - IoT in Health Insurance

  • 2. 2 A Stealth Public Health Program Launched in July 2016 • Captured 500 million members world-wide • 78% of members are millennials • Average of 20 million members active each day • Program generated 144 billion steps • Members 26% more active after joining the program
  • 3. 3 Pokémon Gone? However, success was short lived • People became bored quickly – “just a lot of walking around” • It needed something more to keep people coming back (engagement) • After 6 weeks members went back to pre-game levels of activity Only recently has Niantic learned from the experts…. Daily & Weekly Bonuses Achievement Badges In Game Events
  • 4. 4 Vitality Active Rewards – Engagement Turning a reward into a penalty; the Apple Watch is free if all targets are achieved over 2 years Source: Discovery website
  • 5. 5 Vitality Active Rewards – Peer Pressure The Vitality program has also enlists another powerful motivating factor – Peer Pressure. Having a network of people with aligned & dependant purpose helps reduce individuals from dropping out. Pokémon Go hasn’t got this just yet 
  • 6. 6 Vitality 2017 More emphasis on activity Source: Moneyweb.co.za In the past it was relatively easy to achieve Gold status by doing the basics plus a few gym visits. In 2017, the basics only get you ½ way. You need to be active for a good part of the year (20 weeks) to achieve Gold. The focus has shifted decisively towards engagement and evidence- based activities.
  • 7. 7 Vitality: Value creation via behavior change Sales Selection LapsesBehavior More clients join; take-up more rider benefits; and buy-up cover Healthier lives join Healthy lives stay Unhealthy lives leave Consumers engage and change their behavior Blue Bronze Silver Gold Market premium Sales & Selection effect Behavioral effect Lapse effect Source: TDI Webinar 2016
  • 8. 8 250 000 Vitality Health Checks 10 million discounted gym visits 20 million HealthyFood baskets bought R1 billion HealthyFood cash back 2.5 million discounted movies 1 million discounted flights booked 1.8 billion Discovery Miles earned Over 10 000 Team Vitality members South Africa SA insured population Vitality members Gold and Diamond Vitality members 63 yrs 67 yrs 81 yrs 87 yrs Vitality Results Source: TDI Webinar 2016
  • 9. 9 Some insurers using wearable data
  • 11. 11 IoT Health Scoring Platforms Caters for 100’s of devices and has a holistic health & wellness scoring system, including sleep quality Caters for 100’s of devices and has a clinically proven predictive algorithm for a range of diseases. Coaching capability. Platform ingests telematics data from general, life and health insurance purposes. Strong digital marketing & partner ecosystems capability.
  • 12. 12 Virtual Doctor visits Physical visits cost from $100 to $125 while virtual visits cost between $40 to $45. Customers save time as they can get immediate answers for family medical issues 24x7 However only 20% of consumers have heard of this and only 5% have used a virtual doctor In 2016, 59% of large US employers included Telemedicine as an option, up from 16% in 2014; 30% in 2015 Mercer 2016
  • 13. 13 Using AI within Health Insurance Medical Chat Bots Your.MD (top) from the US and Babylon Health (bottom) from the UK able to triage cases before handing off to a human doctor (in-person or virtual)
  • 14. 14 AI Doctor (Medical Assistant) The WHO predicts that the world will face a deficit of some 13 million doctors and health care professionals over the next 20 years.
  • 15. 15 AI Health & Fitness Coach Using AI to engage and serve customers 24x7 on a fully personalized basis
  • 16. March 2015 Health Insurance Innovations Presented by Andrew Dart @ITInsuranceGuy

Editor's Notes

  1. Mixing the power of penalties with rewards; Penalties have been found to be 3 times more effective than rewards
  2. Better health, longevity and significant financial incentives for members Higher profits for insurers Actuarial value is created and shared, including: Sales (Increased new business; higher rider benefit take up; cover buy up) Selection (Initial selection of healthier lives) Behavioral (Consumer engagement and behavior change) Lapses (Lower lapse rates for those who get value from program; positive selective lapses of unhealthy lives) The outcome of which is: Higher margin/profit for the insurer; and better health, mortality and significant financial incentives for members
  3. Various health insurers have used virtual doctor to reduce costs while improving services for customers https://vsee.com/blog/online-doctor-consultation/
  4. Could the medical profession face its own “Uber” moment and would slash medical inflation with doctors’ visits reduced from $40 to mere cents with the AI doctor