digital transformation of health insurance

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IMPULSE 360* Wellness platform for consumers

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Page 1: Digital transformation of health insurance

IMPULSE360* Wellness platform for consumers

Page 2: Digital transformation of health insurance

Emerging Trends in Insurance

Drones :Streamlining field investigation process for PLC claims.

Telematics is redefining Motor Insurance-premium determination using consumer behaviour.

Shifting focus to personalization

“Digital Technology has tremendous potentiality to Personalize and Transform Insurance Business”

Page 3: Digital transformation of health insurance

Health Insurance : The Changing Paradigm

Chal

leng

eStay Differentiated as a fundamentally different kind of Health Insurer.Strategically aligned to the emerging future of Healthcare.Reinvent to stay Relevant.

Chan

ging

Rol

es

Quantifying & Pricing Risk to influencing & Lowering Risk.

Solu

tionCollaboration between

insurer and insured.Dialogue(Omni-channel) & Delight (Personalization). Improve behaviour & Health outcomes.

Page 4: Digital transformation of health insurance

6 Trends in Health Insurance

Chronic Disease Epidemic

Outcome Driven Healthcare

M Health

• India to Spend US $ 5.8 Trillion by 2030 for NCDs.

• Small behavioural changes-diet physical activities can reduce this.

• Disrupting consumer engagement.

• Incentivise long term behaviour change.

• Gamification

• Incentivise and dis-incentivise healthcare providers.

• Data driven Outcome oriented delivery

• From Fee for Service to Pay for Outcomes.

• Democratisation of Healthcare.• Wearable/Health Apps.• Tele Consultation.

• Greater insights over patient behaviour.

• Influencing behaviour change.• Driving costs down.

Page 5: Digital transformation of health insurance

Electronic Health Records

Customer Centricity

Claims Decisionsing

• Big Data revolution.• EHR, Pharmacy, Lab Tests –

Aggregation & analytics.• Patient centric, Participative &

Portable.

• Data as a central component of New Insurance offering.

• Remove information asymmetry.• Creating a complete picture.

• Getting closer to customer.• Inducing change and impacting

behaviour.• Engage and Understand.

• Building relation with customer.• Collaborate • Transactional to Relational

engagement.

• Pressure on under-writing.• Revenue sources challenged.• Claim contention; adversarial

relation amongst provider, payer, patient.

6 Trends in Health Insurance contd..

• Improving claim experience.• Data as a new Revenue Source.• Risk influencing & reduction

Page 6: Digital transformation of health insurance

Health Insurance :The Digital Collaboration with Consumers

Health Analytics and Insights

Door-Step Delivery of Health Services Resource/Content Library

Health Analytics and Insights

Distance Covered

Steps Counter

Digitally Organised Health Records

Get Personalized Dashboard with following features:

Store files View Files Track health Medicine reminder Appointment booking Chat Family profile Health tips Pay bills Video Consulting Nearby search Medifit – the fitness

tracker

Page 7: Digital transformation of health insurance

Medimojo – The Digital Collaborator

Page 8: Digital transformation of health insurance

Medimojo – The Digital Collaborator

Page 9: Digital transformation of health insurance

Gamification : The Game Changer

More Engaging Management

Knowledgeable About Care Plan

Better Adherence

& Health

Outcomes

Streamline Care• From Reminding and

Monitoring to Involvement and Self Tracking.

Educate thru Experience• Use entertainment and

experience to create learning which people can easily take part in.

Fit into Real Life• Make tools fun and

entertaining, users want to do rather than have to do.

Reward right Behavior• Use Positive reinforcement

and immediate reward to sustain behavior change.

Medimojo – The Digital Collaborator

Page 10: Digital transformation of health insurance

Medimojo – The Digital Collaborator

Claim Experience

Under Writing Support

Customer Centricity

Data Consolidator. Content for Health Storage & Analytics Delivering Better Health Disease free Living

Sign Up Members

Personalize, Engage & Develop Trust

Manage CareKnow About

Member ConditionsNavigate Care

Comprehensive End-to-End

Experience with Providers

Better ExperienceBetter Health at

Lower Cost

Consumer: Digital Engagement Cycle

Digital Engagement Benefits to Health Insurance

Page 11: Digital transformation of health insurance

Technical SpecificationCommunication Standards

Clinical Document standards

Medical image viewing

Authentication methods

Browsers Support

Mobile OS support

Deployment Server Architecture & OS

Instant Messaging

Custom APIs(REST protocol), DICOMS for radiology files. Compliance by HL7.

CSV, DICOMS, Images, JSON, CCD, CCDA

Requires no installation for viewing images. Proprietary software for image viewing. Served via an encrypted key from S3

OAuth & OAuth2. We can use 2 factor authentication if opted by userWe support all modern browsers for both mobile and web

Android and iOS & Windows support

Custom messaging systems for communications

Infra at AWS ( Amazon Web Services ) and OS used in Ubuntu 16.04

Page 12: Digital transformation of health insurance

API Interface

Chat and Video

Lab report images to text

Individual Data Analytics

Data visualization

UID (Aadhar card) integration

Data Security

Content Delivery

Client Interface

FHIR based REST APIs following standards OWASP protocols via session token or API key with OAuth2.0 standard

Proprietary chat and video interface using web sockets in Node.js via VOIP

Using Classifiers & Machine learning algo to read information from raw text extracted from OCR

JavaScript library used for visualization of data in charts(bar, line, pie, plots etc.)

UID integration with patients health records and data

Data encryption at DB level with multi-level encoding

Web & mobile-web served via Cloudflare & 256 bit encrypted SSL

Real-time Google envision OCR

Machine learning for targeted contents to users via CDN

Page 13: Digital transformation of health insurance

17

Contact Info

facebook.com/medimojo

twitter.com/medimojo

Thank You

[email protected]

angel.co/medimojo

(91) 852 719 3363 / 9871756326