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A consortium-based solution for health insurers

Success requires a core set of capabilities and attributes. Learn more about the challenges and opportunities associated with these trends - and EY’s bold vision for the future.

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A consortium-based solution for health insurers

  1. 1. ► Shifting relationships from short-term, contractual and generic to long-term, collaborative and personalized ► A digitally-enabled business model that repositions the customer at the center, delivers the experience they want and ensures data security ► Providing patients, insurers and medical providers with connected and comprehensive views of individuals ► Delivery and integration of device-agnostic platforms, plug-and-play m-health tools and real time biometric and behavioral data ► Selection and delivery of m-health technologies that help patients manage, monitor and improve health in real-time ► Decision support and care navigation tools to drive standard practices and improve patient outcomes ► Securely store, access and interpret multiple types of data and data structures from new and existing sources ► Better analytics to understand and underwrite existing risks, influence future risks, predict drivers of future costs and deliver incentives ► Profitable pricing of service offerings, treatment protocols and regimens 101001001010 1001 10 0011 0011 1010 00110 101 ► Understanding behavioral biases to manage and shift consumer and patient behavior ► Defining the right incentives, defaults and triggers ► Clear metrics for pay-for-performance models and accurate tracking and measuring ► New approaches and models for legal, financing and performance structures, with governance and financial proration to align outcomes and share rewards ► Customization and targeting of products (including white labelling), services, financing options and processes to specific partnerships ► Tailored packaging and sharing of products and offerings to extend geographical footprint, distribution and customer base Customer-centric relationships Grounded in big data and analytics Pay-for-performance foundation New sources of income Long-term behavioral change A consortium-based solution for health insurers Success requires a core set of capabilities and attributes. The focus needs to be on: Driven by m-health Learn more about the challenges and opportunities associated with these trends — and EY’s bold vision for the future. Visit ey.com/HIOF ©2015EYGMLimited.AllRightsReserved.EYGno.000000EDNone

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