SlideShare a Scribd company logo
► 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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A consortium-based solution for health insurers

  • 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