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Gmhba health presentation feb 2016 v2 01
- 1. Private Health Insurance A Healthy Transformation Paul Hulett, CIO
- 2. Who is GMHBA? Today: ~ 130000 member policies + 40000 non-member policies ~ 350000 people covered by PHI nationally 4th largest Insurer in Victoria 7th Nationally ~ Doubling industry growth consistently for over 10 years (2008 we had ~ 76000 Members)
- 4. Why diversify into Health? Our Mission Supporting the health of our communities for generations Our Vision Australia's leading regionally based health fund most recommended by our communities for the contribution that we make to their health and wellbeing.
- 5. Why diversify into Health? •To compete against other brands • Provide value to our members
- 6. What have we done so far: * Care Coordination Services * Health Forums * Free Outdoor fitness and Yoga sessions * Health Sponsorship * Healthcare ownership * Decision Support * Provider Portal to support members health journey * Aged care transport * Public Fitness – Movemore Program * Health Rewards – Fit products * Stay Healthy Programs * Hospital Substitution _ HITH & RITH Future Healthcare ownership: 60 location in 3 years: Eyecare, GP, Dental, Exercise Physiology, In hospital support, medical. Patient Transport CDMP Allied Health Mental Health, Preventative Services, Alternative Services and GP (Leadership) through Innovation, Digital Change & Key Relationship Roadmap
- 7. Roadmap: Technology Path PHI TechnologyConsumer Technology Healthcare Technology Consumers ProvidersPHI Consumer health Community Health Aggregator, broker and agent websites (ABC) Consumer health technology, Trackers etc Data presentation PCEHR Health Directory E-referral Health Advice Now & Short Term Medium Term Long Term
- 8. Technology Focus Consumer Market PHI Market Provider Market Now & Short Term Focus on sales, benefits management and PHI services. Begin health transformation of business. Focus on preventative health for members. • Fitness classes • Forums • Health Hub • ABC Healthcare payer and focus on sales and customer service • Online claiming • PHI member functionality • CRM Services • Corporate Services • Payment gateway • Other PHI services • Knowledge Services Focus on Benefits management. CDMP, CITH, HITH • Eligibility services • Electronic claiming Medium Term Starting to gain trust of members by providing health advice and health mediating services Focus on preventative health services for the community. • Community services • Consumer technology • Aging advice Mediator of health information between provider and member. • Provider lookup • Health Directory • Health enrolment services • PCEHR Engage providers to service our members and the community better. • PVP • Provider Services (PRM) Long Term Maturing into a health organisation trusted with the health of our members Trusted health advisor • Data collection and health advisor Trusted advocate for members health • Advanced knowledge services • Advanced health data management Trusted provider of health services to the community. • Health Services • Tele health • E health • Treatment technologies • Diagnosis technologies
- 10. Critical Emerging Technologies for Health Telemedicine Healthcare Provider E-visits Mobile/Home Health Monitoring Personal Health Management Tools Personally Controlled Health Records Health Quantified Self Biochips Internet of Things Health Wellness systems Wearable Technology Member Incentives for Wellness Enterprise Care Management
- 11. Supporting Emerging Technologies Data Analytics Big Data Prescriptive Analytics InMemory Database Care management analytics Content analytics User Experience Neuro Business Mobile Applications Gamification Patient self service kiosks Biometric Authentication Haptics Activity Streams Affective Computing (Mood Sensing)
- 12. * Start with chronically ill members * Geelong Communities * Members * Western District Communities Geelong First Now * Telehealth * EHealth * Health Advice * Knowledge * Hand over process to business * Business case objectives * Integration * Staff issues Where are we diversifying? When? How? Challengers? Who?
- 13. Hack Days (Hackathon) WHAT IS HACK DAY YOU ASK? WHAT ARE THE BENEFITS?
Editor's Notes
- Compete We believe Bupa and Medibank will use their scale Currently there is no advantage to Scale in PHI Providing clinical care is a way to differentiate with that scale Bupa already largest Dentist Value Financial Protection through PHI Better Health Outcomes: * Health Advice * Health Services * Health Communities Diversity of Product offerings Member Experience Business security/stability
- What have we done so far: CCS Health Forums Free Outdoor fitness and Yoga sessions Health Sponsorship - pier to pub, run g and b, sporting clubs Healthcare ownership – Decision Support Provider Portal to support members health journey Aged care transport Public Fitness – Movemore Program Health Rewards – Fit products Stay Healthy Programs Hospital Substitution _ HITH & RITH Services for the age Services for the aged: Aged care and retirement village Member Financial Advice: Strong correlation with health and wealth Gartner talks to new health industry forming over the next 10 years Healthcare ownership: 60 location in 3 years: Eyecare, GP, Dental, Exercise Physiology, In hospital support, medical (Patient Transport, CDMP, Allied Health, Mental Health, Preventative Services, Alternative Services and GP Leadership through Innovation, Digital Change and Key Relationship. Smart Payer
- What have we done so far: CCS Health Forums Free Outdoor fitness and Yoga sessions Health Sponsorship Healthcare ownership Decision Support Provider Portal to support members health journey Aged care transport Public Fitness – Movemore Program Health Rewards – Fit products Stay Healthy Programs Hospital Substitution _ HITH & RITH Services for the aged: Aged care and retirement village Healthcare ownership: 60 location in 3 years: Eyecare, GP, Dental, Exercise Physiology, In hospital support, medical (Patient Transport, CDMP, Allied Health, Mental Health, Preventative Services, Alternative Services and GP Leadership through Innovation, Digital Change and Key Relationship. Smart Payer Member Financial Advice: Strong correlation with health and wealth Gartner talks to new health industry forming over the next 10 years Technology Path: (Page 47, 48 and 50 Strategy
- 2013
- HOW: Telehealth: Provide easy access to members is sparsely populated areas. Ehealth: Health Services contributing to health and wellbeing of our members Health Advice: Clinical decision support Knowledge: BI systems to deeply understand health needs, Event triggering – Understanding life events Public knowledge events WHO: Start with chronically ill Members: reducing hospital days Geelong Communities Members Western District Communities
- Fall detection device WHAT IS HACK DAY YOU ASK? Hack day is a brilliant way to ignite internal innovation and it can be tailored around a specific theme or an existing product, solution and/or process. Hack days can deliver an experimental and creative experience for (technical or non-technical) departments that promotes the benefits of teamwork and collaboration to drive innovation. Your next question might be WHAT ARE THE BENEFITS? · Hack day events can be used as a method to kick-start a specific project work (from inception to prototype delivery) as a way of increased throughput and delivery dedication. · A key benefit of running internal hack day events, is the idea/invention "in production" factor. The feeling of knowing that the team’s idea or working prototype made it to market, can be immense. · Giving teams and people the time to stop and think, be creative, and to do things outside of the box (more often) will embed a culture and framework of internal innovation within the business. · Hack day events create a sense of fun, energy and excitement within the organization. Team members working in a relaxed, fun environment tend to create and deliver brilliant things. · Internal Hack day events can provide our staff an avenue to explore new ideas, not traditionally aligned with our organizational direction. This can often open up new and exciting opportunities for innovation. And so much more.