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Konnect Net changing the way insurance

      medicals are done; improving accuracy

     and speed of medical report generation




Murray Lilley – Director, Konnect
Karl Cole -
Agenda


  The Problem

  Issues Identified

  The Concerns

  The Approach

  Outcomes

  Learning's
Before Konnect – 12 times this Pile per Day of Lose Leaf paper
After Konnect – Medtech 1 Click to Open   (from Jan 2013)
After Konnect – My Practice 1 Click to Open
 (since Sept 2011)
The Problem

Doctor                                                     Insurance Co/
                                  Customer /
                                    Patient                     Advisors
Security & Privacy                                           Long turnaround times
                                  Long time delays
Paper based and manual                                                   Lost sales
                                     Frustrated
Practise interruptions                                            Forms lost in post
                                40% pulled out of the
No transparency of workflow                             High cost of acquiring sales
                                     application
180 different insurance forms                           No transparency of workflow
                                 No transparency of
Forms often filled out twice                                        Lack of security
                                      workflow
Delays in payment                                            Handwritten responses
                                  Did not get cover
                                Quotes sought from 2          No industry standards
                                insurance companies       18 underwriting practices.
                                                                 4 million A4 pages
                                                              No control over costs
Issues Identified
                                         7-10 people see data other than Doctor and
High risk of breeches to security        Underwriter.
and privacy of personal information      Paper records lost by post/courier/insurer.
                                         Cannot replicate report for customer or
                                         insurer, if required

                                         No audit trail, could not identified who touched
 Identified the opportunity to provide
                                         the record.
 point to point solutions tailored for
 each key stakeholder                    Unable to track where requests were at
                                         20-30 working days to turn-around requests



New Zealanders grossly under             Research indicates biggest reason is the
insured for income protection /
                                         time it takes and cost involved
trauma.
The Concerns

• Security and privacy for the patient
• Lack of standardisation in forms and process
• Long lead times
• Unable to control billing and payments
• Actors not listen to each other
Konnect’s team and our approach to Innovation


                   Vision                     Innovation




                                       Experience
          Collaboration                             Focus
      Relationships




                                      Domain
                         Leadership
   Performance
            Commitment



                         Knowledge              Influence
                             Speed                          Agility
                           Skill   Service
Learning’s

• Build Tools that People Will Use – Not what Some Want
• Need Key Stakeholders onboard from the start
• Fully understand workflow and process across
  communities
• Good coding and structured data in PMS minimises
  details sent to insurer and makes process faster
• Doctor, IT Infrastructure setup/configuration not vanilla =
  costly Deployment & Release Management
• PMS providers have insufficient testing capacity and
  rigour (lack of funding)
• Test and retest for the un-expected
Key Outcomes
•   Moved All Medtech Sites to
    Most Recent Version

•   Deployed Across 100% of 3
    Communities in 2 Years

•   Deployed new infrastructure
    to provide robust/secure
    process to transfer personal
    information

•   A new platform for doing
    business between Medical
    Providers and the Non Health
    Sector

      “Connecting Business for Better Performance”
Konnect’s Before & After Impact

Doctors Before                                    Doctors Now
                                                  1 Smart form
18 Insurers
                                                  1 Standard process
180 different forms
                                                  1 Standard Workflow
180 different GP workflows
                                                  6-8 minutes
30-40 minutes
                                                  80% Electronic
24-30 days turnaround
                                                  50% Returned < 3 days
100% Unsecure Paper Reports
                                  SureMed         Encrypted & Secure
                                  40 Variations   Paid weekly

Underwriters Before                               Underwriters Now
                                                  Conversion rate 75-85%
 Conversion rate 40-60%
                                                  Encrypted, totally secure
 4m A4 paper pages
                                                  1 Person accessing report
 7-10 individuals accessing PMR
                                                  15 minutes UW time
 Paper based and insecure
                                                  52/ins annual payments
 30-45 minutes UW time
 200,000 annual payments
www.konnect.net.nz

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Konnect Net changing the way insurance medicals are done; improving accuracy and speed of medical report generation

  • 1. Konnect Net changing the way insurance medicals are done; improving accuracy and speed of medical report generation Murray Lilley – Director, Konnect Karl Cole -
  • 2. Agenda The Problem Issues Identified The Concerns The Approach Outcomes Learning's
  • 3. Before Konnect – 12 times this Pile per Day of Lose Leaf paper
  • 4. After Konnect – Medtech 1 Click to Open (from Jan 2013)
  • 5. After Konnect – My Practice 1 Click to Open (since Sept 2011)
  • 6. The Problem Doctor Insurance Co/ Customer / Patient Advisors Security & Privacy Long turnaround times Long time delays Paper based and manual Lost sales Frustrated Practise interruptions Forms lost in post 40% pulled out of the No transparency of workflow High cost of acquiring sales application 180 different insurance forms No transparency of workflow No transparency of Forms often filled out twice Lack of security workflow Delays in payment Handwritten responses Did not get cover Quotes sought from 2 No industry standards insurance companies 18 underwriting practices. 4 million A4 pages No control over costs
  • 7. Issues Identified 7-10 people see data other than Doctor and High risk of breeches to security Underwriter. and privacy of personal information Paper records lost by post/courier/insurer. Cannot replicate report for customer or insurer, if required No audit trail, could not identified who touched Identified the opportunity to provide the record. point to point solutions tailored for each key stakeholder Unable to track where requests were at 20-30 working days to turn-around requests New Zealanders grossly under Research indicates biggest reason is the insured for income protection / time it takes and cost involved trauma.
  • 8. The Concerns • Security and privacy for the patient • Lack of standardisation in forms and process • Long lead times • Unable to control billing and payments • Actors not listen to each other
  • 9. Konnect’s team and our approach to Innovation Vision Innovation Experience Collaboration Focus Relationships Domain Leadership Performance Commitment Knowledge Influence Speed Agility Skill Service
  • 10. Learning’s • Build Tools that People Will Use – Not what Some Want • Need Key Stakeholders onboard from the start • Fully understand workflow and process across communities • Good coding and structured data in PMS minimises details sent to insurer and makes process faster • Doctor, IT Infrastructure setup/configuration not vanilla = costly Deployment & Release Management • PMS providers have insufficient testing capacity and rigour (lack of funding) • Test and retest for the un-expected
  • 11. Key Outcomes • Moved All Medtech Sites to Most Recent Version • Deployed Across 100% of 3 Communities in 2 Years • Deployed new infrastructure to provide robust/secure process to transfer personal information • A new platform for doing business between Medical Providers and the Non Health Sector “Connecting Business for Better Performance”
  • 12. Konnect’s Before & After Impact Doctors Before Doctors Now 1 Smart form 18 Insurers 1 Standard process 180 different forms 1 Standard Workflow 180 different GP workflows 6-8 minutes 30-40 minutes 80% Electronic 24-30 days turnaround 50% Returned < 3 days 100% Unsecure Paper Reports SureMed Encrypted & Secure 40 Variations Paid weekly Underwriters Before Underwriters Now Conversion rate 75-85% Conversion rate 40-60% Encrypted, totally secure 4m A4 paper pages 1 Person accessing report 7-10 individuals accessing PMR 15 minutes UW time Paper based and insecure 52/ins annual payments 30-45 minutes UW time 200,000 annual payments

Editor's Notes

  1. Strong vision, supported by a collaborative approach Approach- Understanding the problem- Define a standardised solution, with stakeholder support- Secure customer through long term contract- Build, pilot, test (feedback from influential users)- Secured early adopter support- Alignment of stakeholder groups, buy-in to one solution- Adoption of the tool set – change management
  2. Dynamics of the industries, competitive, large numbers of parties17 Insurer can’t organise themselves to solve some fundamental industry issues, how could 300o advisers or 7000 medical providersWhy does co-opetition not work? Competing priorities, perspectives, agendasEstablished in 2008 to focus on business process improvement opportunities in the insurance and health sectors- Provide a new model for partnership, connecting co dependant groups in a way that was not previously possible- Working together in a smart electronic way- With transparency across the process- Bring benefits to all the parties involved- Collaborative model and outsourced service, makes Konnect different to any other organisation in this spaceProof of the value provided by the rapid uptake in services, all insurers, majority of primary Health Provders, majority of large Adviser group producersExpanding wider into Allied Health, government and corporate users