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Top healthcare insurance trends to watch out for in 2023

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Target appropriate insurance policies for the right customers, identify fraud risks, and triage claims in the coming year

The last several years have been tough on the health insurance industry, with claims activity declining substantial over the course of the Covid-19 pandemic. Fortunately, insurers are getting smarter and more sophisticated, embracing new technology to optimise once cumbersome processes — a trend that will only continue in 2023.

In this article, Omnia Health looks at the most notable healthcare trends to watch out for over the next 12 months.

Rise in cost of healthcare benefits

It may come as no surprise, given global headlines, that 2023 will be marked by rising healthcare benefit costs.

A survey by multinational insurance advisor company Willis Towers Watson revealed that global healthcare benefit costs are in fact projected to hit their highest level in almost 15 years because of rising inflation, increasing healthcare consumption, and continued economic uncertainty.

Indeed, the survey found that 78 per cent of insurers expect higher cost increases over the next three years, with a 10 per cent rise forecast for 2023. The projections vary by region, with an 8.6 per cent increase anticipated in Europe, compared to a more alarming 11.5 per cent increase in the Middle East and Africa.

Jerome Droesch, CEO of Domestic Health and Health Services at Cigna International Markets, notes the effect these rising costs may have: “Inflationary trends will see an increase in costs. Many insurance companies will be required to shift their business models to increase adoption of disruptive technologies such as cloud computing and applied AI.”

Digitalisation and innovation

Optimising operations using digital processes is the name of the game, and firms are likely to trial a variety of digital and technological options in 2023.

One such option is telehealth, which medical providers and insurers are beginning to adopt to increase access to healthcare and improve patient outcomes —particularly for areas with high numbers of claims, such as musculoskeletal disorders.

“Innovation and new technologies are revolutionising treatments and driving emergency care as well as the ‘healthcare-at-home’ market,” remarks Droesch.

Automation for efficiency

Insurance firms are also increasingly implementing automation to make processes more efficient. For instance, robotic process automation is a proven method to optimise claims management, automated payments, and policy management, enabling insurers to service more customers more effectively.

ZhongAn, one of China’s leading insurance companies, has already achieved 99 per cent automation for underwriting and 95 per cent for claims settlement. This highlights the enormous potential of automation for healthcare insurers – but only if it is implemented effectively.

Transformation of analytics

In 2023 healthcare insurance may finally realise the potential of using artificial intelligence and machine learning to process and analyse data quickly and efficiently to gain insights about their customers and predict their behaviour.

In doing so they can target insurance policies at the right customers and identify fraud risks and triage claims. Data can speed up the sales process, improve customer satisfaction, and significantly reduce risk.

Jerome Droesch sees enormous potential in AI-driven analytics, noting: “In the coming years, operationalising AI platforms across certain healthcare workflows has the potential to increase productivity by 10 to 15 per cent.”


Watch on demand: Looking ahead: Healthcare trends on the horizon for 2023

As the healthcare industry continues to evolve in the era of digital innovation it has never been more important to understand the trends that are going to disrupt the industry in the year ahead. << Watch on demand now >>


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