View
200
Download
0
Category
Tags:
Preview:
DESCRIPTION
Citation preview
The future of private
health insurance
Medibank today
2
Products &
services
PHI, travel insurance, life cover, pet insurance, health
management services, telephone and online health
and wellbeing services.
Customers
3.8 million PHI customers, state and federal
governments, area health services and district health
boards, corporate clients, 300,000 overseas students
and visitors.
Service delivery
188 points of presence including 99 retail centres, 46
agencies and 43 clinics.
More than 2 million telephone and online triage and
care management per annum.
Employees
(headcount)
4600 staff across all divisions and subsidiaries,
including almost 1800 clinical staff.
The future of private
health insurance …
what do our
customers want?
3
70% of this group
have underlying
chronic disease
Too often the focus is all about costs
Customers want their private health insurance to give them
four key things
Value
Simplicity
Flexibility
Relevance
The ‘ideal’ health insurance is focused on flexibility,
simplicity, relevance and value
The ‘ideal’ health insurance is focused on flexibility,
simplicity, relevance and value
Cover for the things that keep me happy,
healthy and functioning
Finding out about healthy living to stay healthy and
not use healthcare
Being able to choose the features that are relevant
to me today
I want to be covered for all family members and for all
impacts from ill health
Being rewarded for not having to use healthcare all
the time
See the person I want, when I want, with the same level of benefit
Knowing what I am up for, up-front
Being covered for the full expense, not gap, no payments on the day
And private health insurance becomes especially
important when customers are managing major life
changes ...
Once I had kids, I realised that we
all needed the best protection…
You just don’t want to be left managing the unknown …
Customers view health insurance differently to other
insurances ... there is an expectation it will provide a better
standard of healthcare
NON-HEALTH INSURANCE
If your possessions are lost
or damaged insurance
compensates you for it.
This type of insurance is all
about keeping the status
quo/not losing anything.
PRIVATE HEALTH INSURANCE
Health is a personal and individual thing – there are many shades of grey.
Health insurance is about protecting and looking after myself.
Health insurance is about getting a better and more superior healthcare outcome.
Private health insurance should allow me to look after my
health as I choose …
Reduce the
burden on the
public system
To provide quicker
access for some
non-emergency
services …
To provide greater
financial coverage
for some medical /
health services
To provide better
quality healthcare
experiences
(non-medical)
Customers wanted us to help them with their health
A new service; a change in how
we interact with our members.
The first integration
exercise - insurance
and health solutions.
The Effect
The healthcare challenge
…while our ability to pay is reducing
Source: IGR2010
The Effect
Significant change possible
through better intervention…
Cost at current health
system trajectory
Healthy and
productive population
…but with behavioural
modification and better
management
Medibank’s purpose has changed from health insurance to
health assurance
Health Solutions
For Bet er Health
Private Health Insurance
Total Health
t
Building an integrated health business structure
‘The Medibank Effect’
Private
Funding
Medib
ank P
rivate
Private
Funding
Building an integrated health business structure
‘The Medibank Effect’
Private
Funding
Medib
ank H
ealth S
olu
tio
ns
Medib
ank P
rivate
Private
Funding
Public
Funding
Building an integrated health business structure
‘The Medibank Effect’
Private
Funding
Public
Funding
Medib
ank H
ealth S
olu
tio
ns
Medib
ank P
rivate
Private
Funding
Building new gateways
New healthcare platforms
New models of care
A network of
trusted providers
Reduced costs
Better patient
outcomes and
experience
Contracted Provider Networks
Gateway Navigation and Referral
Increased efficiency
Access to the
right care
At the right time
New Healthcare platforms …
Anywhere Healthcare
Today is
suddenly a
much better
place
Integrated care co-ordination…
A more efficient process
1. Continuity of care
across secondary
and primary sectors
2. Continuity of
patient information
and support
3. Co-ordination
of providers
“Care Team”
Self navigating the system
Random care
Random care
Coordinated care
The Effect
Coordinated care
Future: Integrated health system (eg ADF)
One telehealth nurse can support over 6,000 patients
30
Dental and Optical cl inics Telephone triage
Disease management
and health coaching
Immigration / Visa Medical
anywhere ><healthcare
Anywhere Healthcare
Workplace Heal th
Garrison Health
Travel Doctor
MHS and PNIC businesses:
Now Medibank members are seeing the benefits of
integrated health services
31
A healthcare system for the future
Patient and
care team
Individual
care plan
Focus on diet,
exercise and healthy
behaviours
Patient has
responsibility for
their own health
Thank you.
Any questions?
Recommended