Opportunities and Challenges of Health Insurance Market … Healthcare Seminar 2016... ·...

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Opportunities and Challenges of Health Insurance Market ASHK Healthcare Seminar “Striving for Sustainable Healthcare Financing” Feb 26th, 2016 Kenneth Dai Vice President and Chief Actuary, Manulife Asia

Transcript of Opportunities and Challenges of Health Insurance Market … Healthcare Seminar 2016... ·...

Opportunities and Challenges of Health Insurance Market

ASHK Healthcare Seminar “Striving for Sustainable Healthcare Financing”Feb 26th, 2016

Kenneth DaiVice President and Chief Actuary, Manulife Asia

Table of Contents

2

Page

Introduction 3

Opportunities 4

Challenges 14

Summary 20

Q&A? 21

Introduction

3

Asia health insurance market

Where we are?

Opportunities

Challenges

Opportunities for Health Insurance Companies

4

Healthcare reforms/changes across Asia

Vietnam

"New National 10” - boost health insurance productsPreferential tax on commercial health insurance

VHIS

Universal HealthCare Bill; Expanded Senior Citizen's Act of 2010.

Govt: “Medishield” upgraded “Medishield Life”;Shield insurers: Standard Integrated Plan (same)

Coordination of Benefits between gov't and private insurers

Allow “day case” to claim hospital benefits

Gov’t roadmap to reduce medical support; More choices of hospitals

Opportunities

5

Public spending / government net

Private insurance

market

Personal expenditures (uninsured and underinsured)

• Smaller than Public currently • But solid/faster growth

Potentials in Private Health Insurance Market

Opportunities

Insurance Gap

6

Personal expenditures (uninsured and underinsured)

Opportunities

Cost of Healthcare

7

Opportunities

Aging population

8

Source: The World Bank

0

2

4

6

8

10

12

14

16

18

20

% o

f tot

al

Year

Population ages 65 and above (as % of total)

Hong Kong

Singapore

China

Vietnam

Malaysia

Indonesia

Philippines

Opportunities

Medical Technology Advancements

9

Opportunities

10

Product innovations

Opportunities

11

Customers

What customers care about probably don’t change

But they are more demanding and less sticky

Opportunities

Interactions with customers Social Media

Mobile Devices / Wearable

12

Opportunities

13

Data Analytics

Challenges of Health Insurance Companies

14

Data/Information

Challenges

15

Asymmetric Information

Adverse selection

Moral hazard

Challenges

16

Legacy Service providers

In-house systems

Challenges

17

Business Strategy

Challenges

18

Competitors Can also from other industries

Challenges

19

Regulations Tighter and tighter?

Summary

20

Get Prepared for the uncertainties

Q&A?

21

Thank You!