Health Insurance covers benefits arising out of medical expenses incurred from sickness, injury, accidents, and accidental death.

With developments in the medical and healthcare provision sector, which has led to massive digitization and automation, the health insurance industry has had to follow suit.

Payers, which can be government agencies, private companies, or nonprofits, have to put in a mechanism that efficiently handles insured’s records, process payment of premiums, and helps in the swift handling of claims.

Digital transformation is therefore a key aspect of any modern health insurance company, agency, or such other entity. Here we look at how digital trends and new technologies are changing the sector.

  1. What is digital transformation?
  2. What technologies are transforming the health insurance sector?
  3. Digital transformation and its impact on the health insurance industry
  4. Why digital transformation in health insurance?

Health Insurance Digital Transformation

What is digital transformation?

Digital transformation in health insurance relates to the adoption and implementation of technology and evolving trends in health insurance.

Over the years, trends in other industries, especially in health, payments, and record keeping – including companies going paperless in their operations – have forced players within the health insurance space to adopt innovative and optimization-focused processes to keep pace with the digital transformation or risk being left behind.

The health insurance industry has to ensure it copes with not just the transformation, but the potential disruption from “insurtechs.” Providers have to look at their consumer-facing services, in the modern market, a requirement to maintain an edge over competitors. The transformation is all about leveraging new technologies.

What technologies are transforming the health insurance sector?

While payers in the health insurance sector have been slow to jump onto the digitization wagon, the last few years have seen many companies begin to make substantial investments in their digital programs.

Some of the technologies insurers are tapping to lead their own digital transformation include artificial intelligence (AI), blockchain technology, telemedicine, 5G technology machine learning, predictive analytics, and live chat, among other automation processes.

Digital transformation and its impact on the health insurance industry

Apart from aligning insurance functions with modern developments, digital transformation is helping health insurance providers cut human errors, streamline and hasten patient claims processing as well as reducing overall operational costs. All these are achievable via disruptive applications- both on the web and on mobile.

Companies are also seeing the value in customer satisfaction and an overall rise in business through better digital marketing approaches.

Insurance providers that are finding the digital leap too high have managed services providers (MSPs) and outsourced IT support solutions that can help them take that all-important step towards digital transformation.

To improve customer relations and to cultivate competitiveness, insurers are investing in digital solutions that are transforming member-facing functions. These include enrollment of the insured, rolling out insurance policies, and empowering agents and brokers.

Payers are also using digital solutions to increase customer retention or to help when transitioning into new offerings. Personalized messaging and targeted analytics are also driving sales for health insurance.

For some providers, artificial intelligence is helping improve payment integrity while a reimagining of operations has transformed both back-end and front-end functions and collaboration.

Companies are tapping into AI, machine learning, and predictive analytics to optimize operations to speed up claims. Payers are now launching applications that have made it possible for policies and claims are processed instantly.

AI-powered computer applications are helping providers onboard and analyze thousands of new users, with integrations into health systems providing for roadmaps that allow companies to move from textbook services to tailoring offerings to the needs of the insured.

Digital transformation has also forced insurers to personalize services via apps, where customers and brokers can seamlessly process information. Clients can view premiums and chat with company representatives, pay their premiums, or file claims – all in one app.

Insurers are also reaping from transformative Internet of Things (IoT) and wearable devices to collect accurate data, improve underwriting, and offer self-service dashboards and apps that customers can log in to from whenever and wherever.

In health insurance, another transformation is being witnessed by an emerging technology called blockchain and distributed ledger. The burgeoning technology is proving critical in security, privacy, and tamper-proof operations. It means improvements against data breaches or potential tampering.

Why digital transformation in health insurance?

The need to adopt transformative technologies has seen over 90% of insurers plan for the long-term plan. Digital solutions, features, and functionalities are reshaping the health insurance industry and further developments in AI, ML, blockchain and predictive analytics will only continue to revolutionize the sector.

Right now, trends in health insurance are about integrating the various technologies into their systems; overhauling or archiving legacy functionalities, and focusing on aligning services to customer needs as well as industry’s changing ethos.

Automate Data Extraction – Solutions for Healthcare