nib Group deploy new digital claims process, and more daily news

nib has announced the implementation of Melvin, a machine learning engine, that will process claims that are submitted via the app. The adoption of this engine is intended to reduce manual data entry. Brendan Mills, nib Group CEO, has said that after nib enabled photo submission and claims via the app, user experience improved while information processing time increased. 

“Nib has implemented a new machine learning engine to process claims submitted via its app in less time by reducing the amount of manual data entry required behind the scenes. 

 

Five years ago the health insurer introduced a new feature that let members take a photo of their receipt and submit a claim via the app. 

While that improved the customer experience, it became a challenge to process the information at the backend as the volumes of photos increased, said nib's CIO Brendan Mills.

 

“We created a great customer experience but we then also caused ourselves some pain in processing photos because we're then taking a whole heap of flat images and having to rekey all the data [such as] provider number, customer number…it was quite an intensive process,” Mills told iTnews.

nib has said been trialing systems for the past six months. The engine uses AWS Textract to pick up all relevant information from submitted photos. The engine is set to save 20 seconds in handling time per claim, with half not needing further human intervention. nib is looking at expanding the service to process more claims, improve the service, and improve accuracy. 

“For the past six months, the health insurer has been using machine learning algorithms to strip information from the photos and pass it through to the core claims processing system. 

 

The engine, dubbed Melvin, was developed with data science consultancy Eliiza and uses AWS Textract to read the relevant information from the photos. 

 

Mills said the process saves an average of 20 seconds handling time per claim, and about half of the claims require no further human intervention to rekey or adjust any of the fields from the image. 

 

The insurer is now considering how to expand the service to process more claims, improve accuracy levels and determine if claims can be paid out without any human intervention. 

 

Mills said work is underway to determine the types of claims that have a very “high confidence” level to approve automatically, possibly with a post-processing quality assurance mechanism in place.” Click here to read more

In other news:

nib: adult or child signing up to Easy Health, Ulitimate Health Max, or Ulitimate Healththrough nibAPPLY will give them two month free cover. Offer ends 31 January 2021

FMA: FMA seeks consultation on proposed guidance for advertising

SHARE: SHARE confirms Newpark acquisition


nib publish finding from parenting survey, and more daily news

nib has published the findings from its State of the Nation Parenting Survey. The survey looked into the concerns of parents in 2020. Behavioural issues was identified as the top health related concern. This concern was raised by 34% of all participants. While parents with young children reported that their biggest concern was children experiencing extensive episodes of irritability, anger and short-temperedness. Nathan Wallis, nib parenting expert, commented saying that the shift during lockdown added to an already emotional stage for toddlers. When discussing lockdown experiences, participants noted that prolonged negative behaviour were common occurrences.

“Leading health insurer, nib New Zealand, has released the findings from its second annual nib State of the Nation Parenting Survey, shedding light on the concerns that have been top of mind for Kiwi parents during a year unlike any other.

 

Behavioural issues are the number one health concern Kiwi parents have for their children, cited by more than a third (34%) of respondents, up 13% from 2019. Last year’s biggest health-related concern, sleep, still features prominently, as do stress levels and diet and exercise.

 

Taking a closer look at families’ lockdown experience, the number of respondents reporting sustained episodes of negative behaviour from their children (lasting two weeks or longer) grew significantly during the nationwide lockdown period. Concerningly, this increase has been largely sustained since lockdown ended.

 

Parents of younger children reported prolonged episodes of irritability, anger and short-temperedness as their biggest concern, while among parents of high schoolers, the sharpest increase came in levels of concern around changes to children’s motivation.

 

nib parenting expert, Nathan Wallis says, “Lockdown saw most families dealing with added stress as they adapted to new and novel experiences. Toddlers may in many ways have felt this most acutely as they are already in a very emotional stage of development - it’s called “Terrible Twos” for a reason. Toddlers are also just beginning to learn how to manage their emotions, so it’s mum and dad who have to do most of it for them. This was understandably compounded by lockdown, so many parents of toddlers had it quite hard.””

The study also found that parents struggled. Participants reported that their motivation, energy levels, and performance at work decreased during lockdown while feeling overwhelmed increased. Parents reported that their biggest source of stress was financial uncertainty which impacted 39% of participants. The study found that only 8% of participants didn’t feel any stress.  When discussing the future, 70% of participants reported that they felt positive and 67% believed that lockdown helped to solidify their family unit.

“The findings also clearly demonstrate the toll 2020 has taken on parents themselves. Lockdown saw sharp increases in the number of respondents suffering from decreased motivation, decreased energy levels, a sense of feeling overwhelmed, and declining performance at work. Any subsequent reduction since lockdown ended has been limited to just one or two percentage points.

 

The biggest source of stress reported by parents this year was financial uncertainty, impacting 39% of respondents – followed closely by the impact of COVID-19 on the world, general job-related stress and the economy. Fewer than one in 10 respondents (8%) reported not feeling any particular level of stress over this period.

 

For the 42% of respondents who saw their financial situation worsen due to COVID-19, the impact of this was reflected in general stress levels, and also felt in terms of quality of sleep and relationships.

 

Despite an undeniably tough year, it’s not all bad news. When asked about the outlook for their family, 70% of respondents reported feeling positive about the future and 67% believe lockdown strengthened their family unit, with many reporting a greater sense of happiness, and better communication as a result.”

 

Here is a list of the key findings: 

Parents’ biggest health-related concerns for their children:

·       Behavioural issues – 34% (up 13% from last year) 

·       Diet and exercise – 33% 

·       Sleep (lack of, too much, pattern changes) – 31% 

·       Stress levels – 31%

Biggest behavioural concerns, with episodes lasting two weeks or longer (as experienced pre-, during and post-lockdown): 

· Pre-school children – prolonged episodes of irritability, anger and short-temperedness. 

§  12% pre-lockdown, 28% during lockdown, 25% post-lockdown

· Primary and intermediate children – prolonged episodes of irritability, anger and short-temperedness. 

§  17% pre-lockdown, 32% during and 28% post-lockdown

·       High school children – prolonged episodes of decreased motivation. 

§  12% pre-lockdown, 37% during lockdown, 23% post-lockdown

 

Biggest personal impacts of lockdown – experienced by parents themselves: 

·       Decreased motivation – 13% pre lockdown, 29% during lockdown, 28% post-lockdown

·       Decreased energy – 14% pre-lockdown, 29% during lockdown, 30% post-lockdown

·       Feeling overwhelmed – 19% pre-lockdown, 33% during lockdown, 31% post-lockdown 

·       Declining performance at work – 5% pre-lockdown, 14% during lockdown, 13% post-lockdown

 

Parents’ biggest sources of personal stress: 

·       Financial uncertainty - 39% of respondents

·       The impact of COVID-19 on the world - 36%

·       General job-related stress - 34%

·       The economy - 34%

 

Impact of lockdown on family unit: 

·       Greatly strengthened family unit – 24%

·       Somewhat strengthened family unit – 43% 

·       Made no difference to family dynamics / relations – 28%

·       Somewhat weakened family unit – 4%

·       Greatly weakened family unit – 1%

 

Parents’ outlook for the future of their families: 

·       Very positive – 22%

·       Positive – 48% 

·       Neutral – 18%

·       Concerned – 2%

·       Extremely concerned – 2%

·       Don’t know / unsure – 8%

 

In other news: 

AIA: AIA Taking Small Steps campaign won Best Brand Campaign at Interactive Advertising Bureau awards

Southern Cross: Little heart monitor can be sent to patients in the mail, speeding up results

Southern Cross: New findings reveal we put higher pressure on ourselves than others

 


Southern Cross launches Cancer Cover Plus, and more daily news

Southern Cross has announced the launch of Cancer Cover Plus. The new cover is intended to give members broader chemotherapy options. Cancer Cover Plus will give members the option to upgrade to Chemotherapy 100, which has a benefit limit of $100,000 or Chemotherapy 300 which has a benefit limit of $300,000. Additionally, members will have the choice to access non-Pharmac cancer drugs.

“Southern Cross Health Insurance (SCHI) is launching competitive cancer care cover to give members more choice when it comes to chemotherapy, including increased access to cancer drugs not subsidised by Pharmac.

SCHI’s new Cancer Cover Plus has two optional upgrades - Chemotherapy 100 (benefit limit of $100,000) and Chemotherapy 300 (benefit limit of $300,000) – to help members during their cancer treatment journey. This covers the cost of Pharmac and non-Pharmac, Medsafe indicated chemotherapy drugs and their administration for the treatment of cancer.”

Nick Astwick has said that the new cover has been designed with the needs of members in mind. Cancer Cover Plus has been developed to complement the unlimited surgical and radiotherapy benefits. Astwick notes that the cover was created so more New Zealanders have faster and more access to affordable cancer treatment options.

“We understand that a cancer diagnosis, or the fear of one, can be scary for people so we wanted to give members peace of mind by providing them with more cancer cover options.

 

“We have developed them to complement the unlimited surgical and radiotherapy benefits we offer in most of our plans, and this will help to provide a comprehensive package to the vast majority of our members who have these products and also tell us their main concern is cancer care,” he said.

 

The Southern Cross Healthy Futures Report 2020 revealed that 79 per cent of New Zealanders are concerned about not having access to cancer treatment services and 59 per cent are worried about experiencing or developing an illness or disease.

 

“Not all cancer drugs are funded by Pharmac which makes them unaffordable for many people. We created this new cancer cover so Kiwis could have faster access and more treatment options to receive potentially lifesaving chemotherapy drugs if they need to,” said Astwick.” 

In other news:

At goodreturns: Adviser consultancy firms say full licensing provisions bring mandate for change

From Partners Life: Do your self-employed clients have the right income cover? 


UniMed announces new CEO, and more daily news

UniMed has announced that a new CEO will be appointed in January 2021. Louise Zacest is set to take over from Dermot Martin, who is retiring after 30 years at UniMed. Zacest has held senior roles in different industries and is the current General Manager, Strategy and Partnerships at Healthcare New Zealand. 

“He will be succeeded by Louise Zacest.

 

Zacest joins UniMed from Healthcare New Zealand, the country’s largest home and community service provider, where she has held senior executive positions, including acting Chief Executive.

 

She is currently General Manager, Strategy and Partnerships. Her previous health and insurance experience includes senior roles with Southern Cross, Tower Financial Service Group and Counties Manukau District Health Board.” Click here to read more

 

In other news:

nib: nib’s 2020 virtual Annual General Meeting (AGM) will be held at 1pm (AEDT) on 5 November 2020 - note that we have five companies that have updated financial results in our tracking set for the life and health insurance sector, which will all be updated in the company information section of the Quarterly Life and Health Sector review due on 20 December

'Advisers take note' RIAA welcome sustainable finance roadmap

Long Covid a new problem for insurers to grapple with contrast this with our view: we think it is not too much of a problem provided we keep COVID-19 at bay.


Medical insurance premium rates usually go up - but a few have gone down

In the most recent update to our medical premium comparison database (v83) we have the details of medical insurance premium rate changes by AIA and Southern Cross, both implemented on 1 November. Subscribers to the medical insurance premium comparison database will see that while AIA's increase is fairly uniform, the Southern Cross changes are more varied. One group of coverage has got cheaper, with a very small decrease. That was the rating for basic policies with no additional features (the most common example being specialists and tests). Even within this group for a few ages the premium rose, a few rates were very minor adjustments, but for a good slice of the most basic cover there was a small reduction in price. The reasons for the price change in this particular group will be explored in more detail in our Quarterly Life and Health Sector review, which we plan to have available to subscribers in the week before Christmas.  


Asteron Life introduces mental health support, and more daily news

Asteron Life announced that the Best Doctors service will provide free access to different mental health experts to customers with disability insurance. The service will allow customers to access general advice as well as services from psychologists and psychiatrists. 

“Asteron Life today announced that customers with disability insurance will now have access to the Best Doctors service at no additional cost. The Best Doctors package provides direct access to a multidisciplinary team of mental health experts, including psychologists and psychiatrists, as well as general advice on mental health conditions and guidance on how to navigate the mental health system.”

Graham Hill, executive manager Life Distribution said that Best Doctors works to ensure customers are connected and make medical decisions with confidence. Graham continued by saying that having access to expert medical advice in the current environment is relevant while Mike Morris, the country manager of Best Doctors said that the importance of virtual care has been highlighted this year.

“Best Doctors connects our customers with leading medical specialists, and enables them to make medical decisions with confidence,” says Graham Hill, executive manager Life Distribution at Asteron Life. “Like insurance, the service is really about being there for people when it matters.”

 

Hill says that in the current Covid-19 environment, mental health support and the ability to get expert medical advice from your own home is particularly relevant.

 

Mike Morris, the country manager of Best Doctors has said “This year has shown us that virtual care is incredibly important and effective. There has never been a better time to offer people access to virtual care and we’re delighted to be bringing new services to Asteron Life customers.”” 

Asteron Life is offering advisers virtual training sessions. Times available are:

·       09:30am – 10:30am, September, Wednesday 9

·       09:30am – 10:30am, September, Thursday 10

·       09:30am – 10:30am, September, Monday 14

·       09:30am – 10:30am, September, Monday 21

·       09:30am – 10:30am, September, Monday 28

 

Click here to register

Click here to read more

 

In other news

RBNZ: Has the Reserve Bank responded differently to upturns and downturns in inflation and economic activity?

FMA: COVID-19 response insights

Financial Advice webinar: Panel Discussion: Obtaining or Updating your Level 5 Qualification in Financial Services

 


What chances for subsidised health insurance?

Grey Power and NZFirst are trying to put the idea of subsidised health insurance back on the agenda - refer this article in the NZHerald, by Nicholas Jones (if you have a subscription). 

The rationale advanced is that a person buying their own health cover is reducing the burden on the state health system. That is true when a hip operation is done at Mercy Ascot instead of Auckland Hospital, but it doesn't apply to all services. Many primary services are just not offered by the private sector.  The other is that the insurance and rebate approach really comes unstuck for the highest cost groups - including the elderly. Their care is massively subsidised by the rest of us, it has to be: something like 50% of all health costs can be consumed by a person in their last years of life. Modest rebates for older lives are really unlikely to make much difference either way to this equation. 

 


DAILY NEWS: nib non-PHARMAC webinar and more

nib will be hosting a webinar on May 20, 2020, from 11:30 am – 12:15 pm. During the session, nib NZ CEO Rob Hennin, RMA Financial’s Shaun Vining, and nib Customer Care team leader Hannah Larking will be sharing their experiences on non-PHARMAC drugs and the importance of including them in medical policies.

"Join our webinar where we’ll be focusing on why cover for treatment with non-PHARMAC drugs is so important for your clients. We’ll be bringing you the insights of adviser, Shaun Vining, and nib Customer Care Team Leader, Hannah Larking. There will be opportunity to discuss why it’s so important your clients have health insurance with non-PHARMAC cover." Click here to register

in other news:

OUT NOW: ASSET May issue

Australia: Signature scandal puts more pressure on AMP's battle-weary management

Wealthpoint: Wealthpoint advisers ‘cautiously optimistic’

Finzo: Finzo develops 360 integrated solution

Brokers with no BCP urged to make one, ASAP


Medical / health insurance pricing comparison database updated

Medical /Health Insurance pricing comparison database V79 has now been issued to subscribers. This version includes the following changes:

  • Update Southern Cross rates effective 1/3/20
  • Update nib rates effective 1/4/20
  • Update Partners Life rates (including policy fee) effective 5/4/20