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 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!