Tuesday’s announcement about Amazon, Berkshire Hathaway and JPMorgan (A/BH/JPM) was short on details. The three mega-firms will form an independent company that develops solutions, first, for their own companies’ health plans and then, almost certainly, for the larger health care marketplace. But the news reverberated throughout the healthcare industry as thoroughly as any in recent memory.

Healthcare organizations were shaken. Bloomberg Markets reported that:

Pharmacy-benefit manager Express Scripts Holding Co. fell as much as 11 percent, the most intraday since April, at the open of U.S. trading Tuesday, while rival CVS Health Corp. dropped as much as 6.4 percent. Health insurers also fell, with Anthem Inc. losing as much as 6.5 percent and Aetna, which is being bought by CVS, sliding as much as 4.3 percent.

As expected, these firms’ stock prices rebounded the next day. But you could interpret the drops as reflections of the perceived fragility of healthcare companies’ dominance and traders’ confidence in the potential power of Amazon’s newly announced entity. Legacy healthcare firms, with their well-earned reputations for relentlessly opaque arrangements and egregious pricing, are vulnerable, especially to proven disruptors who believe that taming healthcare’s excesses is achievable. Meanwhile, many Americans have come to believe in Amazon’s ability to deliver.

Those who buy healthcare for employers and unions probably quietly rejoiced at the announcement. For them, the prospect of a group that might actually transform healthcare would be a breath of fresh air. In my experience, at least, the CFOs and benefits managers at employers and unions are acutely aware that they’re being taken advantage of by every healthcare industry sector. They’re genuinely weary, and they’d welcome a solid alternative.

See also: The Dawn of Digital Reinsurance  

Their healthcare intentions notwithstanding, the A/BH/JPM group is formidable, representing immense strength and competence. Amazon is an unstoppably proven serial industry innovator, continuing to consolidate its position in the U.S. and in key markets globally. Berkshire Hathaway harbors significant financial strength and a stop-loss unit, U.S. Medical Stop Loss, fluent in underwriting healthcare risk, which should be handy. In addition to the fact that JPMorgan is the nation’s largest bank, with assets worth nearly $2.5 trillion in 2016, it has a massive list of prospective buyers in its commercial client base.

The coverage of the Amazon/Berkshire Hathaway/JPMorgan healthcare initiative has been universal, breathless and mostly superficial. Scoffers, “experts” are gleefully predicting this attempt to do something really different will fail miserably, a victim of ignorance and hubris. While there are no guarantees, these naysayers ignore:

• the three CEOS and their staff are brilliant, powerful, have almost unlimited resources and are very, very cognizant of the difficulties they face. These are as far from idealistic newbies as one could get.
• the “competition” is pretty lousy, hasn’t delivered and has incentives that are NOT aligned with employers’. If the big health plan companies could have figured this out on their own, you wouldn’t be reading this.  It’s not like A/B/J are taking on Apple, Salesforce or the old GE.
• the financial incentives are overwhelming; healthcare costs are more than $24,000 per family and heading inexorably higher. Unless A/B/J reduce and reverse this trend, they’ll have a lot less cash for future investments.

Many are also talking about “initiatives” that are little more than tweaks around the edges to address healthcare costs; things like:

• publishing prices and outcomes for specific providers, a.k.a. “transparency” (My view – research clearly demonstrates consumers don’t pay attention to this information, so there’s no point)
• using technology to monitor health conditions and prompt treatment/compliance (My view – lots of other companies are already doing this, and this is by no means transformational)
• use buying power to negotiate prices (My view – it’s about a lot more than price; it’s about value)

See also: Is Insurance Like Buying Paper Towels?   Here’s a few things A/B/J may end up doing:

1. Own their own healthcare delivery assets (My view – Insourcing primary care, tying it all together with technology and owning a centralized, best-of-breed, tertiary care delivery center would allow for vastly better care, lower patient hassle and cost control)
2. Buy healthcare on the basis of employee productivity (My view – Healthcare is perhaps the only purchase organizations make where there is no consideration of value – of what they get for their dollars. To the Bezoses, Dimons and Buffetts of the world, this is nonsensical at best. They will push for value-based care, defined as employee productivity)
3. Build their own generic drug manufacturer (My view – No-brainer)
4. Allow employees to go to any primary care provider they want but require them to go to Centers of Excellence for treatment of conditions that are high cost with high outcome variability (My view — No brainer)

I’d also expect many more large employers will join the coalition, for the simple reason that they have no other choice. What does this mean for you? Do not discount this effort.

U.S. pharmacy chain CVS recently announced that it would no longer use “materially altered” imagery to market beauty products in its stores. That means no more perfect, digitally modified wrinkle- and blemish-free photographs to sell everything from moisturizer to lipstick. Instead, consumers will see more realistic pictures of models, complete with crow’s feet and birthmarks. Why did CVS make this change? It all has to do with the company’s brand purpose, the “reason for being.” In a statement announcing the change, CVS noted the connection between the propagation of unrealistic body images and negative health effects, particularly for girls and young women. Given that the company’s stated corporate purpose is to “help people on their path to better health,” the use of airbrushed images in promotional materials seemed contradictory and ill-advised. This isn’t the first time CVS has made a bold move inspired by its brand purpose. A few years ago, the firm stopped selling cigarette and tobacco products, forgoing an estimated $2 billion in revenue. That decision, too, was triggered by the inconsistency between the company’s purpose and the well-documented health effects of those products. What CVS is giving us here is a master class in the difference between corporate purpose and corporate propaganda. Most firms practice the latter – articulating a business purpose that makes for good annual report copy but doesn’t translate into tangible action. It’s nothing more that corporate window dressing. See also: How to Apply ‘Lean’ to Insurance   Far less common, but much more notable, are firms like CVS that don’t just define a brand purpose but actually live by it (even when it requires really tough decisions, like walking away from a $2 billion business). Such actions help pave the way for a better and more distinctive customer experience because, in the eyes of consumers, it makes the company more appealing, more genuine and more authentic. Kudos to CVS for taking yet another bold stand that helps make their brand purpose more than just a piece of corporate propaganda. Those kinds of decisions can spruce up a company’s brand image far more effectively than even the best airbrush. This article was originally published on WaterRemarks.

In recent years, insurers have taken an active interest in a wide range of tools and technologies that fall under the “emerging” label. This label covers a spectrum: Tech approaching ubiquity, like mobile and predictive analytics, is on one end, and tech with low adoption rates, like blockchain and smart home, populates the other end. The five technologies that fall in the middle of the range are receiving a flurry of attention from insurers: artificial intelligence (AI), big data, sensors and telematics, drones and robotic process automation (RPA). Our study of more than 100 insurer CIO participants shows that while 15% to 25% of insurers have made deployments in this middle group of technologies, equal or greater numbers of carriers are actively planning pilot programs for 2018, and these technologies are poised for rapid growth. Most pilot activity is in digital and analytics areas as insurers look to these five emerging technologies to improve risk analysis, fraud detection, service and operating efficiency. See also: Insurtech: How to Keep Insurance Relevant   Under the umbrella of AI, machine learning is being used to improve the performance of rating or fraud-detection algorithms. Carriers are also embracing AI to mine unstructured data from images and raw text as they move forward in their journeys to improve data analytics. With the growth of AI and predictive analytics comes an increasing importance of big data. For about a quarter of insurers, the use of big data tools, such as Hadoop and NoSQL, is common. Less common is the use of big data sets such as weather data and raw internet consumer data. Regardless, insurers are planning explorations and pilot activity in both areas. Tools within the space of sensors (IoT) and telematics are maturing, moving beyond simple rating discounts. These tools are especially gaining traction and adoption in property/casualty; value messages are evolving to include value-added services, providing customers with greater risk management tools. The use of drones is enabling the capture of certain types of information for the first time. As a result, drones are quickly becoming a standard tool for both property inspections and claims. Most property/casualty insurers report a positive value, though most are working with service partner providers rather than building their own capabilities. RPA holds high interest for insurers and is an area of active pilot programs. While not a transformative technology, RPA is a valuable short-term fix for poorly designed systems and processes that helps avoid expensive reengineering. See also: Insurance Technology Trends in ’17, Beyond   The important thing to keep in mind is that technology changes faster than culture and practices at most insurance companies. To fully leverage the capabilities offered by emerging technology, carriers should look at their products and processes in light of new technical, market and customer realities. Harnessing the growth of emerging technologies should lead to improved risk analysis, streamlined processes and better business results for insurance companies in 2018 and beyond.

This post, which describes recent news coming from insurtech and digital insurance in China, was written for Daily Fintech by Zarc Gin from Insurview from within China. Happy New Year! It has been a great honor for me to share insurtech developments in China since last November. I hope my posts here help you understand what’s happening in China, so you can either learn from the experiences or even develop businesses opportunities in China. Today, I’m going to share the predictions we made about insurtech in China in 2018. They are a combination of opinions, ideas, trend analyses and hopes. 1. More funds, more IPOs We have seen huge amount of funds pouring into digital insurance in China, and top startups are well-funded. Because of the successful IPO of Zhong An, investors are looking for the next big name in digital insurance. Top startups are also aiming for IPOs to catch up with Zhong An. So the fever of digital insurance will enter the next level, with huge funds and IPOs in 2018. My forecast is that Ping An Good Doctor, a Ping An Group subsidiary, will be the first insurtech IPO this year. 2. More digital health insurance Premium income of health insurance has been growing quickly since 2011, with 404.25 billion RMB ($62.32 billion) income in 2016 and a 68% growth rate. Exalted Life was one of the most popular health policies from Zhong An in 2016. Ping An also launched E-home and E-life, which were well-received. The competition of digital health insurance got more intense in 2017 with the launch of Wesure. So, the competition will continue, and health insurance will be even more widely received in 2018. See also: How Is Insurtech Different in Asia?   3. Opportunities for B2B startups Over the past two years, B2C startups were in fashion. But the digitalization of the whole insurance industry is far from accomplished, and the infrastructure of insurance is still in its early stage. Therefore, the potential for B2B startups will be big in 2018. 4. Rise of a new type of broker CIRC has been trying to weaken bancassurance channels in China. This led insurers to seek the support from broker companies, and the insurance intermediary industry is expanding with this opportunity. Life brokers like Mingya and EverPro are growing quickly. Focusing on quality of individual brokers is their key difference from traditional broker companies. Digital broker companies like Tuniu are also growing rapidly with the help of e-commerce resources. We believe brokerage will have a new age in digital insurance, and both the life and property sectors will grow significantly in 2018. 5. New look on auto insurance With regulation on auto insurance tightening, the combined ratios for auto insurers are increasing. To reverse the situation, auto insurers need to grab the digital opportunity and develop policies from the perspective of customers. We believe digital auto insurer will explore the possibilities in the digital age and make a difference to the current auto insurance. 6. Opportunity in data and information Insurers are connected with their customers’ lives, so they will have access to all the data generated, such as health, habits and behaviors. Data can show insurers where the world is going, so there will be a huge opportunity in data collection and analysis. See also: Top 10 Insurtech Trends for 2018   7. Globalization The world is getting smaller thanks to the internet, both for China and for other countries. The interaction between China and the world is getting more and more frequent. Foreign insurtech companies such as Singapore-based CXA Group are exploring Chinese markets, and Chinese insurers like Fosun and CPIC are implementing their plans around the world. 8. Talent liquidity Tencent, Alibaba and Baidu all entered digital insurance in 2017. They will heat up the talent liquidity in this industry. We will see an increasing combination between tech talents and insurance talents in the future. This article first appeared at Daily Fintech.

As we approach Super Bowl LII in U.S. Bank Stadium in Minneapolis, in which all-time great quarterback Tom Brady leads the Patriots against the underdog Eagles, what risk management issues are affecting the game and fans? Here are five (from an Eagles fan): 1. Have a Backup Plan This is Risk Management 101 stuff — backup and redundancy. Just as an organization needs to back up its data and processing capacity to ensure smooth and continuous operation, so, too, must a football coach have capable and trained backups ready to take over on a moment’s notice. Eagles Coach Doug Pederson conducted a clinic on the value of backups this year when the Eagles lost their starters at kicker, special teams ace, running back, middle linebacker, left tackle and quarterback. I confess that I grimaced when the Eagles signed journeyman quarterback Nick Foles to an expensive contract to serve as a backup, but now he leads the Eagles into the Super Bowl. See also: The Current State of Risk Management   2. Know Your Environment Smart business travelers take the time to learn the basics of local customs and protocols, especially when traveling overseas. It’s not only good manners to understand the local culture, but it can prevent you from being misunderstood. Sadly, some Vikings fans who came to Philadelphia for the NFC Championship game did not know the rabid level of Eagles fans' devotion at Lincoln Financial Field, and they were subject to rude and abusive behavior simply for wearing purple Vikings jerseys to the game. The Super Bowl is in Minnesota, but Minnesotans are more likely to behave hospitably, even toward Eagles fans. While some members of the Eagles have reported trouble getting a restaurant reservation in Minneapolis, the larger risk to manage is the frigid Minnesota climate. For example, even though the Super Bowl will be played in a climate-controlled domed stadium, heightened security concerns may mean long lines at entry gates; fans should dress for the outdoor weather. 3. Manage Expectations and Larger Social Implications The 2017 season had plenty of controversy, with players kneeling, some team owners and politicians criticizing and everybody tweeting about it. Each team had to manage the risk of controversy and how it affected the players, the fans and society at large. While some owners took a combative stance, the Super Bowl-bound Eagles found ways to create some wins here. Eagles star safety Malcolm Jenkins joined other NFL stars to form the Players Coalition to find solutions to social problems by working with legislators. Eagles owner Jeffrey Lurie helped players publicize their goals in a positive light. While some locker rooms were divided by sensitive issues, Eagles players and owners came together and found common ground. 4. The Plural of “Anecdote” Is Not “Data" We’re in the age of big data. Our risk management and insurance business is poised for a digital transformation as the Internet of Things generates masses of new data, blockchain offers new ways to store it and data analytics gives us the power to use all this data. Many coaches still rely on intuition or an inherently conservative approach to the game (ahem, Andy Reid), but "Moneyball" showed how data can be leveraged to maximize the odds of winning in baseball, and there is no shortage of data available to NFL teams for both player evaluation and game day strategy. Coach Pederson and the Eagles have fully embraced an analytics approach to the game; he communicates with his analytics experts during the game. The Eagles seem daring when they run an offensive play instead of punting on fourth down, but the calls are simply managing risk for optimum outcome. The Eagles average 4.7 points on drives that include a converted fourth down. See also: 3 Challenges in Risk Management   5. Manage Exposures The biggest gripe of NFL fans? The officiating. Despite the billions of dollars at stake in the NFL, the league continues to use part-time referees who are accountants and analysts in their regular full-time jobs. These referees do a remarkable job under the circumstances, but the NFL should have — like the NBA and MLB — full-time officials who get rigorous year-round training. When is the last time you felt that your baseball team lost because of the umpires? The risk of making fans feel cheated is an easy one to manage. Take a tip from risk managers, NFL. Scan the environment, assess the exposures and put plans in place to mitigate those risks. The article was originally published in Insurance Journal.

Executive Summary: Time-starved, multitasking executives engaged in drive-by conversations with employees are poor models for employees to emulate when they interact with customers. Instead, executives who give their undivided attention to internal team members embody the customer-focused cultures they seek to create, and subtle gestures of responsiveness can set the right tone for their organizations. Business leaders marvel at the distinctive, customer-focused cultures associated with legendary firms like Southwest Airlines, Apple and Disney. As executives of these companies readily acknowledge, their organizations’ outstanding performance is due, in large part, to the corporate culture they have created. But how does such a customer-focused culture arise? Despite all the talk about culture from leadership gurus and management tomes, it still remains a decidedly abstract concept for most business people. As a result, culture building often gets delegated to human resources or some employee-staffed culture committee. Or executives might invest in the development of grandiose mission and value statements, thinking that mere words on a page will shape workplace behaviors. While these approaches aren’t without value, they often overlook one essential truth: Culture isn’t something you promote. Rather, it’s something you embody. Organizational leaders, by virtue of the perch they inhabit, exert an enormous influence on workplace culture. Employees, whether subconsciously or consciously, take cues from their leaders. They watch them for signals about what “right” looks like—what behaviors are rewarded, which cultural attributes are valued. For this reason, the tools for forging a more customer-focused culture are closer at hand than many executives realize. Indeed, the personal behaviors of those leaders can serve as either an accelerant or a deterrent for the culture they seek to promote. See also: It’s All About the Customer Journey   Herb Kelleher, co-founder and former CEO of Southwest Airlines, would go to Dallas Love Field on Thanksgiving holidays and help load luggage onto aircraft alongside rank-and-file baggage handlers. That simple action sent a strong signal to the workforce about the culture Kelleher was trying to create—a culture grounded in humility and service. Steve Jobs, co-founder and former CEO of Apple, was personally involved in reviewing and approving the design of the box in which the iPhone was packaged—yes, the cardboard box! That sent a cultural signal to Apple executives and staff about the importance of elegant design and attention to detail. Walt Disney insisted that Disneyland executives spend time in the theme park, observing and listening to guests so they’d better understand how to make the park a more enjoyable place. Disney even had an apartment constructed for himself inside Disneyland, overlooking the Town Square, so he could personally watch guests’ reactions as they entered the park. How better to underscore the importance of customer closeness in the culture he was trying to build? What these examples illustrate is that even the most subtle leadership gestures can help shape a company culture in very powerful ways. Are you working to cultivate a more customer-focused culture in your organization? Consider the specific behaviors you’re trying to accentuate, then look for ways to demonstrate those qualities. Let’s take responsiveness as an example. Being responsive is an oft-emphasized cultural trait within organizations that seek to become more customer-focused. What leaders of these organizations must ask themselves, however, is to what degree are they embodying that attribute? If executives take days to respond to their staff’s emails or texts, that creates a disconnect for the workforce. Leadership’s call for customer-focused responsiveness begins to ring hollow, and employees start discounting the importance of that quality. To create a culture that orients around responsiveness, start with the speed of your own replies. The faster you answer (or at least acknowledge) that message from a colleague, the more successful you’ll be in reorienting cultural norms. Another instructive example comes from a hallmark of great customer experiences: strong communication practices. Customers value a company that communicates clearly and transparently. Here again, organizational leaders have an opportunity to model these qualities for the workforce, yet they often neglect to do so. Perhaps you’ve received an email from your boss that appeared to be written in grammar from another planet? We’ve all been there, getting a missive from an executive that raises more questions than it answers, creating more confusion than clarity. Even seemingly insignificant internal communications afford an opportunity for executives to show staff what customer-friendly messaging looks like. The lesson? Spend a little extra time composing that next email and make it a model of clarity that others can follow when they correspond with customers. As a final example, consider the concept of giving customers your undivided attention—actively listening to their needs and responding in kind. This, too, is a cultural characteristic that is commonly emphasized by customer-focused companies. Those that do it well make their customers feel special, almost like a VIP, because in today’s distraction-rich, smartphone-obsessed world, it’s pretty rare that someone gives you undivided attention. That sad reality applies to internal workplace interactions, as well. Time-starved executives are masters of multitasking and drive-by conversations. While they may think those behaviors foster efficiency, they represent the antithesis of giving people your undivided attention and provide a poor model for staff to emulate when they interact with customers. See also: Roadblocks to Good Customer Relations   The next time a staff member pokes his head into your office and asks to speak with you, give that person a master class in undivided attention. Look up from whatever you’re doing, make eye contact, invite him to sit down and place your smartphone aside, out of view. In short, during the few minutes that individual spends in your office, focus your attention on him so intensely that he’ll feel like the only person in the entire world. Imagine the signal that sends to your staff about the customer-focused behaviors you’re trying to advance. With every interaction in the workplace, organizational leaders have an opportunity to show staff what “right” looks like, an opportunity to define cultural norms that others will follow. Leaders who embody and visibly demonstrate the desired cultural characteristics will always be more successful than those who do not. No matter what business you’re in, or how large or small your organization, the journey to a competitively differentiated, customer-focused culture really does begin with you. This article was originally published on Carrier Management.

Sexual harassment lawsuits against another employee are not uncommon, but oftentimes employers overlook harassment of their own employees by customers. A 2014 Restaurant Opportunities Center United report about sexual harassment found that 78% of restaurant workers had been harassed at one time by a customer. Title VII of the Civil Rights Act requires employers to provide a workplace free of harassment. If the employer “knew, or should have known about the harassment and failed to take prompt and appropriate corrective action,” they can be held liable. Many guests don’t expect that their behavior will be questioned; many restaurants don’t want to make customers uncomfortable by correcting their behavior. So what is a restaurant to do when a customer harasses the staff? The first step for restaurants to fix this problem is to have a strong HR department that is serious about preventing and dealing with sexual harassment. It’s clear when employers are using training as a pre-emptive legal defense and when they actually take it seriously. Employees will respond with equal seriousness. If workers don’t feel like policies against harassment will be enforced, they won’t report. Another step that restaurants can take to prevent lawsuits is proper sexual harassment training. All restaurants need sexual harassment training, not just big ones with HR departments. There needs to be something written down somewhere that’s clearly visible — if this happens, this is how we will respond. In other words, employers can’t just say that all their employees deserve respect; they have to go out of their way to show that they won’t tolerate sexual harassment if there is to be any meaningful change. See also: Sexual Harassment: Just the Start   The final way to mitigate sexual harassment lawsuits is through employment practices liability Insurance. Some restaurants consider going without EPLI coverage. Others mistakenly assume they are covered under their general liability policies, which most often have a standard exclusion for employment practices liability exposures. Going without EPLI can be a costly decision. Even if a restaurant only has a few employees, it needs EPLI coverage. You can find the full report here.

Here are the themes I am seeing most often in health and welfare benefits:

Theme: Financial Wellness – Americans are struggling to get ahead, and the middle class is declining. Successful retirement and wealth planning for many people is a simple act of good accounting decisions multiplied over many years. Instant gratification has eroded good decision-making, and large majorities of people have no savings or retirement funds. Smart employers are taking steps to help their people make good decisions and become better stewards. This encapsulates retirement strategy, education, student loan assistance, emergency loan assistance and the like.

Sub-Theme: Student Loan Repayments – Extremely hot benefit right now; it’s one of the most requested benefits by new employees.

Theme: Dependent Care – People are living longer, and in sub-optimal health. Huge portions of the workforce are now having to spend large quantities of time managing the health and care of their dependents and loved ones. Smart employers are looking for ways to relieve this burden and improve the productivity of the workforce.

See also: Dissecting Landmark Decision on Wellness  

Theme: Hospital Department Quality vs. Physician Quality – More and more data is becoming available regarding hospital and doctor quality scores. How do we think about it? How is it used? Which firms are stepping forward to help people access quality? If I contract directly with a hospital, am I hurting patient access to the highest-quality providers who aren’t with that hospital? These questions are important and could be addressed with the right sessions.

Theme: Member Steering and Plan Strategy – The best plans are seeking new and improved strategies to steer members. As more cost and quality data becomes available, proper healthcare procurement begins to depend on the firm's ability to steer members. A few firms are leading the way to get exceptional procurement and steerage, and most employers could learn much from them to save millions and get control of (arguably) the hardest budget item in the firm.

Theme: The Care-Knowledge Gap – There is a devastating time period between when a therapy is discovered and when the therapy is available in most major hospitals. This gap has grown to 17 years; thus, the healthcare of 2035 is available today if you can find it. Smart employers and activist entities are working hard to reduce this wait time to save lives and accelerate the improvement of American healthcare.

Theme: Augmented Primary Care – Primary care has had a rough decade. At worst, it has been vanishing, and, at best, it has been acquired and used as a referral source for hospital systems. Smart employers realize that, for them to get control of their spending, they need to partner with primary care doctors whose interests are aligned with the employer and the member. This interest is to keep members healthy by consuming the minimum effective quantity of healthcare services, from professionals operating at the top of their respective licenses, in settings offering the best value. Direct primary care represents the best approach to achieve this objective, and building appropriate technology into these settings can significantly reduce the dependence on the greater hospital system.

See also: Wellness Works? Prove It–and Win $$$  

Themes Losing Steam: These topics appear (to me) to be losing their luster very quickly:

1. Wellness
2. Medical tourism
3. Price transparency
4. Disease management
5. Private exchanges
6. PBMs and non-specialty Rx

As value-based payment models become more common, payers and providers are realizing that there is value in working together to reach mutual goals. A complete view of healthcare quality and costs is critical when working under models that base payments on clinical and financial outcomes, and not merely on the volume of services provided. Payers and providers are discovering the value of sharing vast amounts of data -- such as that in claims, clinical, social, economic, and more types -- just to name a few. Sharing is just a start, though. What is perhaps even more important is that these organizations need the ability to make sense of all this information. They need to understand that acquiring meaningful data is far more important than assimilating volumes of data. Once organizations have the right data, they can rely on predictive and prescriptive analytics to gain meaningful insight into the data to spot trends, performance outcomes, etc. See also: 2018 Workers’ Comp Issues to Watch   In fact, according to a recent Society of Actuaries survey of 223 payer and provider executives, 90% of respondents indicated that healthcare organizations will not be able to navigate the financial and clinical challenges of the future without investing in predictive analytics tools. The majority of payers and providers participating in the February 2017 poll agreed that predictive insights will be critical for the future of their businesses. More than a quarter of the respondents stated that they expect big data analytics tools to save them 25% or more on costs over the next five years. What’s more, 47% of providers and 63% of payers said they currently use predictive analytics tools. Over the next five years, just fewer than 90% of both payer and provider organizations said they will have adopted some form of forward-looking, big data analytics capabilities. See also: The Current State of Risk Management   A recent webinar presented by SCIO with Oracle Health Sciences, Payer Provider Convergence: Using Data to Strengthen Partnerships & Drive Outcomes, explored how payers and providers can share/analyze to increase collaboration and work toward improved health outcomes. More specifically, the presentation provided insight into how payers and providers can leverage data and analytics to advance goals such as:

• Managing Risk and Revenue
• Optimizing Reimbursement
• Improving Quality and Compliance
• Optimizing Provider Networks

To learn more contact SCIO Health Analytics at info@SCIOhealthanalytics.com or Oracle Health Sciences at healthsciences_ww_grp@oracle.com. This article was written by David Hom and Lesli Adams.