Did Uber Just Make a Wrong Turn?
Letting drivers ask for tips messes with a customer experience that has been magical. That is a risky proposition even for Uber.
Letting drivers ask for tips messes with a customer experience that has been magical. That is a risky proposition even for Uber.
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Jon Picoult is the founder of Watermark Consulting, a customer experience advisory firm specializing in the financial services industry. Picoult has worked with thousands of executives, helping some of the world's foremost brands capitalize on the power of loyalty -- both in the marketplace and in the workplace.
Three key beliefs stand in the way of innovation in life insurance. The right approach to prototypes is the solution.
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Maria Ferrante-Schepis is the managing principal of insurance and financial services innovation at Maddock Douglas.
Only 7% of caregivers use new technologies -- that figure must soar, or we will face a severe shortage of care for our loved ones.
AARP's Project Catalyst recently released a study in collaboration with HITLAB, the healthcare innovation and technology lab based in New York, that shows a very high family caregiver interest in using new technologies to help care for loved ones (71%), but the actual usage today of technology by caregivers is very low (7%) due to the lack of awareness of viable options and the time challenges involved.
According to Laura Pugliese, deputy director of HITLAB and member of the research team, the study is "a call to action regarding the tremendous challenges facing our society and unpaid family caregivers, who are unsung heroes. We are helping to put together a road map for innovative companies to produce technology products and services in the caregiver marketplace to address unmet needs. We want to find out what works and what doesn't."
That is the basic goal of AARP and its partners in Project Catalyst, including the medical researchers at HITLAB. The staggering statistic in this study is that by the year 2020 there will be 117 million Americans (including the aging baby boomers) who will need assistance with daily living and healthcare issues. The problem is that, although 117 million people will be in need of a wide range of assistance, it is projected that only 45 million family members will be available to help care for their loved ones. These family members are not only unpaid, but lose $522 billion in income, according to the study ("Caregivers and Technology: What They Want and Need").
As a former caregiver for both my mother and father, who served in WWII and who were part of America's greatest generation, I can't even begin to share how stressful, time-consuming and emotionally draining the process is and the profound impact it played in both my personal and professional life.
As a caregiver over the span of several years, I became involved in finances, banking, wills, estates, taxes, power of attorney, selling a home, healthcare directives, Social Security, Medicare, Medicaid, senior housing, assisted living, nursing homes, DNR orders (Do Not Resuscitate), doctor appointments, surgery, emergency room visits, hospital stays and end-of-life decisions, in addition to just being a son and a brother. I wouldn't have it any other way, of course.
The only technology available to me was my cellphone and answering machine, but AARP Project Catalyst has identified nine frontiers for innovative technology companies to address:
These nine frontiers certainly identify the key areas of concern of a caregiver. However, as I thought about all the time and effort involved from my own personal experience, what is lacking is overall caregiver support. I was often asked, How is your mom? How is your dad? Nobody ever asked how I was doing.
Nothing can prepare you for this caregiver role. In the middle of intense professional obligations as a vice president with responsibilities to major clients, I had to sell a house, find good doctors, get power of attorney, prepare financial statements, pay bills and find cleaning services while seeing that my parents were getting the best healthcare available at the right time and place and taking all the right medications.
Being a caregiver is at minimum like having a part-time job, unpaid. The AARP/HITLAB study found that on average a caregiver spends 20 hours a week on a wide variety of tasks. From my experience, that is about right on a good week.
I can envision existing and future technologies having the ability to better monitor medication regiments. My father, who suffered from congestive heart failure, a blocked carotid artery, diabetes, arthritis, sleep apnea and other ailments, was given so many medications that I had to work with the hospital pharmacy department to develop a check list of what medications he should be or not be taking, what for, why and how often. I developed a handmade chart on his refrigerator door and put numbers on his prescription drug bottles. My handwritten instructions were take # 1, 2, 6, 8, 10 and 12 in the morning, another set in the afternoon and another set at night. It worked, but I had to do this myself by hand with help of a pharmacist.
Initially, the doctors wanted to amputate my father's legs due to poor circulation from congestive heart failure, but by getting a second opinion we learned that his cardiologist was prescribing the wrong medications. I got him a new cardiologist and the right medications. A dad whose sons didn't have our healthcare background and connections would have needlessly lost his legs and his quality of life.
Although there are technologies in use today, the actual usage based on this real world study is only 7%. The ability to monitor vital signs, especially for people with sleep apnea, congestive heart failure and other chronic conditions along with glucose levels for a diabetic can bring both peace of mind to a caregiver and potential lifesaving capabilities for the patient.
This study should be a call to action, and I'm sure there are many potential technologies in the pipeline or on the drawing board. I am also glad that people like AARP and HITLAB and the sponsors of Project Catalyst, including Pfizer, UnitedHealthcare, Medstar Health and the Robert Wood Johnson Foundation, are working on this road map.
Project Catalyst is actually reaching out to caregivers themselves to determine what their needs are and what works and what doesn't. HITLAB medical researchers literally went to people's homes to interview them to determine their daily needs and their use of technologies as a caregiver. I believe a very comprehensive list of potential technologies should be developed and tested. I see that healthcare technologies and apps are being developed and tested now to address health monitoring such as vital signs and glucose levels. My fear is that this potential use of technologies will be fragmented and require multiple companies, each addressing one of the nine identified frontiers, and may be cumbersome or expensive.
A major issue will also be the ability of medical providers to monitor these vital health signs and other health issues in real time. In addition, will the health insurance industry, including Medicare and Medicaid, be in position to pay primary healthcare providers for this monitoring?
I would also like to see innovative companies provide a comprehensive list of capabilities to help with all the non-direct healthcare needs of a caregiver, such as selling a home, power of attorney, healthcare directives and finding professional caregivers such as visiting nurses, assisted living and nursing homes.
Stan Kachnowski, chairman at HITLAB, stated; "Our goal is to help bring the best technologies to the caregiver marketplace in order to make a positive impact where the patient (and their caregiver) comes first and profits last."
AARP and HITLAB plan to continue their research and will conduct a series of pilot programs to test new technologies.
This is something that will eventually affect almost everyone either as a patient, caregiver or both. When doctors say there is no known cure for congestive heart failure, diabetes or Alzheimer's or other chronic conditions, they mean it.
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Dan Miller is president of Daniel R. Miller, MPH Consulting. He specializes in healthcare-cost containment, absence-management best practices (STD, LTD, FMLA and workers' comp), integrated disability management and workers’ compensation managed care.
Using a portfolio approach, insurers must start facing up to the difficult decisions that must be made about their underperforming assets.
Taking a portfolio view
We firmly believe that there are significant opportunities to help insurers enhance shareholder value by taking a portfolio view of their assets. And, in doing so, insurance organizations should be able to make clear decisions about whether to go (i.e., leave those markets and businesses that do not meet the strategic objectives of the organization) or grow (i.e., committing to targeted investment to drive transformational change and improvement initiatives
that will allow the business to compete effectively).
Indeed, by looking at non-core businesses as a portfolio of assets, insurance executives should be able to properly assess each businesses’ strategic fit, performance and synergies, which, in turn, will enable them to identify opportunities to improve the business through portfolio realignment.
Taking a portfolio view will also provide insurance executives with the insight needed to prepare a fix, close or sell strategy that drives a clear approach for non-core assets and then move through to a robust execution plan with appropriate governance.
GO: A bespoke approach to divestment
In those cases where the assessment process leads to the decision to go, insurance executives will need to develop a smart divestment strategy for the business. Interestingly, our experience suggests that the divestment process has evolved considerably over the past decade.
Whereas in the past, the normal approach to selling a business involved rigid auction processes based on standard checklists and documents such as information memoranda and vendor due diligence reports, most now recognize that this approach may not maximize value.
Instead, insurers are now taking a more bespoke and focused approach to divestment that is largely influenced by four key factors:
— economic conditions
— sellers taking control
— wider buyer populations
— business model changes
GROW: More than just scale
Insurers need to have sufficient optionality and diversification
to respond to a rapidly changing business environment. And while not all divisions and local operations need to be market-leading, they do need to demonstrate how they can make a contribution to the overall strategic ambitions of the organization.
For some, the answer will come in the form of inorganic growth within their sub-scale businesses. For others, targeted investments to support product growth initiatives or new distribution arrangements offer a lower-risk solution.
However, while many deals have been driven recently by organizations with a (fully understandable) strong focus on costs and efficiency, we often find that scale, in itself, is not a good enough reason to support a deal. Indeed, we believe that acquisitions must also bring complementary capabilities (such as new expertise in specific product lines, increased geographical reach or new distribution models) to create a sustainable platform for future growth.
GROW: Responding to a changing environment
New technologies, changing customer demands, new ways of doing business and the threat of innovators disrupting the traditional business model are all changing the way that insurers view their portfolio of assets and businesses.
See Also: The Formula for Getting Growth Results
Clearly, understanding and capturing the benefits of innovation is a critical imperative, and there are major opportunities available for companies willing to invest in new technologies. Recognizing this, many insurers are now starting to develop new models and ways of working with the financial technology (FinTech) community.
Key takeaway: Be bold
Regardless of whether the decision is to grow or go, insurers need to start facing up to the difficult decisions that must be made about their underperforming assets.
Interestingly, our experience suggests that — in this rapidly evolving space — outright acquisition may not always be the right answer. As our recent report, The Power of Alliances, demonstrates, many insurers are now exploring the value that could be generated by investing in partnerships, alliances and innovation hubs to broaden their exposure to innovations and technology solutions.
Simply put, insurers can no longer afford to sit on businesses that are not delivering value; they must make bold decisions and then execute on them to win in this environment.
Reprinted from (Regulatory Challenges Facing the Insurance Industry in 2016,) Copyright: 2016 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative ("KPMG International"), a Swiss entity. All rights reserved. Printed in the U.S.A. The KPMG name and logo are registered trademarks or trademarks of KPMG International.
All information provided is of a general nature and is not intended to address the circumstances of any particular individual or entity. Although we endeavor to provide accurate and timely information, there can be no guarantee that such information is accurate as of the date it is received or that it will continue to be accurate in the future. No one should act upon such information without appropriate professional advice after a thorough examination of the facts of a particular situation.
For additional news and information, please access KPMG's global website.
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Mike Walker leads KPMG’s global insurance restructuring practice and is the head of insurance deal advisory in the U.K. Over the last 20 years, Walker has worked on some of the largest insurance restructurings and insolvencies in the U.K.
While innovation initiatives have been valuable, few organizations have been bold enough in their objectives or their execution.
The capacity and capability to innovate
While many insurers recognize the vast possibilities that innovation brings, many seem reluctant to be first out of the gate. This is not entirely surprising; most organizations responding to our survey reported that they lack the hallmarks of an innovative organization, such as dedicated budgets, formal strategies, executive-level support and measurement processes.
Even those that want to take first- mover advantage (as almost a third of our respondents’ claim they wanted) face significant challenges catalyzing innovation. In part, this comes down
to capacity: 79% of respondents across the globe told us that they were already running at full tilt just keeping up with their core requirements.
Capability is also a key concern. Lack of skills and capability was ranked by 74% of respondents as a top three barrier to innovation, particularly for smaller and mid-sized organizations and those based in Europe. Simply put, insurers know what they need to do to drive innovation but recognize they lack certain skills to achieve it.
To be fair, most insurers have certainly been working hard to improve their innovation strategy and capabilities. Many have already implemented cultural change programs focused on fostering innovation and training programs to develop idea generation and innovation skills. Others have put their sights on widening their innovation ecosystem by engaging in partnerships with academics, FinTechs and other third parties to drive innovation. Some have even changed their business models or created innovation "hubs" or "labs."
Lessons from leaders
Our experience suggests that while all of these previous initiatives are valuable, few organizations have been bold enough in their objectives or their execution to truly drive change. Based on our research, our interviews and our experience, we have identified six key ways that leading insurers are becoming more innovative.
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Mary Trussell is a partner within the insurance practice of KPMG in Canada. She brings deep expertise covering a broad range of insurance markets — from life and health and personal lines to specialty risks and reinsurance — across Asia Pacific, Europe and North America.
In the wake of the Met Life court decision, some claim that federal regulators must tie up "Snoopy." But they miss a key point about the states.
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Nick Gerhart served as insurance commissioner of the state of Iowa from Feb. 1, 2013 to January, 2017. Gerhart served on the National Association of Insurance Commissioners (NAIC) executive committee, life and annuity committee, financial condition committee and international committee. In addition, Gerhart was a board member of the National Insurance Producer Registry (NIPR).
Companies that reach consumers when they are making decisions and forming preferences will be ahead of the curve. Clean data is key.
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Tara Kelly is founder, president and CEO of Splice Software. She has a passion for enabling clients to engage in a meaningful, data-driven dialog with their customers.
With the benefits of telematics proven in cars, insurers are now turning their focus to the residential realm. Pet telematics, anyone?
Enter the era of the smart home
With the benefits of telematics so clearly proven within the automotive industry, insurers are now turning their focus to the residential realm – in a bid to create "smart homes" that are intuitive and responsive to internal and external risks.
For many homeowners, the ability to control their climate, lighting and entertainment devices is one of the main attractions when it comes to home telematics, whereas insurers are drawn to the security benefits offered.
Luckily, telematics-based home insurance offers both parties the best of both worlds – convenience and risk mitigation, all in one handy tech-savvy package.
Smart home = smarter home insurance?
Just as black boxes in cars reward safe driving behaviors with lower premiums and discounts, smart home owners could reap the benefits of a connected abode. From discounts for locking the door and setting the alarm, to a fairer, up-to-date assessment based on moisture, flooding or carbon monoxide monitoring, home telematics can give consumers more control over their insurance rates and premiums, as well as a more in-depth understanding of their utilities usage, environmental risks and overall home security.
In fact, smart home technology-based insurance has the potential to improve on existing discounts or lower premiums for features like security systems – simply by ensuring that these features are regularly used.
With people buying smart switches and systems, insurers are looking initially for propositions that help reduce the impact, even eliminate, some claims around water, theft and fire.
What’s next, connected pets?
It may seem like a sci-fi fantasy, but telematics for pets is set to be the next game-changer in the insurance industry, which is no surprise given that around 2.6 million people in the U.K. have pet insurance.
Pets are seen as part of the family, and owners spend a considerable amount on maintaining their furry best friends’ health, well-being and fitness. But how do we keep an extra close eye on our four-legged friends when we don’t speak their language?
Pet telematics: Going beyond the microchipping process
It’s not as disturbing or invasive as it sounds. All it takes for pets to join the telematics generation is a small GPS device – which is clipped to a collar or inserted under the dog’s skin to record its movements and activities throughout the day.
When paired with a smartphone app, this safe, easy technique allows owners and insurers to monitor pets’ body temperatures, hormones and heart rates, with some even going as far as tracking bowel movements – and this data is collated to form a comprehensive picture of a pet’s health and lifestyle.
Pet insurance is really a well-being product – private medical insurance for cats and dogs, effectively. Pet obesity results in a lot of claims, so if pet telematics can encourage owners to have healthier, more active pets, he’s for it.
What’s in it for consumers?
The use of telematics in everyday life and activities puts consumers in the driver’s seat when it comes to their insurance policies and premiums. By having access to detailed data on their driving, home security and pet care, ordinary consumers can become more aware of the risks around them, which could spur them to change or improve their behavior.
People want to be healthy and happy, and not have to deal with the aftermath of an insurance event. The common thread across telematics is that technology creates proposition that either prevent or minimize the impact of claim events.
What about privacy concerns?
While many customers may balk at the thought of having their lives monitored, a recent Deloitte survey has shown that more than half of respondents were willing to share private information for a premium discount. This shows that, although privacy concerns remain top of mind for most, a sizable incentive can override that resistance to transform consumers into adopters. See the Deloitte report here.
What’s in it for insurers?
Telematics enables insurers to create products and services that accurately reflect customers’ risk.
Perhaps that explains why telematics has become increasingly popular among consumers and insurers over the past few years. A study by ABI research estimates that global insurance telematics subscriptions could exceed 107 million in 2018, up from 5.5 million at the end of 2013. It also predicts that usage-based insurance will represent more than 100 million telematics policies and generate in excess of €50 billion in premiums globally by 2020.
Telematics can move insurers from dealing with incidents, to stopping those incidents from being as bad as they could otherwise be. Using technology lets insurers move into that prevention mitigation space.
This article originally appeared on www.rsagroup.com/the-thread.
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Kenny Leitch is global telematics director for RSA, responsible for delivering the telematics strategy across all of RSA's portfolios and regions in the U.K., Ireland, Canada and Scandinavia. In the U.K., he’s also responsible for bringing new propositions to market that equip customers with the data and information they need to reduce their insurance risk (e.g. connected home).
More than half of companies do not plan to buy cyber insurance despite the increased threat of attack. This disconnect exists primarily at the board level.

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John G. Bruno serves as Aon’s chief operating officer as well as chief executive officer of Aon’s data and analytic services solution line, which includes the firm’s technology-enabled affinity and human capital solutions businesses.
Digitally driven change is becoming as critical an issue to most companies as finance, but boards aren't prepared.
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Chunka Mui is the co-author of the best-selling Unleashing the Killer App: Digital Strategies for Market Dominance, which in 2005 the Wall Street Journal named one of the five best books on business and the Internet. He also cowrote Billion Dollar Lessons: What You Can Learn from the Most Inexcusable Business Failures of the Last 25 Years and A Brief History of a Perfect Future: Inventing the World We Can Proudly Leave Our Kids by 2050.
Toby Redshaw is a global business transformation leader who has driven P&L and business process/ performance improvements across multiple industries. He is known for helping firms deliver competitive advantage through innovative, real-world IT centric strategy and speed-of-execution in high growth, high service, and high technology environments.