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Wising Up on Prostate Tests (Finally)

Prostate tests have finally started dropping because of evidence that the risks outweigh the benefits -- but there is a joker in the deck.

The number of tests for prostate cancer has dropped, according to an article in the Wall Street Journal by Melinda Beck, but it's not for the reason that first jumps to mind.

The article says, "The declines follow the U.S. Preventive Services Task Force's recommendations against routine testing for prostate cancer, first for men aged 75 and older in 2008, and then for men of all ages in 2012, on the grounds that the benefits likely don't outweigh the harms."

I repeat: The benefits of prostate screening likely don't outweigh the risks.

In short, the diagnosis rate is down because, apparently, more doctors are following new guidelines on prostate screening. At last...at long last.

But there is a joker in the deck. Every wellness program I've looked at has not adopted the USPSTF's prostate screening guidelines. (There may be some that have adopted the new recommendations, but I haven't seen them.)

It’s worse. I asked a wellness vendor why the company was persisting in promoting prostate over-screening. His reply made my stomach churn. He said that, if his wellness company changed the guidelines, it would have to admit it was wrong in the first place. So it is keeping flawed recommendations to save face. I'd name the vendor, but I agreed to keep what he told me in confidence. Alas.

If you have a wellness program, and the vendor is not following that guideline on prostate screening, you need to give it a big nudge.

P.S. Years ago, I asked my primary care doctor to stop doing PSA tests on me.


Tom Emerick

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Tom Emerick

Tom Emerick is president of Emerick Consulting and cofounder of EdisonHealth and Thera Advisors.  Emerick’s years with Wal-Mart Stores, Burger King, British Petroleum and American Fidelity Assurance have provided him with an excellent blend of experience and contacts.

How Connected Cars Will Change Claims

While the discussion on connected cars has focused on pricing risk more accurately, telematics can also transform how claims are handled.

There is a long road ahead before the full potential of telematics is reached, but, from an international perspective, it is clear that the Italian market has already accumulated the greatest experience in the use of telematics within the auto insurance value chain. One of the key characteristics of the Italian experience is the capacity of certain companies to innovate the way in which they deal with claims-thanks to the data collected from the black box.

The benefits of telematics data for handling claims are significant and can be divided into three main categories: a proactive approach, objective information and loss prevention and mitigation.

First, telematics offers insurance companies the unique opportunity to assume an active role that starts immediately after the incident. Traditionally, the company would wait to hear from the insured person that a crash has occurred.

Based on my experience, one aspect that turns out to be key to setting up the telematics approach is that it provides real-time data about the incident to the people in charge of claims management. Usually, this information only reaches the insurance company's assistance department. This data is crucial for two subsequent processes:

  1. Provide a great customer experience after the crash. Think of how much information can be gathered directly from telematics data without having to ask the client for it. The whole experience delivered to the customer when interacting with the company is becoming more and more important; recent net promoter score studies show that the economic value of a "promoter client" is more than two times higher than a "detractor."
  2. Anticipate activation of claims management. For example, the insurer can guide the client toward the preferred auto repair centers right after the accident. This maximizes the capacity to achieve savings within the context of an optimized customer experience that is meant to solve the customer's issues.

Second, telematics makes it possible to gather a structured set of objective data that can improve the understanding of the dynamics of the claim. The data can also provide an estimate of the damage. This information improves the decision-making capacity of the claims management process. It also assists the claims manager in searching for detailed information (such as additional inspections), which further reduces the time required. The information extracted from telematics data is the main factor that improves the efficiency and effectiveness of the liquidation process. Last but not least, this information is highly valuable from a legal point of view.

These two characteristics combined allow a significant reduction of the time spent in managing the different phases of the claims process-time that has proven to be directly related to the amount the company pays. Separating the knowledge supplied by the telematics (regarding the dynamics of the claims event in the case of minor damage) and combining it with the final claim cost by car brand and model will allow the company to make a liquidation proposal just a few hours after the crash. On the one hand, there is a clear benefit in terms of costs; on the other hand, there is a significant improvement of the driver's user experience.

Third, loss prevention and mitigation was the first area explored when telematics pilot projects began in Italy, with the focus on recovering stolen vehicles. Big data analysis has enhanced this capacity by allowing the automatic identification (based on data received from the telematics device) of a driving style that differs from that of the car's owner.

This mitigating capacity no longer concerns only the professionally installed solutions. It has now partially extended to new self-installing solutions: The act of uninstalling the device activates an alert. Similarly, there is the value-added services option that mitigates the risks linked to the driver and his car. For example, weather condition alerts or vehicle maintenance notifications could help influence client behavior and lead to a lower risk rate for the driver.

Most Expensive Claims of All Time

In first place, at fully $22 trillion, is the payouts resulting from claims following the worldwide financial crisis that began in 2008.

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Balcombes-Largest-Insurance-Payouts-Infographic

Jim Flannery

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Jim Flannery

Jim Flannery is a chartered insurance practitioner who has worked in the insurance industry for the past 35 years. He worked in senior positions with insurance firms in Ireland for almost 20 years before founding Claims Management International in 1999.

Workers' Comp Market Trends

Some trends are favorable: Medical inflation has decreased, and the use of independent medical reviews has cut costs.

Senior executives from some of the top California workers' compensation carriers identified emerging trends that are of great importance to California employers at the 2015 California Workers' Compensation and Risk Conference.

Panelists were:

  • Moderator: Pamela Ferrandino, national casualty practice leader at Willis North America
  • Mike Mulray, chief underwriting officer at Everest National
  • John Dickey, regional president at Liberty Mutual
  • Mike Hessling, chief client officer at Gallagher Bassett
  • Glen-Roberts Pitruzzello, vice president of workers' compensation, group benefits claim strategy and clinical operations, at the Hartford

The WCIRB projects the estimated average medical cost-per-claim will be the lowest since 2007. What do you think are the key drivers behind this improvement?

  • The independent medical review (IMR) process. IMRs are being upheld in favor of the employer - around 90% of the time. That is showing that evidence-based protocols are being followed.
  • Medical inflation has decreased. Effective utilization review (UR) programs have had a positive effect on controlling medical costs.

Will the greater use of generic drugs in the California drug formulary materially lower workers' compensation costs?

  • Texas is a good example. We have not seen any major pushback from what Texas has done. Texas communicated to the providers, so they know how to work within the new environment. There are reports showing that the new system has been successful.
  • It could help decrease employers' costs by 10% to 15%. There could be much broader implications to the claimant, as well. It is not just about the money, though; the upside is also the social benefit of avoiding addiction issues.

How do you see medical marijuana affecting employers?

There are three areas:

  1. Intoxication policies come into play when you have an employee using marijuana not related to a workers' compensation claim.
  2. To date, New Mexico is the only state that ruled for compensable treatment, but the employee was already using marijuana prior to injury. This will likely continue to be challenged in various states.
  3. Medical advocacy will continue to prove effectiveness vs. the alternatives, like opioids.

What insights have you gleaned from predictive modeling?

  • We have had some great success from the claims standpoint. There have been some great advances in tools to help with predictive modeling over the past five to 10 years, like text mining, which allows modelers to look for keywords in cases that show a trend.
  • Predictive modeling can be used to see how to prevent claims from even happening. It is more effective to try to keep the claim from occurring, rather than controlling costs once a claim has occurred.
  • We are using predictive modeling more to drive early intervention in claims to reduce the costs, but we also are trying to see how we can use this information for risk control and reduce claims altogether.
  • Almost all predictive models have a level of false positives. We need to learn to filter out the white noise that is not providing useful information.

Collectively, do you think SB 863 improvements will continue to adhere, or will they be chipped away just like the others?

  • The instant you change the rules, people try to find new loopholes. You cannot stop. One or two years of results is not a trend line to claim a victory. We will probably see erosion, and we will have to come up with solutions as an industry.
  • I'm not sure if we are seeing SB 863 play out as intended, because of issues like IMR and liens. There will probably be tweaking.
  • Many stakeholders are trying to prevent erosion, so there is cautious optimism.

What are trends to look for?

  • Formulary - we could adopt the Texas system, and, while it wouldn't play out here exactly the same way, I think we need it.
  • Ways to reduce frictional costs for employers, like IMR.
  • The impact of a new president and immigration reform on the workers' compensation system.
  • Attracting talent for claims adjuster positions.
  • The next generation of workers entering the workforce and becoming injured workers. Engaging with them as injured workers will be vastly different from how we have engaged with workers in the past. They will have different expectations.
  • Changes in the market cycle and how it affects the health of the workers' comp system.

Change at the 'Speed of Life!'

Three articles, one memory and one invoice show that the speed of change in insurance is far faster than most want to accept.

In my career, I've written hundreds of thousands of words on change. I was preparing another article for your consideration, when three articles, one invoice and one memory made my ramblings about speed unnecessary. Consider the following, then decide - is the market being transformed?

  1. The memory - In 1978, I represented the Famex Insurance Program through Fireman's Fund. This was a property and casualty offering to GM's dealers throughout the country. In those days, the No. 1 concern of GM and her dealers was that GM would reach 65% market share, and then Uncle Sam would break up "Mother GM" into Cadillac, GMC, Olds, Pontiac and Chevrolet. That fear was, of course, never realized. Back in the '70s, the fantasy of GM was that she was invincible. Today, the bankruptcy of GM is reality…. Too big to fail is BS.
  2. The first article: Fast Company (November 2015) - "Hot Sauce U.S.A.," by Elizabeth Segran. "Where once was Tabasco, there is now sriracha, gochujang and more. What the condiment aisle says about American consumers....While Tabasco accounts for 18% of the hot sauce market, there are now hundreds of varieties available in the U.S. - from Tapatio to Texas Pete - and more than a few of them with foreign roots." Once, a "local" company controlled the hot sauce market worldwide -- today, the global market is served by a much more diverse group of pepper pickers and processors. (In the name of full disclosure, I live within 10 miles of Avery Island, LA, the home of Tabasco. I love Tabasco and was able to enjoy this delicacy in every town I visited in Europe during my year [1972] of service with the Army in Germany.)
  3. The second article: The Week (Oct. 30, 2015) - "Issue of the Week: Walmart's Wobbly Empire. "What would Sam Walton think if he were alive to see Walmart today?" Brian Sozzi asked. The founder of the behemoth would probably be shocked to see that his pioneering profit formula - low operating costs and extra-discounted prices - is now virtually impossible to maintain. "Walmart understands the challenges it faces, but its decline may be practically inevitable," David Graham said in theAtlantic.com.
  4. The third article: The Week (Nov. 13, 2015) - Editor's Letter. "I recently had one of those 'welcome to the future' moments that you think only happen in sci-fi movies and dystopian novels. I'd agree over email to get coffee with a friend of a friend, and he cc'ed his personal assistant, Amy, to set up a mutually convenient date. Amy and I emailed back and forth to find an available time slot. She was efficient and gracious, considerate of my schedule constraints and so polite in her responses that, with the meeting arranged, I began typing a brief thank you. Then I glanced at her e-mail signature. There, written in small type, it read 'powered by artificial intelligence.' That's when it hit me: Amy wasn't actually human. She was an algorithm. I'd been corresponding with a machine all along and hadn't even realized it."
  5. The invoice - Wired magazine. I received my 4th reminder to renew my subscription. The cover price for one year was $143.76. "Your special low renewal rate" was $20, plus a "second subscription to your friend for free." I'm guessing the mailing costs alone for one year exceed the $20 price to me. Wired is a good magazine. I've enjoyed it. But in today's easy access world I'm oversubscribed and under read.

Should we be Wired, too? Because competition and technology will allow innovators to deliver what we sell at a price below our costs? Is it now time to reinvent our organizations to compete in the world as it will be?

In closing, I acknowledge Bob Dylan, one of the first modern-day philosophers, who saw and spoke to the world of change. Our parents thought Dylan was a "flake" or a "fad." In retrospect, he was right, and they were wrong. Ours is a world being transformed. Suggestions of incremental change are BS!

"The Times They Are A-Changin'" - Bob Dylan (1964)

Come gather 'round people
Wherever you roam
And admit that the waters
Around you have grown
And accept it that soon
You'll be drenched to the bone
If your time to you
Is worth savin'
Then you better start swimmin'
Or you'll sink like a stone
For the times they are a-changin'.

Come writers and critics
Who prophesize with your pen
And keep your eyes wide
The chance won't come again
And don't speak too soon
For the wheel's still in spin
And there's no tellin' who
That it's namin'
For the loser now
Will be later to win
For the times they are a-changin'.

Come senators, congressmen
Please heed the call
Don't stand in the doorway
Don't block up the hall
For he that gets hurt
Will be he who has stalled
There's a battle outside
And it is ragin'
It'll soon shake your windows
And rattle your walls
For the times they are a-changin'.

Come mothers and fathers
Throughout the land
And don't criticize
What you can't understand
Your sons and your daughters
Are beyond your command
Your old road is
Rapidly agin'
Please get out of the new one
If you can't lend your hand
For the times they are a-changin'.

The line it is drawn
The curse it is cast
The slow one now
Will later be fast
As the present now
Will later be past
The order is
Rapidly fadin'
And the first one now
Will later be last
For the times they are a-changin'.


Mike Manes

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Mike Manes

Mike Manes was branded by Jack Burke as a “Cajun Philosopher.” He self-defines as a storyteller – “a guy with some brain tissue and much more scar tissue.” His organizational and life mantra is Carpe Mañana.

Technology Companies to Watch in 2016

Here is a baker's dozen (plus one) of technology companies to watch that insurers might want to consider using in 2016.

Here is a baker's dozen (plus one) of technology firms that I find exciting or interesting and feel are companies to watch. Some, like Guidewire and Salesforce, I have followed and written about for many years. Others are technology firms I have recently written about (e.g. Clari). Some technology firms are public, and others are private.

Caveats:

  • The following 14 companies to watch (including two pairs of partnerships) are technology firms that I think insurers should be watching or possibly consider whether to use in 2016.
  • I didn't use any "scientific reasoning" or market share data to include (or exclude) companies. Other than Apple, Google and IBM, I do not own shares in any of the technology firms. (Not that I own enough shares of any of these companies to retire to the beaches of Maui anyway....)
  • By including technology firms on this list, I am in no way implicitly or explicitly saying that I will only follow/research/write about these firms in 2016. That is not the case: I plan to write about other technology firms in 2016.

My personal list of exciting or interesting technology firms

Here is my list in alphabetical order:

  1. Apple-IBM partnership (specifically the insurance industry applications)
  2. Box
  3. CafeX
  4. Clari
  5. Dropbox
  6. Facebook
  7. Google (specifically, Google Compare)
  8. Guidewire
  9. Librestream-Symbility partnership (Symbility is Librestream's partner to go to market in insurance)
  10. Salesforce
  11. Slack
  12. Vlocity

Going forward

Do with this list what you will.

Next year, I plan to create short snapshots of these firms (or partnerships) in which I discuss why insurers should care about these technology firms.

However, I do suggest that you - whether an insurer or technology firm - create your own watch lists. Add to them, delete from them and otherwise keep your lists (and the reasons you have certain firms on the list) vibrant.


Barry Rabkin

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Barry Rabkin

Barry Rabkin is a technology-focused insurance industry analyst. His research focuses on areas where current and emerging technology affects insurance commerce, markets, customers and channels. He has been involved with the insurance industry for more than 35 years.

5 Questions to Ask About Cyber

Not all cyber policies are created equal, so here are five issues to consider when purchasing coverage, to avoid nasty surprises.

Cyber security placed first in a list of emerging casualty risks among insurance buyers, according to a survey of 135 insurance professionals conducted by London-based specialty lines broker RKH Specialty. 70% of respondents put cyber risk in the top spot. According to a Best’s News Service article about the survey, healthcare and retailers have been the major buyers. Logic will tell you that the reason for the growing demand for specialized cyber coverage is the simple fact that losses stemming from cyber-related attacks and business interruption can be catastrophic.

Of course, not all policies are created equal, so here are some things to consider when purchasing cyber security coverage to help ensure that policyholders are adequately protected from the losses after a cyber attack.

#1 If your business has a cyber attack, will your operations cease or be interrupted? If so, you need to make sure the cyber coverage you procure has "business interruption coverage."

#2 Does your cloud contract stipulate that your third-party cloud vendor must meet all the federal regulatory requirements in encrypting personally identifiable information (PHI) and healthcare records? If not, you need to verify how the third-party vendor is protecting your employees' and patients' information from cyber attacks and whether its cyber coverage will protect you.

#3 Do all mobile devices - such as smartphones and tablets - have proper encryption software to protect personally identifiable information and healthcare records? HIPAA security regulations require healthcare providers to use encryption as a means of protection for their patients electronic PHI. If they don't do so, healthcare providers can be heavily penalized by federal regulators. Most cyber policies have a stipulation that, to be covered, all insureds must adhere to the most recent encryption requirements for electronic protected health information (ePHIs).

#4 Does your legal counsel have experience responding to cyber attacks? Businesses often have their own attorneys and use them frequently for everyday operations. However, the likelihood is that the in-house counsel does not specialize in the legalities of cyber attacks. Having an attorney who specializes in data breaches can make the process run more smoothly and ensure that important details are not missed or mishandled - such as notifying regulatory agencies, properly setting up notification of employees and patients as well as advising PR staff on all media inquiries and other external communications.

#5 Does your business have an expert consultant they can call on to make recommendations on cyber coverage or risk management strategies to reduce the risk of attacks - or to help manage the crisis after an attack? Enlisting the help of a cyber-liability expert and mapping out a plan can help mitigate the potentially catastrophic losses related to a data breach event.


Michele Tran

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Michele Tran

Michelle Tran joined Ultra in 2012 and specializes in production underwriting for the small-account binding authority program. She has specialized in program relationships with well-known companies within the insurance industry.

The Hemingway Model of Disruption

sixthings

In Ernest Hemingway's The Sun Also Rises, a character is asked how he went bankrupt. "Two ways," he says. "Gradually, then suddenly."

In my experience covering innovation for nearly three decades, that's how disruption has come to a host of industries: IT, newspapers, books, retail, music, etc. What I think of as the Hemingway model for disruption -- gradually, then suddenly -- is thus how I expect transformation to come to the four main areas that have yet to see huge changes driven by IT: healthcare, higher education, government and our favorite, insurance.

If history is any guide -- and it usually is -- many insurance executives will miss the warning signs and be caught unawares, just as executives in other industries have been. In 1997, my frequent co-author, Chunka Mui, and I sat in the office of the CEO of Sears and tried to convince him that the gradual change he was then seeing in retail would become sudden once the Internet matured. We argued that he should search for a new business model, using Sears' brand name and experience with tools and appliances to become the nation's handyman. He demurred, convinced that the "sudden" part of disruption wasn't coming. That same year, we sat down with the president of a very large distributor of music and told him that "sudden" was just around the corner because of MP3 players. We argued that he should sell the business and run for the hills. He, too, was unconvinced.

Even though insurance executives now have two decades of disruption in other industries as evidence, I'm seeing many focus on the "gradual" part of Hemingway's formulation and hoping that "suddenly" either isn't coming or doesn't hit until after they've safely eased into retirement.

I came across an article the other day by an old friend and colleague of Chunka's and mine that takes a different tack and offers some concrete ways to monitor for disruption -- or, rather, for what the article, How Old Industries Become Young Again, calls the "dematuring" of an industry. The author, John Sviokla, was a partner of ours at Diamond Management & Technology Consultants, now part of PwC. Before that, he was a professor at Harvard Business School, where he co-wrote a thoroughly prescient piece in Harvard Business Review in the early 1990s (years before most of us even discovered the Internet) that described the contours of what the authors then referred to as the "marketspace" and that we now think of as e-commerce.

In describing how to watch for coming problems and opportunities, Sviokla writes, "What most industries experience as disruption is typically not a sudden change from one source, but the accumulated impact of a range of interacting factors. If you want to be prepared for disruption, it's critical to understand the more gradual, prevalent and multifaceted dynamic that underlies it: a phenomenon called dematurity....You can think of dematurity as a crescendo of mini-disruptions that add up to great effect."

He says to look for changes in five areas, to understand how rapidly the industry will change and to see how to prepare:

  • New customer habits
  • New production technologies
  • New lateral competitors
  • New regulations
  • New means of distribution

Because Sviokla only touches on insurance, I'll channel my inner John and offer some thoughts on the five areas, three of which are clearly dematuring the industry and a fourth of which seems to be well on its way.

New customer habits

This is clearly an area of change. The discussion among insurers mostly concerns Millennials, and that's fair enough as far as it goes, but the issue is much broader. All sorts of customers have come to expect more transparent pricing and convenient service because of the examples that Amazon and other e-commerce giants have set. Mobile technology drives even more changes in customer behavior, increasing demands for immediacy, among other things. Other technologies, such as health-related wearables, are catching on, with consequences that are unclear at this point but that could be profound. Demographics are changing, and not just because of Millennials. And so on.

New Production Technologies

Another area of clear change. The inputs that can go into the writing of an insurance policy are exploding -- cameras, sensors, previously unscrutinized notes from salesmen, from customer service reps, from social media, you name it. Silos within companies mean that insurers can't yet take full advantage of the new inputs, but change is coming. Agile production technologies will soon mean that it won't take six to eight months to get a new product to market. It will take six to eight weeks or even six to eight days.

New Lateral Competitors

There has been lots of speculation. Is Google coming? Facebook? Amazon? Will there be an Uber of insurance? Some other start-up that revolutionizes the industry? The answers are still a bit unclear, but it seems to me that new competitors are emerging and that the pace will pick up. You can already see effects in reinsurance, where some risks can be so fully quantified that they are being covered in the capital markets rather than through traditional insurers.

New Regulations

Obamacare has certainly shaken up parts of the health insurance market, but, in general, regulations will slow the dematuring of insurance, not accelerate it.

New Means of Distribution

This will take a while to sort out, but at least parts of the sales process will go direct -- the agent may still advise on the content of the policy but won't handle as many logistical details. The increasing reliance on mobile devices will accelerate the move to direct interactions with insurers.

However, you see Sviokla's checklist of five areas to watch, I'd encourage you to read his article. A lot of the discussion about the potential for disruption can get emotional -- The British are coming! The British are coming! No, they're not! No, they're not! -- but John, as usual, has managed to take a dispassionate, scholarly look at the issues.


Paul Carroll

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Paul Carroll

Paul Carroll is the editor-in-chief of Insurance Thought Leadership.

He is also co-author of A Brief History of a Perfect Future: Inventing the Future We Can Proudly Leave Our Kids by 2050 and Billion Dollar Lessons: What You Can Learn From the Most Inexcusable Business Failures of the Last 25 Years and the author of a best-seller on IBM, published in 1993.

Carroll spent 17 years at the Wall Street Journal as an editor and reporter; he was nominated twice for the Pulitzer Prize. He later was a finalist for a National Magazine Award.

The Hemingway Model of Disruption

A line from Hemingway's The Sun Also Rises summarizes how disruption generally occurs, but a checklist of five items can provide some warning.

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In Ernest Hemingway's The Sun Also Rises, a character is asked how he went bankrupt. "Two ways," he says. "Gradually, then suddenly."

In my experience covering innovation for nearly three decades, that's how disruption has come to a host of industries: IT, newspapers, books, retail, music, etc. What I think of as the Hemingway model for disruption -- gradually, then suddenly -- is thus how I expect transformation to come to the four main areas that have yet to see huge changes driven by IT: healthcare, higher education, government and our favorite, insurance.

If history is any guide -- and it usually is -- many insurance executives will miss the warning signs and be caught unawares, just as executives in other industries have been. In 1997, my frequent co-author, Chunka Mui, and I sat in the office of the CEO of Sears and tried to convince him that the gradual change he was then seeing in retail would become sudden once the Internet matured. We argued that he should search for a new business model, using Sears' brand name and experience with tools and appliances to become the nation's handyman. He demurred, convinced that the "sudden" part of disruption wasn't coming. That same year, we sat down with the president of a very large distributor of music and told him that "sudden" was just around the corner because of MP3 players. We argued that he should sell the business and run for the hills. He, too, was unconvinced.

Even though insurance executives now have two decades of disruption in other industries as evidence, I'm seeing many focus on the "gradual" part of Hemingway's formulation and hoping that "suddenly" either isn't coming or doesn't hit until after they've safely eased into retirement.

I came across an article the other day by an old friend and colleague of Chunka's and mine that takes a different tack and offers some concrete ways to monitor for disruption -- or, rather, for what the article, How Old Industries Become Young Again, calls the "dematuring" of an industry. The author, John Sviokla, was a partner of ours at Diamond Management & Technology Consultants, now part of PwC. Before that, he was a professor at Harvard Business School, where he co-wrote a thoroughly prescient piece in Harvard Business Review in the early 1990s (years before most of us even discovered the Internet) that described the contours of what the authors then referred to as the "marketspace" and that we now think of as e-commerce.

In describing how to watch for coming problems and opportunities, Sviokla writes, "What most industries experience as disruption is typically not a sudden change from one source, but the accumulated impact of a range of interacting factors. If you want to be prepared for disruption, it's critical to understand the more gradual, prevalent and multifaceted dynamic that underlies it: a phenomenon called dematurity....You can think of dematurity as a crescendo of mini-disruptions that add up to great effect."

He says to look for changes in five areas, to understand how rapidly the industry will change and to see how to prepare:

  • New customer habits
  • New production technologies
  • New lateral competitors
  • New regulations
  • New means of distribution

Because Sviokla only touches on insurance, I'll channel my inner John and offer some thoughts on the five areas, three of which are clearly dematuring the industry and a fourth of which seems to be well on its way.

New customer habits

This is clearly an area of change. The discussion among insurers mostly concerns Millennials, and that's fair enough as far as it goes, but the issue is much broader. All sorts of customers have come to expect more transparent pricing and convenient service because of the examples that Amazon and other e-commerce giants have set. Mobile technology drives even more changes in customer behavior, increasing demands for immediacy, among other things. Other technologies, such as health-related wearables, are catching on, with consequences that are unclear at this point but that could be profound. Demographics are changing, and not just because of Millennials. And so on.

New Production Technologies

Another area of clear change. The inputs that can go into the writing of an insurance policy are exploding -- cameras, sensors, previously unscrutinized notes from salesmen, from customer service reps, from social media, you name it. Silos within companies mean that insurers can't yet take full advantage of the new inputs, but change is coming. Agile production technologies will soon mean that it won't take six to eight months to get a new product to market. It will take six to eight weeks or even six to eight days.

New Lateral Competitors

There has been lots of speculation. Is Google coming? Facebook? Amazon? Will there be an Uber of insurance? Some other start-up that revolutionizes the industry? The answers are still a bit unclear, but it seems to me that new competitors are emerging and that the pace will pick up. You can already see effects in reinsurance, where some risks can be so fully quantified that they are being covered in the capital markets rather than through traditional insurers.

New Regulations

Obamacare has certainly shaken up parts of the health insurance market, but, in general, regulations will slow the dematuring of insurance, not accelerate it.

New Means of Distribution

This will take a while to sort out, but at least parts of the sales process will go direct -- the agent may still advise on the content of the policy but won't handle as many logistical details. The increasing reliance on mobile devices will accelerate the move to direct interactions with insurers.

However, you see Sviokla's checklist of five areas to watch, I'd encourage you to read his article. A lot of the discussion about the potential for disruption can get emotional -- The British are coming! The British are coming! No, they're not! No, they're not! -- but John, as usual, has managed to take a dispassionate, scholarly look at the issues.


Paul Carroll

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Paul Carroll

Paul Carroll is the editor-in-chief of Insurance Thought Leadership.

He is also co-author of A Brief History of a Perfect Future: Inventing the Future We Can Proudly Leave Our Kids by 2050 and Billion Dollar Lessons: What You Can Learn From the Most Inexcusable Business Failures of the Last 25 Years and the author of a best-seller on IBM, published in 1993.

Carroll spent 17 years at the Wall Street Journal as an editor and reporter; he was nominated twice for the Pulitzer Prize. He later was a finalist for a National Magazine Award.

IoT Is Game Changer for Insurers

With the Internet of Things (IoT), insurers can go from being passive, reacting to losses, to being proactive and helping prevent them.

The Internet is now an integral part of our daily lives, and we would struggle to imagine life without it. However, to date, growth has largely been driven by access to content and by speed.

We are now moving into the new phase of growth where the everyday "things" around us will be connected to the Internet. This is the Internet of Things (IoT) - it will have a profound impact on our daily lives and change the way we interact with our environment. It will also have a big impact on how industries operate and relate with their customers. This is particularly true for insurance companies, where there is an opportunity to move from being passive and reacting to losses, to being proactive and helping prevent them.

In short, the IoT will be a game changer for insurers.

In the commercial sector, we are familiar with the benefits of connectivity in smart buildings. When we go to a hotel, door locks are controlled with smart cards, and there are links to lighting and air conditioning to save energy and improve security. Fire systems are networked to sprinklers. Indeed, I'm not sure I'd book a hotel that gave me a metal key. More significantly, most modern commercial buildings would struggle to get insurance coverage without new technology.

The IoT will bring this same level of intelligence to the home.

Standard devices such as light switches, thermostats and door locks are being networked. Smartphones allow us to monitor and control air conditioning, as well as access and monitor security and lighting, with alerts if there is a problem. The first wave of connected appliances is now starting to roll out. Just as with commercial buildings, "interoperability" will become standard in homes because it makes them safer, more energy-efficient and easier to manage.

The smart home is already going mainstream. Big-box stores like Lowe's, Home Depot, Best Buy, Target and Sears have started to offer their own DIY smart home solutions. They are competing with the major service providers such as AT&T, Comcast, TWC and others that have developed their own consumer offerings. The entry of Apple, Google and Microsoft into the space with different consumer strategies is a clear sign that the market has arrived.

Many of these new entrants have recognized that data will be key to their future success in a connected world where devices will generate as much as we can handle and the ability to refine and exploit it will decide the winners and losers in many industries. This data is going to be particularly important to insurers, which have traditionally based their pricing on risk assessment. If a competitor has better data on which to base judgments, it will have the edge.

The IoT and access to data will reshape industry boundaries and create opportunities.

The IoT will allow insurance companies to move from the traditional passive role of underwriting risk to take a more active position by supplying smart home products and services. Other industries have already adopted this type of strategy. For example, the major cable companies and telcos now offer smart home products over the top of their broadband. These provide new revenue streams, leverage their core competencies, increase customer loyalty and provide a platform for growing new value-added services. Insurance companies could take a page out of the service providers' playbook and offer their own solutions to realize similar benefits.

The IoT and smart home can give insurers a more direct relationship with the consumer through daily interaction using touch points in apps and messaging. Insurers could also become more competitive by adopting pricing strategies that include direct sourcing and bundling with policies. Contrast this to consumers' traditional negative experience of bill paying on an annual or semi-annual basis for something they most likely didn't use.

Consumers would see insurance companies as a logical source for products and services that protect people and their property. Smart home systems can be DIY, offering protection for security, fire and flood. Moreover, they bring new levels of protection with innovation. For example, low-cost leak detectors and temperature sensors can automatically shut off the water supply when triggered.

The IoT is a real growth opportunity, and any business can scale as new connected devices come along. This can be done by offering devices and sensors that improve in-home healthcare and appliances that can be remotely monitored to reduce warranty support costs. These products and value-added services can drive new revenue streams, improve customer retention and reinvent the way consumers perceive their insurance provider. More importantly, the IoT secures access to the data from the things in the home that would help insurance companies manage risk.

If there is a nervousness to step outside the traditional industry boundaries, the alternative is to forge new partnerships with the companies that are deploying smart home solutions.

These companies have access to the data that will help insurance companies manage risk. For example, Lowe's has partnered with a number of leading insurance companies to trade data from the Iris smart home system. Clearly, data privacy is a major issue, so customers have to approve sharing. This can be achieved by offering a benefit on the policy, usually in the form of a discount.

Clearly, the IoT market is moving extremely fast, and it will challenge conventional wisdom. Just five years ago, the only connected device in home improvement retail was a smart door lock, and now there are hundreds - even dog bowls and toothbrush are becoming connected. If the IoT grows as predicted, every powered device will be IP addressable in the next 10 years. Ignoring this market is not a smart move.

While competing in the smart home space by offering consumers new products and services may seem daunting, the IoT will disrupt traditional industry boundaries, and attack is sometimes the best form of defense. Moreover, actively entering the market has the biggest upside. At a minimum, there is a need to find ways to partner to protect your position and get access to data to remain competitive. The leading insurance providers will be those that embrace the IoT and its impact.


Kevin Meagher

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Kevin Meagher

Kevin Meagher is a thought leader in the Internet of Things IoT/connected/smart home/smart grid, where he pioneered cloud computing to deploy innovative SaaS business models in support of manufacturers, retailers and service providers in both B2B and B2C channels.