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InsurTech Trends to Watch For in 2016

Investors deployed $2.6 billion in capital to InsurTech start-ups in 2015. Here are the six trends to watch for in 2016.

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The excitement around technology’s potential to transform the insurance industry has grown to a fever pitch, as 2015 saw investors deploy more than $2.6 billion globally to insurance tech startups. I compiled six trends to look out for in 2016 in the insurance tech space.

The continued rise of insurance corporate venture arms

2015 saw the launch of corporate venture arms by insurers including AXA, MunichRe/Hartford Steam Boiler, Aviva and Transamerica. Aviva, for example, said it intends to commit nearly £20 million per year over the next five years to private tech investments. Not only do we expect the current crop of corporate VCs in the insurance industry to become more active, we also expect to see new active corporate VCs in the space as more insurance firms move from smaller-scale efforts — such as innovation labs, hackathons and accelerator partnerships — to formal venture investing arms.

Majority of insurance tech dealflow in U.S. moves beyond health coverage

Insurance tech funding soared in 2015 on the back of Q2'15 mega-rounds to online benefits software and health insurance brokerage Zenefits as well as online P&C insurance seller Zhong An. More importantly, year-over-year deal activity in the growing insurance tech space increased 45% and hit a multi-year quarterly high in Q4’15, which saw an average of 11 insurance tech startup financings per month. In each of the past three years, more than half of all U.S.-based deal activity in the insurance tech space has gone to health insurance start-ups. However, 2015 saw non-health insurance tech start-ups nearly reach parity in terms of U.S. deal activity (49% to 51%). As early-stage U.S. investments move beyond health coverage to other lines including commercial, P&C and life (recent deals here include Lemonade, PolicyGenius, Ladder and Embroker), 2016 could see an about-face in U.S. deal share, with health deals in the minority.

Investments to just-in-time insurance start-ups grow

The on-demand economy has connected mobile users to services including food delivery, roadside assistance, laundry and house calls with the click of a button. While not new, the unbundling of an insurance policy into financial protection for specific risks, just-in-time delivery of coverage or micro-duration insurance has already attracted venture investments to mobile-first start-ups including Sure, Trov and Cuvva. Whether or not consumers ultimately want the engagement or interfaces these apps offer, the host of start-ups working in just-in-time insurance means one area is primed for investment growth in the insurance tech space.

Will insurers get serious about blockchain investments?

Thus far, insurance firms have largely pursued exploratory investments in blockchain and bitcoin startups. New York Life and Transamerica Ventures participated in a strategic investment with Digital Currency Group, gaining the ability to monitor the space through DCG’s portfolio of blockchain investments. More recently, Allianz France accepted Everledger, which uses blockchain as a diamond verification registry, into its latest accelerator class. As more insurers test blockchain technologies for possible applications, it will be interesting to monitor whether more insurance firms join the growing list of financial services giants investing in blockchain startups.

Fintech start-ups adding insurance applications

In an interview with Business Insider, SoFi CEO Mike Cagney said he believes there’s a lot more room for its origination platform to grow, adding,
“We’re looking at the entire landscape of financial services, like life insurance, for example.”
A day later, an article on European neobank Number26, which is backed by Peter Thiel’s Valar Ventures, mentioned the company would like to act as a fintech hub integrating other financial products, including insurance, into its app. We should expect to see more existing fintech start-ups in non-insurance verticals not only talk publicly but also execute strategic moves into insurance.

More cross-border blurring of insurance tech start-ups

Knip, a Swiss-based mobile insurance app backed by U.S. investors including QED and Route66, is currently hiring for U.S. expansion. Meanwhile, U.S. start-ups such as Trov are partnering and launching with insurers abroad. We can expect more start-ups in the U.S. to look abroad both for strategic investment and partnerships, and for insurance tech start-ups with traction internationally to expand to the U.S.

Matthew Wong

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Matthew Wong

Matthew Wong is a senior research and data analyst at NY-based structured data firm CB Insight, where he covers startup and venture capital trends across geographies, emerging industries and investors. His published industry research and analysis have been featured in The New York Times, The Wall Street Journal, The Financial Times, Bloomberg, CNBC and Reuters among other major media outlets.

Legislative Preview for Work Comp in 2016

Common wisdom suggests that major workers’ compensation legislative activity won’t take place during an election year.

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Common wisdom suggests that major workers’ compensation legislative activity won’t take place during an election year. For 2016, that would seem to hold true. That is not to say, however, that various interested parties will be sitting idly by, waiting for the clock to turn to 2017. CENTERS FOR DISEASE CONTROL ADD TO THE LIST OF CHRONIC PAIN GUIDELINES On Jan. 13, the Centers for Disease Control and Prevention (CDC) closed the public comment period for its proposed Guideline for Prescribing Opioids for Chronic Pain. According to the CDC, the guideline is being proposed to offer “... clarity on recommendations based on the most recent scientific evidence, informed by expert opinion, with stakeholder and constituent input considered.” The guideline goes to great lengths to address two important issues. The first is that current guidelines in many states – both public and private – are based on dated information. The second, which is critical, adds to the growing number of voices to say that best practices for providers include accessing physician drug monitoring programs (PDMP) to reduce the risk of doctor shopping and toxic – and sometimes fatal – mixtures of prescription drugs when the patient provides incomplete histories or none at all of their drug use (both prescription and illicit). This need to access a PDMP before, and during, treatment with opioids is echoed by the Medical Board of California (MBC) and the DWC. Their comments also underscore a considerable problem facing California policymakers when trying to create incentives for providers to use the Controlled Substance Utilization Review and Evaluation System (CURES) without directly mandating access. This dilemma is best summed up by the analysis of Senate Bill 482 by Sen. Ricardo Lara (D – Bell Gardens) that is at the Assembly Desk pending referral to committee. The bill, which would mandate participation in the CURES system as well as other measures to curb the abuse of opioids, has garnered opposition from medical associations and one medical malpractice insurer. The opposition, according to analyses by legislative staff, is based on two issues – the first being whether the CURES system is capable of handling the volume of inquiries a mandate would engender, and the second being concern that requiring CURES access will become a standard of care that could subject providers to malpractice liability. As to the former, this issue arose during the campaign waged against the 2014 ballot measure Proposition 46. According to the non-partisan Legislative Analyst’s Office (LAO), “Currently, CURES does not have sufficient capacity to handle the higher level of use that is expected to occur when providers are required to register beginning in 2016.” This raises an important question – does the CURES system now have the capability to meet the demand that a mandate would create? If it doesn’t, then the legislature needs to understand why. As to the second issue, it is difficult to comprehend the level of distrust that is subsumed in the position that opposing a mandatory review of possible prescription drug abuse by a patient would establish more potential malpractice liability than knowing that the CURES database exists and not checking it. In time, perhaps, it will be the appellate courts that resolve that issue. There is no shortage of guidelines that address the appropriate use and cessation of use of opioids for non-cancer chronic pain. The DWC is finalizing its latest iteration on this issue as part of the MTUS. It will differ from both the CDC and the MBC guidelines to some degree, but the overall treatment of this issue is very similar. In addition, the division will be implementing a prescription drug formulary as required by Assembly Bill 1124 by former Assembly member Henry Perea (D – Fresno). That, too, will likely provide opportunities to address the proper use of opioids in the workers’ compensation context, preferably after the chronic pain guidelines are completed. As noted by the CDC and the MBC, and implicit in the DWC’s guidelines, this is not just a question of UR. If all the work by the division is simply viewed as a more effective way of saying “no” regardless of the circumstances, then the public health issues associated with the abuses of opioids will continue. Workers' Compensation Insights is a bi-monthly publication of Prop 23 Advisors. Subscribers will receive in-depth analyses of pending California legislation and regulations, review of important WCAB and appellate court decisions and commentary on trends within the system in California and nationally. To read the rest of this newsletter, click here.

Mark Webb

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Mark Webb

Mark Webb is owner of Proposition 23 Advisors, a consulting firm specializing in workers’ compensation best practices and governance, risk and compliance (GRC) programs for businesses.

The Global Risks Report 2016

Risks are becoming more imminent: tensions between countries, refugees, terrorists, droughts, floods, cyber fragilities, unemployment....

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Screen Shot 2016-01-19 at 12.03.38 PM Over the past decade, the Global Risks Report has expanded its scope from analyzing the connected and rapidly evolving nature of global risks to also putting forward solutions and calling for public-private collaboration in strengthening resilience. Now in its 11th edition, the report describes a world in which risks are becoming more imminent and have wide-ranging impact: Tensions between countries affect businesses; unresolved, protracted crises have resulted in the largest number of refugees globally since World War II; terrorist attacks take an increasing toll on human lives and stifle economies; droughts occur in California, and floods happen in South Asia; and rapid advances in technologies are coupled with ever-growing cyber fragilities and persistent unemployment and underemployment. Implications of sweeping digitization (also termed the “Fourth Industrial Revolution”) – ranging from transformations that are the result of rising cyber connectivity to the potential effects of innovations on socioeconomic equality and global security – remain far from fully understood. At the same time, climate change is unequivocally happening, and there is no turning back time. The increasing volatility, complexity and ambiguity of the world not only heightens uncertainty around the “which,” “when,” “where” and “who” of addressing global risks but also clouds the solutions space. We need clear thinking about new levers that will enable a wide range of stakeholders to jointly address global risks, which cannot be dealt with in a centralized way. Taken together, the situation calls for a resilience imperative – an urgent necessity to find new avenues and more opportunities to mitigate, adapt to and build resilience against global risks and threats through collaboration among different stakeholders. By putting the resilience imperative at its core, this year’s Global Risks Report combines four parts to present an analysis of different aspects of global risks – across both global risks and stakeholders – focused as much on the search for solutions as on the analysis of the risks themselves. Screen Shot 2016-01-19 at 12.05.13 PM Screen Shot 2016-01-19 at 12.05.01 PM Screen Shot 2016-01-19 at 12.05.52 PM To download the report, click here.

Brian Elowe

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Brian Elowe

Brian Elowe is a client relationship leader within Marsh’s global risk management sector. In this role, he works with several of the firm’s key global clients and leads many senior client management professionals in Marsh’s global client segment.

Shift in Funding for Strategic Initiatives

In 2015, a third of funding for strategic initiatives came from capital investments. In 2016, funding from new sources will increase to more than 40%.

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Take a look at the financials of the insurance industry and industry projections, and it may seem like business as usual. But peek just under the surface at many insurers, and you’ll find a great deal of activity aimed at transformation. Typically, this activity takes the form of strategic initiatives—enterprise-wide programs that require sustained commitment and investment.

Our research reveals that the top strategic initiatives remain virtually the same as 2015: customer experience, analytics, new products and core replacement. This is an indication that the commitment to transformation aligned with these four initiatives is rock solid. However, the manner in which these initiatives are being funded is changing, with more funding coming from new sources outside the IT budget. In 2015, about a third of the funding for strategic initiatives came exclusively from capital investments. In 2016, funding from new sources will increase to more than 40%.

These are the questions to explore: Why change? Why all the investment and resources devoted to rethinking and reshaping the company? The answers are straightforward. Many recognize that we are entering a new digital era, one with technology rapidly advancing and increasingly in the hands of customers and competitors. Emerging trends such as the sharing economy and the rapid adoption of technologies such as cloud and mobile are creating opportunities (and risks) for insurers. In fact, SMA predicts that the introduction of new products, business models and business optimization will accelerate as insurers leverage maturing technologies and capitalize on emerging technologies such as wearables, the Internet of Things and drones. Technology really is driving a lot of the conversation and action at the senior levels these days.

Ultimately, many insurers have a vision of building a company that is agile and able to respond rapidly to market opportunities and threats. The common threads running through the strategic initiatives are the need to be digital and the key role of innovation. Although not the end games in and of themselves, digital and innovation are the enablers that form the foundation for future success. SMA has created the Next-Gen Insurer Model to describe what the future insurance company and what any future success will look like. The 12 initiatives that many insurers are pursuing are the mechanisms that insurers are using to become Next-Gen Insurers. There may be choppy waters under the visible tip of the iceberg, but the activity is very focused and taking individual companies and the industry as a whole in a new direction. In the not-too-distant future— within five years. by our estimate—the visible part of that iceberg will change, as well, and a new industry will emerge.

SMA has just released a new research report identifying strategic initiatives, “Insurers’ 2016 Strategic Initiatives: Advancing Industry Transformation.” The report covers the priorities of these initiatives, sources of funding and their role in helping insurers attain the future as a Next-Gen insurer. 


Deb Smallwood

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Deb Smallwood

Deb Smallwood is the founder and CEO of SelfPowerment.

She spent four decades in corporate leadership across the insurance industry, operating at the intersection of business, technology, and organizational transformation. Her leadership inflection point led her to research the experiences of more than 50 high-achieving women and 10 men leaders. This formed the foundation of her book, SelfPowerment: The Inner Shift for High-Achieving Women Who Want More Than Just Success. The work introduces a research-informed framework that redefines success from within and invites women to shift the question from, “Will they choose me?” to “Do I choose them?”

Meeting a Litmus Test for Disruption

Disruption in insurance is a question of when, not if. But it's also still a question of how -- how will the industry pass the litmus test?

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The insurance industry has been talking a lot about disruption over the past couple of years. But, as with many things, insurance is a late arriver to the disruption party. Clayton Christensen helped kick off an earnest discussion of the topic back in 1997 with his first book, The Innovator’s Dilemma: When New Technologies Cause Great Firms to Fail. In his 2003 book, The Innovator’s Solution: Creating and Sustaining Successful Growth, he proposed this question as part of a litmus test for the disruptive potential of ideas: “Is there a large population of people who historically have not had the money, equipment or skill to do this thing for themselves, and as a result have gone without it altogether or have needed to pay someone with more expertise to do it for them?” While Christensen has recently gotten some flak for being too dogmatic in his criteria for what constitutes a truly “disruptive innovation” (perhaps succumbing to his own definition of disruption?), the question actually describes very well how insurance has historically operated. It is a complex, mysterious product that has forced consumers to rely on the expertise of an agent or company rep to buy, understand and use it. The increasing transparency and empowerment afforded by data, the Internet and digital technologies have helped level the playing field. Yet the majority of insurance buyers still rely on a live person, usually an agent, to make sure they’ve made the right decisions and to close the sale. The ever-growing field of companies and investors eyeing the insurance industry sees this issue as one of the greatest opportunities for disrupting the industry’s incumbents. Some companies still take comfort in the fact that the insurance industry has difficult and unique barriers to entry, chiefly its complex regulatory environment and huge capital requirements to cover losses. But the size of the opportunity — $1.1 trillion in net written premiums in the U.S. in 2014, according to SNL Financial – is an incentive that is spurring a lot of creativity, innovation and investment that will help overcome these barriers.  It’s a question of when, not if. But it’s also still a question of how. How will the insurance business model change to at least meet the litmus test described by Christensen? It's clear that changes are unfolding because of ambitious outsiders as well as creative and forward-thinking industry insiders. So what should insurers do? How should they respond? Majesco’s newly released research report (based on a survey conducted in late 2015 with its customers), 2016 Strategic Priorities: Impactful Pace of Change, reveals that many insurers are monitoring potentially disruptive technology and business trends, but, unfortunately, few are actively preparing for the changes coming. Four overall themes emerged from the survey responses:
  • First, there is a clear recognition of the shift to the customer being in control and the importance of being customer-driven.
  • Second, there are significant barriers and limitations on current business capabilities that must be overcome to survive — let alone to grow and compete — starting with transformation of legacy systems that were built around products rather than customers.
  • Third, there are potential blind spots around customer expectations, technology and competition that are lurking around the corner of the not-too-distant future, creating forceful disruption.
  • Fourth, the pace and impact of change have intensified the need for agility, innovation and speed.
While business transformation progress is being made, significant work is necessary to compete in a customer-driven age. At the same time, the world is changing rapidly, and new expectations, risks, technologies, competitors and innovations threaten to significantly disrupt the insurance business landscape. For those unprepared, the change could be devastating. The insurance industry is recognizing more and more that it is a target for potential disruption, because consumers are demanding – and getting – more transparency and responsiveness from company after company. Changes are being driven from both inside and outside the insurance industry along several different dimensions like technology, products, new players and partnerships. There are formidable hurdles for new entrants, but the incentive is huge for those who can remove the complexity of insurance and increase the value proposition for customers. Insurance companies need to move beyond monitoring these developments to actively determining how the future will look. To prepare and respond, insurance companies must adroitly do two things simultaneously: modernize and optimize the current business while reinventing it for the future. It’s like changing the tire on a car while you’re driving at full speed down the freeway. Those companies that can do this will transcend merely surviving in an increasingly competitive industry and become the new leaders of a re-imagined insurance business. Read more about how companies view these and other strategic priorities in Majesco’s research report, 2016 Strategic Priorities: Impactful Pace of Change.

Denise Garth

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Denise Garth

Denise Garth is senior vice president, strategic marketing, responsible for leading marketing, industry relations and innovation in support of Majesco's client-centric strategy.

Selling Life Insurance to Digital Consumers

After a year of learning about selling life insurance onlilne, the CEO of PolicyGenius offers six takeaways that can benefit all brokers and agents.

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When we started PolicyGenius, an independent digital insurance broker, last summer, we braced ourselves for a high-speed education on the finer points of the consumer insurance market--and boy did we get it. We previously consulted for the industry, but even that doesn’t prepare you for all the work that happens on the ground, like filing for licenses on a state-by-state basis, or spending a holiday manually preparing and sending out illustrations because of a last-minute surge in quote requests. (Or dealing with fax machines.) But learning all the nuances, even the bewildering ones, has been an amazing experience. It’s exciting to be involved in an industry right at the start of its transformation into the next phase of doing business. We hung out our digital shingle in July 2014, and thanks to our smart shopping and decision-making tools, as well as some extremely positive exposure from the national media, we’ve enjoyed 30% month-over-month growth in our user base. In the process, we’ve had 12 months to learn a lot about the modern digital insurance customer. Here are six takeaways that agents and carriers can benefit from. 1. Babies are still the No. 1 trigger for buying life insurance--which means there’s still plenty of opportunity to educate consumers about other equally important life events. It’s no surprise that having a baby motivates a person to buy life insurance. Our own data shows that among customers who take our Insurance Checkup (our online insurance advice tool), the number of those who already have life insurance jumps by 20% if the customer has a child. In a survey we commissioned last year, we found that consumers place insurance fourth in line behind saving for retirement, paying off debt and following a budget. Life insurance should be a key part of any long-term financial strategy, but a lot of people still don’t realize that. The survey also suggests people don’t recognize the financial challenges that accompany other big life events like marrying, buying a home, starting a business or becoming a caretaker for aging parents. Our takeaway: Buying life insurance for your baby is a given. Now we need to focus on bringing these other invisible triggers to our customers’ attention. 2. Couples do it together. A State Farm survey a few years ago found that 74% of people rarely talk about life insurance, in part because it’s an uncomfortable subject to bring up with one’s spouse. But we’ve repeatedly seen one half of a couple begin a life insurance application with us, and then shortly thereafter we get an application for the other half. In fact, around 20% of our life insurance applications have a partner application associated with them. Our takeaway: Once an applicant sees how easy we’ve made it to shop for a policy, she decides to take care of her partner’s policy while she’s at it. It saves time, and it prevents couples from having to talk about the subject too much or revisit it again any time in the near future. 3. Digital insurance consumers are thoughtful shoppers who appreciate honest advice. Our average customer spends 9 1/2 minutes exploring her PolicyGenius Insurance Checkup report. According to Adobe’s Best of the Best Benchmark report from 2013, the average time spent on a site in the financial services category is just more than six minutes! Our takeaway: If you give the customer intuitive educational tools and advice tailored to her financial needs, and you don’t ask for anything intrusive in return (like a phone number), she’ll become more engaged. We’ve seen this later in the shopping cycle, too, when customers look into the reputations of prospective insurance companies. But more on that below. 4. Digital insurance consumers are happy to do most of the work on their own. If you’ve been a part of the insurance industry long enough, you’ve probably heard the saying, “Insurance is not bought; it’s sold.” In other words, industry veterans believe that you have to sell (and often pressure) consumers, who wouldn’t otherwise purchase on their own. We founded our company on the theory that this isn’t true, and now we know that there are people out there who independently come to the conclusion that they need life insurance. We’ve found that customers who come to our site want to go all the way through the application process on their own, with no agent intervention. They self-navigate through decisions about coverage and carrier selection on our site, using the jargon-free content and tools we’ve built to make the path easy. It may not be as easy and fast as buying a pair of shoes from Zappos, but we’ve worked hard to make the process reliable and trustworthy. But not every self-serve life insurance experience is smooth, which is why it’s important to have human help when needed. One client told us in a follow-up thank you that it was “comforting to have someone on my side in evaluating different insurance carriers and working to get me approved when the first insurer turned me down.” Our takeaway: If you make insurance easy to shop for, you don’t have to focus so much on the hard sell. 5. Digital insurance consumers are not just Millennials. Everyone likes to talk about the Millennial consumer these days, but we’ve discovered that the digital insurance consumer isn't defined by any one generation. It’s true that Millennials (< 35) make up about 50% of our user base; however, Baby Boomers (50+) make up 20% of our user base, and Generation X (35-50)--who spend more online than Boomers do, according to a recent BI Intelligence study--fill out the rest. Our takeaway: To reach such a wide range of online consumers, we have to focus on values that have universal consumer appeal--honesty, speed and self-service that’s backed by amazing customer support. 6. Insurer financial strength and reputation are important. When you’re shopping online, you’re used to seeing reviews and ratings. It’s one of the ways online consumers compare products or services that they can’t see face to face. Customers frequently ask us for insurance company ratings and customer reviews. And they ask for help choosing a carrier when all the ones they’re considering have approximately the same rating, or if customer reviews are inconclusive. We’ve been asked, “Who is the largest insurer or has been around the longest? I don’t want anyone that will go out of business.” They take financial strength ratings, brand strength and reviews seriously, and factor them in when deciding which policy to buy. It’s so important that we’ve added one-page “report cards” into our life insurance quoting process to help answer these questions. Our takeaway: Insurance companies don’t have to worry about digital platforms like ours commoditizing their policies and encouraging consumers to shop only on price. While price is important, it’s not the only factor that consumers consider when buying a life insurance policy. As an industry, we still have a lot to learn about selling insurance to the digital consumer. And as an online broker, we’re still learning valuable customer insights from fellow brokers and agents throughout the industry. It’s true that everything we’ve learned in the past year has helped us confirm many of our initial propositions, but it’s also helped us better understand how to win over today’s insurance shopper. We can’t wait to see what the next 12 months brings.

Jennifer Fitzgerald

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Jennifer Fitzgerald

Jennifer Fitzgerald is the CEO and co-founder of PolicyGenius, an independent digital insurance company for consumers. Previously, she was a junior partner at McKinsey &amp; Company, where she advised Fortune 100 financial services companies on marketing and strategy.

Walmart's Approach to Health Insurance

Walmart's Centers of Excellence Program is the best model we have for health coverage. It has been great for Walmart -- and for employees.

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My most recent post generated many questions, mainly about my definition of “value” in healthcare purchasing. My definition of value is the highest quality of care provided in the most efficient manner, i.e. not too much care, not too little care, delivered in a “lean” way and paid for in a mutually satisfying way. Walmart’s Centers of Excellence Program (COE) is the closest model we have. In the COE program, Walmart has selected clinics and hospitals that do a superior job of diagnosing high-cost cases and providing the best treatment plan, not the treatment plan that generates the most profit to the provider but the one that is best for the patients sent their way. This program has been very successful for Walmart, but it has been especially so for the company's associates (employees) and their covered family members. In Walmart’s benefit plans, a small number of covered lives account for a huge share of healthcare plan expenses. The company provides incentives for our associates and their covered family members to use our COEs. Eliminating fee-for-service was a big part of my previous post. Walmart’s COEs are not paid fee-for-service. Rather, the company has negotiated global fees, one flat fee for an episode of care for all surgery, testing, anesthesiology, hospital costs, etc. This is an alternative to fee-for-service, and it is working quite well. I urge other self-insured companies to find similar ways to bypass fee-for-service payments. Again, the time to act is now. If you feel your company cannot successfully negotiate direct deals with first-class providers like the ones we use, there are aggregators who can do that for you for fairly modest fees. This piece was written with Sally Wellborn, senior vice president of benefits at Walmart.

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.

It’s a Good Time to Be in Insurance

Now is the time for your agency to embrace digital technology to take advantage of every business opportunity in a market primed for profitability.

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Today, the insurance industry is healthy and strong, with high levels of organic revenue growth and rising profit margins across the independent agency and brokerage channel. According to Swiss Re, mergers and acquisitions (M&A) activity continues to trend upward in terms of both the number of acquisitions and the average price paid per agency. As we start a new year, it’s important to keep in mind how much the insurance industry has evolved since it first began. From the first policy to protect shipments at sea, to coverages for new risks like cyber security that were unimaginable in years past, insurance has always been a critical component in human progress. It has allowed people to follow their dreams and take risks. No one would purchase a house or build a new industrial complex with the underlying belief they could lose it all. What’s Ahead We’ve seen how insurance has adapted over the years, but what’s next? With organic growth and acquisitions higher than ever, now is the time for your agency or brokerage to fully embrace digital technology to take advantage of every business opportunity in a market primed for profitability. Why go digital?
  1. Your clients expect it Today’s insurance consumer is fundamentally changing business and customer service models. Consumers are more mobile than ever. Media and news are now consumed on the go, and personal and business transactions via mobile apps are part of everyday life. The demand for 24/7 access to information is requiring nearly every industry to reevaluate how it operates to meet these new customer expectations – and the insurance industry is not immune. In fact, in a recent survey conducted at this year’s Applied Net conference, agents and brokers ranked changing customer demand as the main catalyst to increasing their technology investments.
pic1 Agencies and brokerages should also consider that the next generation of tech-savvy insurance consumers will also be the next wave of insurance employees. They bring a new set of expectations to the workplace as insurance professionals from the baby boomer generation begin to retire. Delivering a digital customer experience has become table stakes for the next-generation trusted adviser. The insurance experience of yesterday is no longer sufficient with today's demands and tomorrow's expectations.
  1. Your business requires it The increased pace of business to keep up with consumer demand can make staff feel like there are not enough hours in the day. Digital technology simplifies processes and eliminates manual tasks. In the Applied Net 2015 survey, when asked which technology most improves productivity, respondents strongly indicated that standardized workflows and agency-insurer interface are seen as the greatest source of efficiency gains.
pic2 Advanced software, such as Applied Epic, delivers pre-built, best-practice workflows to streamline processes and reduce time spent on duplicate tasks. Additionally, end-to-end transactions between a business and insurers need to happen within the management system for optimal productivity and efficient business operations. For agents using IVANS Download, employees save an average of two hours per employee per day. The Makings of a Digital Agency or Brokerage Digital transformation reflects the transition of taking manual, paper-filled processes to digitally automated workflows powered by software and the Internet. A "digital agency" is one that has undergone a digital transformation to drive growth and profitability across its lines of business. It experiences many digital, paperless interactions and transactions per day with insurers and insureds and among staff. A digital agency is built on 5 pillars:
  1. A single agency or brokerage management system to serve as the operational foundation. Your system should be able to manage every type of business from personal lines, commercial lines, benefits and risk management, and it should connect all of your staff within your agency or brokerage including CSRS, producers, accountants and principals. Consider this: 50% of the insurance industry’s workforce will retire in the next decade. Can new staff be efficiently trained on your agency management system?pic3
  2. Big data evaluates ways to mine and analyze the rich transactional data in management systems. There is an abundant amount of data in your management system, but do you have the technology to quickly gain insights? Data analytics uses advanced technologies to analyze vast amounts of data and produce analytic insights in visual representations much more rapidly than traditional tabular reports. Consider this: Companies that use data analytics are five times more likely to make faster decisions than their peers.pic4
  3. Insurer connectivity creates a digital connection between your management system and your chosen insurer partners. It’s important that agencies and brokerages have access to the best products and the best insurers to meet the risk needs of each client, and connectivity allows just that. Consider this: 69% of survey respondents found the availability of automated insurer interface to be very important when selecting insurers to do business with.pic5
  4. Mobility gives agents and brokerages the ability to interact with prospects, clients and employees in the field via insurance-specific mobile apps and client portals. It becomes much easier to obtain information when you have your smartphone or tablet in a time of need. Consider this: 76% of Millennial survey respondents believe access to information via a mobile app is important.pic6
  5. The Cloud allows your staff access anytime, anywhere, as well as full security and data backup. Hosting your software in the cloud leads to increased flexibility, security and business agility. Consider this: Today, 77% of organizations cite agility as the primary reason of moving to the cloud. Whether you are scaling up via organic growth or M&A or scaling down to be sold, the cloud allows your business that flexibility.pic7
Step into the Digital Age With today’s customers expecting more and increased competition redefining the insurance industry, digital technology simplifies and amplifies current processes. It expands communication channels – to clients and insurer partners. It mobilizes your staff from their desk to the field. Digital technology elevates your role as a trusted adviser, making you present at all moments of opportunity – any time, anywhere. As each year goes by, we strive to be better and do more for our customers. Business as usual is no longer enough. The strategy? Your foundation has to be more advanced, your communication channels need to be open and your business must be mobilized. Growth-minded agencies and brokerages have a great opportunity ahead.

Reid French

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Reid French

Reid French is the CEO at Applied Systems, and is responsible for the company’s overall business strategy and operational execution. He also plays a prominent role in developing and fostering relationships throughout the Applied community. French came to Applied in 2011, after serving as chief operating officer at Intergraph Corporation, a global company at the forefront of geospatial and computer-aided design software.

The PBM vs. the Drug Manufacturer

As drug prices show, our healthcare system is broken by design – not necessity – and virtually everyone in the chain lacks the incentive to fix it.

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In today’s American healthcare system, employers can’t order Lipitor directly from Pfizer fortheir employees. Instead, employers and employees are forced to buy drugs through a middleman, the pharmacy benefits manager (PBM). Fingers have long been pointed in both directions to blame the other for the high cost of prescription drugs. The PBMs blame the drug manufacturers, and the drug manufacturers blame the PBMs, not unlike two children arguing on the playground. Eli Lilly, one of the world’s largest drug manufacturers, recently claimed that the average price increase on Humalog, its injectable insulin used to treat diabetes, has only been a modest 1% to 2% annually over the last five years. Tim Walbert, the CEO of small drug manufacturer Horizon Pharmaceuticals, said in a recent interview, that he expects the company's actual price increases to be 4% or less over the next year. PBMs, on the other hand, portray the drug manufacturers as greedy price gougers that fail to keep prescriptions costs under control. Anthem, one of the nation’s largest health insurers, works hard to convince its employer clients to leverage the buying process by joining Anthem's negotiated PBM program with Express Scripts Inc. (ESI) instead of negotiating a direct deal with a PBM. This month, however, Anthem came out swinging, accusing its partner ESI of more than $3 billion in overcharges – all of which were passed along and paid by clients. Who should the employers believe is at fault? Employers are aware of their prescription benefit bills. They clearly see that costs are escalating at an unprecedented rate. What can they do about the problem? How can they succeed if a buyer as large as Anthem failed for its thousands of employer clients? Today’s healthcare market only permits employers to buy the employee drugs from two different platforms. They can choose to buy through a PBM partnership (Anthem partnered with ESI) or a large benefits broker’s partnership with a PBM. Secondly, they can choose to work with a consultant for high-level advice and contract directly with a PBM. Regardless, the employer always gambles that it knows more about the PBM’s 120-page contract, pricing calculations and methodology than Anthem apparently did. It is a monumental sign of the times that Anthem publicly blamed ESI for its failure to contract effectively with the company, leading to overcharges for its clients. Our healthcare system today is broken by design – not necessity – and virtually everyone in the chain lacks the incentive to fix it. In fact, people are financially motivated to maintain the status quo. Until drugs can be purchased directly from the manufacturers for a direct discounted price, employers are trapped in our national prescription benefit system.

Scott Martin

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Scott Martin

Scott Martin is the founder, CEO and chairman of Remedy Analytics, a healthcare data analytics technology company that partners with employers to protect their prescription benefit interests. Martin is a three-time entrepreneur dedicated to making healthcare easily comprehensible and affordable for patients and providers.

Cyber Threats to Watch This Year

As cyber security continues to move to center stage, look for a new focus on the threats raised by insiders -- and for a political candidate to be hacked.

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2015 was a year in which cyber criminals continued to innovate and expand their activities. As 2016 commences, look for insider threats to take center stage and for leading companies to respond. Meanwhile, cybersecurity and privacy issues will continue to reverberate globally. Here are a few predictions for the coming year: Ed note_Edward Stroz Cyber threats and elections– Threat actors targeted the websites and emails of presidential candidates in 2008 and 2012. Campaign websites continue to be used to raise money, making them targets for hacktivists and cyber criminals alike. Expect to see U.S. primary frontrunners and eventual nominees successfully targeted and to see at least one campaign undermined by a data breach. IoT spurs new rules– This will be the year consumers awaken to security and privacy concerns attendant to the Internet of Things. A major physical disruption — through the breach of a connected car or medical device or weak security in a connected toy — will spur regulators and consumers to demand action. Expect companies to spend untold amounts on testing and retrofitting IoT devices to meet hastily approved “privacy and security by design” rules. Insider threats get addressed– Insider threats — current or ex-employees with knowledge of, and access to, the corporate network — will take center stage in 2016. This will push human resources leaders onto cross-functional cybersecurity teams in many organizations. Expect leading-edge companies to invest in technologies that identify and, in some cases, prevent insider threats before they cause material damage. International data flows narrow– Uncertainty arising from the demise of the EU-U.S. Safe Harbor pact will disrupt international data flows. Expanding European nationalism, distrust of U.S. surveillance and subpoena power, the prospect of triggering huge fines for transborder transfers and political disputes over alternatives will drive some U.S. companies to avoid doing business with Europe altogether. Meanwhile, other multinationals will opt to segregate business functions geographically by building local cloud services and data centers that protect them from penalties. Boardroom shuffle– With concern mounting over cyber risks, organizations will evaluate fresh approaches to ensure boards are well-informed and comfortable making strategic decisions. Expect the appointment of specialist, non-executive cyber directors and the formation of dedicated cyber-risk committees (similar to audit committees) with independent advisers. Regulators may also pursue the concept of “cyber competent” people as a requirement for boards. Cyber insurance spike– Demand for cyber liability coverage will continue to rise. Expect premiums to also rise because of constantly evolving threats, immature risk models and an underdeveloped reinsurance market. This will affect retailers, healthcare providers, banks and others that are considered high risk. Uncertainty about the concentration of exposure will lead regulators to impose cyber incident “stress testing.” This is a way to model the impact of multiple, simultaneous incidents on cyber insurance carriers — and potentially stop those that fail these tests from writing new policies.

Byron Acohido

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Byron Acohido

Byron Acohido is a business journalist who has been writing about cybersecurity and privacy since 2004, and currently blogs at LastWatchdog.com.