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의료보험사의 파괴적 디지털 비지니스 모델 10건

The 10 Disruptive Digital Business Models For Health Insurers

리서치사 Research 2 Guidance
발행일 2018년 07월 상품 코드 668107
페이지 정보 영문 54 Pages; 33 Figures & Tables
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의료보험사의 파괴적 디지털 비지니스 모델 10건 The 10 Disruptive Digital Business Models For Health Insurers
발행일 : 2018년 07월 페이지 정보 : 영문 54 Pages; 33 Figures & Tables

코어 비지니스의 보완 또는 회원과의 관계의 완전한 전환을 요구하는 의료보험사용 디지털 대응 비지니스 모델 10건에 대해 조사했으며, 기본적인 비지니스 모델 사례를 전해드립니다.

제1장 조사 범위

제2장 의료보험사의 디지털 비지니스 모델 10건

  • 의료보험사용 새로운 디지털 비지니스 모델
  • 새로운 디지털 비지니스 모델
    • 디지털 어시스트형 회원 획득(freemium model)
    • 모바일 헬스 컨시어지
    • P2P(Peer-to-Peer)형 보험
    • 모바일 소액보험
    • 건강보험 기술 플랫폼/화이트 라벨
    • 온디멘드형 보험
    • 하이리스크 환자 예방 케어
    • 보험자와 케어 프로바이더의 협업
    • API의 건강보험 모델
    • DPC(Direct Primary Care)

제3장 비지니스 모델 사례

  • Oscar Health
  • Shuidi
  • ZhongAn
  • BIMA
  • Clover Health
  • Bright Health
  • Forward
  • Bind
  • Collective Health
  • Ottonova

제4장 부록

KSM 18.08.03

Overview: The 10 Disruptive Digital Business Models For Health Insurers highlights the principle changes that digital business models have on the health insurance industry and defines ten new digital business models that have potential to disrupt the health insurance market. 10 best-in-class examples are given to illustrate how the digital health insurance models have been implemented including details of their target group, service offering, revenue model and evidence of success.

Many new business models, concepts, ideas and service offerings for digital health insurers.

Product Description

The impact of digital technology on health insurance is accelerating with the increasing adoption of health tracking sensors, mobile apps and telehealth service. The next wave of health insure-tech models is shifting the traditional role of health insurance company from a pure payer into a healthcare provider, creating opportunities for them to attract new members, generate additional revenue sources, reduce cost and increase the company evaluation.

Clearly however, becoming a digital health insurance requires more profound changes than moving the service offering online. It is about fully embracing a digital business model to interact with customers, generate revenue and gain competitive advantage rather than having the most advanced technology.

The report aims at providing an overview of ten digital enabled business models for health insurance companies that want to supplement their core business or completely transform the way they interact with members. Below ten principle business models are representing a new way of organizing and delivering health insurance business.

  • 1.Digital assisted member acquisition (freemium model)
  • 2.Mobile health concierge
  • 3.Peer-to-peer (P2P) insurance
  • 4.Mobile micro insurance
  • 5.Health insurance tech platform/white label
  • 6.On-demand insurance
  • 7.High risk patient preventive care
  • 8.Payer-care provider collaboration
  • 9.API health insurance model
  • 10.Direct primary care

The ten business model case study examples have explained how do the digital players do things differently, more efficiently, with less time and less anxiety. Special attention is paid to their service offering, revenue model, market performance, perceived market strategy, and technology innovations that will impact the insurance industry in the near future.

  • 1.Oscar health
  • 2.Shuidi
  • 3.ZhongAn
  • 4.BIMA
  • 5.Clover health
  • 6.Bright health
  • 7.Forward
  • 8.Bind
  • 9.Collective health
  • 10.Ottonova

Table of Contents

1 Scope of the report

2 The 10 digital business models for health insurers

  • 2.1 The six principles of new digital business models for health insurers
  • 2.2 New digital business models
    • 2.2.1 Digitally assisted member acquisition (freemium model)
    • 2.2.2 Mobile health concierge
    • 2.2.3 Peer-to-peer (P2P) insurance
    • 2.2.4 Mobile micro-insurance
    • 2.2.5 Health insurance tech platform/white label
    • 2.2.6 On-demand insurance
    • 2.2.7 High-risk patient preventive care
    • 2.2.8 Payer-care provider collaboration
    • 2.2.9 API health insurance model
    • 2.2.10 Direct primary care

3 Business model examples

  • 3.1 Oscar Health
    • 3.1.1 Service offering and member story
    • 3.1.2 Revenue model and evidence for success
  • 3.2 Shuidi
    • 3.2.1 Service offering and member story
    • 3.2.2 Revenue model and evidence for success
  • 3.3 ZhongAn
    • 3.3.1 Service offering and member story
    • 3.3.2 Revenue model and evidence of success
  • 3.4 BIMA
    • 3.4.1 Service offering and member story
    • 3.4.2 Revenue model and evidence of success
  • 3.5 Clover Health
    • 3.5.1 Service offering and member story
    • 3.5.2 Revenue model and evidence for success
  • 3.6 Bright Health
    • 3.6.1 Service offering and member story
    • 3.6.2 Revenue model and evidence of success
  • 3.7 Forward
    • 3.7.1 Service offering and member story
    • 3.7.2 Revenue model and evidence of success
  • 3.8 Bind
    • 3.8.1 Service offering and member story
    • 3.8.2 Revenue model and evidence of success
  • 3.9 Collective Health
    • 3.9.1 Service offering and member story
    • 3.9.2 Revenue model and evidence of success
  • 3.10 Ottonova
    • 3.10.1 Service offering and member story
    • 3.10.2 Revenue model and evidence of success

4 Appendix

  • 4.1 About research2guidance
  • 4.2 List of figures and tables
    • 4.2.1 List of figures
    • 4.2.2 List of tables

LIST OF FIGURES

  • Figure 1 Six principles of digital health business models for payers
  • Figure 2 Overview 10 digital business models for health insurers
  • Figure 3 The impact of digital business models on the health insurance business
  • Figure 4 Oscar's business model summary
  • Figure 5 Oscar's financial performance & membership
  • Figure 6 Oscar's funding status
  • Figure 7 Shuidi's business model summary
  • Figure 8 Shuidi's member base1
  • Figure 9 ZhongAn's business model summary
  • Figure 10 BIMA's business model summary
  • Figure 11 BIMA's funding status
  • Figure 12 Clover's business model summary
  • Figure 13 Clover's financial performance & membership
  • Figure 14 Clover's funding status
  • Figure 15 Bright's business model summary
  • Figure 16 Forward's business model summary
  • Figure 17 Forward's clinic view
  • Figure 18 Bind's business model summary
  • Figure 19 Bind's funding status
  • Figure 20 Collective's business model summary
  • Figure 21 Collective's funding status
  • Figure 22 Ottonova's business model summary
  • Figure 23 Ottonova's funding status

LIST OF TABLES

  • Table 1 Oscar's service offering
  • Table 2 Shuidi's service offering
  • Table 3 ZhongAn's service offering
  • Table 4 BIMA's service offering
  • Table 5 Clover's service offering
  • Table 6 Bright's service offering
  • Table 7 Forward's service offering
  • Table 8 Bind's service offering
  • Table 9 Collective's service offering
  • Table 10 Ottonova's service offering
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