Health Policy Outlook 2017: Could High-Risk Pools Work in "Repeal and Replace"?

How to ensure people with past and ongoing health problems are central to the efforts of the Trump administration and Republican lawmakers to “repeal and replace” the Affordable Care Act (ACA). The ACA guarantees people equal access to individual commercial health insurance coverage regardless of their health status. Any insurer that offers individual coverage must accept any person who applies and cannot charge more because of that person’s health status. To stabilize premiums in a market that accepts all applicants, the ACA established a permanent state-based program of risk adjustments and requires everyone to be insured.

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Insureon

With better technology, better customer service, and a better vision, Insureon has helped hundreds of thousands of small-business owners find the right insurance, save time and money, and avoid the stress normally associated with buying insurance.

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Core Insurance, Risk Management

How Are Insurance Firms Using Artificial Intelligence (AI)?

Article | August 4, 2022

In the insurance industry, artificial intelligence (AI) has become a buzzword. Nonetheless, despite the fact that we are still in the early stages of AI implementation, the industry has made significant progress. The Need for AI in Insurance Insurance is a long-established and highly regulated industry. Perhaps as a result, insurance companies have been slower to adopt technological change than other industries. Insurance is still dominated by manual, paper-based processes that are time-consuming and necessitate human intervention. Even today, customers must deal with time-consuming paperwork and bureaucracy when filing a claim or enrolling in a new insurance policy. Customers may also pay more for insurance if policies are not tailored to their specific needs. Insurance is not always a pleasant customer experience in an age when most of our daily activities are online, digitized, and convenient. Having said that, we are beginning to see a global push by insurance companies to enhance their technological capabilities in order to do business faster, cheaper, and more securely. There have been several notable examples of insurers investing heavily in Artificial Intelligence solutions in recent years. If AI technology is fully applied to the insurance industry, McKinsey estimates a potential annual value of up to $1.1 trillion. How are insurers implementing AI? There are numerous examples of insurers around the world using AI to improve both their bottom line and the customer experience. There are also a slew of start-ups offering AI solutions to insurers and customers. I'll discuss a few interesting cases here. The Future of Artificial Intelligence in Insurance AI has the potential to transform customers' insurance experiences from frustrating and bureaucratic to quick, on-demand, and more affordable. Customized insurance products will attract more customers at lower costs. If insurers apply AI technology to the mountain of data at their disposal, we will soon see more flexible insurance, such as on-demand pay-as-you-go insurance and premiums that adjust automatically in response to accidents, customer health, and so on. Insurance will become more personalized as insurers use AI technology to better understand what their customers require. By accelerating workflows, insurers will be able to save money. They will also discover new revenue streams as artificial intelligence-driven analysis uncovers new business and cross-selling opportunities.

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Insurance Technology

Advancement of Technology in the Insurance Industry

Article | July 15, 2022

In the 21st century, we have witnessed high technological advancement. Just like any other industry, the insurance sector is transforming at a rapid speed. With the changes in demands and expectations of customers, insurers are seeking digital innovation and transformation that not only meet the requirements but also reduces their costs. So, here are a few that are set to engulf the entire industry for the better. These tech trends will help both insurers and customers to achieve what matters the most efficiently. Artificial intelligence For Process Improvement AI tends to disrupt the insurance industry more than any other technology. The main advantages that insurers can claim with AI include reduced claim costs, identifying insurance fraud, and mining voice data for improved customer service. The more an insurer will understand and use this technology, the better they will survive the competition. Customers usually look for a personalized experience when it comes to buying something especially as crucial as insurance. Artificial Intelligence provides the ability to create a personalized experience for a vast amount of users based on the data collected. It also enables fast data access and rapid reporting by removing the human element from the process. Blockchain for Secured Records With the amount of security required in the insurance records and claims, blockchain seems to be the most powerful technology for the upcoming revolution. The thriving technology behind the cryptocurrency has become the center of attention for insurance enterprises. Blockchain having the capability to encrypt all the data can decrease the number of fraudulent transactions, loss of data, and scams. IoT For Protecting Investment IoT (Internet of Things) is a technology trend that can be used to connect different objects to the internet. Be it a car, smartwatch, or a refrigerator. For insurance companies, it can be the most awaited blessing as IoT can help in detecting any problem before the actual damage take place. With the help of this technology, insurers can alert the customers in advance about the problems they might face through vehicle tracking, biometrics, and weather sensing. All of this makes it a win-win situation for both consumers and insurers. Automation For Ease of Verification Automation along with machine learning will drive better efficiency in the insurance sector. Having the intelligent system as support, insurers are exploring the more complex processes that can be automated. Some of which entails verification and approval of claims, customized interactions with customers, acquiring insights of the customers, property assessments, and detection of fraud. Adopt New Tech To Succeed As the competitors of insurance companies are moving ahead, more organizations need to adopt these emerging technologies. Moreover, techs like blockchain and automation are ready to provide more efficient processes. On the other hand, AI and IoT will help in offering personalized experiences while lowering the cost. Besides, a company or insurer can also hire developers to develop their system or application that can provide all the customization and security needed in the processing.

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Insurance Technology

Unlocking the potential of deeper customer-agent-insurer relationships

Article | July 19, 2022

Mr. and Mrs. Garcia purchased their first life insurance policies from their agent more than a decade ago, when their eldest son was born. They soon bundled their home and auto policies for a discount. A few years later, when the Garcias started a small business, they worked with their agent to establish commercial insurance. As the business thrived, the family set up fixed indexed annuities and mutual funds to put their growing savings to work. All of their policies and accounts are easily accessible via an online platform, and when a new need arises, they simply message their agent to discuss a new policy. The agent also reaches out regularly to make sure the Garcias’ evolving needs are always met. The experience of the hypothetical Garcia family shows how simple it would be for insurers to build deeper customer relationships. But many insurers continue to struggle to develop relationships with their customers that span multiple products. In fact, limited successes in this area have convinced some insurance executives that there is limited value in cross-sales initiatives. In our experience, however, a more coordinated approach can unlock huge opportunities to meet customers’ comprehensive needs through a principal adviser.

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Insurance Technology

Insurers Are Preparing to Accelerate Growth in 2022

Article | July 7, 2022

Despite ongoing concerns about COVID-19 variants, most insurers anticipate a faster economic recovery and increased investments in digital technology in 2022. One-third of those polled expect revenues to be "significantly higher" next year. The global demand for insurance is expected to rise further. Insurers face a variety of challenges, including economic hurdles such as the possibility of sustained inflation; sustainability concerns such as climate risk, diversity, and financial inclusion; and rapidly changing consumer product and purchase preferences. Attracting (and Retaining) Talent Will Be Critical in a Hybrid Work Environment Future of work considerations have also grown in importance as carriers strive to develop flexible return-to-office strategies while also struggling to retain and recruit high-level talent in a highly competitive job market, particularly for those with advanced technology and data analytics skills. Insurers Must Find a Way to Balance Technological Adoption with the Preservation of the Human Touch Insurers are becoming more reliant on emerging technologies and data sources to increase efficiency, improve cybersecurity, and expand capabilities across the organization. Most, however, should focus on improving the customer experience by streamlining processes with automation and providing customized service where needed and preferred. Opportunities to Increase Stakeholder Trust Have Arisen as a Result of the Pandemic On a more fundamental level, many carriers should consider taking steps to increase stakeholder trust in order to increase retention and profitability. This could be accomplished in part by increasing transparency in how insurers collect and use personal data. They can also become more proactive in seeking comprehensive solutions to large-scale societal issues, such as reducing the financial impact of future pandemics and closing coverage gaps for natural disasters.

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Spotlight

Insureon

With better technology, better customer service, and a better vision, Insureon has helped hundreds of thousands of small-business owners find the right insurance, save time and money, and avoid the stress normally associated with buying insurance.

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Core Insurance

NSM Insurance Group Acquires Envisage International

PR Newswire | October 03, 2023

NSM Insurance Group, a global specialty insurance provider with more than $1.6B in premium across 25+ niche insurance programs, today announced the completion of its acquisition of Envisage International. Based in Neptune Beach, Fla., Envisage is a leading provider of global health and travel insurance plans for international students and cultural exchange participants around the world. "The travel insurance market is booming and will continue to grow at a rapid pace — with the industry predicted to reach $41B by 2027. We plan to seize this market opportunity and become a dominant player in the space," said Bill McKernan, President of NSM Insurance Group. "Envisage is a market leader in international education and cultural exchange insurance with a talented team, strong customer base, established revenue relationships and cutting-edge technology infrastructure. They are an enterprising addition to our portfolio as we look to build our footprint in the international health and travel insurance space." Envisage offers a wide range of international health and travel medical insurance products through its two brands, International Student Insurance (ISI) and Envisage Global Insurance (EGI). ISI serves colleges, universities, ESL programs, study abroad programs, students, teachers and scholars with A+ rated plans and best-in-class resources. EGI is the leading provider of group insurance plans to organizations in the J1 cultural exchange and global youth travel market, offering unparalleled service and custom-built technology to its clients around the world. "We're absolutely thrilled to join forces with NSM to help us continue to grow and scale the business," said Keith Clausen, President of Envisage International. "Over the last two decades, our dedicated and talented team has helped us grow into the force we are today, and we look forward to extending that growth with NSM. NSM has the prowess and proven track record to help ISI and EGI grow by expanding our distribution channels, further enhancing our technology platforms and expanding our global market reach." Over the past 33 years, NSM has developed a winning formula for building the industry's most successful and sustainable insurance programs, consistently outperforming competitors and driving industry-leading growth and profitability over the last four years. This latest acquisition complements NSM's robust portfolio of specialty insurance programs and brands for the commercial P&C industry and consumer insurance — backed by the company's state-of-the-art resources, including IT, operations, marketing, HR and finance. For more information about NSM or for investment opportunities, please visit nsminc.com. About NSM Insurance Group NSM Insurance Group is a global specialty insurance provider, exclusively focused on building successful insurance programs. For more than 30 years, NSM has been committed to delivering industry-specific insurance programs that help agents meet the unique needs of their customers and fuel market growth through innovative development, underwriting, distribution and claims expertise. The company has built more than $1.6 billion in premium across 25+ specialty insurance programs and brands around the world focused on collector cars; pets; social services and behavioral health; addiction treatment; coastal condominiums; towing and garage; trucking; sports and fitness; professional liability for contractors, architects and engineers; habitational; general contractors; medical stop loss and managed care; staffing; and workers' compensation. For more information on NSM, visit nsminc.com. About Envisage International Envisage International Corporation specializes in international health and travel insurance under its two key brands, International Student Insurance (ISI) and Envisage Global Insurance (EGI). With more than 20 years of experience, we take a consultative approach to helping our clients understand their insurance needs, creating customized solutions and providing support every step of the way. With offices in the United States, Mexico, China and Europe, Envisage is well placed to help organizations around the world with their international insurance needs. You can find more information about Envisage, ISI and EGI at envisageinternational.com

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Core Insurance, Risk Management

Risk Strategies Acquires Benefit Design Group LLC

GlobeNewswire | August 31, 2023

Risk Strategies, a leading national specialty insurance brokerage and risk management firm, today announced that it has acquired Benefit Design Group LLC, a retail agency specializing in health, life and retirement solutions. Terms of the deal were not disclosed. Based in Portland, Oregon and led by Joel Biernat and Dennis Warneke, Benefit Design Group (BDG) is an independent insurance agency specializing in health insurance solutions for businesses, individuals and seniors. With a client base across Oregon and Washington, the firm serves businesses seeking tailored employee benefits programs across a wide range of industries, including aged care, education, hospitality and manufacturing, as well as individuals and seniors. “As a national specialist in the increasingly complex world of employee benefits, we’re always seeking new partners who can add to both our geographic presence and expertise,” said John Greenbaum, National Employee Benefits Practice Leader, Risk Strategies. “It’s why we’re excited to bring Joel, Dennis and the BDG organization into the Risk Strategies family.” BDG offers a broad array of products to its individual and group insurance clients including medical, dental, life insurance, Medicare and Medicare Advantage plans, among others. BDG as constituted today, was formed in 2017 when Biernat merged the firm with Warneke’s company, The Warneke Group, LLC. That firm primarily specialized in providing services and products for employers offering group employee benefits to their employees. “We’re extremely excited to join Risk Strategies,” said Biernat, President, Benefit Design Group. “We know that being part of a true specialty brokerage with national scale will bring a myriad of benefits to our people, business and especially our clients.” The purchase of BDG adds to Risk Strategies’ presence in the Pacific Northwest. It builds upon the firm’s previous acquisition of the Fournier Group, a full-service commercial and personal lines retail insurance agency. About Risk Strategies Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices including Boston, New York City, Chicago, Toronto, Montreal, Grand Cayman, Miami, Atlanta, Dallas, Nashville, Washington DC, Los Angeles and San Francisco. RiskStrategies.com.

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Health Insurance, Insurance Technology

Enhance Health Expands Capabilities with Acquisition of Jet Health Solutions

PRnewswire | July 26, 2023

Enhance Health, a digital health insurance brokerage and care navigation platform, is excited to announce the acquisition of JET Health Solutions, a premier Enhanced Direct Enrollment (EDE) platform. The acquisition reinforces Enhance Health's commitment to serving its members and scaling its operations effectively through technology. "We are thrilled to announce the acquisition of JET Health Solutions," said Matthew Herman, CEO and President of Enhance Health. "Since Enhance's founding, we've been committed to leveraging technology in new ways to simplify the enrollment process. JET's advanced EDE platform improves our already best-in-class member and agent experience." With hundreds of thousands of members enrolled in Affordable Care Act (ACA) plans as well as Medicare Advantage plans, Enhance Health has established itself as a trusted partner in the healthcare industry. The acquisition of JET empowers Enhance Health to fully own the enrollment process, enhancing its capabilities and expanding its services with one of the few CMS-certified Phase 3 EDEs available in the market. "Joining forces with Enhance Health is an exciting opportunity to drive meaningful change in the healthcare industry," said Asad Shamim, Founder and Managing Partner of JET Health Solutions. "Together, we are well-positioned to revolutionize the enrollment process and improve healthcare access for individuals and families across the nation." Since its establishment in 2008, JET Health has equipped healthcare payers and providers with cutting-edge tools to excel in the ever-evolving healthcare marketplace. "Integrating an EDE into our technology stack solidifies Enhance as the leader in the digital health insurance space," said Jeff Tang, CIO of Enhance Health. "Fully integrated with our CRM and other agent systems, this platform will fundamentally change the way we interact with our members through streamlined agent workflows, actionable data, and enhanced data security." About Enhance Health Founded in 2021 by industry veteran Matt Herman and backed by Bain Capital Insurance, Enhance Health has experienced rapid growth due to the record number of Americans enrolling in ACA health plans in 2022. Enhance Health has grown its membership base to hundreds of thousands, and is rapidly expanding into other insurance business lines.

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Core Insurance

NSM Insurance Group Acquires Envisage International

PR Newswire | October 03, 2023

NSM Insurance Group, a global specialty insurance provider with more than $1.6B in premium across 25+ niche insurance programs, today announced the completion of its acquisition of Envisage International. Based in Neptune Beach, Fla., Envisage is a leading provider of global health and travel insurance plans for international students and cultural exchange participants around the world. "The travel insurance market is booming and will continue to grow at a rapid pace — with the industry predicted to reach $41B by 2027. We plan to seize this market opportunity and become a dominant player in the space," said Bill McKernan, President of NSM Insurance Group. "Envisage is a market leader in international education and cultural exchange insurance with a talented team, strong customer base, established revenue relationships and cutting-edge technology infrastructure. They are an enterprising addition to our portfolio as we look to build our footprint in the international health and travel insurance space." Envisage offers a wide range of international health and travel medical insurance products through its two brands, International Student Insurance (ISI) and Envisage Global Insurance (EGI). ISI serves colleges, universities, ESL programs, study abroad programs, students, teachers and scholars with A+ rated plans and best-in-class resources. EGI is the leading provider of group insurance plans to organizations in the J1 cultural exchange and global youth travel market, offering unparalleled service and custom-built technology to its clients around the world. "We're absolutely thrilled to join forces with NSM to help us continue to grow and scale the business," said Keith Clausen, President of Envisage International. "Over the last two decades, our dedicated and talented team has helped us grow into the force we are today, and we look forward to extending that growth with NSM. NSM has the prowess and proven track record to help ISI and EGI grow by expanding our distribution channels, further enhancing our technology platforms and expanding our global market reach." Over the past 33 years, NSM has developed a winning formula for building the industry's most successful and sustainable insurance programs, consistently outperforming competitors and driving industry-leading growth and profitability over the last four years. This latest acquisition complements NSM's robust portfolio of specialty insurance programs and brands for the commercial P&C industry and consumer insurance — backed by the company's state-of-the-art resources, including IT, operations, marketing, HR and finance. For more information about NSM or for investment opportunities, please visit nsminc.com. About NSM Insurance Group NSM Insurance Group is a global specialty insurance provider, exclusively focused on building successful insurance programs. For more than 30 years, NSM has been committed to delivering industry-specific insurance programs that help agents meet the unique needs of their customers and fuel market growth through innovative development, underwriting, distribution and claims expertise. The company has built more than $1.6 billion in premium across 25+ specialty insurance programs and brands around the world focused on collector cars; pets; social services and behavioral health; addiction treatment; coastal condominiums; towing and garage; trucking; sports and fitness; professional liability for contractors, architects and engineers; habitational; general contractors; medical stop loss and managed care; staffing; and workers' compensation. For more information on NSM, visit nsminc.com. About Envisage International Envisage International Corporation specializes in international health and travel insurance under its two key brands, International Student Insurance (ISI) and Envisage Global Insurance (EGI). With more than 20 years of experience, we take a consultative approach to helping our clients understand their insurance needs, creating customized solutions and providing support every step of the way. With offices in the United States, Mexico, China and Europe, Envisage is well placed to help organizations around the world with their international insurance needs. You can find more information about Envisage, ISI and EGI at envisageinternational.com

Read More

Core Insurance, Risk Management

Risk Strategies Acquires Benefit Design Group LLC

GlobeNewswire | August 31, 2023

Risk Strategies, a leading national specialty insurance brokerage and risk management firm, today announced that it has acquired Benefit Design Group LLC, a retail agency specializing in health, life and retirement solutions. Terms of the deal were not disclosed. Based in Portland, Oregon and led by Joel Biernat and Dennis Warneke, Benefit Design Group (BDG) is an independent insurance agency specializing in health insurance solutions for businesses, individuals and seniors. With a client base across Oregon and Washington, the firm serves businesses seeking tailored employee benefits programs across a wide range of industries, including aged care, education, hospitality and manufacturing, as well as individuals and seniors. “As a national specialist in the increasingly complex world of employee benefits, we’re always seeking new partners who can add to both our geographic presence and expertise,” said John Greenbaum, National Employee Benefits Practice Leader, Risk Strategies. “It’s why we’re excited to bring Joel, Dennis and the BDG organization into the Risk Strategies family.” BDG offers a broad array of products to its individual and group insurance clients including medical, dental, life insurance, Medicare and Medicare Advantage plans, among others. BDG as constituted today, was formed in 2017 when Biernat merged the firm with Warneke’s company, The Warneke Group, LLC. That firm primarily specialized in providing services and products for employers offering group employee benefits to their employees. “We’re extremely excited to join Risk Strategies,” said Biernat, President, Benefit Design Group. “We know that being part of a true specialty brokerage with national scale will bring a myriad of benefits to our people, business and especially our clients.” The purchase of BDG adds to Risk Strategies’ presence in the Pacific Northwest. It builds upon the firm’s previous acquisition of the Fournier Group, a full-service commercial and personal lines retail insurance agency. About Risk Strategies Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices including Boston, New York City, Chicago, Toronto, Montreal, Grand Cayman, Miami, Atlanta, Dallas, Nashville, Washington DC, Los Angeles and San Francisco. RiskStrategies.com.

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Health Insurance, Insurance Technology

Enhance Health Expands Capabilities with Acquisition of Jet Health Solutions

PRnewswire | July 26, 2023

Enhance Health, a digital health insurance brokerage and care navigation platform, is excited to announce the acquisition of JET Health Solutions, a premier Enhanced Direct Enrollment (EDE) platform. The acquisition reinforces Enhance Health's commitment to serving its members and scaling its operations effectively through technology. "We are thrilled to announce the acquisition of JET Health Solutions," said Matthew Herman, CEO and President of Enhance Health. "Since Enhance's founding, we've been committed to leveraging technology in new ways to simplify the enrollment process. JET's advanced EDE platform improves our already best-in-class member and agent experience." With hundreds of thousands of members enrolled in Affordable Care Act (ACA) plans as well as Medicare Advantage plans, Enhance Health has established itself as a trusted partner in the healthcare industry. The acquisition of JET empowers Enhance Health to fully own the enrollment process, enhancing its capabilities and expanding its services with one of the few CMS-certified Phase 3 EDEs available in the market. "Joining forces with Enhance Health is an exciting opportunity to drive meaningful change in the healthcare industry," said Asad Shamim, Founder and Managing Partner of JET Health Solutions. "Together, we are well-positioned to revolutionize the enrollment process and improve healthcare access for individuals and families across the nation." Since its establishment in 2008, JET Health has equipped healthcare payers and providers with cutting-edge tools to excel in the ever-evolving healthcare marketplace. "Integrating an EDE into our technology stack solidifies Enhance as the leader in the digital health insurance space," said Jeff Tang, CIO of Enhance Health. "Fully integrated with our CRM and other agent systems, this platform will fundamentally change the way we interact with our members through streamlined agent workflows, actionable data, and enhanced data security." About Enhance Health Founded in 2021 by industry veteran Matt Herman and backed by Bain Capital Insurance, Enhance Health has experienced rapid growth due to the record number of Americans enrolling in ACA health plans in 2022. Enhance Health has grown its membership base to hundreds of thousands, and is rapidly expanding into other insurance business lines.

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