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市场调查报告书

构建数字保险生态系统:新加坡最佳实践

Creating a Digital Insurance Ecosystem: Best Practices in SingaporeCreating a Digital Insurance Ecosystem: Best Practices in Singapore

出版商 IDC 商品编码 1009060
出版日期 内容资讯 英文 17 Pages
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价格
构建数字保险生态系统:新加坡最佳实践 Creating a Digital Insurance Ecosystem: Best Practices in SingaporeCreating a Digital Insurance Ecosystem: Best Practices in Singapore
出版日期: 2021年05月31日内容资讯: 英文 17 Pages
简介

全球医疗保健行业正在经历数字化转型,迎来了患者体验的新时代。保险公司和医疗保健提供者的整合在无缝访问患者治疗过程方面发挥著关键作用。

本报告重点介绍了保险行业的最佳实践,并介绍瞭如何使用新兴技术来缓解挑战。

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概述

  • 新加坡医疗保健提供者的情况
  • 提高医疗技术在保险行业的相关性
  • 情况分析 - 缓解挑战的最佳实践
    • 挑战:需要整合保险公司以改善患者体验,缺乏足够的索赔数据
    • 挑战:医疗保健提供者之间的同意未标准化
    • 问题:最终发票/日志以硬拷贝形式从医疗保健提供者批量发送给保险公司,处理发票需要时间。
    • 挑战:双重计费的可能性
    • 理想结果:医疗服务提供者可以通过数字方式向保险公司提供与诊断和治疗等医疗记录相关的 EMR
    • 理想结果:患者可以同意向保险公司披露医疗保健提供者的医疗信息和记录
    • 理想结果:医疗保健提供者可以将所有类型的索赔以数字方式发送给保险公司,无需基于纸质/电子邮件的流程
    • 理想结果:患者可以查询索赔状态
    • 理想结果:保险公司可以提供与患者相关的承保信息并及时更新
    • 理想结果:医疗保健提供者可以监控付款状态
  • 构建并参与新的数字保险生态系统
  • 战略采购 - 管理数字生态系统的运营模式
  • 谨慎引入新兴技术

给技术买家的建议

参考

  • 相关调查
  • 总结
目录
Product Code: AP47629721

This IDC Perspective aims to bring out the best practices being followed in the insurance sector in leveraging the emerging technologies to mitigate the pain points. The health insurance industry is undergoing a digital transformation around the world, signaling a new age of patient experience. Payer and provider integration plays a vital role in seamless patient entry and exit from the treatment processes. "Developing ecosystem partners plays a crucial role in defining how successfully pain points could be replaced with desired outcomes. Particularly, when the digital adoption drive is from the government level, public/private partnership (PPP) model will ensure defined outcome strongly backed up by compliance, data sharing and governance, along with outcome-based key performance indicators (KPIs). From a higher altitude, a government mandate for digital patient data as part of electronic medical record (EMR)/electronic health record (EHR) with care providers will accelerate the desired outcomes", says Manoj Vallikkat, research manager, IDC Asia/Pacific Healthcare Insights.

Executive Snapshot

Situation Overview

  • Healthcare Provider Landscape in Singapore
  • Growing Relevance of Healthtech in Insurance Sector
  • Landscape Study - Best Practices in Mitigating Pain Points
    • Pain Point: Need for Insurers Integration for Improved Patient Experience, Lack of Sufficient Data for Insurance Claim
      • Use Case(s) from Worldwide Digital Transformation Use Case Taxonomy, 2020: Insurance
    • Pain Point: Consent Forms Are Not Standardized Across the Healthcare Providers
      • Use Case(s) from Worldwide Digital Transformation Use Case Taxonomy, 2020: Insurance
    • Pain Point: The Final Bills and LOGs Are Submitted by the Healthcare Providers to the Insurers via Hardcopy and in Batches, Leading to Delay in Claims Processing
      • Use Case(s) from Worldwide Digital Transformation Use Case Taxonomy, 2020: Insurance
    • Pain Point: Possibility of Duplicate Claims
      • Use Case(s) from Worldwide Digital Transformation Use Case Taxonomy, 2020: Insurance
    • Desired Outcome: Healthcare Providers Can Provide EMR Related to Diagnosis, Treatments, and Other Medical Records to the Insurers Digitally
      • Use Case(s) from Worldwide Digital Transformation Use Case Taxonomy, 2020: Insurance
    • Desired Outcome: Patients Can Provide Consent for the Release of Medical Details or Records by Healthcare Providers to Insurers
      • Use Case(s) from Worldwide Digital Transformation Use Case Taxonomy, 2020: Insurance
    • Desired Outcome: Healthcare Providers Can Submit All Types of Claims Digitally to Insurers, Eliminating the Need for Paper/Email-Based Processes.
      • Use Case(s) from Worldwide Digital Transformation Use Case Taxonomy, 2020: Insurance
    • Desired Outcome: Patients Can Enquire About the Status of Claims
      • Use Case(s) from Worldwide Digital Transformation Use Case Taxonomy, 2020: Insurance
    • Desired Outcome: Insurers Can Provide Patient's Relevant Policy Coverage Information and Timely Updates
      • Use Case(s) from Worldwide Digital Transformation Use Case Taxonomy, 2020: Insurance
    • Desired Outcome: Healthcare Provider Can Monitor Status of Payment
      • Use Case(s) from Worldwide Digital Transformation Use Case Taxonomy, 2020: Insurance
  • Developing and Engaging Across New Digital Insurance Ecosystems
  • Strategic Sourcing - Managing the Operating Model of Amalgamated yet Complex Digital Ecosystems
    • Strategic Sourcing
    • Build-or-Buy Dilemma
    • Setting Up Partnerships with the Private Sector
  • Taking a Cautious Approach to Emerging Technologies Adoption

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