Private Health InsuranceA Healthy Transformation

Paul Hulett, CIO

Who is GMHBA?

Started in 1930’s by

cement workers families

Today:~ 130000 member policies + 40000 non-member policies~ 350000 people covered by PHI nationally4th largest Insurer in Victoria7th Nationally~ Doubling industry growth consistently for over 10 years

(2008 we had ~ 76000 Members)

400 million in health benefits to be paid FY16

Who is GMHBA?

Why diversify into Health?Our MissionSupporting the health of our communities for generations

Our VisionAustralia's leading regionally based health fund most recommended by our communities for the contribution that we make to their health and wellbeing.

Why diversify into Health?

• To compete against other brands

• Provide value to our members

What have we done so far:* Care Coordination Services* Health Forums* Free Outdoor fitness and Yoga sessions* Health Sponsorship* Healthcare ownership* Decision Support* Provider Portal to support members health journey* Aged care transport* Public Fitness – Movemore Program* Health Rewards – Fit products* Stay Healthy Programs* Hospital Substitution _ HITH & RITH

Future Healthcare ownership:60 location in 3 years: Eyecare, GP, Dental,

Exercise Physiology, In hospital support, medical.

Patient TransportCDMPAllied HealthMental Health, Preventative Services, Alternative Services andGP (Leadership) through Innovation, Digital Change & Key Relationship

Roadmap

Roadmap: Technology Path

PHI TechnologyConsumer Technology Healthcare Technology

Consumers ProvidersPHI

Consumer healthCommunity Health

Aggregator, broker and agent websites (ABC)Consumer health technology, Trackers etc

Data presentationPCEHR

Health DirectoryE-referral

Health Advice

Health OwnershipHealth delivery – Ehealth & Telehealth

Practice ManagementCare tracking

Diagnoses technologyTreatment technology

Now & Short Term

Medium Term

Long Term

Technology FocusConsumer Market PHI Market Provider Market

Now & Short Term

Focus on sales, benefits management and PHI services. Begin health transformation of business.

Focus on preventative health for members.• Fitness classes• Forums• Health Hub• ABC

Healthcare payer and focus on sales and customer service• Online claiming• PHI member functionality• CRM Services• Corporate Services• Payment gateway• Other PHI services• Knowledge Services

Focus on Benefits management. CDMP, CITH, HITH• Eligibility services• Electronic claiming

Medium Term

Starting to gain trust of members by providing health advice and health mediating services

Focus on preventative health services for the community.• Community services• Consumer technology• Aging advice

Mediator of health information between provider and member.• Provider lookup• Health Directory• Health enrolment services• PCEHR

Engage providers to service our members and the community better.• PVP• Provider Services (PRM)

Long Term

Maturing into a health organisation trusted with the health of our members

Trusted health advisor• Data collection and health

advisor

Trusted advocate for members health• Advanced knowledge services• Advanced health data management

Trusted provider of health services to the community.• Health Services• Tele health• E health• Treatment technologies• Diagnosis technologies

Emerging Technology Tracking

Critical Emerging Technologies for Health

TelemedicineHealthcare Provider E-visitsMobile/Home Health MonitoringPersonal Health Management ToolsPersonally Controlled Health Records

HealthQuantified SelfBiochipsInternet of ThingsHealth Wellness systemsWearable TechnologyMember Incentives for WellnessEnterprise Care Management

Supporting Emerging Technologies

Data AnalyticsBig DataPrescriptive AnalyticsInMemory DatabaseCare management analyticsContent analytics

User ExperienceNeuro BusinessMobile ApplicationsGamificationPatient self service kiosksBiometric AuthenticationHapticsActivity StreamsAffective Computing (Mood Sensing)

* Start with chronically ill members * Geelong Communities* Members * Western District Communities

Geelong First

Now

* Telehealth * EHealth* Health Advice * Knowledge

* Hand over process to business * Business case objectives* Integration * Staff issues

Where are we diversifying?

When?

How?

Challengers?

Who?

Hack Days (Hackathon)

WHAT IS HACK DAY YOU ASK?

WHAT ARE THE

BENEFITS?