How PMI is using data science for better healthcare

Vhi holds the market, but the future belongs to those who personalise, partner, and predict — here’s their roadmap Ireland’s health insurance market is maturing — growth was 1.3% in 2024 — and competition is intensifying. New entrants like Level Health are redefining simplicity and digital engagement. Amid this, VHI holds 49% market share, but the next growth phase won’t come from traditional products. The question is: how does VHI deepen relationships and unlock new value? Three Strategic Levers: 1️⃣ Targeted Product Innovation Tailored plans for young families, digital nomads, and mental wellness. Predictive analytics enables personalised risk and pricing, moving VHI beyond standard coverage. 2️⃣ Strategic Ecosystem Partnerships Collaborate with wellness brands, fitness platforms, and wearable tech companies to become a true partner in holistic health — blending prevention, engagement, and care. 3️⃣ Next-Generation Customer Experience Hyper-personalised, omnichannel journeys through MyVHI, gamified health rewards, and proactive care recommendations — enhancing loyalty and reducing churn. Ambition & Impact: Grow market share 2–4 pts in 3 years Improve retention 5 pts Reduce claims cost growth via preventive care Drive higher engagement, lower claims, and stronger differentiation in a mature market For VHI, growth now means owning the customer relationship, not just the policy. The future of health insurance belongs to those who personalise, partner, and predict.

GenoHealth Insurance Module Now Live We’ve just launched a game-changing upgrade: Geno’s insurance module is now fully deployed and ready to power smarter, faster, and more transparent care coordination. What it does: • Real-time treatment tracking for claims verification • Seamless integration with clinics, insurers, and patient dashboards • Audit-ready data trails for compliance and trust Whether you're a clinic, insurer, or corporate health partner—Geno now helps you manage care and coverage in one secure, unified platform. Let’s build health systems that work for everyone. #GenoHealth #DigitalInsurance #TrustFirstCare #HealthTechAfrica #ClaimsMadeEasy

The world of private medical insurance is getting a major upgrade. 🚀 Behind the scenes, insurers are using data science and predictive analytics to create a smarter, more personalised healthcare experience. This isn't just about crunching numbers; it's about better outcomes and more efficient service for you. So, what does this data revolution mean for your policy? 🎯 Fairer, Bespoke Premiums In the past, premiums were based on broad groups like age and location. Now, predictive models can assess risk on a more individual level. This means your healthy lifestyle can lead to a premium that more accurately reflects YOUR personal risk profile, not just the average for your demographic. ⚡ Faster Claims & Smarter Care 💰 By analysing vast, anonymised datasets, insurers can anticipate health trends, streamline claim approvals, and detect fraud more effectively. The result for policyholders? Faster access to care and a more efficient service, which helps keep overall costs down for everyone. As FCA-authorised brokers who have helped arrange over 800,000 policies, we see firsthand how these innovations are shaping the future of UK health cover. It's about creating a system that's more responsive to your individual needs. Ready to see how the latest PMI trends can benefit you? Navigate the future of health insurance with expert guidance. Visit https://wecovr.com/pmi to learn more and book your FREE, no-obligation consultation today. #PrivateMedicalInsurance #HealthInsurance #InsureTech #DataScience #PredictiveAnalytics #UKHealth #Innovation #WeCovr #insurance #healthcare #UKhealth #healthinsurance #privatehealth #NHS #healthcare #wellbeing #mentalhealth #healthyliving Read more: https://lnkd.in/eveEsSVr

𝐄𝐱𝐩𝐥𝐨𝐫𝐢𝐧𝐠 𝐭𝐡𝐞 𝐔.𝐒. 𝐇𝐞𝐚𝐥𝐭𝐡 𝐈𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞 𝐓𝐏𝐀 𝐌𝐚𝐫𝐤𝐞𝐭: 𝐎𝐩𝐩𝐨𝐫𝐭𝐮𝐧𝐢𝐭𝐢𝐞𝐬 & 𝐂𝐡𝐚𝐥𝐥𝐞𝐧𝐠𝐞𝐬 𝑮𝒓𝒂𝒃 𝒂 𝑭𝑹𝑬𝑬 𝑺𝒂𝒎𝒑𝒍𝒆: https://lnkd.in/gsqssxm6 As the health insurance landscape in the U.S. continues to evolve, the role of Third-Party Administrators (TPAs) is becoming increasingly important. TPAs are the unsung heroes of the healthcare system, helping streamline operations, manage claims, and reduce costs for both insurance companies and policyholders. Here's a look at some of the key trends and insights shaping the 𝐔.𝐒. 𝐇𝐞𝐚𝐥𝐭𝐡 𝐈𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞 𝐓𝐏𝐀 𝐌𝐚𝐫𝐤𝐞𝐭: 𝑮𝒓𝒐𝒘𝒊𝒏𝒈 𝑫𝒆𝒎𝒂𝒏𝒅 𝒇𝒐𝒓 𝑪𝒐𝒔𝒕 𝑬𝒇𝒇𝒊𝒄𝒊𝒆𝒏𝒄𝒚: As healthcare costs rise, TPAs are in high demand for their ability to optimize claims processing, improve customer service, and reduce administrative costs. Insurance companies are looking to outsource these tasks to TPAs to remain competitive. 𝑻𝒆𝒄𝒉𝒏𝒐𝒍𝒐𝒈𝒚 𝑰𝒏𝒕𝒆𝒈𝒓𝒂𝒕𝒊𝒐𝒏 & 𝑨𝒖𝒕𝒐𝒎𝒂𝒕𝒊𝒐𝒏: The market is increasingly driven by technology. AI, data analytics, and automation are revolutionizing how claims are processed and how customer service is handled. This is not only making operations more efficient but also improving the member experience with faster response times and more accurate claims processing. 𝑪𝒖𝒔𝒕𝒐𝒎𝒊𝒛𝒂𝒕𝒊𝒐𝒏 & 𝑺𝒑𝒆𝒄𝒊𝒂𝒍𝒊𝒛𝒆𝒅 𝑺𝒆𝒓𝒗𝒊𝒄𝒆𝒔: Health insurance providers are demanding more customized solutions to cater to specific demographics, like seniors, chronic disease patients, or the underserved. TPAs are adapting by offering tailored services and specialized management to improve health outcomes. 𝑻𝒆𝒍𝒆𝒎𝒆𝒅𝒊𝒄𝒊𝒏𝒆 & 𝑽𝒊𝒓𝒕𝒖𝒂𝒍 𝑪𝒂𝒓𝒆: The rise of telemedicine has presented TPAs with a unique opportunity to integrate virtual healthcare services into their offerings. This has allowed insurance companies to expand access to care, while TPAs ensure smooth claims management and cost containment. With the U.S. healthcare system becoming more complex and tech-driven, TPAs will continue to play a pivotal role in simplifying processes for insurers and policyholders alike. The market is expected to keep growing, especially as insurers seek to improve efficiency, reduce costs, and enhance service quality. #HealthInsurance #TPAMarket #HealthcareInnovation #InsuranceTech #ClaimsProcessing #CostEfficiency #HealthcareTrends

🚀 AI is reshaping the future of health insurance — and it’s about more than cutting costs. By leveraging data from claims, utilization, and member health profiles, AI enables smarter risk segmentation and truly personalized plan designs. 💡 Predictive models can identify emerging high-cost conditions early — empowering proactive interventions, better health outcomes, and happier members. The result? Lower long-term costs and a healthier, more engaged workforce. #AI #HealthcareInnovation #EmployeeBenefits #DataDriven #PredictiveAnalytics #HealthInsurance #FutureOfWork #HR #CFO

Personalization in healthcare isn’t optional anymore — it’s the expectation. But here’s the reality… Our latest survey uncovered a trust gap that’s hard to ignore: 56% of consumers expect their insurer to personalize their experience. Yet only 29% trust that their insurer’s data is accurate That disconnect isn’t just about data quality or technology — it’s about trust. And trust is earned in every interaction. Consumers are drawing the line on their terms: ⚡ 76% worry AI could get it wrong 🔒 88% want a secure platform So yes, personalization matters — but it has to feel safe, accurate, and human. The question is — how do we deliver personalization without losing trust along the way? 👉 Here’s what today’s health insurance consumers are really telling us: https://lnkd.in/g7g-UXtj #Marketing  #MarTech  #AdTech  #Healthcare  #Insurance  #Payers

🚨 Poor digital experiences could be costing private health insurers, with two in five consumers who have held insurance in the past 12 months cancelling their policies, letting them lapse, or considering a switch. 🚨 Yes, cost pressures remain central, but experience is increasingly shaping behaviour. Nowadays, customers expect journeys that feel simple, secure and connected from the first login to the final claim. Drawing on our nationwide survey of 2,000 UK adults, our new whitepaper, Redefining Digital Experience in Health Insurance, explores how insurers can: • Compete on both value and experience • Evolve digital engagement across channels • Get their platform strategy right • Build trust from the very first interaction • Close the experience gap that drives churn • Create more personalised digital journeys • Focus on the brand moments that matter most 📘 Explore the insights shaping the future of health insurance. 👉 https://lnkd.in/er_y8-Qe

We just released a new report! 🙀 While it primarily focuses on improving digital experiences in health insurance, I think its lessons apply far more widely. But what are those lessons(i'm sure you're asking)? --> Experiences that truly understand and respond to their audiences build loyalty, no matter the industry.

After a few months in the making, we’re excited to share our new white paper: Redefining digital experience in health insurance It explores how insurers can close the digital experience gap, strengthen trust, and design for the moments that matter most - from onboarding to claims. 69% of insured consumers used digital channels in the past year, yet 39% say their insurer’s app or website isn’t as good as others they use. The opportunity to create better experiences and stand out from the competition is clear. 👉 Download the report here: https://lnkd.in/eMTM578a

For over 25 years, we’ve partnered with The Pennsylvania Department of Human Services to help residents navigate their healthcare options, health plans, and providers. We’re proud to share that we’ve been selected to continue this important work and now support Children’s Health Insurance Program members as well. With enhanced digital experiences, it will be easier for kids and their families to access health coverage. Learn how we’re incorporating technology to enhance the customer experience: http://spr.ly/6044AieB0 #CustomerExperience #Healthcare #MaximusSolutions