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Transforming Insurance Through
Patient Empowerment
The Right Care,
At The Right Time
1
The insurance environment has now changed
*Source: https://www.ibm.com/blogs/watson-customer-engagement/2015/09/22/do-you-trust-your-insurance-company/.
57% of policyholders DO NOT trust the insurance industry
The ground is ripe for disruption New entrants are leading the way
74% of insurers believe the insurance industry is at the brink of disruption
2
3
Customer loyalty is at an all-time LOW
Competition is at an all-time HIGH
Compete on
Price
Provide the same product
at lower prices
Compete on
Value
Provide differentiated
product offerings
With greater choices available, policyholders are able to switch between
insurers with offerings deemed most attractive
More than ever, insurers are being forced to listen to customer demands
Insurers must either:
OR
customer loyalty is at an all-time LOW
competition is at an all-time HIGH
Compete on
Price
Provide the same product
at lower prices
Compete on
Value
Provide differentiated
product offerings
With greater choice and transparency, policyholders are able to switch between insurers with
offerings deemed most attractive
More than ever, insurers now must listen to customer demands
Insurers must either:
OR
4
Incumbent insurers in Asia are NOT
designed to benefit from price competition
Great existing margins in most markets, high legacy costs and
inefficient distribution mechanisms render price competition an
inadvisable strategy for most regional insurers
Purchasing a car vs. Purchasing healthcare
The lack of consumer empowerment in healthcare provides a great
opportunity for insurers to step in
Reliable data readily available
Data is translated into consumer friendly
intermediate markers like horsepower
(performance), mileage (efficiency), purchase price
(cost), resale (value)
Consumer are empowered to make comparisons
between car models to find the ideal match
Opaque industry, near complete lack
of relevant data
Available data is not translated into consumer
friendly intermediate markers
Lack of patient empowerment – patients are most
often expected to make decisions in an information
vacuum
5
Currently, consumers in healthcare rely on
arbitrary recommendations to find the right care..
Insurers
Existing Doctors
Friends and Family
Recommendations are
based on directory lists
Recommendations based on personal
networks or referral systems, often with
personal incentives not aligned with
patients’ interests
Recommendations based
on anecdotal evidence
Upon detection of a medical condition,
policyholders have various avenues from
which to seek medical advice, none of
which provide the information necessary to
empower the patient
Consumers need help in healthcare
92% of interviewed agents cited the need for doctor discovery support 6
…most often resulting in lower quality healthcare and a feeling of helplessness
Due to a lack of data-driven
recommendations, doctors
selected are most often
not an ideal fit for
policyholders’ unique needs
1. Higher complication and
re-admission rates
2. Increased anxiety and
psychological discomfort
3. Higher medical costs
and/or overcharging
Policyholders without access to the right doctor
discovery tools are placed at higher risk of:
Consumers need help in healthcare
Source: Berman, Robby, The Third leading cause of death in the U.S is medical errors. Bigthink. 2017
Medical error is the 3rd leading cause of death in the
US with over 250,000 deaths each year.
7
DocDoc has built the world’s first scalable
doctor discovery product: HOPE
HOPE is DocDoc’s AI powered doctor discovery engine.
HOPE stands for heuristic for outcome, price, and experience.
Outcome
A measure of the doctor’s
expertise at performing a
procedure or treating a
condition
Price
Prices compared to
doctors performing
similar procedures in
the region
Experience
The way the doctor and
healthcare system made the
patient feel
HOPE will select the top three recommended physicians based on the patient's unique needs. The three
recommended physicians suggested will each be scored based on healthcare quality as it pertains to the
patient's unique needs at a condition and/or procedure level of granularity.
Age: 43 | Allergies: None
Illness: Deep Vein
Thrombosis
Budget: $8,000
Patient: Jason Lim
Healthcare quality defined as a function of:
8
Discovery phone call with
a doctor discovery
practitioner to determine
whether the policyholder
requires primary care
consultation or a specialist
Discovery
consultation
9
Cashless settlement: In all cases, insurance payment is facilitated through the DocDoc platform
Policyholders receive
discovery report with unique
breakdown of most relevant
specialist recommendations
Doctor Discovery Report
In-person GP visit
Telemedicine GP consultation
Doctor Discovery Practitioner
Doctors trained in doctor discovery
consultation leverage HOPE to provide data-
driven advice and doctor recommendations
backed by the most comprehensive provider
analytics platform in Asia
Count on DocDoc every step of the way
DocDoc’s empowers policyholders with discovery consultations, telemedicine support
and cashless care so that policyholders can enjoy greater peace of mind
Specialist discovery via HOPE
Doctor discovery consultants
leverage HOPE to find the right
specialist for the policyholder’s
unique needs
Specialist authorisation
DocDoc provides a specialist
referral letter on behalf of
the insurance partner
In-person specialist visit
DocDoc helps the policyholder
book an appointment for face-
to-face visit with the specialist
DocDoc provides cashless services across the entire continuum of care 9
Without doctor discovery
HOPE transforms the patient’s buying experience
It empowers patients with knowledge to make more informed decisions
Variable price by patient and
episode unrelated to quality
Unpredictable, highly variable
and near impossible to gauge
prior to treatment
Uncurated reviews often with
limited procedure and condition
information provided
Curated reviews provided
with context and a
personalised explanation
With
Medically relevant
intermediate markers
quantified, compared and
explained in digestible format
Price measured,
compared and
guaranteed
Outcome
Price
Experience
Outcome
Price
Experience
: No Good 10
23,000
DOCTORS
13,000,000+
PATIENTS
served since 2012 launch
793
HOSPITALS & CLINICS
Our partners include:
DocDoc has already built Asia’s
largest doctor network
500+
DATA POINTS
on doctor, clinic or hospital,
individually contracted and
collected
All major specialities covered
in Singapore, Malaysia, Thailand and India
11
KOREA
HONG KONG
INDIA
THAILAND
MALAYSIA
SINGAPORE
INDONESIA
PHILIPPINES
8 year old
female who suffered from
a left eye injury
THE PATIENT
Family was unsatisfied with
level of care received during
surgery in local hospital
Consulted patient, reviewed case and recommended
doctors based on HOPE methodology
Patient was able to select most affordable
surgery option
Provided a list of the most relevant care options at
different rates in Singapore (SGD $4,800),
Kuala Lumpur (SGD $2,600) and Jakarta (SGD $4,400)
Post-procedure support provided by DocDoc
With DocDoc’s help, the patient found quality and affordable
healthcare with excellent clinical outcomes.
Role:
Total Savings:
SGD $2,200
Our Success Stories
12
57 year old
male who was advised to
get an angioplasty after a
medical check
THE PATIENT
With DocDoc’s help, the patient found the right doctor and was empowered
with knowledge on his condition. Not only was his anxiety and uncertainty
alleviated, he was also able to bypass an unnecessary and costly procedure.
Role:
Total Savings:
SGD $24,000
Estimated procedural cost:
SGD $24,000
Consulted patient, reviewed case and selected
cardiologist based on HOPE methodology
Cardiac perfusion test was performed and no
cardiac intervention was deemed necessary
Estimated cost for procedure with
recommended cardiologist was SGD $24,000
Arranged for second opinion
consultation with cardiologist
13
Our Success Stories
Chad Parsons
Director of Finance and
Operations
• Serial entrepreneur, 21 years of experience in
start-up specific management, finance, and
human resources
• Founder & CEO Cold Clean Inc.
• CFO, lead investor Justuno Inc.
Cole Sirucek
CEO & Co-Founder
Dr. Dan Riskin
Executive Chairman
• Serial entrepreneur, trauma surgeon, critical care
physician, clinical informaticist
• Member of Obama Healthcare Advisory
Committee
• Adjunct Professor of Surgery and Adjunct
Professor of Biomedical Informatics Research at
Stanford University
Grace Park
President & Co-Founder
• 14 years founding and leading healthcare
companies in Asia
• Former Managing Director of Medtronic ASEAN
• Former Brand Manager of Bristol-Myers-Squibb
Dr. Ari Widodo
Director of
Consumer Sales
• 18.5 years of managing medical evacuation and
crisis management companies
• 10 years of managing healthcare provider network
relationships for insurance companies and corporates
• Built and managed Asia’s largest doctor contact
center
DocDoc is headed by a team with extensive experience in
healthcare, entrepreneurship, and management
14
• 13 years investing in and founding technology
companies in Asia
• 7 years as a TMT investment professional for
Temasek Holdings
• Held executive positions in Hawaii’s state
government
15
• 10+ years in International SOS as Business
Development Director in Asia
• Secured many large deals across the energy,
infrastructure, finance, corporate, and hospitality
sectors
• Innovated new products and partnerships that
were adopted on a global basis
• 34 years in international healthcare and
assurance industry
• Former Regional Sales and Marketing Director of
International SOS Indonesia
• Diverse leadership experience in challenging
territories such as, Mongolia, Russia and North
West Africa
DocDoc is headed by a team with extensive experience in
healthcare, entrepreneurship, and management
• 5+ years of investing in, managing, and
designing products for healthcare technology
companies
• Managed health technology initiatives for the US
department of health and human services
(HHS) and CMS (Centers for Medicare &
Medicaid Services)
• 6+ years at International SOS as Medical
Team Manager
• Well versed in providing medical advice
and recommendation, medical evacuation
assistance, medical emergency response
and healthcare management
• 6 years in International SOS as Assistant
Manager and Senior Healthcare Management
Doctor
• Deep expertise in managing medical team
workflows and delivering exceptional
customer service in healthcare
Chris Garrett
Regional Director
Business Development
George Baptiste
Regional Director
Business Development
Jennifer Hui
Engagement Manager
Dr. Aldoni
Latumahina
Physician Manager
Dr. Chiquitita
Bunga Ariona
Physician Manager
Change health insurance as we know it
DocDoc’s AI-supported doctor discovery services empowers both agents
and policyholders to build trusted relationships for the long-term
Empower Agents
Strengthen Brand Loyalty
Keep Costs Low
Unleash The Power Of
Predictive Analytics
Enjoy Peace Of Mind
Be supported by medically-trained
professionals every step of the way
Stay Informed
Make data-driven decisions to pick the
right doctor based on predicted
outcome, price and experience for
each condition or procedure
Personalised Care
Receive customised reports with
recommended doctors based on unique
medical needs and preferences
FOR INSURERS FOR POLICYHOLDERS
16

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TDI Startup Insurtech Award - doc_doc-deck_digital-insurer_insurtech-award

  • 1. Transforming Insurance Through Patient Empowerment The Right Care, At The Right Time 1
  • 2. The insurance environment has now changed *Source: https://www.ibm.com/blogs/watson-customer-engagement/2015/09/22/do-you-trust-your-insurance-company/. 57% of policyholders DO NOT trust the insurance industry The ground is ripe for disruption New entrants are leading the way 74% of insurers believe the insurance industry is at the brink of disruption 2
  • 3. 3 Customer loyalty is at an all-time LOW Competition is at an all-time HIGH Compete on Price Provide the same product at lower prices Compete on Value Provide differentiated product offerings With greater choices available, policyholders are able to switch between insurers with offerings deemed most attractive More than ever, insurers are being forced to listen to customer demands Insurers must either: OR
  • 4. customer loyalty is at an all-time LOW competition is at an all-time HIGH Compete on Price Provide the same product at lower prices Compete on Value Provide differentiated product offerings With greater choice and transparency, policyholders are able to switch between insurers with offerings deemed most attractive More than ever, insurers now must listen to customer demands Insurers must either: OR 4 Incumbent insurers in Asia are NOT designed to benefit from price competition Great existing margins in most markets, high legacy costs and inefficient distribution mechanisms render price competition an inadvisable strategy for most regional insurers
  • 5. Purchasing a car vs. Purchasing healthcare The lack of consumer empowerment in healthcare provides a great opportunity for insurers to step in Reliable data readily available Data is translated into consumer friendly intermediate markers like horsepower (performance), mileage (efficiency), purchase price (cost), resale (value) Consumer are empowered to make comparisons between car models to find the ideal match Opaque industry, near complete lack of relevant data Available data is not translated into consumer friendly intermediate markers Lack of patient empowerment – patients are most often expected to make decisions in an information vacuum 5
  • 6. Currently, consumers in healthcare rely on arbitrary recommendations to find the right care.. Insurers Existing Doctors Friends and Family Recommendations are based on directory lists Recommendations based on personal networks or referral systems, often with personal incentives not aligned with patients’ interests Recommendations based on anecdotal evidence Upon detection of a medical condition, policyholders have various avenues from which to seek medical advice, none of which provide the information necessary to empower the patient Consumers need help in healthcare 92% of interviewed agents cited the need for doctor discovery support 6
  • 7. …most often resulting in lower quality healthcare and a feeling of helplessness Due to a lack of data-driven recommendations, doctors selected are most often not an ideal fit for policyholders’ unique needs 1. Higher complication and re-admission rates 2. Increased anxiety and psychological discomfort 3. Higher medical costs and/or overcharging Policyholders without access to the right doctor discovery tools are placed at higher risk of: Consumers need help in healthcare Source: Berman, Robby, The Third leading cause of death in the U.S is medical errors. Bigthink. 2017 Medical error is the 3rd leading cause of death in the US with over 250,000 deaths each year. 7
  • 8. DocDoc has built the world’s first scalable doctor discovery product: HOPE HOPE is DocDoc’s AI powered doctor discovery engine. HOPE stands for heuristic for outcome, price, and experience. Outcome A measure of the doctor’s expertise at performing a procedure or treating a condition Price Prices compared to doctors performing similar procedures in the region Experience The way the doctor and healthcare system made the patient feel HOPE will select the top three recommended physicians based on the patient's unique needs. The three recommended physicians suggested will each be scored based on healthcare quality as it pertains to the patient's unique needs at a condition and/or procedure level of granularity. Age: 43 | Allergies: None Illness: Deep Vein Thrombosis Budget: $8,000 Patient: Jason Lim Healthcare quality defined as a function of: 8
  • 9. Discovery phone call with a doctor discovery practitioner to determine whether the policyholder requires primary care consultation or a specialist Discovery consultation 9 Cashless settlement: In all cases, insurance payment is facilitated through the DocDoc platform Policyholders receive discovery report with unique breakdown of most relevant specialist recommendations Doctor Discovery Report In-person GP visit Telemedicine GP consultation Doctor Discovery Practitioner Doctors trained in doctor discovery consultation leverage HOPE to provide data- driven advice and doctor recommendations backed by the most comprehensive provider analytics platform in Asia Count on DocDoc every step of the way DocDoc’s empowers policyholders with discovery consultations, telemedicine support and cashless care so that policyholders can enjoy greater peace of mind Specialist discovery via HOPE Doctor discovery consultants leverage HOPE to find the right specialist for the policyholder’s unique needs Specialist authorisation DocDoc provides a specialist referral letter on behalf of the insurance partner In-person specialist visit DocDoc helps the policyholder book an appointment for face- to-face visit with the specialist DocDoc provides cashless services across the entire continuum of care 9
  • 10. Without doctor discovery HOPE transforms the patient’s buying experience It empowers patients with knowledge to make more informed decisions Variable price by patient and episode unrelated to quality Unpredictable, highly variable and near impossible to gauge prior to treatment Uncurated reviews often with limited procedure and condition information provided Curated reviews provided with context and a personalised explanation With Medically relevant intermediate markers quantified, compared and explained in digestible format Price measured, compared and guaranteed Outcome Price Experience Outcome Price Experience : No Good 10
  • 11. 23,000 DOCTORS 13,000,000+ PATIENTS served since 2012 launch 793 HOSPITALS & CLINICS Our partners include: DocDoc has already built Asia’s largest doctor network 500+ DATA POINTS on doctor, clinic or hospital, individually contracted and collected All major specialities covered in Singapore, Malaysia, Thailand and India 11 KOREA HONG KONG INDIA THAILAND MALAYSIA SINGAPORE INDONESIA PHILIPPINES
  • 12. 8 year old female who suffered from a left eye injury THE PATIENT Family was unsatisfied with level of care received during surgery in local hospital Consulted patient, reviewed case and recommended doctors based on HOPE methodology Patient was able to select most affordable surgery option Provided a list of the most relevant care options at different rates in Singapore (SGD $4,800), Kuala Lumpur (SGD $2,600) and Jakarta (SGD $4,400) Post-procedure support provided by DocDoc With DocDoc’s help, the patient found quality and affordable healthcare with excellent clinical outcomes. Role: Total Savings: SGD $2,200 Our Success Stories 12
  • 13. 57 year old male who was advised to get an angioplasty after a medical check THE PATIENT With DocDoc’s help, the patient found the right doctor and was empowered with knowledge on his condition. Not only was his anxiety and uncertainty alleviated, he was also able to bypass an unnecessary and costly procedure. Role: Total Savings: SGD $24,000 Estimated procedural cost: SGD $24,000 Consulted patient, reviewed case and selected cardiologist based on HOPE methodology Cardiac perfusion test was performed and no cardiac intervention was deemed necessary Estimated cost for procedure with recommended cardiologist was SGD $24,000 Arranged for second opinion consultation with cardiologist 13 Our Success Stories
  • 14. Chad Parsons Director of Finance and Operations • Serial entrepreneur, 21 years of experience in start-up specific management, finance, and human resources • Founder & CEO Cold Clean Inc. • CFO, lead investor Justuno Inc. Cole Sirucek CEO & Co-Founder Dr. Dan Riskin Executive Chairman • Serial entrepreneur, trauma surgeon, critical care physician, clinical informaticist • Member of Obama Healthcare Advisory Committee • Adjunct Professor of Surgery and Adjunct Professor of Biomedical Informatics Research at Stanford University Grace Park President & Co-Founder • 14 years founding and leading healthcare companies in Asia • Former Managing Director of Medtronic ASEAN • Former Brand Manager of Bristol-Myers-Squibb Dr. Ari Widodo Director of Consumer Sales • 18.5 years of managing medical evacuation and crisis management companies • 10 years of managing healthcare provider network relationships for insurance companies and corporates • Built and managed Asia’s largest doctor contact center DocDoc is headed by a team with extensive experience in healthcare, entrepreneurship, and management 14 • 13 years investing in and founding technology companies in Asia • 7 years as a TMT investment professional for Temasek Holdings • Held executive positions in Hawaii’s state government
  • 15. 15 • 10+ years in International SOS as Business Development Director in Asia • Secured many large deals across the energy, infrastructure, finance, corporate, and hospitality sectors • Innovated new products and partnerships that were adopted on a global basis • 34 years in international healthcare and assurance industry • Former Regional Sales and Marketing Director of International SOS Indonesia • Diverse leadership experience in challenging territories such as, Mongolia, Russia and North West Africa DocDoc is headed by a team with extensive experience in healthcare, entrepreneurship, and management • 5+ years of investing in, managing, and designing products for healthcare technology companies • Managed health technology initiatives for the US department of health and human services (HHS) and CMS (Centers for Medicare & Medicaid Services) • 6+ years at International SOS as Medical Team Manager • Well versed in providing medical advice and recommendation, medical evacuation assistance, medical emergency response and healthcare management • 6 years in International SOS as Assistant Manager and Senior Healthcare Management Doctor • Deep expertise in managing medical team workflows and delivering exceptional customer service in healthcare Chris Garrett Regional Director Business Development George Baptiste Regional Director Business Development Jennifer Hui Engagement Manager Dr. Aldoni Latumahina Physician Manager Dr. Chiquitita Bunga Ariona Physician Manager
  • 16. Change health insurance as we know it DocDoc’s AI-supported doctor discovery services empowers both agents and policyholders to build trusted relationships for the long-term Empower Agents Strengthen Brand Loyalty Keep Costs Low Unleash The Power Of Predictive Analytics Enjoy Peace Of Mind Be supported by medically-trained professionals every step of the way Stay Informed Make data-driven decisions to pick the right doctor based on predicted outcome, price and experience for each condition or procedure Personalised Care Receive customised reports with recommended doctors based on unique medical needs and preferences FOR INSURERS FOR POLICYHOLDERS 16