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Internet of Things Revolutionising Healthcare
From Daily Business News:
THE INTERNET of Things is evolving quickly, and on a global scale. The healthcare industry has cottoned on to this trend and already we are seeing a host of applications and connected devices entering the market, bearing the promise of improving the lives of patients and healthcare practitioners alike. The benefits of IoT extend well beyond health and fitness monitoring, however, and can help to smooth the interaction process between healthcare and medical aid providers as well as their clients writes Andre Deetlefs.
The impact of IoT on healthcare
From a healthcare monitoring perspective, the introduction of a variety of connected wearable devices, sensors and health applications have emerged to track a variety of common health concerns. People now have access to a multitude of health-related data from heart rates and fitness levels, to blood pressure, sleep patterns, insulin levels and even the dispensing of medication. These devices – both wearable and in the form of smart phone applications – use the Internet to communicate data back to medical aids and healthcare providers. The steady flow of information keeps them apprised of the health state of the wearer, or user, and helps them to avert worsened conditions.
Healthcare providers and medical aids are finding a wealth of value through the incoming stream of data from these devices. Leveraging the likes of Artificial Intelligence (AI) and Machine Learning (ML), they are able to do more with this data than ever before. Data analysis helps them to track trends and identify common problems, risks and solutions, which enables them to make greater medicinal strides. Many incurable disorders can now be managed easily and in an automated fashion, freeing up doctors’ time for research, and providing patients with better quality of life.
IoT is also helping healthcare providers and medical aids in other areas such as in-hospital vital sign monitoring, inventory and asset tracking and logistics. A key area that remains largely unexplored however, is the benefit of IoT on healthcare contact centres.
IoT improves CX
Customer experience (CX) is lauded as the new mark of customer loyalty. In the digital age, where most services are available at the click of a button, customers move swiftly between service providers when their experience with a provider is less than satisfactory. The same is true of healthcare and medical aid providers.
Many people still experience the frustration of repeatedly providing details to representatives of healthcare or medical aid providers. Time and again customers are prompted for the same information, having to fill in the same forms or needing to confirm the same details with a contact centre agent. A few medical aids and healthcare practitioners, as well as third party organisations however, are discovering that they can tap into the data being generated by connected devices and sensors to auto-complete their customer profiles. By having all their customers’ relevant information centrally stored and on-hand when customers contact them. They are providing better, faster service to customers while simultaneously accessing vital and accurate information that they require.
While some healthcare providers and medical aids are using IoT technology themselves to verify the accuracy and completeness of their databases, third party organisations are also emerging with applications that assist customers while providing an accessible database to healthcare and insurance providers. This must however be approved by the customer. The likes of Logbox have recently been brought to light in South Africa; an application which collates a person’s medical history and personal information on a secure platform and allows them to share it with doctors, hospitals and medical aid providers. This process helps save time, while giving providers ease of access to customer information. Connected devices which tie into applications such as Logbox can ensure that data collection is both accurate and automatic.
IoT to prevent fraud
A common issue experienced by both healthcare providers and medical aids, is the incorrect relay of information by customers. For example, a person applying for medical aid may state that they are healthy when in fact they may have a pre-existing medical condition. A sensor or connected device would be able to easily counter such claims, providing the contact centre agent with accurate information on the state of the person’s health, depending on the type of mechanism.
In the event of medical aid claims, IoT devices can also prevent fraud by verifying the authenticity of the individual’s claim. Medical aid contact centre agents would easily be able to access the claimant’s accurate medical history and records, through automated data delivery, and validate the necessity of the procedure.
Fraud from healthcare providers is also a lurking problem. Greedy practitioners may recommend more expensive medication, or unnecessary procedures anticipating higher returns. An analysis of data supplied by an IoT enabled device could easily refute the need for any recommended procedure and may even be able to suggest a more suitable solution, with the ongoing application of AI and ML.
IoT for healthcare
IoT, and more specifically the data it generates, opens the door to a world of possibilities for the healthcare industry. Whether applied to improve lives and control health disorders, or used to track and trace hospital assets; perhaps to administer medication, or facilitate smoother interactions between healthcare providers and customers; or possibly to prevent fraudulent activity, one thing is certain: IoT benefits the entire healthcare value chain and. If not already in use, IoT should form part of any healthcare and medical aid provider’s digital strategy.
Discovery Premiums Massive Increase in 2017
Discovery Health has announced its new premiums for 2017, which are set to increase between 7.8% and 14.9%.
The average premium increase across Discovery Health’s plans are 10.2% – significantly higher than last year’s 8.6%, and even higher than the forecast CPI of 6.8%
The increases for individual Discovery Health plans are as follows:
- Executive and Comprehensive: 11.9%
- Coastal Core: 14.9%
- Coastal Saver: 7.8%
- All other plans: 9.9%
According to Milton Streak, Principal Officer at Discovery Health Medical Scheme, most of their members will see an increase of 9.9% or lower in 2017.
Discovery Health is the biggest medical scheme on the open market with over 2.7 million members. The group warned earlier this year that premiums would be going up due to significantly higher claims than in previous years.
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Bonitas Subscription increase 2018
Bonitas Medical Fund announced this week that its average weighted contribution increase for 2018 will be 8.7%, with increases on its options ranging from 7.9% to 9.9%.
The weighted increase is 0.8 percentage points above that of Discovery, which announced its increase (7.9%) last week.
Through cost-saving measures and despite industry challenges, Bonitas reduced its overall net deficit from R205.5 million in 2015 to R16.9m in 2016. The scheme recently announced that its reserves have risen to R3.1 billion, and it has seen significant growth in membership.
Principal officer Gerhard van Emmenis says that last year the scheme amalgamated with LMS Medical Fund. “This will have a favourable impact on our membership as a whole, as a larger scheme is in a better position to negotiate tariffs in favour of members,” he says.
The increases will be accompanied by certain enhanced benefits. “We looked at the needs of our members and South Africa as a whole to introduce several new benefits in 2018. This includes a benefit for contraceptives and a mental health programme.
“Increases are, unfortunately, inevitable given the high healthcare costs and inflation, but we strive to keep premiums affordable and accessible for all. Some benefits have been tweaked, others increased, but all are aimed at helping members to take control of their health and lead better lifestyles, with South African socio-economic factors in mind,” Van Emmenis says.
EMC wins appeal against the Council for Medical Schemes (CMS)
It has been announced that EMC (Emerging Market Healthcare) won its appeal on 19 December 2011 against the May 2011 decision by the CMS to suspend their accreditation. As result of this and in terms of the Medical Schemes Act, EMC therefor remains accredited as a managed care organisation and proceeds with its business as usual.
2013 Medical Aid Tariffs
The following increase for medical, dental and other healthcare provider tariffs for 2013 have been announced:
| SCHEME | Rates 2013 |
| Engen | 2012 + 7.00% |
| Metropolitan | 2012 + 6.00% |
| Gems | 2012 + 5.5% |
| Gems non-network | 2013 – 2.5% |
| Bankmed | 2012 + 6% |
| Polmed | |
| Pick n Pay | 2012 + 5.00% |
| Afrox | 2012 + 6.00% |
| Imperialmed | 2012 + 6.00% |
| Sappi | 2012 + 6.00% |
| BPSA | 2012 + 7.50% |
| Medipos | 2012 + 6.00% |
| Transmed | 2012 + 6.50% |
| Samwumed | 2012 + 5.50% |
| Wooltru | 2012 + 6.00% |
| Fishmed | 2012 + 6.00% |
| Golden Arrow | 2012 + 6.00% |
| PGG |
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