Digital distribution

Forget the stereotypes--ASP isn't just for small, IT-challenged carriers any more, and many of the ASP problems that gave insurance companies pause only a few years ago are being solved. Dollar savings and fast time to market are still big pluses for ASP, but today there are a lot of other reasons to consider it.The market among insurance carriers for ASPs, or application service providers, is growing by about 10% a year-slower than in most other industries-according to Marc Cecere, vice president and principal analyst for Forrester Research in Cambridge, Mass. From a supply-side perspective, that's partly because of the structure of the insurance industry and partly because of the regulatory scene for insurance companies.

Two factors that define a customer's image of an insurance provider are the quality of the buying experience and the effectiveness of the underlying communication. That's why carriers find a comprehensive enterprise communications platform critical. What's needed in communications is consistent excellence.Insurance carriers are feverishly modernizing almost every other aspect of their business, from claims and policy administration systems to agent automation. Large and mid-sized carriers alike are engaged in sweeping projects to grow their businesses and streamline internal processes. In many cases, those efforts provide an opportunity to embrace new capabilities. Yet their approach to document generation has remained static.

CANAL SELECTS TRUMBULL FOR SUBROGATION MGT.Canal Insurance Co., Greenville, S.C., entered an agreement with Trumbull Services, Windsor, Conn., to use Trumbull's Subrooutsource, an internally developed, advanced system designed to enhance subrogation recovery activities for all lines of business nationwide. Trumbull, in conjunction with an experienced subrogation team, will manage the entire subrogation process, leveraging the system's abilities to increase recoveries through effective resource allocation, automated workflows and a continuous improvement model.

Fayetteville, Ark. – The Gramm-Leach-Bliley Act (GLBA) has not created significant synergies between commercial banking, investment banking, merchant banking and insurance activities, according to a finance researcher at the University of Arkansas. It also had little effect on bank profitability and productivity.

Malvern, Pa. - A number of chartered property and casualty underwriters that belong to the CPCU Society believe that the industry will experience greater integration of productivity-enhancing technology into day-to-day insurance operations. They'll also face more regulatory pressures, compounded by a growing risk of class action litigation. That said, the members, who were surveyed last year, believe that they are well equipped to deal with the industry's upcoming challenges. The CPCU Society, which counts more than 26,000 members in its ranks and is headquartered in Malvern, Pa., released the results today of a November survey of its member opinion panel. In this first survey of a two-part series on insurance career outlooks, members of the panel were asked for their views on the industry's future, and what any impending changes would mean for their careers. Members did raise concern, however, about the preparedness of their industry to deal with the upcoming wave of retiring Baby Boomers. Combined with a projected shortfall in the number of new entrants with the necessary technical and subject skills, 66% of survey respondents foresee an "experience gap" as very likely to form in the next five years if nothing is done. Their suggested countermeasures include more aggressive recruiting efforts; improved training; retaining retiree capital via consulting, mentoring, and flexible scheduling; more competitive compensation and benefits; and enhanced positive visibility for the industry and its career options. "It's become very clear that education of its employees will be critical to the success of the industry's future," says Betsey Brewer, CPCU, 2006-2007 president of the CPCU Society. "Employers must recruit the best and brightest, especially applicants who hold a professional designation, like the CPCU, and/or have significant industry experience," she says. Source: CPCU Society

Omaha, Neb.-- Mutual of Omaha launched a Web site where consumers can receive information on insurance, free rate quotes and purchase a variety of Mutual of Omaha insurance products, the company reports. The site, www.mutualofomahabuyonline.com, is described as a one-stop shop for consumers who prefer a less-traditional avenue for purchasing insurance. "We recognize that some people are not only comfortable with researching online, they actually prefer to purchase online, too," said Tom Graham, senior vice president of Direct-to-Consumer Marketing at Mutual of Omaha. "We want to provide access to products that serve the consumer when, where and how they choose." The site currently offers accidental death insurance, cancer insurance as well as adult and juvenile life insurance through Mutual of Omaha and its life insurance affiliate, United of Omaha. Mutual of Omaha opened its doors for business in 1909. Source: Business Wire

Dayton, Ohio - Anthem Blue Cross and Blue Shield launched a pilot e-prescribing program in two Ohio communities in an effort to reduce medication errors and the time physicians spend managing prescriptions.Currently, less than 22% of physicians nationwide use the basic capabilities of e-prescribing, according to the Center for Medicare and Medicaid Services (CMS), Baltimore, Md. CMS estimates that the use of such technology could eliminate as many as two million harmful drug events each year.

Washington - A coalition of insurers, technology companies and health care organizations is working to provide free electronic prescribing to every physician in America.

The road seems less bumpy these days for insurance carriers that use state-of-the-art automated compensation to calculate and track agents' commissions. A single streamlined third-party system can replace a hodgepodge of legacy software and manual processes, users say, helping to reduce clerical work, increase accuracy and improve reporting. Moreover, carriers report that the software opens up a whole new world of analysis that pinpoints the true sources of profit and helps identify and retain the best agents.The accuracy rate for commissions at Blue Cross Blue Shield of Florida, for example, has improved from 80% before introducing up-to-date automated compensation to 95% after the implementation, says Linda Lamb, BCBSF vice president of sales business management. The remaining errors arise from data entry miscues or software problems outside the system, she says.

Washington - Two conservative Fox News commentators, Bill O’Reilly and Morton Kondracke, are slated to speak at insurance industry conferences in the coming year.

Thousand Oaks, Calif. - To promote health in the Latino community, Blue Cross of California (BCC) has started a Web site called NuestroBien, which is Spanish for ”our well being." The site, located at www.nuestrobien.com, presents articles in English and Spanish on prevention, nutrition and early detection of health problems.

Harrisburg, Pa. - Pennsylvania National Mutual Casualty Insurance Co. enhanced its online quoting and application system for personal lines products, as part of its strategy to jump-start profitable personal lines growth.Some of the technology enhancements include quick-hit automation and workflow improvements, including automatically ordering Insurance Bureau Score reports, automatically assigning plan tiering and simplifying and streamlining the application process by eliminating duplication. In addition, product enhancements include streamlining auto and homeowner underwriting guidelines to make them easier to use and less cumbersome, and revising underwriting guidelines to broaden underwriting appetite for selected risks to be more competitive.

Chicago - Chicago-based insurance broker Aon yesterday became the latest in a series of companies to participate in technology mergers as it announced its intent to acquire Valley Oak Systems (VOS), a San Ramon, Calif., provider of claims management software, services and support for the insurance industry. The acquisition reflects Aon’s desire to supplement its risk management portfolio. Valley Oak, winner of the IASA 2006 Technology Achievement Award, is best known for its iVOS system, which includes medical bill review, policy underwriting, case management, billing and event management capabilities. "Aon's acquisition of Valley Oak Systems continues Celent's predicted roll-up of the insurance software industry,” says Donald Light, senior analyst with Boston-based Celent, LLC. “While most acquisitions of independent insurance software vendors have been by larger software vendors, such as Milwaukee-based Fiserv buying Insureworx, Oakland, Calif., this time it is a major broker doing the deal.” The purchase InsureWorx, a policy and claims administration technology provider, gives Fiserv an end-to-end policy and claims administration offering for workers compensation. Other recent mergers in the insurance technology space include the San Diego-based Websense Inc., acquisition of PortAuthority Technologies, Inc., Palo Alto, Calif., and Ra'anana, Israel, for approximately $90 million in cash. PortAuthority will combine its information leak prevention technology with the "ThreatSeeker" malicious content identification and categorization technology from Websense. The deal will create a single source for companies looking to prevent the unauthorized use or disclosure of confidential data while simultaneously protecting users and data from external malicious threats. The Aon-VOS merger will benefit Aon’s unique position as a large brokerage firm. By integrating and sharing data with RiskConsole, Aon’s RMIX offering, the Aon-VOS deal enables the Chicago broker to create what the companies claim to be the only end-to-end browser-based offering in the marketplace. The acquisition of VOS follows a similar deal cut in 2004 by Aon’s with Risk Laboratories, LLC (RiskLabs), Marietta, Ga. Aon expects to consummate the VOS deal by January 31, 2007. Light believes that, from a marketing and sales perspective, the acquisition makes sense. “Valley Oak's customer base includes a great many risk management units in large employers who self-insure workers' compensation,” he says. “Aon's brokerage business targets that same group of risk managers. Aon's challenge will be to give Valley Oak the resources and freedom to keep its offering fresh and valuable to self-insured employers, as well as other customers such as insurers and third party administrators." Sources: Aon, Celent, INN archives

Dallas – Boston-based Blue Cross Blue Shield of Massachusetts (BCBSMA) has decided to use Premium Payor Services from Zix Corp. (ZixCorp). ZixCorp's Premium Payor Services provide access to future value-added services and deliver enhanced reporting for both payors and providers, aiding in analysis for incentive program initiatives.The Premium Payor Services funding model, which is in addition to the annual subscription fee per prescriber, is typically one dollar per qualified script processed or, as in this case, a flat fee license based on historical usage patterns calibrated to yield a similar amount.

Indianapolis - WellPoint Inc. received three eHealthcare Leadership Awards for two of its branded product Web sites.WellPoint, based in Indianapolis, received a Platinum award in the Best Overall Internet Site category for www.bluecrossca.com, a Silver award in the Best eBusiness Site category for www.anthem.com and a Distinction award in the Best Health/Healthcare Content category for www.anthem.com. The company's Web sites were selected from more than 1,100 award entries.

Washington - America's Health Insurance Plans (AHIP) and the Blue Cross and Blue Shield Association (BCBSA) are working together to grant consumers their wish for portable personal health records (PHRs).

New York - Ameriprise Financial Inc. has promised to hire a consultant to review company laptop policies as part of an agreement with Massachusetts securities regulators. A year ago, the theft of one of Ameriprise’s computers exposed the personal data of more than 150,000 clients.

Kansas City, Mo. - The National Association of Insurance Commissioners (NAIC), the trade group for state insurance officials, has established a Web site to provide motorists with tips on purchasing auto insurance.

New York - American consumers want electronic copies of their medical records and believe that having greater access to their information will reduce medical mistakes and costly repeat procedures, according to a new survey commissioned by the Markle Foundation, a New York research organization. But eight in 10 Americans are very concerned about identity theft or fraud and the possibility of their data being used by marketers without their permission - with three-quarters of those surveyed saying the government has a role in establishing privacy and confidentiality protections for electronic health information. For one of the custodians of consumer health care, health insurers, a cost/benefit analysis may involve deciding which is worse: the legal and potential business-loss ramifications incurred if a health insurance policyholder's private information is lost, or a potential regulatory chokehold on the management and transmission of a policyholder's data. In either case, as health insurers face increased scrutiny as one of the many "gatekeepers" of private consumer information, they also understand the importance of "big picture" thinking when it comes to doing whatever is possible to promote patient health. Companies such as Harvard Pilgrim Healthcare (HPHC), a 25-year old provider of health insurance products to more than one million members, has taken painstaking efforts to protect its customers information while making certain data is securely available to policyholders' caregivers. The Wellesley, Mass., not-for-profit company's mission statement--to be the most trusted name in healthcare-means the company must provide secure data access to HPHC's internal work force of 2,200 users as well as to a growing number of constituents, including 130 hospitals and 22,000 physicians. "Americans understand that quality of care could improve and costs decrease when their health information is available over the Internet to them and those who care for them," said Zoë Baird, president of the Markle Foundation, which funded the research. "And they are clearly ready to do their part to improve our health care system. But consumers also have significant privacy concerns, which must be addressed if we are to have sufficient consumer confidence to support a national commitment to electronic health records. People expect the federal government to establish rules that protect electronic personal health information from being used inappropriately." The survey, conducted by bipartisan polling firms Lake Research Partners and American Viewpoint, shows that: *97 % think it's important for their doctors to be able to access all of their medical records in order to provide the best care; *96 % think it's important for individuals to be able to access all of their own medical records to manage their own health; *Two in three Americans (65 %) would like to access all of their own medical information across an electronic network. This interest spans demographic groups - with a majority (53 %) of Americans 60 and older and high proportions of minority groups expressing interest; *When given the scenario of changing doctors or moving to a different city, an even greater majority - 84 % - said it would be important for them to have electronic copies of their medical records that they keep and control; and *Three-quarters of Americans are willing to share their personal information to help public officials look for disease outbreaks and research ways to improve the quality of health care if they have safeguards to protect their identity. The survey shows that large majorities of Americans see a number of benefits from accessing their medical information online. Consumers say they want access to their medical information in order to ensure that it's accurate, to improve doctor-patient communications and to help prevent medical errors. *91 % say it's important to review what their doctors write in their chart; *88 % say online records would be important in reducing the number of unnecessary or repeated tests and procedures they undergo; *82 % want to review test results online; and *84 % would like to check for errors in their medical record. Americans also see ways in which they could gain more control over their health care by making use of personal health records: *90 % say it would be important to track their symptoms or changes in their health online; *83 % of parents would be interested in using a network to track their child's health, such as tracking dates for immunizations; and *68 % say having their information available online will give them more control over their own health care. "It is encouraging to see that so many Americans recognize the opportunity to improve their health care - and their own health - by accessing and using their health information," said Carol Diamond, M.D., managing director of the Markle Foundation Health Program. "People not only want to see their medical records, they want to use the information to communicate with their doctors and be more involved in managing their care." While the survey notes high recognition of the benefits made possible by accessing personal heath information electronically, most respondents express concern that their medical information could be misused: *80 % say they are very concerned about identify theft or fraud; *77 % report being very concerned about their medical information being used for marketing purposes; *75 % say the government has a role in establishing rules to protect the privacy and confidentiality of online health information; *66 % say the government has a role in establishing rules by which businesses and other third parties can have access to personal health information; and *69 % say the government has a role in encouraging doctors and hospitals to make their personal health information available over the Internet in a secure way. "Despite the overwhelming interest in being more active participants in their own health care, and having their medical information available online to themselves and their physicians, Americans have very serious concerns about the privacy and security of their medical information," said David Lansky, Ph.D., senior director of the health program at the Markle Foundation. "People want to have control over whether their data are used for non-medical purposes and expect the government to establish rules that will protect them." Connecting for Health, a Markle-operated collaborative group of more than 100 organizations, released a new white paper to stimulate national discussion on the use of information technology to meet the critical needs of consumers, patients, and their families. The report describes a networked health information environment in which consumers could establish secure connections with multiple entities that hold personal health information about them. "It is difficult for a consumer to manage her personal health information since it is scattered among various organizations such as insurance companies, pharmacies, hospitals, etc.," Lansky said. "Several projects are currently underway to deploy personal health records, which are designed to help individuals manage their electronic personal health information. But because our health care system is so fragmented, and your health information is typically held by many unconnected entities, these electronic applications today struggle to provide a convenient way for consumers to access all of their data." The paper begins with a brief discussion of how consumer participation in networked environments has transformed other sectors, such as travel and finance. It contends that the health care sector would benefit greatly from a properly designed secure network that enables consumer participation. For more information, go to www.markle.org. Source: The Markle Foundation, INN archives

Ipswich, Mass. - The life insurance industry achieved the dubious distinction of having the highest percentage of companies failing to adequately respect the online user. Such are the findings from a survey conducted by The Customer Respect Group, an Ipswich, Mass., research and consulting firm that focuses on how corporations treat their online customers.