The Unique Future of Australian PHI Solutions

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Douglas Simmons
8 years ago
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1 The Unique Future of Australian PHI Solutions

2 Australian PHI A Unique Market Australia has an efficient, diverse and innovative private health insurance industry. The challenge going forward is to place its regulation on a basis that preserves and strengthens the crucial role it plays for health consumers, for the health sector and for our economy and society more widely. Many insurers are already implementing initiatives to better interact with consumers and assist them in the management of their health risks. In so doing, insurers seek to provide affordable health cover that is attractive to consumers into the future. Source: The Future of Private Health Insurance Premium-Setting, 2012 * Source: The Operations of Private Health Insurers Annual Report ** PHI Solutions Need To Be Unique Too COMPLIANT WITH LEGISLATION FLEXIBLE TO FIT THE PHI PROVIDER LOW RISK & STABLE AGILE & DYNAMIC TRIED & TESTED SCALABLE & FUTURE-PROOF * **

more widely. Many insurers are already implementing initiatives to better interact with consumers and assist them in the management of their health risks.

3 Civica: Unique PHI Solution Specialists Unmatched Footprint & History A Unique PHI Pedigree Across Australia: 2 million PHI policies Managed on Civica s PHI Solutions 33% of Australian PHI Policies are Currently Managed on Civica Systems Civica s First PHI Solution went live in 1978 Civica s PHI Customers Favour Long-term Partnerships Lasting Many Decades Demonstrated PHI Commitment Systems are Designed to Respond to Legislative Reform & Have Successfully Embraced Significant Changes for Many Years: 1997 Private Health Insurance Incentive Scheme (PHIIS) 1999 Australian Government Rebate (and 30% Cut-over with PHIIS) 2000 Lifetime Health Cover Including the Year Rule 2004 Introduction of Aged-based Rebate Levels 2007 Broader Health Cover 2012 Income Testing: Aus Government Rebate 2013 Removal of Aus Government Rebate from LHC Loading 2014 Indexation of the Aus Government Rebate Specialist Expertise & Staff Solutions are Developed & Supported by Dedicated, Experienced Staff: 37 Australian-based Staff with ~ 400 years Combined Experience Specialist Developer Knowledge of Australian Legislative Compliance Framework Active Participants in PHI Technical Summits, Industry Forums and Advisory Boards Recognised Industry Leaders in Claims, Legislative Reform, Integration & Membership

Designed to Respond to Legislative Reform & Have Successfully Embraced Significant Changes for Many Years: 1997 Private Health Insurance Incentive Scheme (PHIIS) 1999 Australian Government Rebate

4 Civica s Partners Enjoy Unique Benefits 1. Stable, Low Risk Solutions Tier 1 Platforms & Providers Civica s proven commitment to developing proven, sustainable solutions are built on Tier 1 platforms & providers with long-term vision and large R&D budgets. Our technology roadmap ensures that our PHI solutions incorporate the latest versions, patches, and features offered by both vendors. Rigorous PHI Compliance Civica takes an uncompromising, proactive approach to compliance with emerging PHI legislation. 2. Reduced Development, Support & Operational Costs Flexible, Tailored Solutions Civica s PHI solutions comprise modules which can manage every aspect of the policyholder lifecycle. A PHI provider can choose to use specific modules that will interface with existing systems, or to employ a cost-effective, end-to-end turnkey solution to manage a complete PHI fund. Optimisation of Existing Systems Civica enjoys a long established history of interfacing with third party systems to optimise our customers existing systems including Telephony platforms and online member services to reduce costs and increase service. Communication Financial Agents to 3rd Parties Civica Services Customers Claims Products

large R&D budgets. Our technology roadmap ensures that our PHI solutions incorporate the latest versions, patches, and features offered by both vendors.

5 3. Rapid Time-To-Market Delivers Competitive Advantage Civica s approach to development allows PHI providers the freedom to deploy new features, capabilities and products without lengthy, expensive development cycles. Through collaboration with key stakeholders Civica creates customer-specific development frameworks, ensuring strategic and operational requirements are met. Civica s solutions are developed to be highly configurable with customers being selfsufficient and able to implement projects quickly. Our customers are able to launch new suites of products in weeks to capitalise on market opportunities. Civica s Vision: The Future of PHI Solutions The Australian PHI provider of the future will: Provide members with tailored, flexible products Allow members to self-manage and connect with them in their preferred way Offer highly competitive, low-cost PHI products Deliver unique features and capabilities to differentiate themselves from their competitors Deliver these to the market without compromising compliance, quality or member experience. Civica s PHI Partners... Are empowered by carefully tailored, highly-evolved solutions Deploy new capabilities to market quickly and safely Ensure 100% compliance with current and future legislation Enjoy an enduring partnership / strategic alliance Challenge Us With Your Challenges Why not start a conversation with us about: Using Civica s expertise to deliver efficiencies deep within your systems: either by module, or as an entire solution Harnessing Civica s rapid development and deployment capabilities to deliver new products and features to the market quickly and safely Using Civica s proven bespoke PHI solutions to reduce risk, reduce costs and increase revenue. Contact Us:

Civica s solutions are developed to be highly configurable with customers being selfsufficient and able to implement projects quickly.

6 Civica Australia In Numbers Local Government 300+ Customers Australia-wide Health 33% of Australian PHI policies Managed by Civica Systems Libraries 12,000 Library Staff Using Civica Platform Education 4000 schools 2.7 million Number of Australian PHI Policies Managed by Civica Systems 33% Of All Australian PHI Policies Managed on Civica Systems 46 years Number of Years Civica has Provided Australian PHI Solutions 32 years Longest Customer Relationship to Date (and counting) 400 years Combined Australian Development Staff Experience $4 billion Claims Paid by Civica Solutions, Per Annum 1978 Launch Year of the First Civica PHI System Civica Group $65bn Investment assests held by OMERS Pension Fund - owners of Civica $380 million Group Annual Revenue 6% Revenue Growth (FY 13) 2,100 Employees 30 Global Locations 400+ Healthcare Provider Customers (over 75% of UK NHS) $162bn Value of funds / expenditure managed on Civica systems

7 million Number of Australian PHI Policies Managed by Civica Systems 33% Of All Australian PHI Policies Managed on Civica Systems 46 years Number of Years Civica has Provided Australian PHI

7 Civica Pty Limited ABN: Level 10, O Riordan Street, Mascot NSW 2020 Tel: info@civica.com.au

Unico: Your partner. Your presence in Australia.

Unico: Your partner. Your presence in Australia. Unico 5 Queens Road, Melbourne Victoria 3004, Australia Phone +61 3 9866 5688 email unico@unico.com.au www.unico.com.au Let us be your presence in Australia