App-Based Insurance Transforms Brazilian Healthcare Market

SulAmérica Seguros used API technology to connect with startups, healthtechs, fintechs and banks as it set about expanding its telemedicine and other digital channels during the pandemic.

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The insurance industry is going through a major transformation; consumers are increasingly demanding a seamless and fast experience and a growth in insuretechs is putting pressure on industry incumbents to up their game, digitalise processes and exceed customer expectations. Crucial to this is the use of Application Programming Interfaces (APIs); tools that enable products, services and systems to easily integrate with a network of partners, sharing data securely and efficiently across different applications.

One company leading the way in the use of API technology is Brazil’s biggest non-bank owned insurer, SulAmérica Seguros. Supported by global API specialist Sensedia, it expanded its telemedicine service and other digital channels during the pandemic, using APIs to connect with start-ups, healthtechs, fintechs and banks. With more than 7million customers, SulAmérica Seguros is Brazil’s second largest insurance company and a great example of what can be achieved when an insurer puts technology at the heart of its business.

The transformation

In 1990 Brazil rolled out its publicly-funded healthcare system, Sistema Unico de Saude (SUS). A subsequent 20-year cap on health service spending prompted Brazilians to prioritise the purchase of private health insurance, behind education and home ownership. Aware it could do more to support the private health insurance market, SulAmérica Seguros decided to adopt a more holistic approach to health insurance provision. In 2015 it joined forces with US healthcare provider Healthways to promote wellbeing, providing wellness coaching support and monitoring programmes for customers with chronic diseases and complex conditions.

In 2018, SulAmerica Seguros launched a telemedicine service (although regulation prevented video consultations from taking place) and in 2019, a new regional health plan, SulAmérica Direto, enabling brokers to sell low-cost corporate plans in low take-up areas.

By March 2019, nearly a fifth of the population – some 47 million people – had private health plans, and around 70% of these were via corporate health insurance. Keen to pour additional resources into this sector, in 2020 SulAmérica Seguros sold its motor and property & casualty business and acquired Paraná Clínicas; a corporate healthcare specialist with six centres and 90,000 clients in southern Brazil. Next came the adoption and upgrade of digital health tools for customers, physicians and therapists; crucial as Covid-19 was beginning to take hold. Its app allows policyholders to book virtual appointments with GPs, specialists and therapists (including psychologists and nutritionists), request examinations and access/order prescriptions via devices, in a safe, distanced-environment.

When rules relaxed around video consultations, SulAmérica Seguros’ existing telemedicine platform enabled it to easily run an ‘on-screen physician’ service. In February 2020 there were 500 virtual consultations, by April this spiralled to 15,000 and by June they’d reached 60,000.

Demonstrating the agility APIs bring, the business was quick to launch an online Covid-19 screening service, which by May had been accessed by over 280,000 users. Between March and November last year, nearly 400,000 digital consultations were held, providing Covid assistance, ensuring the continuation of elective and non-Covid emergency treatment and maintaining ongoing care provision; areas other countries struggled to support.

During the company’s Q3 results last year, ceo Gabriel Portella said health management and its coordinated care programme were the pillars of its operation, emphasising the importance of using advanced technology to track customers’ journeys. Next step will be a similar ‘financial doctor’ service for its life and pensions’ customers and more tech innovation, utilising the Internet of Things. SulAmerica Seguros enterprise architect manager, Cristiano Bezerra, comments:

“We already have transactional data and client interaction through our co-ordinated care programme, but if we can find out more about clients’ lifestyles, we can influence behaviour to improve health and wellbeing. We need to continue to surprise and add value, have smarter digital interactions via wearables and home assisted devices and enrich the process with AI and machine learning. There are great opportunities for the whole of the financial services sector, but connecting these IoT devices requires mature technology models to support traffic and maintain data privacy.”

Cristiano Bezerra

Unlocking data potential

The transition, from health insurer to technology leader, could not take place without APIs and Microservices (a framework connecting separate software elements).

Cristiano continues: “APIs unlock the true potential of the value chain, sharing business intelligence with new channels and interfaces. While insurers, during their digital journeys connect with brokers, banks and regulators, we take this further and increase our exposure by linking with start-ups, healthtechs and fintechs.

“APIs are a vital tool in an ever-changing digital world and companies must ensure their business models reflect the importance of API exposure.

The health sector, for example, fails to use APIs to share data; doctors, healthcare management firms and insurers hold information in silos, hindering service improvements and wellbeing provision. APIs facilitate automated services, such as chatbots and Interactive Voice Response (IVR) systems, speeding up response times and enhancing the customer experience. They can also be used to set parameters for automatic claims approval and identify attempted fraud.”

With global regulatory/privacy requirements demanding data security, Cristiano believes transparency is key: “It’s important to explain to customers what data is being asked for and at each stage, request their permission to use it.”

SulAmérica Seguros has a web app that allows customers to see how and where their data is being shared and if they’re not comfortable with this, they can ask for it to be deleted. “Portals that use partners’ APIs as well as their own, must have an API governance strategy with additional layers of obfuscation and encryption working across all databases. APIs support this,” Cristiano concludes.

Looking forward, Cristiano’s priority is to ensure the firm’s existing systems are able to manage and distribute higher volumes of more granulised data: “The experiences we deliver must be fast and seamless; if clients using our apps click on a tab that takes longer than seconds to respond, they may be tempted to go elsewhere – perhaps to a tech company, rather than an insurer, whose customer service is better.”

While in-house satisfaction surveys show over 90% of customers rank SulAmérica Seguros highly for its customer service and more than 70% of respondents say their plans exceed expectations, the company is not complacent; disruptors are circling. Google recently appointed an MD for insurance, taking the lead in north America, and in its 2018 report ’The impact of alternative providers in insurance’, data and analytics company Global Data, found 30% of UK consumers said they would switch their insurance to Google, Amazon, Facebook or Apple. This suggests an opening potential of around £9bn in UK gross written premium, highlighting the vulnerability of the UK insurance market.

Sensedia’s perspective

“Through its use of APIs, SulAmérica Seguros has taken health insurance and wellbeing provision to a new level and this is before the company reaches its full technology potential. Tech firms entering the insurance sector should be viewed as a benefit as well as a challenge, as there is much the industry can learn from them.”, comments Stephen Walsh, EMEA director.

Sensedia supports multiple industries including retail, pharma, health insurance and banking, helping clients develop and implement online solutions so they can compete and thrive in an ‘open finance’ environment, no matter where they are in their digital journeys.

Sensedia

Sensedia is a leading integration solutions provider with more than +150 enterprise clients across a range of sectors. Its world-class portfolio includes: an API Management Platform, Adaptive Governance, Events Hub, Service Mesh, Cloud Connectors and Strategic Professional Services' teams.

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