Healthcare Market

Opportunity in US

By
Dewan Tarikul Mannan
 Healthcare
Investment
Market growth
in United States

Source
 Healthcare $1.2tr
Investment Health and Medical

Market growth Insurance market size in us

in United States 2.6%

Growth rate in 2021

2.8M
People employed in US
health insurance industry.

Source
 How does US healthcare insurance
industry works

US govt funds Employer pays Health Insurance

provider
● Medicare ● Employer pays Around 900 companies
● Medicaid for the employee ● Anthem
● Humana
● Cigna
● Unitedhealth
group
Market share of
leading health
insurance
companies in
United States

Source
 Problems faced by
US healthcare insurance industry
Low level of insurance Less long term relation
coverage Agent and broker look for long
Health and Medical Insurance relationship with clients. But it’s
market size in us hard to find so.

Less adaptability with IT in Lack of skilled developers

healthcare Introducing data science in
Health and Medical Insurance medical sector is very important
market size in us but we lack in having experienced
data specialists.
 Problems faced by
US healthcare insurance industry
More mortality & less Financial Implications
longevity Financial markets have experienced
Increasing mortality rate is significant change and volatility since
affecting the companies as they the markets began reacting heavily to
are facing loss. the pandemic in February and March of
this year
Lack of Demand
Health and Medical Insurance
market size in us is having less
demand.
 Solutions that IT
Comprehensive claim
management
provides in
managing Claim Intimations, Claim
Authorizations, Claims Processing with
Healthcare &
Automatic Adjudication including Legal &
External TPA claims,
insurance
Regulatory Report generation Policy Management
Generating automated reports on payment Finding the best policy for the individuals
status, insurance timeline etc. according to their capability, health conditions
etc.

Related calculator Commision Management

Calculating different aspect related to insurance Calculation of commission & to adopt specific
and health. options
 Current IT
solution
providers in
Healthcare &
insurance
● Problem:
To solve the more mortality related Area to work on
issues

● Way to solution:
Data analytics can allow us to predict
the longevity period of thiers.

● Solution:
According to predicted mortality we
can accommodate them to different
insurance policy with different lifetime,
facilities and expenses.
 Area to work on
● Problem:
Less Demand & less long term
demand

● Way to solution:
Give easier access and easy to
understand solution

● Solution:
Taking the solutions to mobile apps to
make it more accesible.
 Area to work on
● Problem:
Financial implications

● Way to solution:
Personlized policiy suggestions

● Solution:
Using data analytics and get
behaviour pattern to give personalized
policies.
 Data Analytics

Regular Better
system system

Mobility

Personal
customization
Rising of complains after COVID: High mortality effect
 ● Mobilty will ensure more access
to customers and let them
understand the process clearly
Reasons relisource
should adopt ● Personal Touch allow user to
make the policy reachable for
this better model them and more relatable.

● Arranging policy according to the

mortality rate, let the compnay
profit accordingly and generate
less issues,