Electronic Medical Records For The Indian Insurance Industry - It is time to take a serious look

1. Electronic Medical Records For The Indian Insurance Industry - It is time to take a serious look

2. Lending a HELPING HAND -towards Strengthening the Indian Health Insurance sector Integrating Information Technology platforms - The way forward

3. Section – I The Indian Context: Current Trends & The Global Perspective

4. India’s accelerating economic growth is transforming the average Indian citizen into a discerning consumer with significant disposable income. Such growth will create a sizeable and largely urban middle class of over 500 million people by 2025 The middle class, with annual disposable household income of 200,000 to 1,000,000 Indian rupees ($25,000 to $120,000 at Purchasing Power Parity), will control almost 70 per cent of India’s urban consumption power in 2025 With such rising income the consumption of different products and services is likely to evolve Five product categories—food, transportation, housing and utilities, healthcare and personal products/services—will account for over 80 per cent of total cumulative spending in India over the next 20 years Electronic Medical Record : The Indian Context

5. Over the past 20 years, healthcare consumption has been growing rapidly at 8 per cent, faster than the overall consumption growth rate of 4.7 per cent This strong growth trend is expected to accelerate over the next 20 years creating a nearly 9 trillion rupee healthcare market Today, healthcare consumption in India is largely funded by household expenditure In 2005, the private consumption of healthcare represented more than two-thirds of total healthcare spending compared to 10 to 12 per cent in most developed countries Employer-based health insurance market is small, covering less than 10 per cent of the workforce Government insurance coverage is limited and any expansion is likely to focus on the poor at the base of the pyramid The growing Indian middle class will be covered largely by privately provided and individually purchased health insurance represents both a big opportunity and the main challenge in expanding health insurance coverage in India Electronic Medical Record : The Indian context:

6. U.S. health expenditures account for about 18% of the country's annual GDP • According to the World Health Organization, health care expenditure per person in the United States is the highest in the world • Over the past 10 years, health insurance premiums have increased consistently, outpacing the growth of wages and cost of living. • The Patient Protection and Affordable Care Act (:PPACA) was passed in 2010 and marked the beginning of a multiyear implementation process • The US Health Insurance market is dominated by the five largest US health insurance companies UnitedHealth Group Inc., WellPoint Inc., Aetna Inc., Humana Inc., and Cigna Corp • Further Medicaid is the US Govt. Health Program. It is jointly funded by the state and federal governments, and is managed by the states • People served by Medicaid are US Citizens or legal permanent residents, including low- income adults, their children, and people with certain disabilities. Poverty alone does not necessarily qualify someone for Medicaid. Medicaid is the largest source of funding for medical and health-related services for people with limited income in the United States Electronic Medical Record : The US Perspective

7. The US Perspective: Profitability Index • The privately managed providers together set new profit records in 2009, at a Juncture when the greatest economic downturn since the Great Depression sent millions of Americans onto the unemployment line and into poverty • The five firms reported $12.2 billion in profits last year, an increase of $4.4 billion, or 56 percent, over 2008 • During this period, 2.7 million Americans who had been enrolled in private health plans the year before lost their coverage • The five biggest health insurers run managed-care plans for Medicare that may see revenue rise by $10 billion by 2015 as more baby boomers retire, industry analysts have said. • The companies saw their average operating profit margins expand to 8.24 %in the six quarters since the overhaul became law, compared with 6.88 % for the 18 months before it was passed. Electronic Medical Record

8. Success in a retail health insurance world requires five key capabilities and competencies – for example: • Product innovation • Retail multi-channel distribution • Value-added consumer experience (beyond just service) • Consumer-oriented medical management • Risk management • Each of these capabilities and competencies stands on a foundation of deep consumer insight and an IT-enabled Analytics based administrative platform Electronic Medical Record

9. The Electronic Medical Record (EMR): Key to achieving core capabilities for efficient Policy Design & Administration: • Can provide an up to date Clinical profile for all patients with detailed treatment history – providing a clear representation of preexisting & chronic ailments, drug allergies, past surgical / clinical procedures, on going medication status and other vital information • Relieves the burden of maintaining volumes of past medical records in paper documents • Takes care of misplacements, damage and loss of paper documents gathered over years • Data accessible 24X7 through easy User I.D. password verification by authorized entities from anywhere in the world • Can be very handy for treatment of Emergency cases where the Patient is not in a position to produce documents • Receives processes stores and reproduces complex relational databases 24X7 Electronic Medical Record

10. The EMR – Some Further facts: • All Data exchange, transfer and storage takes place over a 128 bit encrypted highly secure network • Totally secure Data Storage in International Data Centres – which is US Govt. legislated Health Information Portability & Accountability Act (HIPAA) compliant environment – because of our current customers being mostly US based. • Wide scope for Policy Review and Research on real time centralized database • The EMR can be accessed conveniently by appropriate physicians, health insurance professionals, researchers and other stakeholders (subject to authorization) irrespective of their geographical positions to further the progress of research & development of Medical Science and allied support services Electronic Medical Record

11. Electronic Medical Record

12. Electronic Medical Record EMR Form - 1

13. Electronic Medical Record EMR Form – 2Patient Name : Anindya Sarkar Patient i.d.: 512248 Date of Registration: 21.02.2012 Emergency Clinical Information:…. Contd. List of Current Medications: Reported Drug Allergies: List of Past Medications:

14. Electronic Medical Record EMR Form – 3Patient Name: Anindya Sarkar Patient I.D.: 512248 Date of Registration: 22.02.2013 Medical History (Source: Patient Declaration) ….. contd: Immunizations: Social Habits:

15. Electronic Medical Record EMR Form – 4Patient Name: Amit Roy (M) Patient I.D.: 512248 Date of Registration: 22.02.2013 Medical History (Source: Patient Declaration) ….. Contd.: C. Family History:

16. Electronic Medical Record EMR Form – 5Patient Name: Anindya Sarkar Patient i.d.: 512248 Date of Registration: 22.02.2012 Medical History (Source: Patient Declaration) ….. Contd.: C. Family History ….. Contd. If any relative is known to have the following:

17. Electronic Medical Record EMR Form – 6 Patient Name: Anindya Sarkar Patient I.D.: 512248 Date of Registration: 22.02.2013 Medical History (Source: Patient Declaration): General Health Condition: Past Medical History:

18. Electronic Medical Record EMR Form – 7Patient Name: Anindya Sarkar Patient i.d.: 512248 Date of Registration: 22.02.2012 Medical History (Source: Patient Declaration): Hepatitis A

19. Electronic Medical Record EMR Form – 8Patient Name: Anindya Sarkar Patient i.d: 512248 Date of Registration: 22.02.2012

20. Electronic Medical Record EMR Form – 8Patient Name: Anindya Sarkar Patient i.d: 512248 Date of Registration: 22.02.2012

21. Electronic Medical Record EMR Form – 8Patient Name: Anindya Sarkar Patient i.d: 512248 Date of Registration: 22.02.2012

22. Electronic Medical Record EMR Form – 8Patient Name: Anindya Sarkar Patient i.d: 512248 Date of Registration: 22.02.2012

23. Electronic Medical Record EMR Form – 8Patient Name: Anindya Sarkar Patient i.d: 512248 Date of Registration: 22.02.2012

24. The 128 bit Secure Cloud Network Architecture Client End OSBI Separate OUTGOING and INCOMING Directories can/will be setup for different Floors/Wards as required. www.medicalrecordsindia.com

25. Thank You