The six billion dollar question that faces health insurance in India currently is – Will Health Insurance exist in 2025? If so, in what form?

There are a few critical forces at play which will shape health insurance in the next decade. The first is that healthcare delivery will continue to be dominated by the private sector in terms of value of care consumed. The second is that the government’s role as payor will grow – and this role will be two pronged – controlling healthcare prices as well as funding health through insurance. The third is that the consumer will demand digital convenience. Fourth, health insurance has started to attract capital – there have been 3 new entrants in the last 12 months. Building a business which delivers value in light of these will require nimble footedness and it will require making tradeoffs. The FICCI Health Insurance Conference aims to explore these trade-offs.

ConferenceAbout the

Key Highlightsof the Conference

CEO Panel on the “State of Play” in health insurance

Value and Valuation-Understanding and managingexpectations of shareholdersand private equity players

“Innovate”: Transforming thesector through meaningfulpartnerships with new healthstart-up companies

Working with Providers – To create new health financing structures.

The innovation Agenda

Value and Valuation in HealthInsurance

CEO Panel: STATE OF THEHealth Insurance MARKET

Attracting first time buyers tohealth insurance

SessionsKey

Obtain regulatory updates and vision for the sector from the government and regulator

Understand the dynamics of health insurance business, strategies and models

Understanding the various existing and future technological advancements and platforms, that are shaping the current market scenario and will be game changers in near future

Sharing of FICCI’s research work in the form of a Knowledge Paper in the area of Digitization in Health Insurance ; Value Added Services ; Current Status of ‘Distribution in Health Insurance’ in India, and What Needs to be Done

A unique platform to Network and collaborate with a conglomeration of I n d u s t r y l e a d e r s , g o v e r n m e n t representatives and policy makes under one roof

participate…?Why

ConferenceFocus of the

To deliberate upon the strategies, policies and need of innovation in products, delivery, service as animperative for market expansion

To understand the vision of the government towards the development of health insurance sector, given the challenges that the sector faces today

Assess the gap, future requirements and global trends to synthesize learnings, implications and way forward for India in the context of improving the current distribution mechanisms/ methods, eventually leading to increased penetration of health insurance

To discuss and find out ways of integrating t e c h n o l o g y w i t h H e a l t h I n s u r a n c e , a n d understanding the current technology trends, which are affecting the health insurance market

To take stock of various policy & business developments and recommending the way forward to enhance health insurance penetration

Discussions on how to increase health insurance penetration in India, by reaching-out to untapped markets like the MSME sector

Understanding and managing expectations of shareholders and private equity players

Discussions on ways to create a new health financing structures

Look at ways where health start-up companies can partner with health insurers, to transform of the sector.

To disseminate the work done by FICCI Health Insurance Committee in the current year

Corporates Clinical Experts Third PartyAdministrators

Insurance Brokers Actuarial Companies& Actuaries

Micro FinancialInstitutions (MFIs)

Life Insurance Multilateral andBilateral Organizations

Medical EducationInstitutes

Services Sector

InsuranceAgents

Technology Providers

InsuranceEducation Institutes

Medical Devices &Hospital & Equipment

Companies

Micro Insurance Institutions

Healthcare Providers

Health InsuranceCompanies

Non-Life InsuranceIndustry

Non-Banking FinanceCompanies (NBFCs)

Consultants &Analysts

TargetAudience

SpeakersChiefGuest

Dr. Nandakumar JairamChairman, CEO &

GMD, Columbia Asia Hospitals

Mr Ashish Mehrotra MD & CEO, Max Bupa

Health Insurance

Mr Shreeraj DeshpandeSVP - Operations,

Customer Service & Health InsuranceFuture Generali

Mr Tarun Bhambra Business Head

Practo

Mr N. EswaranatarajanSenior Executive Vice

President & COO, Kotak Mahindra General Insurance Co. Ltd.

Ms Malti JaswalCOO, Health

InsuranceTPA of India

Mr G Srinivasan Chair-FICCI Health

Insurance Committee; CMD, The New India

Assurance

Mr Girish Rao Co-Chair, FICCI Health Insurance Committee; Chairman & Managing

Director Vidal Healthcare Services Pvt. Ltd.

Mr Antony Jacob Co-Chair, FICCI Health Insurance Committee; CEO, Apollo Munich

Health Insurance

Mr Sandeep PatelCo-Chair, FICCI Health Insurance Committee; CEO & MD, Cigna TTK

Health Insurance

Dr. Narottam PuriAdvisor (Medical),Fortis Healthcare

Mr Mayank BathwalCEO, Aditya Birla Health Insurance

Mr Saurabh Arora CEO & Co-Founder

Lybrate.com

Mr Ambareesh Baliga Independent Market

Analyst

Mr Santosh SinghHead – Research,Haitong Securities

India

Mr Ashish KambhatSr Vice President

Axis Capital*

Mr Shashwat Sharma Partner, Insurance

Leader - KPMG in India

* Invited

Dr. S. Prakash COO

Star Health and Allied Insurance

Ms Vidya HariharanDirector (Group Strategy)Vidal Healthcare Services*

Ms Neera SaxenaDGM- Health,Misc

Tech, The New India Assurance Company

Mr Vijay Sinha MD & CEO

DHFL General Insurance

Dr Vikram Chhatwal Chairman & CEO,Medi Assist India

Ms Anuradha SriramAppointed Actuary Aditya Birla Health

Insurance

Dr. A. Velumani MD & CEOThyrocare

Mr Rohan Sachdev Partner & Leader (Africa, India & Middle East), FS Advisory & Global Insurance Emerging Markets, Ernst & Young LLP*

Mr Anil Iyer Chief Commercial Officer

of PharmaceuticalsGlaxoSmithklinePharmaceuticals

Mr Gaurav Thukral Executive VP & Chief

Operating OfficerHealth Care at Home India

Mr Vikas ChauhanCo-Founder

1mg

Mr Nirmal K. Rewaria CEO & Co-Founder

FinPeace

Mr Aditya KhannaDirector (FS Advisory)

Ernst & Young LLP

Ms Avani ShahDirector

KPMG in India

Mr Manoj JalaniAdditional Secretary, Ministry of Health & Family Welfare, Government of India*

Program Draft

8:30 AM – 9:45AM REGISTRATION

10:00 AM – 10:55 AM INAUGURAL SESSION

10:00 AM – 10:05 AMWelcome Address

Dr Sanjaya Baru, Secretary Director - FICCI

10:05 AM – 10:15 AM

Theme Address

Mr G Srinivasan – Chairman, FICCI Health Insurance Committee &Chairman & Managing Director, The New India Assurance

10:15 AM – 10:25 AM

Keynote Address

Mr Manoj Jhalani – Additional Secretary and Managing Director (NHM), Ministry of Health & Family Welfare, Government of India*

10:25 AM – 10:35 AM

Release of FICCI – KPMG Knowledge Paper on ‘MSME’

Release of FICCI – KPMG Knowledge Paper on ‘Health Savings Scheme’

Release of FICCI – EY Knowledge Paper on ‘Distribution in Health Insurance’

10:35 AM – 10:55 AMInaugural Address by Chief Guest

Mr T S Vijayan – Chairman, IRDAI

On Dais

• Mr Girish Rao – Co-Chair, FICCI Health Insurance Committee; Chairman & Managing Director, Vidal Healthcare Services

• Mr Sandeep Patel – Co-Chair, FICCI Health Insurance Committee; CEO & MD, Cigna TTK Health Insurance

• Mr Antony Jacob – Co-Chair, FICCI Health Insurance Committee; CEO, Apollo Munich Health Insurance

As on 28 November 2017

10:55 AM – 12:10 PM CEO Panel : “State of Play” in Health Insurance Industry

Health insurance industry is at a critical stage of growth in India. Total health insurance premiums are projected to grow at CAGR of 21% till 2025. In spite of growth in the sector, there is significant scope for the private sector to tap the potential growth opportunity and contribute significantly towards providing inclusive health insurance to all.

There are a few critical forces at play which will shape health insurance in the next decade. The first is that healthcare delivery will continue to be dominated by the private sector in terms of value of care consumed. The second is that the government’s role as payor will grow – and this role will be two pronged – controlling healthcare prices as well as funding health through insurance. The third is that the consumer will demand digital convenience. Building a business which delivers value in light of these will require nimble footedness and it will require making tradeoffs.

Key discussion topics:

• Is 21% CAGR in health Insurance till 2025 sufficient to make health insurance inclusive?

• What needs to be done to make the health insurance industry become profitable?

• Are the real healthcare needs of the unorganised sector understood by the value chain, and how can the insurance industry focus on the unorganized sector to increase health insurance penetration in India?

• How can the Government support private sector insurers in providing healthcare cover to the workforce in the unorganized sector?

• How to have successful partnership with providers and distributors?

Session Moderator:

Mr Sandeep Patel – Co-Chair, FICCI Health Insurance Committee; CEO & MD, Cigna TTK Health Insurance

Panellists:

• Mr G Srinivasan – Chairman, FICCI Health Insurance Committee; Chairman & Managing Director, The New India Assurance

• Mr Girish Rao – Co-Chair, FICCI Health Insurance Committee; Chairman & Managing Director, Vidal Healthcare Services

• Mr Ashish Mehrotra – MD & CEO, Max Bupa Health Insurance

• Dr Nandakumar Jairam – Chairman, CEO & GMD, Columbia Asia Hospitals

12:10 AM – 12:30 AM TEA/COFFEE BREAK

12:30 PM – 1:45 PM Plenary Session 1 : Value and Valuation – Understanding and Managing Expectations of Shareholders and Private Equity Players

Funding in the insurance sector in the past five years has seen impressive growth with venture capital and private equity (PE) in the healthcare sector growing from $94billion in 2011 to $1,275billion in 2016 at a CAGR of 68%. Insurance sector in India also witnessed its first ever stock market listing. With several key IPO’s in the insurance sector, confidence has been reinforced in investors to invest in the insurance sector. The positive swing in investments in the sector has firmed the position of the Indian insurance market as a blue eyed sector for investors.

High growth rate, increasing health insurance penetration, and new entrants in the insurance sector contribute to the positive future outlook of the sector. Higher FDI ceilings for insurance as well as intermediaries resulting in lower entry barriers make the market more attractive. As a consequence, both insurers and Intermediaries, including brokers, TPAs, online web-aggregators have been able to attract foreign and domestic capital.

This panel will look at the value profitability spectrum for health insurance and intermediaries.

Key questions:

• What drives value for key stakeholders in the health insurance value chain?

• What drives valuation? What key metrics must CEO’s and Boards track?

• How do investors view better health outcomes at affordable cost? Does it affect their investment decisions?

• What are the learnings from the listed IPO space and the joint ventures in terms of valuation of health insurance?

• How would intermediary businesses be looked at from a valuation perspective?

Session Moderator:

Mr Antony Jacob – Co-Chair, FICCI Health Insurance Committee; CEO, Apollo Munich Health Insurance

Panellists:

• Dr. S. Prakash – COO, Star Health and Allied Insurance

• Mr Ambareesh Baliga – Independent Market Analyst

• Mr Santosh Singh - Head – Research, Haitong Securities India

• Mr Kaushal Shah – Executive Director and Head of Financial Services, Kotak Investment Bank

1:45 PM – 2:30 PM LUNCH BREAK

2:30 PM – 4:00 PM The Innovation Agenda –  Transforming the Health Insurance Landscape through Meaningful Partnerships with Health Start-Up Companies

While insurance agents and banks will continue to dominate the distribution of Health Insurance, start-ups are creatively disrupting the traditional healthcare delivery channels. Disruption is by way of aggregation and discounts. This could make healthcare affordable – and so is a factor of interest to health insurers.

Health insurance companies can leverage start-ups – both from a product and a claims servicing perspective – to increase affordability and accessibility.

This session is structured as a series of short presentations by startups in healthcare to showcase their relevance to health insurance. The idea is to make this interactive with the audience via a poll held at the end of each session, where the audience votes on whether they found the proposition to be impactful or not.

Part -1 : Short 10 minute presentations with 1 minute videos showcasing innovation in Wellness / Health Insurance / Health care in the area of:

• Consumer convenience

• Product

• Technology

• Distribution models

Part 2: Q&A between Jury and Start-ups to explore avenues of collaboration between health insurers and start-ups, for transforming the health insurance sector through meaningful partnerships

Part 3: Audience Q&A

Session Moderator:

Mr Shashwat Sharma – Partner and Head (Insurance), KPMG in India

Jury :

• Mr Mayank Bathwal – CEO, Aditya Birla Health Insurance

• Ms Vidya Hariharan – Director (Group Strategy), Vidal Healthcare Services

• Mr Shreeraj Deshpande – Head - Health Insurance, Future Generali

• Mr Vijay Sinha – MD & CEO, DHFL General Insurance

Presenters:

• Mr Tarun Bhambra – Business Head, Practo

• Dr Gaurav Thukral – Executive VP & Chief Operating Officer, Health Care at Home India

• Mr Vikas Chauhan – Co-Founder, 1mg

• Mr Nirmal K. Rewaria – CEO & Co-Founder, FinPeace

• Mr Saurabh Arora – CEO & Co-Founder - Lybrate.com

4:00 PM – 4:10 PMPresentation on FICCI-KPMG Knowledge Paper on ‘MSME Group Health Insurance Penetration’

Ms Avani Shah – Director, KPMG in India

4:10 PM – 4:30 PM TEA/ COFFEE BREAK

4:30PM – 5:45PM Plenary Session 2 : Creating New Health Financing Structures

Health Insurance is at risk of becoming irrelevant to the consumer. This is because 90% of healthcare spend by consumers in any given year is on outpatient expenses (medicines, lab tests, supplements, consultations) but these are not part of mainstream health insurance products. This ‘out-of-pocket, ‘pay-as-you-go’ financing adds at least 10 to 15% to the cost of healthcare, and much more, if one considers intermediation costs.

For health insurers, on the other hand, the disaggregated nature of healthcare means that they cannot create outpatient financing structure without unsustainable levels of fraud, and mispricing risk.

This panel discussion features representatives from Providers, Pharma and Insurers – to debate on what kinds of new financing structures will work, given constraints in India.

Key discussion topics:

• What are the key challenges for health insurers to create viable health financing which cover all healthcare costs?

• How can providers collaborate with insurers in this push?

• What are some of the structural factors at play (e.q. universal health assurance by the govt, electronic health records by the MOH) which can help catalyze

• What can technology do to help manage fraud, and consequent mispricing risk for insurers?

Session Moderator:

Ms Vidya Hariharan – Director (Group Strategy), Vidal Healthcare*

Panellists:

• Ms Malti Jaswal – COO, Health Insurance TPA of India

• Ms Neera Saxena – DGM (Health,Misc Tech), The New India Assurance Company

• Ms Anuradha Sriram - Appointed Actuary, Aditya Birla Health Insurance

• Mr N. Eswaranatarajan – Senior Executive Vice President & COO, Kotak Mahindra General Insurance Co. Ltd.

• Dr. A. Velumani – MD & CEO, Thyrocare

• Mr Anil Iyer - Chief Commercial Officer of Pharmaceuticals, GlaxoSmithkline Pharmaceuticals

5:45 PM – 5:55 PMPresentation on FICCI-EY Knowledge Paper on ‘Scaling-Up Distribution in Health Insurance’

Mr Aditya Khanna – Director (FS Advisory), Ernst & Young LLP

5:55PM – 6:00PM VOTE OF THANKS & CLOSE

*Invited

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5000 + GST

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same organization

*The above fees is exclusive of GST of 18%

Rs. 500/- off onRegistration andPayments Made Before10 November 2017

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About FICCIEstablished in 1927, FICCI is the largest and oldest apex business organisation in India. Its history is closely interwoven with India's struggle for independence and its subsequent emergence as one of the most rapidly growing economies globally. FICCI plays a leading role in policy debates that are at the forefront of social, economic and political change. Through its 400 professionals, FICCI is active in 38 sectors of the economy. FICCI's stand on policy issues is sought out by think tanks, governments and academia. Its publications are widely read for their in-depth research and policy prescriptions. FICCI has joint business councils with 79 countries around the world. A nongovernment, organisation, FICCI is the voice of India's business and industry. FICCI has direct membership from the private as well as public sectors, including SMEs and MNCs, and an indirect membership of over 83,000 companies from regional chambers of commerce. FICCI works closely with the government on policy issues, enhancing ef ciency, competitiveness and expanding business opportunities for industry through a range of specialized services and global linkages. It also provides a platform for sector consensus building and networking. Partnerships with countries across the world carry forward our initiatives in inclusive development, which encompass health, education, livelihood, governance, skill development, etc. FICCI serves as the port of call for Indian industry and the international business community

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