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March 2024

Data-Driven Pre-Claim Wellness Programs Bend the LTCI Claims Cost Curve

Insurance partner Nolan Tully co-authored a research paper with Assured Allies in which they discuss an evidence-based program to reduce aging-related disability and help Long-Term Care Insurance (LTCI) policyholders remain independent longer.

In the report, the authors detail:

  • The design and engagement approach of a pre-claim program
  • The rigorous analysis performed to quantify the impact
  • Wellness program results and key drivers
  • Implications for implementation of pre-claim programs in the future
  • Regulatory compliance requirements in light of the findings and implications

The authors note that the program results showed the opportunity to drive positive impact within long-term care blocks is massive: an increase in functional ability leads to a 10% reduction in claims payments and strong customer satisfaction. They conclude that such results can only be achieved with a deep understanding of the engagement protocols and overall design that mitigate the risks of negative response, all within the regulatory guidelines.

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