An EHR market update that should catch your attention
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    The Electronic Health Records (EHR) landscape is evolving rapidly. For those who aren’t directly involved day-to-day, it’s difficult to keep up with the rapid pace of change and the impact EHRs are having on life underwriting. Since acquiring Clareto in 2022, we at Munich Re Life US have enjoyed a front-row seat in this market transformation by engaging with our clients on EHR pilots and implementing various EHR use cases throughout the risk assessment value chain. So we thought it would be helpful to share a snapshot of the rapid progress stemming from the Munich Re and Clareto partnership.

    Let’s start with an eye-opening stat: 93% of carriers participating in our last accelerated underwriting survey were using or evaluating EHRs in some aspect of their underwriting process. Two-thirds of these companies had already implemented programs by mid-2022, a seismic jump from 23% that had implemented EHRs as of mid-2020.1

    This rapid progress in EHR utilization is driven by several developments: A significantly higher hit rate, the introduction of new solutions to optimize the EHR source data underwriters order, and the development of new tools that accelerate the expansion of EHR use cases in the market.

    Graphic image showing how much EHRs are used

    Hit rates and delivery

    In the second quarter of 2024, Clareto reported that its  industry-leading network of 250 million covered lives is now producing match rates of over 75% of the US population, with successful delivery of medical data on over 55% of cases. Furthermore, nearly 40% of queries produce records from more than one medical provider.2 Looking forward, Clareto has a robust pipeline of recently signed data sources currently being onboarded that will add tens of millions of additional lives to the company’s EHR+ network.

    According to internal Clareto data, on average, approximately 50% of EHRs are delivered within one hour, 80% within 24 hours, and 90% within 48 hours. This is a revolutionary reduction in turnaround time compared to ordering an APS.

    Improved tools

    Clareto offers a series of proprietary and third-party tools to improve the customer EHR experience. The company’s Smart Retrieval functionality enables clients to search the EHR+ network, see where data is availableby data source, and order only the records they want – reducing data expenses and underwriter review time. Clareto also offers a series of tools to normalize, standardize, and deduplicate records including the Munich Re Automated EHR Summarizer. This tool was custom-developed to extract information pertinent to mortality from EHR records. This data is then presented to underwriters on a dashboard or automatically delivered into underwriting rules engines for fast and easy decisioning.

    Use case expansion

    Graphic image of the different use cases for EHRs
    While most carriers originally piloted EHRs for APS replacement, many have discovered other beneficial use cases. These include primary evidence for post-issue audits, primary evidence for review of accelerated underwriting (AUW) kickouts, as an up-front triage tool for new business cases, and as a standard requirement for AUW cases. In fact, a recent cost-benefit analysis of adding EHRs to cases where no APS was ordered produced mortality savings significantly greater than the EHR procurement cost, ranging from $100-$800 of savings per application.3 The reason is that EHRs contained net-new data in these use cases and could uncover anti-selective behavior due to misrepresentation. For instance, 80% of EHRs include measured paramedical results such as build and blood pressure, according to Munich Re’s analysis. Other misrepresentation that can be found includes smoking status or even declines due to serious medical conditions such as cancer. The savings from adding EHRs have the potential to be significantly more than we’ve seen from adding any other third-party data.

    Inflection point

    We’re entering an inflection point where EHRs have the potential to transform life underwriting by drastically reducing the time from application to decisioning of traditional underwriting while markedly closing the gap between accelerated underwriting and traditional underwriting mortality results. We are excited to be on the front lines and are ready to guide you through this important transformation.
    References 1. A decade into accelerated underwriting: The new normal for advanced risk selection, Munich Re Life US, May 2023.  2. Clareto Launches Enhanced Smart Retrieval to Strengthen EHR Protective Value, Clareto.com, June 26, 2024. 3. Cost-benefit analysis: Quantifying the value of EHRs, Munich Re Life US, September 2023. The cost of ordering an EHR from Clareto is approximately $35 per hit, which is significantly lower than the average cost of ordering an APS. 
    Experts
    Tim Morant
    Tim Morant
    Chief Risk Assessment Officer
    Munich Re Life US
    Dave Goehrke
    Dave Goehrke
    Head of Underwriting Risk Management & Pricing Support
    Munich Re Life US

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