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Everything you need to know from July and August, 2020

INTERNATIONAL Editorial This edition of our headlines covers the 2 months, July and August.

HEALTH We are starting to see Covid’s longer term impacts on the healthcare sector. More investment in and greater development of health tech and digital strategies continues, alongside wider adoption. INSURERS Digital health M&A accelerates with the announcement of the massive merger between Livongo and Teladoc, and capital funding is still very healthy. According to a new report by , the Generali still on lookout for M&A outlook for the health industry will be positive with increased demand, as an increasingly bargains despite lower profits valued employee benefit. The expat market in Generali expects lower profits this year after particular, is recognising the increased importance of COVID-19 hit first-half results but will still keep an health and wellbeing covers for ‘the whole family’. eye open for M&A opportunities which might arise from the crisis, says CEO Philippe Donnet. The As ever we hope that you continue to find this news company has €2-3 bn (£1.8-2.7bn) available for summary useful. Do let us know if there are any areas possible M&A deals, he identified the priority areas that we can focus on more in the future. as Europe for insurance and the US and Asia for asset management. sees GWP almost double eyeing $177m sale of following acquisitions Generali's Greek business The conclusion from the latest results release AXA is reportedly considering the sale of its Greek from Allianz Holdings plc, the holding company operations to Itay’s Generali after an estimated behind Allianz Insurance and LV= General value of $177m was placed on the unit by parties Insurance show the company’s recent acquisitions from both companies. are leading to increased profits. The company released figures showing that its GWP has nearly doubled from £1,000m to £1,981m in the half year 2020 compared to the same period one year ago, MetLife: 360Health wins gold thanks mostly to its swoops for LV= General Insurance and L&G General Insurance. The moves Stevie mean its operating profit has more than doubled from £86 million to £179 million, while its MetLife’s 360Health has outshone several insurers combined ratio has fallen to 92.7%. and non-insurers to win the Gold Stevie® Award for Innovation in Heath & Wellness at the seventh annual Asia-Pacific Stevie Awards.

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Bupa enters partnership with Generali Employee Benefits HEALTH UK SERVICES Under the deal, ’s wellbeing services will be accessible to Generali Employee Benefit UK’s Group Income Protection (GIP) clients where a COMPANIES specific need is identified. The services will be part-funded by Generali’s Wellbeing Investment Matching (WIM) initiative, which partners with accredited wellbeing providers to help support Sharecare scoops up clients with a range of needs from facilitated mental health awareness training to financial education. WhiteHatAI to focus on healthcare payments UnitedHealth creates digital Sharecare, a digital patient engagement company, announced that it is purchasing health programme for type 2 WhiteHatAI, which focuses on using artificial intelligence to address healthcare payments, for diabetes an undisclosed amount. This is the company's third acquisition in 2020, the other two The company is rolling out Level2, a digital health acquisitions being: Visualise Health, a population program for patients with type 2 diabetes. It uses health and quality measurement platform that wearable devices and coaches to help users helps providers catch any gaps in patient care and manage their health. MindSciences, a behavioural change app company. Vitality revamps employee wellbeing offering Walmart is building its own

Vitality at Work Enterprise has been launched to business help large businesses support the wellbeing of employees working from home, via offices and on Walmart Inc. is laying plans to enter the consumer site. Available separately to its private medical health insurance business, the latest step by the insurance solution and available via the Vitality retailing giant into the health care sector in the US. app, the offering provides digital assessments and regular reports on employee health, engagement levels and guidance on health risks at work.

Bupa To Increase Stake in Bupa Arabia

Bupa, the international health insurer and provider, proposes to further increase its stake in Bupa Arabia by 4% to 43.25%.

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HEALTH TECH Cigna and Kaiser Permanente are joining in Teladoc Health reaches funding Ginger, a mental agreement to buy Livongo healthcare platform.

in a $18.5bn deal Ginger announced on Thursday that it raised a $50 million Series D funding round led by Telemedicine provider Teladoc Health has reached Advance Venture Partners and Bessemer an agreement to buy the diabetes coaching Venture Partners. Additional participants include company Livongo in an $18.5bn, a price more than Cigna Ventures and existing investors such as 100x sales. This deal will create the first true Jeff Weiner, Executive Chairman of LinkedIn, and health tech giant. The merger agreement is Kaiser Permanente Ventures. expected to create a combined company on track to bring in $1.3 bn in revenue this year, up 85% over last year. Recent Digital Health Does the Teladoc/Livongo Funding from ‘Rock deal set the pace for Health’ increased virtual health

M&A activity? Insurance start-up focused on price transparency Sidecar Health landed $20M Is this deal merely the starter’s pistol for an Activ Surgical closed $15M to bring AI-visualization to inevitable virtual care platforms race? The deal has surgery implications for the telemedicine and chronic disease management sectors. The combined Sprout launched an in-home, tech-enabled autism company will put pressure on some of the pure program with $10M play digital health companies operating in Digital transportation overlapping services. Given the proliferation of marketplace Roundtrip nabbed $4M virtual care platforms over the last few months in the COVID-19 era, pure play telemedicine has Angle Health grabbed $4M to bring insurance plans to start-ups become somewhat of a commodity. This deal indicates that telemedicine companies may be LumimDx raised $2M in an oversubscribed seed looking to services and disease expertise to round differentiate. Can we anticipate a string of follow Mental health startup Lyra Health secured $110M on mergers and acquisitions as other companies in this space also attempt to create comprehensive Healthcare analytics co Aetion brought in $82M solutions? PatientPop scored $50M for its patient engagement tools

Chronic condition platform OneDrop bagged $40M

SeamlessMD landed $4M to expand connected health services

Women's health co Emme raised $2.5M

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GENERAL ARTICLES

Global insurance premium Health,wellbeing and volumes will recover to family all move up the pre-covid-19 crisis priority list for those levels in 2021 working abroad post The insurance industry is set to overcome this year’s COVID-19 induced global economic recession, the latest Swiss Re COVID-19 Institute’s sigma says. The sharpest economic contraction since the 1930s will lead to a slump in demand for insurance in 2020, more so for life products, with global premiums expected to contract by 6%, than for non-life covers (-0.1%). However, total premium volumes will return to pre-crisis levels in 2021 already, alongside more protracted recovery in the global economy. There will be sector divergence, with non-life premium volumes above pre-crisis levels, and life below. The emerging economies, led by China, will underpin the insurance market comeback. New research conducted by Ipsos MRBI on behalf of Allianz Care showed that the impact of COVID- 19 has led to a shift in values for many in the expat community, with 62% saying their future plans have been impacted as a result of the Demand for health pandemic. Of those, 53% claim that health and wellbeing is now a greater priority for them and insurance as an employee 48% say that family is a bigger priority now than it was before COVID-19. The majority (73%) say that the health and wellbeing of their family benefit is also on the rise is now a crucial consideration in deciding whether to stay abroad or move back home. In as a result of Covid-19 most cases the move was positive in this dimension and many have decided to stay The number of people considering private aboard. healthcare treatment and insurance has nearly doubled since the start of the pandemic, a research conducted for Equipsme has shown.

The nationwide survey of 1,049 UK adults found that 15% were open to paying for it before the Covid-19, however that figure has risen to 27%. The research also found that younger people are most likely to consider paying privately for healthcare, with 30% of those aged 18-34 answering this way, compared to 22% of those aged 55 and over.

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Will the COVID crisis rouse Winning at the Digital Front health execs from pop-health Door

The COVID-19 pandemic has created procrastination? unprecedented demand and urgency around the shift to digital content, navigation, and delivery of Nearly 95% of around 500 healthcare executives healthcare. Even before COVID-19 hit, consumers working for provider organizations believe were leveraging digital solutions at increasingly concentrating on population health is key to high rates. According to Rock Health’s ensuring long-term success. Yet the median 2019 Consumer Adoption Survey, that year, 76% percentage of revenue in payment models based of US consumers went online to learn about their on either upside gain or downside risk across health and care. 64% searched for provider these organizations is just 10%, a third of what reviews online. Nearly half digitally tracked a the leaders projected two years ago. health metric like their weight or blood sugar levels. And 60% brought information they found What’s been keeping the execs from putting online into conversations with their providers. their risk- or value-based contracting where their This article shows the five ways health systems pop-health aims are? can build—or refine—their master digital footprint. MetLife’s 18th Annual Employee Benefit Trends Study McGrigor Group Reports Focuses on the realities – both positive and Our 2020 Focus Reports are available now for immediate negative – and how a holistic approach to well- purchase, please contact Rhiannon Kerr: being can help the workforce manage the stress [email protected] for more information. of the pandemic.

Working remotely – the negative impacts

Can we expect to see greater claims for Muscular- skeletal conditions and mental health issues?

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