Healthy performance: Despite rising insurance claims, premium rises boost revenue growth

The Health Insurance industry has recorded steady growth over the past five years. Rising premiums have underpinned industry growth over the period. Industry operators have reported an increasing volume of claims paid over the past five years, on the back of a rising population aged 50 and over. This has forced health insurers to raise premiums to maintain profitability after recording an operating deficit at the start of the period. Private health insurance membership numbers have also bucked a long-term declining trend over the past five years, recording an increase over the three years through 2017-18. Overall, industry revenue is forecast to increase at an annualised 4.1% over the five years through 2018-19, to total $1.5 more.

Industry Statistics & Market Size
Annual Growth 14-19
Forecast Growth 19-24

Industry Threats & Opportunities

  • Rising premiums have underpinned industry growth, despite an increasing volume of claims
  • Industry operators have been forced to raise premiums to cover claims expenses
  • Premiums are expected to continue rising and contributing to industry revenue growth
  • Industry Report - Industry Key Buyers Chapter

    The Health Insurance industry exhibits high market share concentration. The two largest private health insurance providers alone are expected to make up more than 70% of industry revenue. The industry's largest operator, Southern Cross Medical Care Society (SCMCS), is estimated to hold 67.8% of the health insurance market. Market share concentration has increased over the past five years, due to strong performances by larger players and acquisition activity. Medical insurance business of OnePath Life was purchased by nib NZ Limited in 2015, which boosted nib's market share significantly in that year. Additionally, due to SCMCS's scale and not-for-profit structure, it tends to charge lower premiums relative to the value of claims it pays. Thi...purchase to read more.

    Additional Insights for the Health Insurance Industry

    IBISWorld has determined the most important Key Success Factors for the Health Insurance are:

  • Financial position of the company (as against financial structure)
  • Age or risk profile of members
  • Having a cost effective distribution system
  • IBISWorld analysts also discuss how external factors such as Private health insurance membership and Demand from health care and social assistance in the Health Insurance industry impact industry performance..

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    What's in this report

    What is the Health Insurance in New Zealand Industry?

    Industry operators primarily provide health insurance. Firms in the industry underwrite policies covering hospital, medical, dental, pharmaceutical and funeral expenses.

    Industry Products
  • Elective surgery cover
  • Comprehensive cover
  • Minor medical cover
  • Industry Activities
  • Health insurance provision
  • Dental insurance provision
  • Funeral benefit provision
  • Table of Contents

    Industry Definition
    Main Activities
    Similar Industries
    Additional Resources
    Industry Statistics Snapshot
    Industry Structure
    Executive Summary
    Executive Summary
    Key External Drivers
  • Private health insurance membership
  • Demand from health care and social assistance
  • Population aged 50 and older
  • Real household disposable income

  • Current Performance
  • Private health insurance’s role
  • Operating landscape
  • Chart: Revenue Growth

  • Industry Outlook
  • Operating landscape
  • The future

    health system

  • Table: Health Insurance Industry Revenue Outlook

  • Industry Life Cycle
  • Life cycle reasons
  • Chart: Benchmarking - Health Insurance Industry Lifecycle vs The Economy

  • Supply Chains
    Key Buying Industries
  • Consumers in New Zealand

  • Key Selling Industries
  • Dental Services in New Zealand
  • Hospitals in New Zealand
  • Other Health Services in New Zealand
  • Specialist Medical Services in New Zealand

  • Products & Services
  • Elective surgery cover
  • Comprehensive cover
  • Minor medical cover
  • Chart: Health Insurance Industry Products and Services Segmentation

  • Demand Determinants
    Major Markets
  • Individuals aged 40 to 59
  • Individuals aged 20 to 39
  • Individuals aged 19 and under
  • Individuals aged 60 and over
  • Chart: Major Market Segmentation for the Health Insurance Industry

  • International Trade
    Business Locations
    Chart: Business Locations by State
    Market Share Concentration
    Key Success Factors
    Cost Structure Benchmarks
  • Profit
  • Claims expenses
  • Wages
  • Other
  • Chart: Cost Structure Benchmarking – Sector vs Health Insurance

  • Basis of Competition
  • Internal competition
  • External competition

  • Barriers to Entry
  • Table: Barrier to Entry Checklist for the Health Insurance Industry

  • Industry Globalization
    Southern Cross Medical Care Society, nib NZ Limited,
  • Table: Southern Cross Medical Care Society - financial performance
  • Table: nib NZ Limited - financial performance

  • Capital Intensity
  • Chart: Level of Capital Intensity for the Health Insurance Industry
  • Chart: Tools of the Trade: Growth Strategies for Success

  • Technology & Systems
    Revenue Volatility
  • Chart: Volatility vs Industry Growth

  • Regulation & Policy
    Industry Assistance
    Table: Industry Data for the Health Insurance Industry
  • Industry Revenue (2010-2024)
  • Industry Gross Product (2010-2024)
  • Establishments (2010-2024)
  • Businesses (2010-2024)
  • Employment (2010-2024)
  • Wages (2010-2024)

  • Table: Annual Percentage Change for Key Industry Data
    Table: Key Ratios for Industry Key Data
    Elective Surgery
  • Surgical procedures that are not considered to be urgent or an emergency.
  • Loss Ratio
  • Calculated by claims expenses as a percentage of premium income, representing a company's gross margin or underwriting profitability.
  • Premiums
  • Regular payments made by health insurance policyholders to insurers.
  • What Our Customers Say

    Why buy this report?

    IBISWorld’s Health Insurance in New Zealand market research report offers insightful industry analysis and research into the market at the national level. IBISWorld’s in-depth industry market research is presented in a logical and consistent format. The industry report contains key industry statistics, market size, industry trends, and growth and profit forecasts for a 5-year outlook period.

    IBISWorld industry market research reports enable you to:
    • Find out about key industry trends
    • Identify threats and opportunities
    • Inform your decisions for marketing, strategy and planning
    • Quickly build competitive intelligence
    This report on Health Insurance in New Zealand:
    • Provides Market Size information to assist with planning and strategic decisions.
    • Includes the necessary information to perform SWOT, PEST and STEER analysis.
    • Helps you understand market dynamics to give you a deeper understanding of industry competition and the supply chain.
    • Analyses key performance and operational metrics so that you can benchmark against your own business, that of your customers’ businesses, or your competitors’ businesses.
    The Health Insurance in New Zealand market research report includes:
    • Historical data and analysis for the key drivers of this industry
    • A five-year forecast of the market and noted trends
    • Detailed research and segmentation for the main products and markets
    • An assessment of the competitive landscape and market shares for major companies
    • And of course, much more

    IBISWorld reports on thousands of industries around the world. Our clients rely on our information and data to stay up-to-date on industry trends across all industries. With this IBISWorld Industry Research Report on Health Insurance in New Zealand, you can expect thoroughly researched, reliable and current information that will help you to make faster, better business decisions.

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