SCBF partners with local innovators to build low-cost health insurance for communities in Kenya

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Swiss Capacity Building Facility (SCBF) and APA Insurance have partnered with a consortium of local insurance innovators Paa Insurance Agency; an inclusive insurance distribution specialist, Emerging Markets; a research and design consultancy firm, Ilara Health; a network of primary healthcare facilities and Democrance; a SaaS plug-and-play insurance technology provider.

The partnership seeks to provide affordable and relevant primary healthcare insurance solutions to under-served

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Kenyans, an innovative solution designed with a hybrid model of capitation costs, and in-patient benefit for patients who become hospitalised.

“We are proud to launch this innovative initiative which will see thousands of under-served households in rural and peri-urban Kenya have access to sustainable primary health care financing solutions to protect their families against out-of-pocket expenses that could otherwise force them into poverty,” stated Dana Ellis, Senior Operations Manager at SCBF.

The technical assistance funding from SCBF will contribute to strengthening financial inclusion and increasing resilience against primary healthcare costs for under-served communities in Kenya, intending to reach at least 50% of women.

This is aligned to the Government of Kenya’s 2030 financial inclusion strategy to ensure that no person in Kenya is left out of reach of financial services, to increase their resilience against risks beyond
their control, while also improving their access to essential healthcare services.

Speaking at the launch of this ambitious project, Mr. Ashok Shah, the Group CEO for APA Apollo noted that, “it is important for insurers to think beyond offering insurance to the affluent customer segment.”

He emphasized that the future of insurance lies in tapping into the majority of the population which remains uninsured.

APA has been at the forefront of supporting inclusive insurance solutions targeting the middle and lower base of the economic pyramid, and shall continue to do so with this initiative, to create social and sustainable impact within the communities.

The demand for new innovative insurance solutions, over the last few years, has seen an emergence of insurtechs (insurance innovators who use technology to create and improve insurance solutions) and simplified customer experiences facilitating the purchase, service
and making of claims without the barriers associated with mainstream insurance.

 This proliferation has particularly been fueled by the regulator-backed programme, BimaLab, in partnership with Financial Sector Deepening Africa (FSD Africa). BimaLab is an accelerator program that supports early insurtech innovators to develop innovative insurance solutions.

Elias Omondi, Senior Manager Risk Regulation at FSD Africa, who inspired the birth of BimaLab remarked, “We’re thrilled to see startups that have gone through BimaLab launch innovative products that will redefine how insurance is offered and accessed in the Kenyan market, and even beyond our borders. We feel honoured to have been selected to offer local support and monitoring mandate by SCBF. We will work closely with the innovators, the insurer and the regulator to see that the project achieves its intended impact.”

The project will enable three BimaLab participants, Paa Insurance Agency, Emerging Markets and Democrance, supported by Illara Health, to build cutting-edge solutions for a market that continues to be neglected by mainstream insurance providers.

 “The projectwill enable us to refine and scale inclusive insurance solutions that we have been developing since our participation in BimaLab. By working together, we will leverage core organizational strengths and increase the speed at which we churn out new solutions,” noted Paa Insurance Agency co-founder and CEO John Paul Otieno. 

Dr. Eric Mbuthia Kanyi, Chief Medical & Technology Officer at Ilara Health, highlighted the importance of continued investment within the primary health care segment, “Ilara Health is building a network of technology-enabled primary healthcare clinics delivering affordable, quality healthcare to Africa’s low to middle income demographics. It does this by financing the deployment of essential equipment and consumables within existing under-equipped clinics and digitising these facilities with its suite of software tools.”

“Technology will play a key role to ensure efficiencies and reduced product distribution costs. Democrance SaaS platform enables digitisation of the insurance value chain, to allow our clients to serve new customer segments, improve efficiencies and reach customers often neglected by conventional insurance solutions,” remarked Mr. Siani Malama, Director for Sub-Saharan African Region at Democrance.

“We will ensure we focus on the customers first, and re-work our solution to address customer pain points through human-centered design frame and research. This will be managed and implemented by Emerging Markets Consultancy, led by Mr. Luis Kinuthia.”

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