PhilCare raises bar for digital health care

MANILA, Philippines —  PhilCare, one of the country’s leading HMOs, is officially pivoting the local health care sector into the digital future. By integrating Verisk’s Health Risk Rating Solution, the HMO giant has successfully implemented a fully automated underwriting system for online health insurance. PhilCare is the only HMO that Verisk has partnered with for this groundbreaking initiative.

The partnership signals a major leap for the domestic insurtech industry. It builds on PhilCare’s long-standing commitment to digital innovation by making health coverage more seamless, responsive and accessible for Filipinos. With faster application processing and more efficient risk assessment, the integration helps deliver a smoother customer experience while supporting PhilCare’s goal of expanding access to quality health care solutions in an increasingly digital landscape.

While the local insurance industry has traditionally relied on manual, time-consuming medical assessments, often resulting in long waiting times, delayed approvals and limited access for individuals with pre-existing conditions, PhilCare’s new digital ecosystem allows for a real-time risk evaluation during the application process.

“At PhilCare, innovation is the cornerstone of our digital dominance and how we serve our members,” said PhilCare president and CEO Jaeger Tanco. “Our partnership with Verisk allows us to modernize the underwriting landscape, elevate the healthcare experience for individuals and families, and firmly establish PhilCare as the most advanced tech enabled leader in the Philippine HMO industry.”

PhilCare VP for business development Abigail Garcia-Lising said the company’s decision to implement Verisk’s Health Risk Rating Solution was driven by changing customer expectations and the company’s commitment to making quality health care more accessible and sustainable for Filipinos.

“Our members today expect the same level of speed, convenience and digital experience that they receive from banking, e-commerce and other industries. They no longer want to wait days or weeks for a health coverage decision,” she said.

“The partnership enables PhilCare to elevate its underwriting process through faster, more consistent, and data-driven risk assessments, allowing applications to be evaluated more efficiently while maintaining sound risk management principles and ensuring fair and objective decisions.”