Insurance Industry and Insurtech Report — 2026-11-03
The National Health Insurance Service (NHIS) is injecting about 11.3 billion won into an intelligent AI transformation (AX) upgrade project to accelerate the digital innovation of domestic public medical data. Hanmi Pharmaceutical has signed a strategic partnership to completely replace the chatbot infrastructure of its digital healthcare platform 'eppiday' with domestic AI semiconductors and large language models (LLMs). Globally, the combination of preventive healthcare and wearable devices is emerging as a core topic in insurtech, alongside active discussions on global insurers' digital transformation visions for 2030.
Insurance Industry and Insurtech Report — 2026-11-03
Domestic Insurance Industry Trends
The National Health Insurance Service (NHIS) has earmarked a budget of 11.3 billion won for an artificial intelligence (AI)-based intelligent AX (AI transformation) upgrade project and has begun recruiting participants. This project focuses on upgrading current AI voice consultation and chatbot systems and improving the internal AI work assistant for staff to increase the accuracy and speed of health insurance consultations.
Hanmi Pharmaceutical is cooperating with domestic companies such as FuriosaAI to localize the AI infrastructure of its digital healthcare platform 'eppiday'. Hanmi plans to introduce Korean LLMs and domestic AI semiconductors to reduce dependency on overseas clouds, secure data sovereignty over patient health information, and ensure system stability.
A seminar was held in the National Assembly under the theme of 'What is the Problem with the Government's Alternative to the Digital Healthcare Act?', discussing policies on digital healthcare, the utilization of health and medical information, sound insurance recruitment practices, and consumer protection. This is expected to influence changes in the regulatory environment when the insurance industry provides healthcare-linked services in the future.
Global Insurtech and Healthcare Achievements
According to global market research and expert interviews, technological advancements are expected to dramatically transform the insurance industry by 2030. In particular, AI, cloud, and automation technologies are acting as key drivers leading internal cost reduction and advanced underwriting for insurers.
India's Apollo Hospitals and Garmin Health are collaborating with a focus on preventive healthcare and wellness. Through their collaboration with Garmin Health, they are pursuing technological innovations to detect health issues early using wearable devices, suggesting a paradigm shift in health insurance models.
In the U.S. healthcare IT industry, 91% of surveyed patients responded that patient consent should be required when AI is used for diagnosis. In addition, 64% of all healthcare providers plan to adopt AI for claims and denials management, establishing AI automation in insurance claims processing as a global standard.
Market Insights and Analysis
According to Samil PwC's analysis, insurers are expanding their influence as 'The 4th Player' in the digital healthcare ecosystem. The recent simultaneous domestic reports on the NHIS's massive AI investment, Hanmi Pharmaceutical's strengthening of its independent healthcare platform infrastructure, and global wearable-based preventive healthcare cooperation cases clearly support this market trend.
In line with an era where data sovereignty and security are emphasized, the introduction of domestic AI infrastructure to reduce cloud dependency (Hanmi Pharmaceutical case) and the upgrading of systems handling vast amounts of public medical data (NHIS case) are coming together to lay a new technological foundation for insurers to develop customized healthcare products and refine underwriting in the future.
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