NextGen Economy

The Rise of “AI-human Boards”

Why AI Governance Must Start in the Boardroom AI has arrived in the boardroom — and not as a guest. It is now a core agenda item for directors worldwide. A recent paper from IMD shows that 79% of business leaders expect GenAI to drive substantial organisational change within three years. However, nearly half of the directors have never discussed AI in a board meeting, while over three-quarters admit they have a limited understanding of the technology. The Harvard Law School Forum on Corporate Governance finds that nearly half of companies (48%) now cite AI risk under board oversight of enterprise risk—three times more than last year—while 44% highlight AI expertise in directors’ biographies and skills matrices, up from 26% in 2024. AI governance is becoming the new test of leadership. It requires independent thinking, critical questioning, and the ability to connect technology with long-term strategy. Too often, AI is left to the CIO or an innovation team. That model no longer works. The way boards approach AI will shape how power, trust, and accountability evolve in business. And the topic is more urgent than ever. Today, a single flawed algorithm can move markets, a deepfake can destroy reputations overnight, and automated decisions can trigger regulatory crises before anyone notices. The familiar comfort of quarterly reviews and static risk registers belongs to another age. Companies are moving from AI-first to AI-native models; as a result, boards will increasingly need to include members with technological expertise and dedicated AI committees. The new role of the board is not only to oversee AI adoption, but to guide the organisation in learning to think with AI. How can Boards prepare for the future? Here are five things the Boards should consider to stay effective in this new landscape. The boardroom of the future will not be defined by age or background, but by awareness — the ability to think systemically and act with clarity in the face of uncertainty. Boards have long discussed ESG, diversity, and risk. AI is now the new “G” — the governance lens through which all these elements converge. The real test of modern leadership lies in how quickly boards can move from reactive oversight to proactive direction. The question is: do we have the competence and courage to govern technology before it governs us?

Building the Mental Health Ecosystem: Insurance’s Most Important Transformation Yet

In 2022, after her father passed away, I tried to find a therapist for my daughter.She was 11. Heartbroken.And I was told we needed to wait nine to twelve months. Nine to twelve months for a child in pain.That was the moment I realised just how broken the system is. Her story is not rare. Across the world, millions of people who need mental-health support face months of waiting, high costs, and limited access. The shortage of qualified professionals is real—but so is the opportunity for insurance to become part of the solution. For decades, insurance has been built on protection—paying out when things go wrong. But in a world where mental-health issues are now one of the leading causes of disability, absenteeism, and productivity loss, that model is no longer enough. It is time for insurance to become a system of prevention. The Data Behind the Crisis According to Swiss Re’s 2025 “The Future of Mental Health Disclosure: How Generational Openness is Shaping Insurance”, mental-health-related disability claims have surged dramatically over the last decade, now accounting for up to one-third of all income-protection and long-term disability claims in many mature markets. Depression, anxiety, and stress disorders are the main drivers. What is equally concerning is the long recovery time. Mental-health-related claims last, on average, 40–50 percent longer than physical ones. This does not just represent financial strain—it reflects how fragmented and reactive our systems remain. Swiss Re’s report also highlights a cultural shift: younger generations are far more open about mental-health challenges than previous ones. While that is encouraging, it also means the industry must adapt faster. Greater openness will bring higher disclosure, higher claims, and—if not handled wisely—greater pressure on profitability. The Global Context: From Awareness to Action The World Economic Forum’s 4 Imperatives for Improving Mental Health Care in 2025 calls this decade “a turning point.” Mental health is now viewed as an economic necessity, not a social cause. The WEF estimates that poor mental health costs the global economy over USD 5 trillion annually, a figure projected to rise sharply by 2030. The Forum identifies four priorities that align perfectly with what the insurance industry can and should drive: The good news is that insurers are finally beginning to act. How the Industry Is Evolving RGA’s recent analysis, Insurance Industry Moves Forward on Mental Health, shows that insurers worldwide are experimenting with new solutions that blend technology, data, and human support: This represents a shift from crisis payout to proactive care. Insurers are starting to see that long-term profitability depends on keeping people well, not only on compensating them when they break. A Blueprint for the Future The building blocks are already there. Here is how insurance can make prevention its next frontier: Prevention as Purpose—and Profit This evolution is not philanthropy; it is good economics. Swiss Re’s data show that mental-health claims are not only rising but lasting longer, directly affecting loss ratios. Early intervention and continuous support shorten recovery time and reduce repeat claims. The WEF reinforces the same logic: prevention is cheaper than crisis management, both for societies and for insurers. Investing in mental-health infrastructure is no longer a CSR initiative—it is a risk-management strategy. The Purpose the Industry Was Built For Insurance was created to protect. That is its core purpose. For decades, protection meant financial compensation after loss. But in today’s world, protection must mean something deeper: keeping people healthy, productive, and resilient before loss even occurs. When insurers act as ecosystem builders—connecting technology, healthcare, and community—they unlock a model where prevention and profitability reinforce each other. Mental health should never depend on luck, income, or geography. When insurers start investing where healing begins, they do more than pay claims. They fulfil their purpose—protecting life in all its forms. That is not just the next frontier of insurance.It is what the industry was built for.

Three Predictions for the Insurance Industry

Insurance is (finally) getting interesting – here are three predictions regarding its future. I have spent my entire career in insurance. It is an industry that carries enormous responsibility. Insurance exists to protect people from loss, risk, and uncertainty.  But let us be honest: for decades, it felt stagnant, boring and unfriendly. Every conversation came back to the same themes – risk management in complicated models, regulation, legacy systems, and incremental change. That era is ending. Today, insurance is finally being reshaped. Not modernised, not closer to the customer, but fundamentally redefined. Below are three shifts I am seeing from the inside, and why they matter more than flashy apps or buzzwords. Prediction 1 – The Rise of the Insurance Ecosystem Orchestrator In the past, strength came from ownership. Owning tech, owning distribution, owning data. The modern model is the opposite: coordination over control. The insurers that will lead are those who understand how to curate and align the right partners rather than building everything in-house. We move towards an ecosystem-driven economy, and insurance makes no exception.  That means having a clear-eyed view of where your own capabilities end and where external partnerships genuinely add value. Maybe a start-up created a claims functionality better than anything you have seen. Shall you replicate it in-house? Copying is not cool, and maybe your capabilities can be used differently. Maybe exploring together and helping the start-up scale their solution is more lucrative for everyone involved. It also means developing governance models that can handle complexity without becoming bottlenecks. Ten Steering Committees and dozens of approvals for changing the coffee brand? That will not do when it comes to innovation and modern propositions. Perhaps most importantly, it requires the humility to acknowledge that innovation often happens beyond your own walls, and the openness to bring that innovation in without needing to control it. Hiring 300 developers offshore will not get you there. Building a flexible, composable architecture that lets you plug into insurtechs, MGAs, and alternative data sources just might. The future is happening faster than we assumed. The challenge is that most incumbents still think in terms of silos and procurement. Being an ecosystem orchestrator means changing how you make decisions, not just who you partner with. Prediction 2 – From Reactive to Proactive Insurance We have talked about prevention for a while in this industry, but no dramatic change has happened so far. Seven years ago, we were playing with apps to detect traffic incidents and inform the customer in due time. Now this is something every navigation software can do. Insurance has historically focused on what happens after an event. It is only now that we are beginning to act before it. This shift is slow but visible, especially in health, cyber resilience, and climate risk. Prevention is more than motivational emails or downloadable PDFs.  Real risk management means preventing the event from happening, not managing consequences. For example, we can integrate IoT data directly into pricing models so that risk is assessed continuously, not just at underwriting. Or use behavioural insights to help customers make the right decisions in real time, not in theory.  This is a shift in how insurers operate, not just how they communicate. It demands new capabilities: risk analytics, behavioural science, and UX design. Not typically found in underwriting departments, right?But it pays off: reduced claims, longer-term relationships, and relevance in a world where customers expect more than a payout. And one more thing: if your customer portal is still your main “innovation” story, you are likely falling behind. Prediction 3 – Customers Do Not Want Insurance. They Want Solutions. I was involved in a project to redesign the SME journey. The company had already failed at it a few times. And it was not due to lack of expertise – they had the risk knowledge, the tech, the right people in the room.  So why did it flop so many times before? They misunderstood the customer. They assumed small business owners had the time or patience to dive into cyber risks, healthcare plans, property cover, or fleet management.  But most of them were focused on something else entirely: making their business work, growing it, staying competitive. Insurance was not the priority; it was just another task to deal with. This is a systemic issue. Customers, whether individuals or businesses, are not asking for insurance. They are asking for protection, stability, and support at moments of stress or transition. We respond with PDFs, disclaimers, and policy add-ons. What actually works? Insurance that comes as part of something people are already doing: a transaction, a booking, a service. No separate process, no hunting for coverage. Design that feels obvious, not clever. And business models that make things easier, not more complicated. Simple as that. For insurers, that means moving from product-centric thinking to customer-journey design. It also means letting go of the idea that insurance has to be a standalone purchase. Believe me, no one will miss a big insurance brand when they have an end-to-end solution to their problem. Where This All Leads Insurance will not become a tech industry. But the companies that succeed will act like orchestrators, behave like service providers, and think like behavioural economists. The ones that cling to old models will not fail overnight. They will slowly lose relevance. The world is moving fast, and small, smart companies are already biting into the insurance value chain. This is the moment to get it right. Not by copying Silicon Valley or chasing shiny trends, but by getting back to the fundamentals. Rethink how you partner. Rethink how you manage risk. And most of all, rethink how you show up for the people you claim to protect. For once, insurance is not boring (the predictions above prove it). And I am here for it.

Who Owns My Health Data?

I close my eyes, hoping the brain won’t play tricks and send me into panic mode. The metallic, rhythmic noises of the MRI overpower the classical music in my headphones. I am one of the participants in the Swiss Heart Study, and this is my first time having a heart MRI. I know my data will be used to understand better and prevent cardiovascular disease. A week later, I received a huge data collection, from MRI images to blood tests, DXA scans, and even fitness test results. Not great, so I need to climb off the couch and enjoy the great outdoors more.  And I wonder: how do I make sense of that? Can I correlate it with all the data from my wearables? What about the previous medical records? How can I utilise my data to enhance my health and share it with someone who uses it for a cause I believe in, such as the Swiss Heart Study? I would love to have all my health data in one place. Not because I am a control freak, but because I am tired to act as a detective. I wear a smart ring that tracks my sleep. A smartwatch that monitors my heart rate. I have apps for meditation, nutrition, fitness, and even one for stress management. Then there are my medical files – scattered across countries, stored in dusty folders or locked away in inaccessible hospital systems. Blood tests in one place. Vaccinations in another. I cannot even retrieve MRI scans without calling someone. If this is my body, why is my data everyone else’s business? The Problem: Fragmentation and Power Asymmetry Today’s healthcare system is a beautiful mess. Innovative? Yes. Personalised? Maybe. Integrated? Not even close. Every new wearable promises insight. Every new clinic runs its own diagnostics. Healthcare experts estimate that 95% of the hospital data is unused. But the result is a puzzle with missing pieces, and the patient is often the last to see the full picture. Meanwhile, tech companies, providers, and platforms do see your data, just not in a way that helps you. They monetise, analyse, and lock your data behind terms of service that nobody reads. Your digital self is sliced and sold while you struggle to download your lab results. This is inconvenient and dangerous. Critical insights get lost. Many rare or genetic disorders could benefit from the data, and more people could get appropriate treatment. Duplicated tests waste money. And patients lose agency over something deeply personal: their health story. The Vision: One Patient, One Record, Total Control Imagine opening a secure app and seeing everything: Now imagine this is not owned by Apple, Google, or your local hospital, but by you. Not stored in 15 places, but under your digital key. Not shared by default, but only when you choose, for a doctor, a second opinion, or even a clinical trial you believe in. What do you get instead? You can get valuable personalised health insights, access to additional health coaching and telemedicine, or health tokens you can use in the healthcare system.  The Turning Point: Blockchain and Decentralised Health Data Ownership The Etheros HealthData Foundation, in collaboration with the Crypto Valley Association, has recently outlined a bold yet feasible vision for the ownership of health data. Their proposal? Use blockchain to restore control to individuals while preserving trust, privacy, and interoperability. The approach is simple. I am the owner of the data. I can share it securely with the institutions and causes I believe in and be incentivised to do so. Sharing my health data is a sensitive topic, but with zero-knowledge proof protocols, I can anonymise the data before sharing it.  When I hear of blockchain, I think of transparency, but what about my privacy? Well, there is a solution for that too: Digital Identities (DID) can be leveraged to protect my identity. Moreover, blockchain allows me to use personal health vaults, encrypted and secure spaces where I can keep my data and smart consent – I grant and revoke access instantly, and I always have full control over who sees my data, when and why. It is a model where ethics meet tech, and where patients finally become partners, not passive subjects. The change: what do we need to own our health data Interoperability If we want patients to truly own their health data, we cannot ignore the plumbing behind the scenes. One of the most important pieces of that infrastructure is something called Fast Healthcare Interoperability Resources (FHIR). It might sound like yet another complicated acronym, but it is actually one of the most promising enablers of change in healthcare. Fast Healthcare Interoperability Resources (FHIR) is a technical standard that defines how health data can be formatted, exchanged, and accessed across different systems. In simple terms, it tells hospitals, labs, pharmacies, insurers, and even health apps how to speak the same digital language. This is a big deal, considering that most healthcare systems today still operate in silos, with data locked in proprietary formats that are hard to access—especially by the patient. Legal Clarity If patients are to own their health data, we need clear rules about what that actually means. Who holds the data? Who can access it—and under what conditions? Too often, laws are vague or inconsistent across countries, leaving both patients and providers in limbo. True data ownership needs a legal backbone—one that defines rights, responsibilities, and recourse when those rights are violated. Patients need clear, enforceable rights over their health data: the right to access it, to share it, and to decide who uses it. The Ethereos Health Data Foundation is working to define these rights in practical terms, using smart contracts and decentralized governance to turn legal intentions into verifiable actions. Trust Through Transparency Technology alone does not build trust—transparency does. Patients must know what data is being collected, how it is stored, and who is using it. Blockchain can verify data integrity without exposing personal information.  Patients will not trust a system they cannot see into. Blockchain provides a transparent, tamper-proof record of every data access and transaction. With

AI and Precision Medicine: How Insurers Can Accelerate the Shift

Everyone speaks about AI and the future of precision medicine today. Only a few years back, we thought this was a topic for a sci-fi movie. I love taking care of my health, and I am a geek when it comes to wearables, scores, measuring training volume and load, sleep – you name it. But AI does much more than provide an individual score. In this article, we look at the impact of AI on precision medicine and the role of insurance in accelerating its time to market. The Rise of AI in Precision Medicine For decades, medicine has largely followed a one-size-fits-all approach – standardised treatments based on population averages rather than individual differences. But with advancements in artificial intelligence (AI) and precision medicine, healthcare is shifting towards highly personalised therapies.  That means we will finally understand why one puts on weight from breathing, while their best friend eats junk food three times a day and keeps the model size. And more importantly, we would treat each person according to their genetics, lifestyle, and preferences. AI is already reshaping diagnostics, drug development, and treatment planning in ways we could not even imagine a few years ago. Let`s quickly look at some of the most powerful use cases. AI-Powered Diagnostics AI can analyse vast amounts of patient data – from genetic profiles to real-time biometrics – identifying diseases earlier and more accurately than traditional methods. Algorithms detect cancers, rare genetic disorders, and cardiovascular conditions at pre-symptomatic stages, giving patients a critical head start in treatment. We do not necessarily replace doctors with AI, but rather augment their capabilities of diagnostics and treatment. Personalised Treatments  Precision medicine is no longer about trial and error. AI helps match patients to the most effective treatments based on their genetic makeup and disease characteristics, reducing side effects and improving success rates. AI-driven simulations even allow virtual drug testing on digital twins, computerised models of individual patients. Revolutionizing Drug Development AI accelerates pharmaceutical research by predicting which compounds will likely succeed in human trials. This significantly reduces development time and costs, bringing breakthrough therapies to patients faster. Predictive and Preventive Healthcare AI-driven wearables, continuous monitoring systems, and predictive analytics identify early warning signs of disease. Our health is significantly influenced by our lifestyle, access to care and social determinants. However, this data is typically outside the medical system. In today`s digital world, we do not own our own health data. Sure, we all know that technology is not fully there – I am the first to admit that I was deeply annoyed by the Oura ring stress detection feature. That is still an example of how not to expand your product – they looked at my heart rate only and told me I was under stress while working out. Sure, but that is not the stress I wanted to avoid. Nevertheless, AI progresses and will soon allow us to detect and receive treatments before conditions escalate. This means we will be moving from treating illness to maintaining health. Medicine advances, but the question is, who will ensure widespread access to these technologies? This is where insurers come in. How Insurers Can Drive the Adoption of Precision Medicine Integrating AI and precision medicine into healthcare is inevitable, but without insurance backing, it risks becoming an elite privilege rather than a healthcare revolution for all. Insurance has a noble purpose and is the backbone of inclusion in the healthcare system. Insurers must evolve from passive payers to proactive enablers of AI-driven healthcare. Here’s how: Cover AI-Powered Diagnostics and Precision Treatments Traditional insurance models reimburse treatments based on historical data rather than individualised effectiveness. Insurers must expand coverage to include AI-driven diagnostics, genetic testing, and precision therapies. Otherwise, cost will be a barrier to accessing personalised care. And I am not sure how many times I have said it, but insurers have a moral obligation to help humanity’s well-being. Shift from Reactive to Preventive Models  Early on in my career, I developed a Critical Illness cover. Critical Illness is a cruel product. It symbolises what is wrong with our industry – waiting for a patient to reach a terminal stage of illness to pay, instead of helping them with early detection and treatment. No need to mention that I would never sell or develop such a product. Insurers primarily pay for treatment after disease progression, leading to skyrocketing healthcare costs. AI allows for early disease detection and prevention, which should be incentivised through lower premiums, personalised wellness programs, and proactive care funding. University Hospital in Zurich is using AI to detect and treat tumours. The future is here, and we need to give people access to it. Embrace Dynamic, Real-Time Underwriting  Current underwriting relies on static factors like age and medical history. With AI and continuous health monitoring, insurers can adjust risk models dynamically. First, this would offer fair pricing based on real-time health indicators. Second (and probably most importantly), they could incentivise a healthier behaviour – the same as sports and diet apps offer today. However, given the debates on information asymmetry for health insurers and regulation on discrimination, it is worth mentioning that insurance cannot do wonders if access to specific information is not allowed. Our industry has a noble purpose, but we cannot offer advanced therapies without granular data for underwriting. Partner with AI and Healthcare Innovators To accelerate adoption, insurers must collaborate with AI startups, biotech firms, and healthcare providers. We cannot develop solutions in an ivory tower; collaboration and systems thinking are the secret. Sometimes, innovation happens at the edges, not in the middle of a big corporation. Insurers that neglect the start-up scene are missing out on innovation. We must integrate predictive analytics and personalised treatment plans into standard insurance offerings. Co-investing in AI-driven healthcare solutions will reduce long-term claims and improve patient outcomes. Advocate for Regulatory Changes to Support AI-Based Precision Medicine  Many healthcare regulations still favor traditional, standardised treatments. Insurers must work alongside governments and medical institutions to reshape policies that enable AI-powered healthcare to be reimbursed and scaled efficiently. And maybe we should advocate for patient data ownership as well. The Bottom Line: Insurers Must Lead, Not Follow

Are Hierarchies Dead?

Are hierarchies dead? If you ask me, they are. But I am happy to be contradicted. Show me one company that maintains seven layers, is efficient and productive, and has happy, motivated employees. I have worked in hierarchical structures for most of my life. But once you discover the power of alternative structures, there is no way back. The previous week, I wrote about the massive impact of workplace stress on human well-being and the economy, as well as the pressure on the insurance sector. Let us explore the common pitfalls of traditional hierarchies and what to do instead. The endless restructuring rounds If you are a company CEO, you have probably implemented several restructuring programs. The faster the world moves, the more often you need to restructure. Your fixed structure of divisions and departments cannot cope with the demands of a rapidly changing world. You need to cut costs, deliver fast, and develop new lines of business. Do you really think you can achieve that by constantly reorganising your company?  Restructuring is a short-term fix, not a long-term solution. In fact, constant restructuring decreases productivity. People fear for their jobs and start developing unhealthy work ethics that sabotage productivity and collaboration. The question is: Why are companies still structured in rigid layers when speed and adaptability are key? Hierarchies add layers How many people can you save when you fire the CEO? It is only half-joking! The traditional hierarchical model adds layer upon layer, creating unnecessary bottlenecks. Instead of letting those who have hands-on knowledge decide, everything gets escalated upwards, leading to delays and inefficiencies. Instead of letting employees who understand the problem act, they must check with managers, get approvals, or report back to Steering Committees. That means more briefings, presentations, and meetings—time that could have been spent delivering real work. The more layers you add, the slower decisions are; accountability fades across multiple levels. The Skills Paradox Ironically, people who are restructured from one department often have skills that could be useful elsewhere in the company. Yet, rigid structures prevent this natural flow of talent. In large companies, there is no internal marketplace where skills can be matched with needs. Instead, talent is often wasted, and employees must figure out their career development on their own. I have yet to see companies that offer an open marketplace of skills and projects where people select what to work on based on their skills. While the hierarchies and traditional structures are dead, self-organised teams offer a nice promise for a flexible, skills-based and human-centric working model. What to Do Instead Cut Layers I experimented once with Holacracy, one of the self-organised models. This little experiment showed me precisely who is focused on impact and who is chasing a status.  I did not change a single title or compensation. We only organised ourselves differently. Instead of hierarchies and reporting lines, we created “circles” with clear accountabilities, objectives and key results. Every person could be in one or more circles and play different roles, depending on their skills and business needs. Every role had a clear description that could evolve over time.  On the bright side, we moved much faster, made decisions and respected timelines. Responsibilities were clear, and people had full power to achieve the purpose of their role. But it was a cold shower for those passionate about their level, endless PowerPointing and PhDs in Steering Committees. Not only did they not appreciate it, but they sabotaged the whole structure.  Most modern companies will not fire anyone when doing such a transition. The people who want to create value will welcome less bureaucracy, while the ones focused on status will leave soon enough. Build Autonomous Teams Groups that handle work end-to-end will always be faster than large bureaucracies. Cross-functional teams with experts from different areas can move quickly when they have the autonomy to make decisions. They work seamlessly in project development, platform building, and even in daily operations.  Trust People to Make Decisions Micromanaging wastes time and slows everything down. People on the floor know what they have to do. Let them do it and be there for questions or support. Some might not feel comfortable, and this happens when people do not take ownership.  Sometimes, lack of ownership is a by-product of working under “adult supervision” for too long or in a toxic culture. Encourage people to start with small decisions and show them you are there for support.  Let People Move Across Teams and Projects Instead of locking employees into rigid roles, create opportunities for them to shift based on needs and skills.  I love writing, but I never got the opportunity to write extensively in my previous formal roles. I remember a former boss laughing when a test showed that I am creative “Who needs a creative COO?” Joke aside, I appreciate my innovative angle. Creativity helped me solve many complex problems.  People should see work as both fun and challenging enough to keep them interested.  Rethink Leadership The job of leaders is to remove roadblocks, not to sit in meetings deciding things they are too far removed from. They must help people focus their energy on the right projects that will develop their skills for the future.  Hierarchies are dead, the future is flat Companies that will do well in the future are not the ones with the most layers but the ones with the least friction. Traditional hierarchies were built for a world that no longer exists. Today, speed and adaptability win. There are several models one can try and test. Don`t be afraid to experiment and adopt your own style, with influences from different frameworks. Let me summarise below a few resources where you can find important information about the alternative structures. The helix model First, if you work for a big corporation, you should at least give the helix model a try. McKinsey explains it nicely, and they have such an authority in the business world that sometimes they drive the company behind

Workplace Stress: A Global Threat to Insurers

Workplace stress has surged into a crisis over the past decade.  People suffer under immense workloads at home and in the workplace. A yoga at the desk session cannot compensate for the rush for short-term profits. A ping-pong table cannot offset the effects of leadership focused on “ambitions” instead of realistic expectations. Stress at home reduces focus and performance at the workplace, which is the beginning of a vicious circle. As insurers, we witness the sharp rise in health insurance costs and a record number of workers’ compensation. Similarly, stress generates adverse developments in disability claims and premature deaths worldwide.  The insurance industry alone cannot solve stress-related disorders but plays a critical role in systemic change. We must face a crucial challenge – and a profound opportunity – to lead in prevention and care. Health Insurance Under Strain Workplace stress is a significant contributor to health spending. I came across a 2019 multi-country analysis released by Asia Care Group/Cigna Group. According to this, between 4% and 19% of total health expenditures are linked to stress-related conditions. The study reveals that 25% of hospital admissions, 35% of primary care visits, and 19% of emergency department visits have an underlying driver of stress. Workplace stress is linked to 8% of national healthcare spending in the United States alone. That means contributing to around $190 billion in costs. A joint study published in 2015 by the Harvard Business School and Stanford delivers shocking figures: an estimated 120,000 deaths each year as a result of workplace stress. Need more figures? The World Health Organization reports that 12 billion working days are lost each year due to depression and anxiety. This translates to a loss of 1 trillion USD in annual productivity. According to the healthcare data brief from LexisNexis Risk Solutions, there has been an 83% increase in the utilisation of mental health services between 2019 and 2023. The pandemic has affected us all. However, more than anything, it has revealed that we are confronting an unprecedented mental health crisis. As a result, the insurance industry faces steadily rising premiums and loss ratios. However, continuous growth is not the solution – we risk excluding those who need care from the system. This is why we need effective, data-driven interventions that target stress at its source. Workers’ Compensation for Workplace Stress on the Rise A growing body of data indicates significantly higher workers’ compensation claims for stress-related injuries. In the past decade, psychological stress claims have increased more rapidly than any other category. In Australia, claims for mental health conditions continue to increase every year, accounting for 11% of serious claims in 2024. The median time lost from work in these cases is over five times that recorded across all injuries and diseases. Meanwhile, the UK Health and Safety Executive (HSE) reports that workplace stress, depression, or anxiety has now become the leading cause of occupational ill health. 16.4 million working days are lost annually. An average UK employee takes 6.8 days off work in case of an injury. The average for stress, depression, and anxiety is 21.1 days off. In the US, more states are allowing “stress-only” workers’ compensation claims, especially in cases involving first responders and individuals subjected to intense on-the-job trauma. As these policies evolve, brokers can anticipate ongoing growth in stress-related claims – and the necessary underwriting adjustments that follow. Several European countries started recognising burnout as an occupational phenomenon. Consequently, this is leading to a surge in worker compensation due to workplace stress.  Disability and workplace stress Chronic stress and work-induced mental health conditions have become a leading driver of both short-term and long-term disability insurance claims globally. Over the last decade, insurers have noted a sharp rise in disability claims attributed to mental illness (often triggered or exacerbated by workplace stress). I came across a 2012 study by the Organisation for Economic Co-operation and Development (OECD). The study reveals that in developed nations, one-third to one-half of all new disability benefit claims stem from issues like depression, anxiety, or burnout. These issues are often rooted in chronic workplace stress. The pattern has persisted or worsened: among younger workers, nearly ³/₄ of new disability claims are due to mental health issues.​ The numbers are sobering. A 2023 report by the Geneva Association estimates that $15 billion in disability payouts now go toward mental health claims worldwide each year.  A 2021 report by the Chief Risk Officer Forum found that mental health conditions are the leading cause of disability and early workforce retirement in many countries. It also notes that disability insurance claims for mental health have been rising for more than a decade. In Canada, mental health represents nearly 30% of all disability claims. Mental health claims rose by 70% between 2019 and 2022.  Death by Overwork: The Ultimate Toll Perhaps the most disturbing marker of workplace stress is the toll of premature deaths. A joint study by the World Health Organization (WHO) and the International Labour Organization (ILO) attributes 745,000 stroke and heart disease deaths globally in 2016 alone to long working hours. This is a 29% jump from 2000 in deaths due to overwork and chronic stress. “The study concludes that working 55 or more hours per week is associated with an estimated 35% higher risk of a stroke and a 17% higher risk of dying from ischemic heart disease, compared to working 35-40 hours a week” In Japan, the phenomenon of “karōshi” (death by overwork) has driven hundreds of annual compensation claims. These are cases where employees succumb to fatal conditions linked directly to chronic job strain. For life insurers, these numbers serve as a stark reminder that occupational stress not only harms productivity but can also tragically shorten lives. Beyond the human suffering, these statistics highlight a massive opportunity for stakeholders to collaborate on stronger workplace policies and practical interventions that safeguard employee well-being. The skeleton in the closet: fraud in workplace stress claims Stress-related claims present a unique diagnostic challenge given the subjective nature of symptoms.  On one hand, both insurers and employers risk falling prey to fraudulent claims, exposing themselves to legal liabilities and reputational harm. Yet suspicion alone must not overshadow the genuine needs of those truly suffering from stress-related conditions. Opportunity in Crisis What does all this mean for the insurance industry? Responding

Youth Deserve a Voice in Their Digital Future

Youth deserve a seat at the table when we speak about the digital future.  Artificial intelligence transforms childhood, from social media algorithms shaping self-esteem to AI chatbots engaging in emotional conversations with teenagers.  Governments and institutions are racing to regulate its impact, but are we basing decisions on solid research or following assumptions? In this article, we are going to look closely at two aspects that surprised me when I researched. First, what is the research saying about the impact of AI and social media on the emotional and mental health of youth? And second, how to involve the next generation in the discussions that shape the future of the digital world. Leave preconceived ideas aside and try to look beyond media headlines. Things might look slightly different than we thought. Fear vs. Research Whenever AI and well-being are discussed, headlines often predict disaster. But how much of this concern is science-backed, and how much is speculation? A recent study by the Oxford Internet Institute (OII) warns against jumping to conclusions about AI’s impact on youth. While concerns about digital addiction and AI-driven social media harm are valid, we lack a clear framework for evaluating these effects. OII researchers call for more rigorous, long-term studies before implementing sweeping AI restrictions. This does not mean AI is harmless. It means we need better science before we make irreversible policy decisions. AI, Social Media, and the Complexity of Human Behavior The discussion around AI-powered recommendation engines often focuses on the negative – anxiety, body image issues, and addictive scrolling. However, correlation does not equal causation, and social media is not inherently harmful or beneficial. It depends on how it’s used. A deeply personal example: when my daughter learned that her father had passed away, she numbed herself with TikTok while the adults around her were overwhelmed with funeral logistics. It wasn’t AI harming her – it was a coping mechanism in a moment of emotional overload. We must acknowledge this complexity. AI does influence emotions, but blanket statements about harm overlook the many ways digital tools serve as an escape, a source of comfort, or even a way to process emotions.  The challenge is not just to regulate AI but to teach young people how to navigate it consciously. We cannot turn back time and we should not stop technological progress. Youth will live in a digital future, no matter if we like it or not. When AI Harms Children Italy banned Replika, an AI chatbot, after reports that it engaged in emotionally harmful conversations with minors. The case of an American teenager who committed suicide after interacting with a Character.ai avatar added to the concerns regarding AI use by teenagers. Cases like these raise questions about how AI interacts with vulnerable users. The EU AI Act has responded by banning manipulative AI, restricting facial recognition, and requiring higher transparency in AI systems used by children. These steps are crucial, but regulation alone will not solve the problem. In an attempt to convince my daughter, I did several experiments on myself to see how I react when I scroll before bed compared to the evenings when I read. All other factors stayed the same.  As every human, I had to acknowledge the bias, as this is obviously not research. But the difference in mood and sleep quality were enough to convince me to put my mobile in flight mode at least one hour before sleep.  While scrolling was enjoyable, I gained weight, lost sleep, and my mood spiraled down. So I’d rather prefer the digital version of a bookworm, although it involves my iPad. We need to go back to the drawing board and design frameworks for research. We must fund research in the effects of social media and AI on our children`s mental health. And more importantly, we need to involve youth in designing their digital future. A Missing Voice: Next Generation in AI Governance With the recent implementation of the EU AI Act, discussions about protecting children from AI-driven harm are intensifying. But there’s a missing piece in the conversation: Where are the voices of children and teenagers themselves? Children and teenagers are the biggest users of AI-driven technologies. Yet, they are often excluded from the discussions shaping AI policies. If AI is shaping their future, they should help shape its governance. A recent UNESCO report highlights the urgent need to integrate children’s rights into AI governance. The report calls for AI systems to be designed with, not just for, young people. The Council of Europe’s Declaration on Youth Participation in AI Governance highlights the critical need for young people to have a voice in shaping their digital future. AI is increasingly influencing education, employment, and civic engagement. The declaration calls for youth inclusion at all levels of AI governance—from policy discussions to regulatory frameworks.  Young people are not just passive users of AI but active stakeholders whose insights and experiences should inform ethical AI development.  Governments, technology companies, and institutions must create structured opportunities for youth participation. We must create AI that aligns with human rights, democracy, and social justice principles. Ultimately, AI should serve all generations fairly, transparently, and responsibly. The Road Ahead: What Needs to Change? Move from Fear-Driven to Evidence-Based AI Policies. The road to Hell is paved with good intentions. Regulating AI based on assumptions is like navigating in the dark—dangerous and ineffective. Instead of knee-jerk reactions, we need serious studies that track the real, long-term effects of AI on children’s well-being.  Policymakers must resist the urge to respond to every alarming headline and instead ground regulations in solid research.  The challenge is to separate correlation from causation and ensure that well-intended policies do not inadvertently restrict beneficial uses of AI. Involve Youth in Designing their Digital Future Teenagers are the primary users of AI-driven technology, yet they rarely have a voice in shaping the rules that govern it. If we want AI systems that truly serve young people, they need a seat at the table.  Youth-led workshops, policy dialogues, and education programs should be standard practice when we speak about their digital future. Instead of making assumptions about what is best for them, we should engage them directly in co-creating ethical AI frameworks. Shared Accountability for Ethical AI

7 Tips for Succeeding in Company Transformation

A company transformation is no small feat. From strategy to execution, every step requires thoughtfulness, precision, and the ability to persuade everyone involved.  I have transformed businesses for more than 20 years. Some things I learned on the fly. I succeeded and failed. However, after years of experimentation, I realised what differentiates successful transformations. Here are my seven tried-and-tested tips for navigating the complexities of a business change. 1. Start with the customer. Always. No matter how “internal” the transformation may seem, its ripple effects will inevitably reach your customers.  When I was young and restless, I looked at the problem at hand. Cost cutting? Consider it done! Faster cycle time? We`ll skip some non-value-adding steps, add a little automation and voila! Here you have it. Sometimes, after cost-cutting, companies hire again to keep the same level of customer experience. Or worse, they neglect it altogether. Business declines, and the company cuts costs more, caught in a destructive spiral. There are situations when one needs to make tough decisions and remove “layers of fat”. However, sometimes the “layers of fat” are frontline employees, as the number of FTEs cut is more impressive to investors than eliminating some top managers. Remember the famous quote, “How many people could we save if we fire the CEO?” Joke aside, every decision should centre on how it will impact your customers. Happy customers drive business success, so ask yourself: How will this change make their experience better? 2. Understand your as-is before a transformation Before diving headfirst into solutions, take a step back and evaluate where you stand. I know, I know, it is boring. You have put together a great team, energy fills the room, and you ask them to map the “as-is”? There is no time for that! Make time. I have seen dozens of projects where top leaders were promised “we go live in a month”. And they did not. They created high expectations. Heads were rolling, teams suffered under pressure and projects lasted a bit more. As in 12 months more. You cannot manage what you don`t know. Do your homework diligently. Make sure every team member understands the problem. You know the saying, “Fall in love with the problem, not the solution.”  Rushing into fixes without a deep understanding of your current state is like treating symptoms without diagnosing the disease.  3. Define the root causes – why do you need the transformation? Surface-level issues often have deeper roots. Don’t settle for quick fixes—dig deeper to identify the true causes of problems.  We once had a project for digitising payments. We quickly concluded that all our customers should receive invoices at their home address (don`t judge; it was a long, long time ago, in a faraway galaxy).  The team created an algorithm to synchronise all payments to one due date per month, implemented it and prepared to send them. Well, not so fast! After a quick look at our customer’s details, we realised that a maximum of 5% of them had reliable addresses.  Let`s call them, send an SMS, and do something! Easier said than done. The phone number situation was even worse. Why?  We went back to the drawing board and put the first project on hold. We interviewed admin staff, sales force, and customer care. Why would the agents be so defensive when, in fact, we tried to automate one of the processes that took time from actual sales?  Turns out, sales agents were not keen on doing the admin work we tried to automate. But they were “defending their customers”. Naturally, you would say. But why? We continued asking why.  After a few weeks, we realised they feared a change in the renewal commission. There were rumours that we would cut them all together, so they were protecting their portfolios.  Long story short, we had to solve the root cause before moving on. We had a new communication plan and intensified discussions with the sales area. Clear targets and timelines were assigned for updating customer contact data. Go deeper and ensure that what you address is the root cause of the problem. This is how you build a lasting solution rather than a temporary patch. 4. Choose objectives and measure progress It is easy to jump on the latest tech trend when everyone speaks about ML and GenAI. And it is true, sometimes technology does miracles for a company. But transformation isn’t about being trendy; it’s about making meaningful improvements.  Have a system in place that measures impact. Everyone wants accelerated growth and an exponential increase in the number of customers. However, make sure you understand the costs and operational capabilities required. Can you maintain the same level of customer experience? What is the impact on profitability?  I know people who will argue that “Amazon was not profitable”. You are not Amazon, and your investors might not be pleased hearing about your global domination plans on shaky foundations. If you can sustain an aggressive growth strategy, go for it! But if your processes collapse and your customers` satisfaction declines, you might move high-speed against the wall. 5. Engage people early in the transformation It is amazing to see that most leaders do not understand a simple fact: people are not there for your vision. They are there for their own interests, dreams and aspirations. Besides, as humans, we are hard-wired to like stability, not change. It is a fact.  Peter M. Senge is a Senior Lecturer in Leadership and Sustainability at MIT and has written extensively about the concept of a shared vision. Involve employees, leaders, and partners from the beginning. Share ideas, test and refine them based on feedback. Transparency and communication are your allies. And remember, no one likes surprises—keep everyone in the loop as the journey unfolds. After steady growth for more than 15 years, one company needed a major turnaround program. They had to reposition themselves in the market, create new products, and develop a fresh technology stack. No one knew how long the transformation would