JIVA360 — Insurance & Underwriting

Continuous risk intelligence for
insurers who can’t afford reactive care.

Replace retrospective claims cycles with real-time biometric underwriting — from the wrist, to the clinic, to the balance sheet.

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01The Problem — Global & Local

Medical underwriting is structurally loss-making.

A continuous blind spot between visits turns preventable chronic disease into catastrophic, late-stage claims.

Claims Deficit

Medical books exceed 100% loss ratios — against an industry average of 79%. US medical debt now exceeds $220B.

Chronic Disease Crisis · Kenya

NCDs account for 74% of all mortality globally. In Kenya they drive over 50% of hospital admissions and nearly 40% of all deaths.

The Monitoring Blind Spot

A 14–21 day window before emergency hospitalization is completely invisible to insurers and doctors.

Chronic Disease Crisis · US

119M US adults carry chronic illnesses, with exploding growth in metabolic syndromes globally.

The African Data Blind Spot

Africa is 17% of the global population yet under 2% of clinical and genomic datasets. No continuous biometric dataset exists for Sub-Saharan populations.

Geographic Access

Doctor-to-patient ratios exceeding 1:16,000 in some regions leave rural and peri-urban populations highly vulnerable.

01.1The Claims Crisis — Kenya in Numbers

Sourced from official IRA and AKI filings. The dashed line marks 100% break-even.

Insurer A
47%
Insurer B
49%
Insurer C
65%
Insurer D
70%
Launch Partner
76%
Industry Average (Medical)
79%
Chronic Care Pools
112%
Govt Scheme (Target)
159%
KES 1.59

Govt-scheme outlays for every KES 1 collected.

$8 / mo

JIVA PMPM — lower than a single clinic visit.

01.2Everyone wins when you stay healthy

ConsumerReactive, late-stage care and out-of-pocket exposure.Empowered & RewardedPremium discounts and coverage scaling tied to verified health.
ProviderFlying blind between visits; no continuous signal.Continuous VisibilityReal-time telemetry and predictive clinical reports.
InsurerStructurally loss-making books, retrospective claims.Aligned IncentivesLoss avoidance, fraud reduction, stabilized chronic pools.

Connected. Aligned. Healthier.

02Why Now

Four structural forces, converging at once.

Govt Scheme & Digital Rails

Universal Coverage Mandate

The government scheme enrolls 57M lives. Payers face a 1.59 payout ratio — KES 1.59 paid out for every KES 1 collected.

Hardware Economics

Slashed Wearable BoM

The bill of materials for medical-grade telemetry now costs less than a single clinic visit.

Capitation & VBC in the US

Value-Based Care Dominance

The $5.4T US market is shifting to capitation, scaling at 9.7% CAGR.

Demographic Health AI Regulation

Regulatory Diversity Standards

The FDA is formalizing standards for demographic diversity in datasets — a moat for representative data.

02.1Why Kenya — A Strategic Choice

A concentrated chronic-disease burden, a digitizing single-payer rail, and a global data white-space combine into a defensible launch market.

57M

lives enrolled under the government scheme — a single, digitizing payer rail.

112%+

loss ratios on chronic-heavy books that lose capital rapidly.

<2%

of global clinical datasets cover African cohorts — our data moat.

03The Platform

Three layers, one continuous loop.

LAYER 01

Data Collection

The JIVA Band (24/7 telemetry), biannual Mobile Health Units, clinical records and partner feeds — integrated via direct uploads or in-app scans.

LAYER 02

App & Storage

Historical data, behavioral habits, prescriptions and past consultations. Tailored portals for patients, clinicians and insurers with integrated identity verification.

LAYER 03

AI Diagnostics

A continuously-updating risk profile. Diagnostic recognition and doctor-assistance tools streamline telemedicine and encourage proactive lifestyle change.

04The Model

The insurer pays. The member wears it. Everyone’s incentives align.

01

The Patient

Wears the JIVA Band; telemetry streamed 24/7, plus bi-annual clinical validation via mobile units.

02

AI Processing

The proprietary engine detects autonomic anomalies and updates the individual risk profile in real time.

03

Clinical Action

Alerts trigger in-network telemedicine check-ins and predictive clinical reports.

04

The Payer

Payers view risk distribution. Premium discounts and coverage increases correlate to user risk levels.

04.1The Value Loop

JIVA360Platform & AI
InsurerPays $8 PMPM
MemberWears the band

Verified health flows back as premium discounts and coverage — a value loop that rewards staying healthy.

05Hardware & Data Architecture

A medical instrument — not a wellness toy.

The JIVA Band — a medical-grade biometric wearable

The JIVA Band

CSS W10
  • 256 Hz medical-grade ECG electrodes
  • Dual-wave PPG biosensor
  • Skin thermistor (temperature)
  • 3D accelerometer + gyroscope (motion)
  • Ambient light sensor
  • IP68 ingress protection
  • AES-256 encryption at rest & in transit
FCCCE / REDRoHSSRRCFDA — on roadmap

Mobile Health Unit

72-test sweep

Bi-annual 72-test sweeps deliver absolute identity verification and baseline calibration.

  • Biochemistry lab
  • Digital X-Ray
  • Pulmonary function
  • Audiometry
  • Fundus camera
  • OBG / cardiac-specific diagnostics

Privacy-First by Design

Data stays inside JIVA, with role-based access and an objective, automated audit trail. Insurers and admins receive view-only metadata — never raw vitals.

06The Markets

From Nairobi to a $8.6T opportunity.

Kenya — Regional Launch

KES 73.5B

≈ $565M private health insurance market — the largest general insurance class (AKI 2024).

KES 780B

≈ $6B total national healthcare expenditure.

Data & AI Markets

$223B

global Healthcare AI market, with diagnostics the fastest-growing 35% share.

37% CAGR

growth rate; $13.9B in 2025 digital-health exits, AI-native capturing >54% of deployed capital.

US — Expansion Phase

$5.6T → $8.6T

US healthcare spend 2025, projected 2030.

$1,200–$1,800 PPY

CMS RPM reimbursement per wearable, per chronic patient, per year.

06.1Target Segments · 2022 → 2033 Forecast

$10.1B → $223B

Healthcare AI

$14.2B → $40.7B

Remote Patients

$5.7B → $38.3B

Wearables

$34.2B → $55B

Digital Flow

37% CAGR Expansion

US health & biosensor path, driven by clinical diagnostic transitions.

21.6% CAGR Metric Scale

Real-time bio-sensor tracking optimizing downstream insurer data profiles.

06.2The Roadmap

Phase 01 · 2026 → Q2 2027

Kenya Operations

  • • Scale the STAR pilot: 100 → 18,000 → entire network
  • • Deploy Mobile Health Units
  • • Secure hospital data for ML training

Phase 02 · Q3 2027

East Africa & India

  • • East Africa pipelines
  • • Indian market entry
  • • Scaled, demographic-specific AI training

Phase 03 · End 2027

US Market Launch

  • • Launch US healthcare diagnostic tool
  • • Capture CMS RPM billing pools
  • • Licensing & compliance — FDA, CE, HIPAA

07The Team

Theoretical and practical — in equal measure.

Stanford

Shlok Saini

Co-Founder & CEO

Management Science & Engineering + Economics

Healthcare and insurance exposure through family; deep background in math and quantitative analysis. Indian-market understanding through Bliss GVS Pharma.

Stanford

Arjun Prakash

Co-Founder & COO

Economics + Human Biology

Blends sport physiology with hands-on operational execution, having launched his own sports complex in Calcutta. Deep marketing and large-scale HR management from a family footprint in hospitality and tea.

Stanford

Agastya Bhartia

Co-Founder

Biomedical Computation + Bio Engineering

Life sciences (Jubilant Bhartia) and marketing/media (Hindustan Times) experience. Coordinates global life-sciences architecture and AI strategy.

07.1Leadership & Directors

Ramdev Krishnan

Full-Time Director · CTO

Project Head on the ground. Ex-Tata Communications senior leader. Directed 10,000+ MHUs across regional markets.

Dr. Deepak Kumar

Clinical Director · CHO

Two decades as an intensive-care resident across Indian and Kenyan capital cities, guiding JIVA’s clinical decision-making.

Ali Abbas Jaipuri

Procurement Director

25+ years of healthcare and medical-equipment executive experience, sourcing and operational integration across East Africa.

Asif Ali Ansari

Full-Time Director

Worked at Apeiro which, with Sirius IHC, developed the government health scheme software. Strategic institutional-network lead.

08Partner — For Insurers

Join the JIVA Network.

Deploy a 180-day pilot over a targeted cohort. JIVA manages hardware, training and onboarding — you watch the loss ratios move.

JIVA Technologies Limited · Palo Alto, CA 94301