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Hector Upegui

Cúram by Merative


Hector Upegui

Based in Munich, Hector has developed an international profile as a subject matter expert through his work in the healthcare and social protection sector. His career with an experience of 30 years as a physician in social security fields combines medical aspects with social policy making, as well as operational and management levels, with special emphasis on Coordinating Health and Social Outcomes.

Within Cúram by Merative Hector holds international responsibility for research, strategy and market development. He is responsible for strategic initiatives, identifying new and innovative best practices, developing them into business models and then promoting their success and usage around the world, especially in the field of artificial intelligence, cognitive computing and industry solutions in health care and social protection areas.

Previous to this position he joined IBM for 10 years as Worldwide Market Development Executive. He also worked for the Workers’ Compensation Unit of Munich Reinsurance Company in Munich Germany, where for 13 years he was worldwide responsible for analyzing and benchmarking workers’ compensation (occupational accidents and occupational diseases insurance) primary markets, as well as for providing analysis regarding its interaction with other lines of social security, social services, casualty lines of commercial insurance and health insurance.

Having studied medicine at University CES, Hector holds a European Master’s degree in Social Security from the Katholieke Universiteit Leuven, Belgium. He is a Postgraduate in Project Management and Postgraduate in Occupational Safety and Health Management. He is also visiting professor for the University CES, invited lecturer to the University of Applied Sciences in Rosenheim Germany and lecturer at the International Training Centre of the International Labour Organization (ILO).

He’s author, co-author or contributor in different blogs, papers and publications. Recently published “A framework for success: a customer-centric approach to social security”, “Heading to the future: Co-ordinated Health and Social Outcomes”, Some of the other titles: “Can artificial intelligence and emerging technologies help to improve the delivery of health, social care and social security services?”, ”Government health and human services: Visions, values, and strategies for the future”,  “Disability management: Trends and emerging strategies”, “Future Challenges in Workers Compensation Insurance”. “Covering just simple risks? Residual markets and uninsured risks in workers’ compensation systems”. “Economic incentives: A reflection on workers’ compensation systems”; “Occupational diseases are they insurable?”, “Assessing disability: An international comparison of workers’ compensation systems.

Hector is member of the European Institute of Social Security, the International Network for Workers’ Compensation Insurance and the International Commission on Occupational Health

FURTHER INFORMATION

Countries Germany;
Topics Access to care; Artificial Intelligence; Community-based LTC; Information and data systems in LTC; LTC insurance; LTC Policy; LTC Reforms; LTC Systems; LTC utitilisation; New models of care; Prevention and rehabilitation and LTC; Provider sector; Public procurement; Risk in Long-Term Care; Social Innovation in LTC; Technology and LTC;
Methods Causal inference in Long-Term Care; Comparative policy analysis; Expert consultations; Guidelines development; Political decisions analysis; Theory and frameworks;
Role Advocacy;
Interest Groups Ageing and Place; Care home markets and regulation; Data Science; Integrated Long-Term Care; Long-Term Care Policy;
LinkedInhttp://www.linkedin.com/in/hectorupegui
Research interests

Long term care
Bridging Health and social
Chronic diseases
workers’ health, strategies for labor market retention and insurance

Key publications
  • A Framework for Success: A Customer-Centric Approach to Social Security. Upegui, Hector, and Marc Zimmermann. Merative, 2025
  • Social work today: how a community-led approach to social care can change lives, Policy & Practice, The Magazine of the American Public Human Services Association, 82, No.2, 6–7, 2024
  • Shifting to person-centered care with coordinated health and social outcomes, Merative, 2022
  • Heading to the future: Co-ordinated Health and Social Outcomes (CHSO), Paper IBM, 2021
  • Can AI and technologies help improve health, social care and social security services delivery?. Blog IBM WH. 2019
  • Government health and human services: Visions, values, and strategies for the future. IBM HHS Research Institute, 2017
  • Disability management: Trends and emerging strategies. IBM Cúram Research Institute, 2014
  • How to create economic incentives in occupational safety and health: A practical guide. EU agency for Safety and Health at Work, 2011
  • How to make interventions work: An insurance perspective in Use of Workers’ Compensation Data for Occupational Injury and Illness Prevention. Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health NIOSH, Washington DC, 2010
  • Future challenges in workers’ Compensation Insurance, Munich re Group, 2009
  • The pros and cons of the various methods of financing workers’ compensation insurance: Observations regarding selected markets, Max-Planck-Institute for international Social Law, 2008
  • Are we comparing apples with oranges?, Die BG Magazine German Federation of Accidents Insurance (DGUV), 2007
  • To prevent or to insure, Munich Re Group, 2007
  • Occupational disability and Workers’ Compensation Insurance, Topics Magazine, Munich Re Group, 2006
  • – Cifras en el mundo de la salud y seguridad en el trabajo. Ver para creer?, revista médica, Universidad CES, 2005
  • Covering just simple risks? Residual markets and uninsured risks in workers’ compensation systems, Munich Re, 2006
  • Economic incentives: A reflection on workers’ compensation systems Munich Re Group, 2004 – Pandemics and Workers’ Compensation Insurance, Topics Magazine, Munich Re Group, 2004
  • Occupational diseases, are they insurable?, Munich Re Group, 2004 – Assessing disability: An international comparison of workers’ compensation systems”, Munich Re Group, 2004
  • Terrorism is not an occupational risk, Topics Magazine, Munich Re Group, 2004 – Crossing the borderlines of the social risks. Relation between the health care and the work incapacity schemes in general and the industrial injury scheme. Graduate paper, U.K. of Leuven, 2003.
  • Various articles in different issues of the magazine: Revista empresarial salud y Trabajo (1999-2000): The challenges of the professional Risk System, Social responsible of professional risk system, ¡Independent workers: a risk for the Professional Risk System!, ¡The risk of reforms!
  • Professional Risk System. Reflections from the public administration. Graduate paper. ESAP 1998.
  • Social security reform, an open way to occupational safety and health. Occupational Health Sectional Committee, Medellín. 1994. – Colombian Social security reform. Journal from the Colombian Association Acotepac, November 1994