Health care reform created millions of new health care shoppers. Many of whom visited your website for the first time. You've did the work to support the new health care consumer on your site, but did you converting visitors into shoppers, and shoppers into repeated customers? You can find the deck associated with this presentation here.
During this session we discussed:
1. How do you create and execute an effective segmentation strategy for health insurance shoppers?
2. Why Segment?
3. What Models?
4. What Methods?
5. What Results?
6. What Next?
Easy Ways to Segment Your Customers and Create Actions
1. Why you should Segment Your Healthcare
Customers and How to Do it
AHIP 2014 Consumer Series
Webinar Program
October 2014
2. Our Host
Principal at Kevin Riley & Associates | modelH
• Former chief innovation officer of Florida Blue (BCBS of Florida)
• Founder and former president/CEO of GuideWell
• Founder of AssureClick
• Founder of HealthTHREADS
Kevin Riley & Associates formed to help companies
with the convergence of health care and the
consumer. He founded and was CEO of a national
health care retail company, played leadership roles
for several national retail health start-ups, and served
as the first Chief Innovation Officer of a major
insurance plan.
Follow me on @kevineriley, linkedin, slideshare
3. Our Speakers
Jennifer Haid
Vice
President,
Consumer
Strategy,
Iconoculture,
Inc.
Debra Richman
Senior
Vice
President,
Nielsen
Paul Janowitz
CEO
and
Founder,
icanmakeitbe>er
4. How do you create and
execute an effective
segmentation strategy for
health insurance shoppers?
5. 1. Why Segment?
2. What Models?
3. What Methods?
4. What Results?
5. What Next?
6. Easy Ways to Segment Your Customers and Create Actions
A QUICK RECAP
7. At our AHIP summer forum we
talked a lot about various ways
consumers approach
healthcare. Can we briefly
review?
8. Consumers are increasingly
making healthcare decisions as
they make other consumer
decisions. It is critically
important to know your
Members as “Consumers”
9. Cost will continue to drive the
Market. Consumers care about:
• Price, Price, Price
• Lower costs, regardless of
health status
10. Understand Preferences & Trade Offs
• Age matters in likeliness to accept
benefit restrictions
• There is increased receptivity to
narrow networks among all consumer
segments including Medicare
• All segments want access to primary
care, and are willing to trade off
broader access to specialty care for
lower costs
12. Easy Ways to Segment Your Customers and Create Actions
WHY SEGMENT HEALTHCARE MARKETS?
13. Why do health plans need to
consider segmentation in the
new consumer markets? What
are its practical implications
and purposes. Can you provide
some good examples?
14. Understand Preferences
& Decision Making
Consumers have unique sensibilities that directly affect behaviors; from
healthcare to how they shop; integrating and balancing healthcare needs
across their entire lives.
THEN
Women 18-49
Member
NOW
(
Women 18-49
(children = 2) +
(self employed - family insurance coverage) +
(uses smartphone 1.2 hours/day)+
(Cycles 3X/ weekly) +
(Has Asthma- takes Rx )+
(HH income < $75K) +
( Light TV/ heavy online)
Member
15. Syncing Behaviors with Consumers
What we know about James’
media preferences:
• Prefers the Fox News Channel, Golf
Channel and AMC
• Listens to news/talk radio
• Reads National Geographic
• Visits dLife.com for Diabetes info
“James” What we know about James’
ailment(s):
• Type 2 Diabetes sufferer
• Diagnosed 2 years ago
• Prescription drug coverage
• Brand of meter/medications used
most often
What we know about James’
shopping behaviors:
• Total value to the front/back of the
store by key retailers
• Target shopper but fills prescriptions
at CVS
• Purchases dietetic candy and first aid
gauze products more than the
average household
Attitudes on James’ ailment(s)
and other aspects of life:
• Considers adding exercise to his
routine the most challenging part of
managing his diabetes
• Part of the “Magic Bullet” segment for
H&W attitudes
• Very concerned with the ongoing
economic crisis
Illustrative
…Ailments, Choices, Actions
16. Key Findings: Subgroups of Consumers
STRATEGIC
HEALTH
PERSPECTIVES℠
Overall Regardless of narrow network tradeoffs, low monthly premiums is consistently the most
important element across all chronic disease groups.
Age
Older consumers are much more likely to want access to leading hospitals in their area, while
younger consumers are more interested in cash incentives or rewards for healthy behavior.
Older consumers are also more likely to be interested in an extensive network of hospitals and
doctors.
Commercial
Insurance Type
No differences between those with employer-based & those who buy their own.
• Findings do indicate individual plan members find an extensive network of doctors more
important, as well as cash incentives for healthy behavior.
• Those who have employer based plans are more concerned with lower costs associated with
hospitalization and coverage for dependents.
Uninsured
The uninsured are primarily concerned with cost, such as low deductibles and low co-pays for
doctor visits and generics. The uninsured are also more concerned with coverage at alternate
sites of care.
Medicaid
Medicaid recipients find all out of pocket cost items to be much more important. They are
primarily concerned with a low deductible followed by access to imaging at low cost sharing
levels.
Chronic Illness
Those with Cancer & Diabetes rate benefit importance on a similar scale. However, some
differences exist:
• Those with cancer place more emphasis on direct access to imaging and specialists and an
extensive network of doctors
• Those with diabetes are generally more price sensitive. They place more emphasis on lower
premiums and copays for doctor visits.
17. Cost Important, Network/Brand Less So
Consumers concerned with cost elements, including deductibles and copays for
doctors & hospitals… Brand is least important to decision
Relative Importance of Benefit, Under Age 65 SHP CONSUMER 2014
Low monthly premiums 214
Has a low deductible
Average*
186
Below Average
Above
Average
40
36
52
49
59
75
70
69
91
108
103
100
125
125
115
182
Low copay for doctor visits
Access to all medical imaging (e.g. MRIs or CT scans) at reasonable
cost-sharing, or co-pay, levels
Reasonable cost sharing, or copay levels for hospitalization
Direct access to all specialists (no referral needed)
Low copay for generic drugs
Coverage for dependents
Includes an extensive network of doctors
Access to leading hospitals in my area
Access to cutting edge medical devices and medications
Access to brand name drugs at reasonable cost-sharing, or co-pay,
levels
Coverage for medical care at retail clinics or urgent care centers
Provides me with cash incentives or rewards for healthy behavior
Coverage for a wide selection of brand name drugs
Includes an extensive network of hospitals
Coverage for over-the-counter medications
The insurance brand is a name I know and trust
Base: All US Adults Under Age 65 (2014 n=1015 in half sample)
Respondents were given a maximum difference trade off exercise in which they were forced to choose the most preferred
and least preferred plan feature. *Average is 100, and the scores represent importance relative to that average.
19. Resistance to Accountability
An unfolding era of self-subsidy in health
IconoCommunities Participants:
“Reasonable health” penalties
are not fair
Yes
24%
No
76%
N = 336 Q: Do you think it would be fair if
there were a nationally agreed upon standard
for “reasonable health” from which penalties
and rewards were determined?
Source: IconoCommunities, November 2013
IconoCommunities Participants:
Monetary rewards and/or penalties
based on the quality of one’s health are
not rational
No
Yes
78% 81% 84% 87%
22% 19% 16% 13%
Employment Government or
taxes
Public or
commercial
transportation
Consumer goods
N = 336 Q: Do you think it is rational for people to be
rewarded and/or penalized monetarily?
Source: IconoCommunities, November 2013
23. SEGMENTATION
CRITICAL STEPS
UNDERSTAND
FIND
ENGAGE
• Consumer
behaviors
and
aRtudes
• Plan
benefits
that
are
most
appealing
to
prospects
• Inherent
risk
(chronic
condiVons)
and
healthy
behaviors
• CompeVVve
threats
• Understand
consumers
as
they
make
informed,
personalized
decisions
• Help
members
improve
their
health
and
manage
their
chronic
condiVons
• Consumers
-‐-‐
where
and
how
they
live,
work
and
shop
• PrioriVzed
hot
spots
in
market
area
• Media
channels
members
are
likely
to
uVlize
and
prefer
24. Only segment when you have
money to create more than one
“message” and when you can
externally identify that
segment to market to.
25. Easy Ways to Segment Your Customers and Create Actions
WHAT MODELS & METHODS?
26. What are some of the new
segmentation models &
methods healthcare companies
can use? Why are these useful
and how do they fall short?
29. The Total Consumer
WHAT
THEY
WATCH
WHO
THEY
ARE
WHAT
THEY
BUY
ONLINE
TV
•
Below
Average
TV
Viewers
•
Watch
College
and
Pro
Sports
•
Watch
ESPN,
TBS,
History,
FX
MOBILE
•
Heavy
Internet
Users
•
Visit
EducaVon,
Travel,
Entertainment
websites
•
Most
Trusted
Medium:
Internet
•
Own
a
Smartphone
•
Use
mobile
apps
•
Use
Mobile
email
and
LocaVon-‐Based
Services
DEMOGRAPHICS
HH
Income:
$100K+
•
Married
with
Kids
•
Suburban
Homeowners
•
College/Post
Grad
EducaVon
•
Work
Full
Time
•
Caucasian
&
Asian
LIFESTYLE
•
Age
45-‐64
•
•
Belong
to
Country
Club
•
Foreign,
DomesVc
Travel
•
A>end
Theater,
SporVng
Events,
Art
Galleries/Shows
HEALTH
&
WELLNESS
•
Exercise
at
Health
Club,
Play
RecreaVon
Sports
•
Go
to
Doctor
for
Regular
Check-‐Ups
•
Eat
Healthy
&
Pay
A>enVon
to
NutriVon
RETAIL
•
Order
Any
Items
by
Internet-‐
$200+
•
Shop
at
Nordstrom,
Kohl’s,
Po>ery
Barn
•
Prefer
Products
With
the
Latest
Technology
FINANCIAL
AUTOMOTIVE
•
Income
Producing
Assets
(IPA):
$100K-‐
$500K
•
Use
Licensed
Financial
Advisor
•
Do
Online
Banking
•
Have
Mutual
Funds,
CDs
&
IRAs
•
Drive
Luxury,
Sport
UVlity
Vehicles
•
Belong
to
AAA
Auto
Club
•
Buy
Auto
Service
at
Dealer
•
Drive
15K+
Miles-‐
1yr
SOCIAL
MEDIA
•
One+
Social
Networking
Profiles
•
Made
a
Comment/Post
on
Social
Networking
Page
30. Health Insurance Track Attributes
CURRENT
DEMOGRAPHICS
COVERAGE
PURCHASE
PROCESS
HEALTH
BEHAVIORS
&
RISK
• Current
Plan
Channel/
Source
• Previous
Insurance
Status
• Companies
in
Decision
Set
• Decision
Making
Criteria
• Ideal
Purchasing
Environment
• Exchange
Plan
Tiers
and
Subsidies
• Reason
for
Uninsured
• Source
of
Coverage
• Provider
• Medicare
• Medicaid
• Carrier
• Plan
type
• Monthly
Payment
• DeducVble
• Out-‐of-‐pocket
Limit
• SaVsfacVon
• Current
Health
Status/
CondiVons
• Treatment
OpVons
through
Provider
or
Rx
by
Ailment
• Exercise
• Height/Weight
• Dietary
Habits
• Use
of
Tobacco
• Willingness
to
Spend
on
Wellness
Products
• Age/Gender/Race
• Income/EducaVon
• Sexual
OrientaVon
• OccupaVon
• Business
Owner
• Nielsen
SegmentaVon
• Wealth
Scores
• Geography
31. What is the role of personas vs.
segmentation? How can we
use “agile” market research in
conjunction with our big data
and segmentation methods?
40. Knowing Members as Consumers
WHO THEY ARE WHAT THEY WATCH WHAT THEY BUY
TV
• Primetime TV Viewers
• Watch Golf, Baseball, College
Football & HBO
ONLINE
• Heavy Internet Users
• Track Investments, make Travel
Plans Online, Visit Facebook
MOBILE
• Own Smartphone
• Surf Internet on Mobile
• Annoyed by Phone Ads
DEMOS
• Age 35-54
• HH Income: $150K+
• Married, Kids
• Homeowners
LIFESTYLE
• Do Scuba/Skin Diving/
Snorkeling, Mountain Biking
• Go to Professional Football &
Hockey games
HEALTH & WELLNESS
• Follow Regular exercise Routine
• Buy Organic Foods
• Take Vitamins
RETAIL
• Shop at Lord & Taylor,
Crate & Barrel
• Dine at Ruth’s Chris
Steakhouse and
Bertucci’s
FINANCIAL
• IPA: $500K-$1M
• Use Licensed Financial
Advisor
• Annuity through credit
union
AUTOMOTIVE
• Own Luxury Car
• Belong to Auto Club
• Recommend Vehicles
they like to others
• Drive 15K+ miles/year
PRINT
• Heavy Magazine & Newspaper
Readers
• Read Coastal Living, Food & Wine
and Golf Digest
41. Consumers are increasingly
making healthcare decisions as
they make other consumer
decisions. It is critically
important to know your
Members as “Consumers”
42. Understanding consumers as
the unique groups they are is
critical to creating efficiencies
in marketing; attracting new
customers and retaining
members.
43. In a commoditized
marketplace, go beyond basic
demographics to obtain a
complete view of what
consumers are like, where they
live & work & how they
engage.
44. Create a story – who are you
talking to, where did they eat
today, how was their morning
and why would they give a s*#!
about what you have to say?
45. Easy Ways to Segment Your Customers and Create Actions
WHAT LIES AHEAD?
46. What are your own predictions
about the changing shopping
habits of healthcare
consumers? What makes you
think this?
47. The “Healthcare Shopper” has
emerged - consumers are
making healthcare decisions
like they are making other
decisions and the same factors
will apply: Convenience,
Quality, Experience, Access,
Cost
With health insurance becoming direct-to-consumer, the necessity to understand the segmentation of customers and prospects has never been higher. Do you know whom you want to target? Which prospects look most like your best customers? Which prospects are most likely to respond to a targeted offer? Who needs to leave, who should be retained, and who should be targeted for “win back”?
The science of segmentation is the art of knowing your customers through the engineering of your product, message, channels and services to attract and keep them. And like all business functions, segmentation follows a maturity curve. Where are you today along the segmentation spectrum? Are you applying segmentation across the customer life cycle (awareness, acquisition, activation, and retention) as well as across functional areas (e.g., communications, medical, wellness, service)?
As these questions imply, segmentation is also bridging the gap between data (IT), segmentation (analytics), insight (marketing), and action (line of business). Join us as we ask the experts simple ways to get started and keep moving along this spectrum. Discover techniques to produce quick wins and also collaborate to achieve a company-wise segmentation mindset. Learn how you can move segmentation out of strategy and into tactics.
Create high quality content (videos, infographics, educational blog posts, etc.) that people will want to share through social networks.
Create high quality content (videos, infographics, educational blog posts, etc.) that people will want to share through social networks.
Create high quality content (videos, infographics, educational blog posts, etc.) that people will want to share through social networks.
Create high quality content (videos, infographics, educational blog posts, etc.) that people will want to share through social networks.
Create high quality content (videos, infographics, educational blog posts, etc.) that people will want to share through social networks.
Create high quality content (videos, infographics, educational blog posts, etc.) that people will want to share through social networks.