Consumer-directed healthcare empowers consumers by providing them with information about price and treatment options so that they can pursue cost-saving opportunities. As a result, a growing number of managed care organizations are adding retail health.

1. Webinar: Retail Healthcare and its Implications for
the Future of Health Insurance
a presentation by Kevin Riley
for Corporate Research Group
January 8, 2013
This content is property of Kevin Riley & Associates – All Rights Reserved.

2. Synopsis
Session:
Retail Healthcare & its Implications for the Future of Health Insurance
Consumer-directed healthcare empowers consumers by providing them with
information about price and treatment options so that they can pursue cost-
saving opportunities. As a result, a growing number of managed care
organizations are adding retail health clinics in stores within their networks and
are realizing substantial cost savings. Consumers want convenience in their
health care options which is right in line with theses clinics offerings.
Attend this webinar to:
• Explore the origins and evolution of retail healthcare with an eye toward
emerging trends that will impact your business.
• Understand how retail healthcare coupled with consumerism can impact
member behaviors—improving quality and cost.
• Formulate a retail healthcare strategy that encompasses market-based
initiatives coupled with reform-driven mandates.
• Assess the impact of retail clinics on member access, costs and quality.

3. Who am I?
Principal at Kevin Riley & Associates | Health Model Innovation
• former chief innovation officer of Florida Blue (Blue Cross Blue Shield of
Florida) and founder and former president/CEO of GuideWell
• entrepreneur, health care executive, business model innovator, and pursuer
of experiences that drive behavior, and ultimately action
Kevin started Kevin Riley & Associates | Health Model
Innovation consultancy in 2006 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. Kevin holds a Masters of Business
in entrepreneurship and marketing from Rice University.
follow me on @kevineriley, linkedin, slideshare

4. What is Health Model Innovation?
Developing profitable and sustainable business models by
creating and/or realigning the activity systems that improve
member experience, boost provider performance, and
enable payer cost control.

5. What is retail health?
“Retail health is where consumers find quality care in a variety of convenient
forms and at competitive prices.
Consumers are able to plan for the health care needs they can anticipate and
make informed decisions based on readily available information.
They can then “shop” competitively for products and services using a variety of
channels, formats and business models.
And for those that need help, they can turn to “navigators” who work with them
to design the most suitable health care solutions for themselves and their
families.”
Source:* Booz & Company's Health Care’s Retail Solution
Retail health should serve as a means to
EDUCATE | NAVIGATE | PLAN |
MOTIVATE
to enable consumers to choose from suitable solutions
for health care needs, anticipated and otherwise.

6. The evolution of retail health
One Day Events Retail Clinics Online Stores
Screening and flu shots Primary care provided Online health stores
at big box retailers, in convenient where you can spend
usually on one or two locations with your FSA and health
days extended hours rewards dollars
Mobile Health Insurance Stores Mobile Stores
Health screenings in a Retail centers that sell Crowdsourcing,
mobile unit at your work and service insurance Groupon for health,
and neighborhood plans spot pricing, care
enablement
This content is property of Kevin Riley & Associates – All Rights Reserved.

7. Does retail health = consumerism?
Retail health is a business model that Consumerism is a focus on the needs
creates direct-to-consumer channels to and wants of a specific consumer set and
sell health related products and services. their purchase decision behaviors.
This content is property of Kevin Riley & Associates – All Rights Reserved.

8. The science of behavioral economics
To understand how retail health
coupled with consumerism can
impact member behaviors, you
have to go back to the first
principle thinking of behavioral
economics.
This content is property of Kevin Riley & Associates – All Rights Reserved.

9. Outcomes thru incentives
The secret sauce to delivering
reform-driven mandates is to
serve them up as rewards and
awards.
This content is property of Kevin Riley & Associates – All Rights Reserved.

10. Develop a channel threading strategy
This content is property of Kevin Riley & Associates – All Rights Reserved.

11. A retail health case study – Retail Stores

12. A retail health case study – Retail Store

13. A retail health case study – Retail Store

14. A retail health case study – Retail Store 2.0

15. A retail health case study – Retail Store 3.0

16. A retail health case study – Retail Clinic 4.0

17. Kevin Riley & Associates | Health Model Innovation
kevin@healthmodelinnovation.com
www.healthmodelinnovation.com
Questions?