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Health is Everywhere: Consumers and the New Retail Health
Tennessee Hospital AssociationTHA Summer Conference, Sandestin, FL
8 July 2016
Jane Sarasohn‐Kahn, MA (Econ.), MHSATHINK‐Health and Health Populi blog
@healthythinker
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Thanks for inviting me to
2
Bywayof…
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Current Health Snapshots in Tennessee
Vanderbilt calls for statewide health network,24 May 2016
BCBST tops hefty Obamacare proposals with 62% request,10 June 2016
TN
TN Gets an “A” for Telemedicine
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• Intro: our personal health ecologies• Personal health economics drives health consumerism and DIY health
• DIY health enabled via social, mobile, digital tech• New Players in the New Health Economy –collaboration, coopetition, competition?
• Implications for members
Health is Everywhere: Consumers and the New Retail Health
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JSK’s Personal Health Ecology*
*Note: we all have one! 5
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Defining Health Care “Consumers”3 Personae
Patient Payor Person
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Life After October 2008
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Emergent Post-Recession Consumer Consciousness
• Then– Passive– Careless– Simple
• Now– Active– Deliberate– Complex
Sustainability is the new happiness:– Save me money– Inspire creativity– Conserve resources– Keep me healthy
Source: Eyes Wide Open, Wallet Half Shut, Ogilvy/Communispace, March 2010 8
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How People Define Health and Wellness
Physical health94%
Mental/emotionalHealth91%
Personalappearance
87%
Financial health82%
Source: Edelman Health Engagement Barometer, October 2008
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Table 2: Ranking Of Pocketbook Costs
Percent who say it is very or somewhat difficult to afford each
of the following Total
By Insurance Status (Ages 18‐64) By Annual Household Income
Insured Uninsured Less than $40,000
$40,000‐$89,999
$90,000 or more
Health care 42% 38% 81% 56% 41% 16%
Monthly utilities, like electricity, heat, and phone 38 36 63 54 35 9
Rent or mortgage 35 34 63 50 32 12
Food 31 29 52 48 25 7
Gas or other transportation costs 30 29 46 44 24 7
Health Care is #1 Line Item Of “Pocketbook Costs” Vs Energy, Housing, or FoodOctober 2015
Source: Kaiser Family Foundation Health Tracking Poll, October 2015 10
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$16,771$18,074
$19,383$20,728
$22,030$23,215
$24,671$25,826
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
2009 2010 2011 2012 2013 2014 2015 2016
Source: 2016 Milliman Medical Index, May 2016
Health Costs for Family of Four in 2016 = $25,826Health Insurance, a Chrysler 200 Sedan, or a Year at Wake Forest
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$1 in $5 of consumer spending14
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Source: National Business Group on Health, Large Employers’ 2016 Health PlanDesign Survey: Reducing Costs While Looking to the Future, August 2015
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Source: Carlton Cards, Speed Bump, ©Dave Coverly 16
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Source: Deloitte Center for Health Solutions, January 2016 18
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Growing Embrace of the Triple Aim in Health CareOperational Beacon for U.S. Health Care
Public and private payors driving toward the Triple Aim in health
plan designs.
Source: Institute for healthcare Improvement, Why the Triple Aim?
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The More Activated a Patient Is,the Lower Their Health CostsHealth Affairs, March 2015
Predicted Average Per Capita Costs In Follow-Up Year, By Change In Patient Activation Measure Levels During Two Time Periods.
Source: When Patient Activation Levels Change, Health Outcomes And Costs Change, Too. Greene et al. Health Affairs 2015;34:431‐437 (March 2015)
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Source: Advertising Age, April 22, 201321
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Evolution of Homo Informaticus
Source: Consumers on board: how to copilot the multichannel journey, EY, June 2014
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Broadband Connectivity Is A Social Determinant of HealthNote Space in Tennessee
Source: Annual Broadband Report, FCC, January 2015
Without Access Rural
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DIY Life
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The New Retail Health
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CVS ‐ Growing Force in Health, Wellness and Telehealth
Quit Tobacco, Rebranded in “Health”
Telehealth Alliances
Operating Target Rxand Minute Clinics
> 50 Clinical Affiliations Healthy Food Launch21 June 2016
App/Virtual Care
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A Growing Force in Health
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Evolving Health Information Ecosystem: From Retail Health to Clinical Trials
Manage health
Manage conditions
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The Supermarket As Health Destination in Tennessee
Eg.,
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The Supermarket As Health Destination in Tennessee stocks 1st Middle Tennessee store with wine, 5‐17‐16
Kroger store in Gallatin MarketplaceCardiovascular risks and benefits of moderate and heavy alcohol consumption, Nature Review Cardiology, 23 June 2015
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8 in 10 US Consumers Seek Food Options That Are Also Healthy
Source: Deloitte, The 2015 American Pantry Study, June 2015
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for Health
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Thinking #SDOH – Transportation SolutionRide With Uber
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Growing Telehealth Options – On‐Demand Medicine
40Source: Curated List By @HealthyThinker, 11 May 2016
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Key Categories in Consumer‐Facing Health DevicesGrowth of Internet of Things in Health/Care
Tracksleep
Trackfood
Trackweight
Trackheart
function Track stress and mood
Trackmeds
Track“home”
Trackactivity
Connectedcar
PERS
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Emerging Consumer‐Facing Health Information Platforms
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Cerner Working With Validic for HealtheLife AppIntegrating Patient‐Generated Data into the EHR
Source: Cerner To Integrate Patient‐Generated Data Using Validic Digital Health Platform, Cerner Press Release, March 12, 2015
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IBM Watson Health – “Insights As A Service”
Industry Partners
Hospital Partners
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The New Health Economy –
Implications for Members
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90% 90% 89% 88% 86%83% 82% 82% 82%
77%
Bio/pharma &MedicalProducts
HealthcareProviders
Food/Beverage
OTC/Personal Care
Media/Entertainment
Insurance ConsumerTechnology
Brewing/Spirits
Retail Banking/Finance
Health Is The New GreenConsumers Expect All Industries To Engage In Health
Source: Edelman Health Barometer, 201048
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A Major Message for
Large Retail, Healthcare Providers, & Digital Companies Equally Trusted to Manage Health
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A Major Message for
Trust Built on Transparency and the “Core Benefit” ‐‐ Value
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Re‐Imagining the Hospitalin the New Health Economy
Source: THINK‐Health analysis of The Patient‐To‐Consumer Revolution, Oliver Wyman, October 2014, for the Wisconsin Hospital Association
Oliver Wyman says: “We expect that by 2020 the traditional healthcare industry will shrink by 40% and medical trend will level off to the growth rate of the overall economy.
“The health and wellness markets will converge, creating a new combined marketplace worth $5 trillion….”
What is a hospital in this new marketplace?
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Source: Morning Consult Health Poll, May 2014
In a word or two, could you please tell me what comes to mind when you think of hospitals?
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Nurses, Pharmacists and Doctors Rank As Most Ethical Professions
Source: Gallup, Honesty/Ethics in Professions, December 2015
85% say nurses68% say pharmacists67% say doctors
10% say “Mad Men”8% say car salespeople8% say members of Congress
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Source: Hospitals see link between patient experience and bottom line, Accenture, May 2016
Happy Patients, Higher Margins
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“Are You Bernie, Hillary, or Donald?”Most Americans Favor A National Health Plan
Favor or Oppose Three Proposals Relating to the Affordable Care Act
Proposal on the ACA Favor % Oppose % No opinion %
Replacing the ACA with a federally funded healthcare program providing insurance for all Americans
58% 37% 5%
Repealing the ACA 51% 45% 3%
Keeping the ACA in place 48% 49% 2%
Source: Majority in US Support Idea of Fed‐Funded Healthcare System, Gallup, May 16, 201628
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“Are You Bernie, Hillary, or Donald?”Most Americans Favor A National Health Plan
Favor or Oppose Three Proposals Relating to the Affordable Care Act
Proposal on the ACA Favor % Oppose % No opinion %
Replacing the ACA with a federally funded healthcare program providing insurance for all Americans
58% 37% 5%
Repealing the ACA 51% 45% 3%
Keeping the ACA in place 48% 49% 2%
Source: Majority in US Support Idea of Fed‐Funded Healthcare System, Gallup, May 16, 201629
7 in 10Democrats
4 in 10Republicans
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THINK‐Aways for
59
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THINK‐Aways for
60
Know Thy Patients
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Know Thy Patients
Enabletransparency and financial wellness
THINK‐Aways for
61
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Know Thy Patients
Enabletransparency and financial wellness
THINK‐Aways for
62
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Know Thy Patients
Consider patients’ life‐flows and personal health ecosystems
Enabletransparency and financial wellness
THINK‐Aways for
63
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Know Thy Patients
Consider patients’ life‐flows and personal health ecosystems
Ally/partnerwith other health
ecosystem partners trusted & valued by consumers
Enabletransparency and financial wellness
THINK‐Aways for
64
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Know Thy Patients
Consider patients’ life‐flows and personal health ecosystems
Ally/partnerwith other health
ecosystem partners trusted & valued by consumers
Enabletransparency and financial wellness
THINK: retail
in health
THINK‐Aways for
65
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33
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67
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can do health…
68
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Jane Sarasohn‐Kahn, MA (Econ.), MHSAHealth Economist, Advisor, Trend Weaverjane@think‐health.comwww.healthpopuli.com Blog@healthythinker Twitter