retail healthcare in america: where it’s going june 2015 image area walmart health & wellness...
TRANSCRIPT
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Retail Healthcare in America: Where it’s Going
June 2015 Image Area
Walmart Health & Wellness - Confidential
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Agenda
• Introduction & Overview•Retail Healthcare•Consumer Buying Decisions•Summary, Q&A
Walmart Health & Wellness -
These are the thoughts of the Health & Wellness group. These are NOT the
thoughts or programs of Walmart Human Resources.
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Retail Healthcare
Walmart Health & Wellness - Confidential
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Retail Healthcare:
Trends in Healthcare:• Cost sharing increasing• Alternative delivery models • Chronic care management• Personal accountability (do it
yourself)• Shopping (Mobile Apps)• Patient Centered Medical Home
(PCMH)• Quality measures• Value based reimbursement• Practice to the highest level of
licensure• Convenience • Population health
(get into the system)
Walmart Health & Wellness -
Trends in Healthcare (cont.):• Transparency• Cost containment• Competition between Health
Systems• HDHP account for >20%• Deductibles up 150% since
2010
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Retail Healthcare:
Walmart Health & Wellness -
Discretionary spending in Health Care is relatively new
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Retail Healthcare:
Walmart Health & Wellness -
• Recognize health related spending “choices” will be guided by consumers– Deductibles– Where the consumer is comfortable– Healthcare providers do NOT know
consumers– “Shopping” experience– Options for “dollars” – “mobile bill
or…?”• Different demographics behave
differently• Brand recognition and “comfort” play a
role in decision making• Location and convenience play a role in
selecting health care services
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Retail Healthcare:
Walmart Health & Wellness -
The birth of the healthcare consumer, 2014, pwc
Consumers perceptions & beliefs are changing:
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Retail Healthcare:
Walmart Health & Wellness -
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Retail Healthcare:
Walmart Health & Wellness -
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Retail Healthcare:
Retail clinic expansion:• Health systems moving in this
direction– Patient capture– Low cost treatment site– Convenience– ACO asset
• Major retailers – Discounters– Grocery– Drug stores
• Urgent care companies• Tele-health options in clinics• Narrow-Preferred networks
Walmart Health & Wellness -
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Retail Healthcare
Conditions commonly treated:• State dependent• Acute conditions• Chronic disease management• Cold & Flu symptoms• Dermatological conditions• Conjunctivitis: “Pink eye”• Ear irritations• Sore throat• Urinary tract infections (not
sexually transmitted)• Vaccinations
Walmart Health & Wellness -
More than 10 million retail clinic visits in 2014!
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Retail Healthcare:
Walmart Health & Wellness -
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Retail Healthcare:
Walmart Health & Wellness -
Provide care for “out of system” population
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Retail Healthcare:
Walmart Health & Wellness -
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Retail Healthcare
Walmart Health & Wellness -
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Retail Healthcare:
Consumer perspective:
– Widespread dissatisfaction with HC system
– Concerns over
• Costs & Cost trends
• Value
• Engagement– Changing expectations:
• Younger consumers: “Isn’t this a digital marketplace?”
• Trust issues– Employer opportunity to “leave”
market
Walmart Health & Wellness -
What is our role?
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Consumer Buying Decisions
Walmart Health & Wellness - Confidential
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Consumer Buying Decisions
Walmart Health & Wellness -
Address how members feel
Add comfort into the decision making process
United Hopeful
Empowered Savvy
Passive Consumers Confident Consumers
Adapted from: 2015 Consumer Mindset Survey, Aon, NBGH 2015
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Consumer Buying Decisions
Consumer Frustrations:• Complexity• Competing life priorities
• $’s• Time
• Clear information• Terminology• Inconsistencies across
offerings• Expectations• Lack of experience• Simplicity of Amazon,
Walmart.com, others• Change!!
Walmart Health & Wellness -
Respond to consumer wants:• Simple choices & process• Comprehensive
communication• Incentives• Personalized & relevant• Third party trust with
recognizable brands!• Customizable• Peer interaction
• Chat features• Forums
• Brand recognition within offering
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Consumer Buying Decisions
Walmart Health & Wellness -
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Consumer Buying Decisions
Walmart Health & Wellness -
The birth of the healthcare consumer, 2014, pwc
Know your population
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Consumer Buying Decisions
• Bigger is not always better– Retail healthcare is acceptable– Networks need to be adequate– Appropriate facility care is a must
• Employer decision points do not reflect consumer decision points– Cost is an issue based on income & disposable income– X does NOT equal y– Consumerism can work
• Tools and modeling are a “Must have!”– Transparency – Cost sharing& Total costs– Access modeling– Terminology and dictionary
• Trusted brand recognition is relevant– Providers– Carriers
Walmart Health & Wellness -