winning aca 2nd growth race ver07-16-14-final

47
Technical Difficulties Call Webinar Support at +1 (855) 352-9023 Webinar ID 138-899-491 Go to JoinWebinar.com Audio Participants can use their computer’s speakers or telephone - Call (646) 307-1707 - Access Code: 793-096-937 Only the presenter can be heard and participants will remain on mute Comments & Questions Please summit your questions and comments via chat under ‘Question’ section Welcome to: Winning ACA’s 2 nd Growth Race ? Housekeeping Dedicated Sessions Available Dedicated sessions are available over the next 4 weeks. Contact us through our website if you are interested ! 1

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SSG’s deep analysis of the first ACA Exchange enrollment period reveals that Multicultural & Millennials will constitute the vast majority, 7 in 10, of the 2014-15 ACA Open Enrollment opportunity. As penalties double, the next ACA open enrollment will likely see nearly 6 million new Multicultural and Millennial entrants despite the fact that their enrollment rates were 20-35% below Non-Hispanic Whites during the first open enrollment. Additionally, this new wave of entrants will be strongly influenced by the experiences of the 5.7 million new exchange-insured Multicultural & Millennial consumers.

TRANSCRIPT

Page 1: Winning ACA 2ND Growth Race ver07-16-14-Final

Technical Difficulties Call Webinar Support at

+1 (855) 352-9023

Webinar ID 138-899-491 Go to JoinWebinar.com

Audio Participants can use their computer’s

speakers or telephone - Call (646) 307-1707 - Access Code: 793-096-937

Only the presenter can be heard and participants will remain on mute

Comments & Questions Please summit your questions and comments via chat under ‘Question’ section

Welcome to: Winning ACA’s 2nd Growth Race

?

Housekeeping

Dedicated Sessions Available Dedicated sessions are available over the next 4 weeks. Contact us through our website if you are interested

!

1

Page 2: Winning ACA 2ND Growth Race ver07-16-14-Final

Welcome to: ACA 2nd Growth Race Webinar!

2

Carlos Santiago has been guiding strategic growth rooted on predictive analytics for leading marketers in health & wellness for 13 years at SSG.

Mindy Figueroa leads an award-winning team that operationalizes roadmaps helping Hospitals, Providers and Organizations to go-to-market with coaching and proven tools that deliver results.

Juan Ovalle is an expert in predictive analytics, effectively generating insights from data fusion across syndicated, customer databases, custom qualitative, quantitative and Social research in CPG, Telecom, and Health.

About the Presenters

SSG is a growth consulting leader driven by management P&L experience, Big Data and predictive analytics.

We develop fact-based business models, insights, customer experiences and roadmaps that profitably segment distinct customer groups and drive revenue.

We help clients focus their resources where the highest ROI opportunities exist and customize strategies advancing efffective Total Market growth.

About Santiago Solutions Group

Page 3: Winning ACA 2ND Growth Race ver07-16-14-Final

Winning ACA's 2nd Growth Race

3

Agenda

1. Cultural operations readiness

2. Acquisition

• tools for fine-tuning messaging

• balancing in-person vs. digital touch-points

3. Loyalty

• bonding through loyalty & word of mouth

• stewarding brand advocates in customer experience

4. Profitability

• managing costs of care

HOW

Readiness, Acquisition,

Loyalty & Profitability in

4 Steps

1. Key Similarities and Nuances by segment vs. Insured counterpart

2. Which key nuances impact Acquisition and Retention

WHO

New Exchange Consumers

Similarities & Nuances

1. Segments, language, key states, competitors

2. Big Winners & Losers

WHAT

Define Progress

and

Opportunity

Page 4: Winning ACA 2ND Growth Race ver07-16-14-Final

1. Progress Attained

& Opportunity Ahead

4

Page 5: Winning ACA 2ND Growth Race ver07-16-14-Final

2%

3%

3%

3%

4%

4%

5%

8%

8%

25%

CO

MI

WA

PA

NC

GA

TX

NY

FL

CA

States Converting Most Eligibles

5

States Enrolling Most US Eligibles

a

Top 10 US best performance states account for 66% of US Actual Enrollment

66%

Source: DHSS Summary Enrollment Report May 2014 & Kaiser Family Foundation, Marketplace Enrollment as a Share of the Potential Marketplace Population

Page 6: Winning ACA 2ND Growth Race ver07-16-14-Final

WNH Hisp AANH AONH Millennials

CA Enrolled One Third of the ACA Eligibles; Includes Eligible Uninsured + IFP (FPL 139-400)

WNH & Asian/Other performed strongly

6

Over One third of Eligibles Enrolled in CA

Source: SSG Analyses of Covered California Press Release on April 17, Kaiser Family Foundation, and Scarborough USA+ 2013 R2; Enrolled a/o Mar 31 vs Uninsured + IFP Opportunity; Total estimated eligibles: Insurable Uninsured + IFP (FPL 139-400%): 3.8M; Age: 18-64

1,396 36%

2,447 64%

Remaining Opportunity

Enrolled

Enrolled

Total Eligible Opp’y 3.8M In 000’s

Total Enrolled 495 391 39 471 403

Page 7: Winning ACA 2ND Growth Race ver07-16-14-Final

WNH Hisp AANH AONH Millennials

CA Enrolled One Third of the ACA Eligibles; Twice as Much Opportunity Remains Includes Eligible Uninsured + IFP (FPL 139-400)

Overall Hispanic performed very strongly

AA & Millennials trail behind

7

Twice as Many Eligibles Remain in the Sidelines

Source: SSG Analyses of Covered California Press Release on April 17, Kaiser Family Foundation, and Scarborough USA+ 2013 R2; Enrolled a/o Mar 31 vs Uninsured + IFP Opportunity; Total estimated eligibles: Insurable Uninsured + IFP (FPL 139-400%): 3.8M; Age: 18-64

29% 15% 111% 23%

1,396 36%

2,447 64%

Remaining Opportunity

Enrolled

Enrolled

Opportunity

Remaining

Total Eligible Opp’y 3.8M

27%

In 000’s

-21% v. WNH

-7% v. WNH

50%

42%

9% AA

Hisp

WNH

Total Enrolled 495 391 39 471 403

Page 8: Winning ACA 2ND Growth Race ver07-16-14-Final

WNH Hisp AANH AONH Millennials

NY Enrolled One Fifth of the ACA Eligibles Includes Eligible Uninsured + IFP (FPL 139-400)

Hispanic & Millennials performed second after White NH

8

One Fifth of the Eligibles Enrolled in NY

Total Enrolled: 213 58 39 62 115

371 22%

1,310 78%

Remaining Opportunity

Enrolled

Total Eligible Opp’y 1.7M

In 000’s

Source: SSG Analyses of NY State of Health Open Enrollment Report June 2014, Kaiser Family Foundation, and Scarborough USA+ 2013 R2; Enrolled a/o April 15vs Uninsured + IFP Opportunity; Total estimated eligibles: Insurable Uninsured + IFP (FPL 139-400%): 1.7 M; Age: 18-64

Enrolled

Page 9: Winning ACA 2ND Growth Race ver07-16-14-Final

WNH Hisp AANH AONH Millennials

NY Enrolled One Fifth of the ACA Eligibles; Four Times is the Opportunity Remaining Includes Eligible Uninsured + IFP (FPL 139-400)

Hispanic & Millennials performed second after White NH

9

One Fifth of the Eligibles Enrolled in NY

22% 12% 107% 16%

Total Enrolled: 213 58 39 62 115

371 22%

1,310 78%

Remaining Opportunity

Enrolled

Opportunity

Remaining

Total Eligible Opp’y 1.7M

17% In 000’s

-27% v. WNH

-23% v. WNH

56%

22%

22% AA

Hisp

WNH

Source: SSG Analyses of NY State of Health Open Enrollment Report June 2014, Kaiser Family Foundation, and Scarborough USA+ 2013 R2; Enrolled a/o April 15vs Uninsured + IFP Opportunity; Total estimated eligibles: Insurable Uninsured + IFP (FPL 139-400%): 1.7 M; Age: 18-64

Enrolled

Page 10: Winning ACA 2ND Growth Race ver07-16-14-Final

WNH Hisp AANH AONH Millennials

Fed Facilitated States* Have Enrolled One Fifth of ACA Eligibles; 4x as Much Opportunity Remains

Includes Eligible Uninsured + IFP (FPL 139-400)

Four Times as Many Eligibles Remain in the Sidelines

Hispanic & Millennials are behind

* Idaho & New Mexico are Federally supported SBMs for 2014 Source: SSG Analyses of DHHS Summary Enrollment Report-DHHS on May 2014, Kaiser Family Foundation, and Scarborough USA+ 2013 R2; Enrolled a/o Mar 31 vs Uninsured + IFP Opportunity; Total estimated eligibles: Insurable Uninsured + IFP (FPL 139-400%): 27M; Age: 18-64

Enrolled 5,446 20%

Total Enrolled: 3,424 585 908 529 1,538

Enrolled

Total Eligible Opp’y 27M

In 000’s

10

Page 11: Winning ACA 2ND Growth Race ver07-16-14-Final

WNH Hisp AANH AONH Millennials

Fed Facilitated States* Have Enrolled One Fifth of ACA Eligibles; 4x as Much Opportunity Remains

Includes Eligible Uninsured + IFP (FPL 139-400)

20% 14% 20% 44% 13%

Remaining Opportunity

21,665

Four Times as Many Eligibles Remain in the Sidelines

Hispanic & Millennials are behind

* Idaho & New Mexico are Federally supported SBMs for 2014 Source: SSG Analyses of DHHS Summary Enrollment Report-DHHS on May 2014, Kaiser Family Foundation, and Scarborough USA+ 2013 R2; Enrolled a/o Mar 31 vs Uninsured + IFP Opportunity; Total estimated eligibles: Insurable Uninsured + IFP (FPL 139-400%): 27M; Age: 18-64

Enrolled 5,446 20%

Total Enrolled: 3,424 585 908 529 1,538

Enrolled

Opportunity

Remaining

Total Eligible Opp’y 27M

In 000’s

-35% v. WNH

-30% v. WNH

63%

17%

17% 3%

A/O

AA

Hisp

WNH

11

Page 12: Winning ACA 2ND Growth Race ver07-16-14-Final

Spa Dom Eng Dom

12 Sources: Covered California Press Release on April 17, NY State of Health, 2014 Open Enrollment Report June 2014 & Scarborough USA+ 2013 R2

Spanish Speaking Hispanics Have Underperformed During Enrollment

Enrollment Rate by Language of Preference Among Hispanics

Eligibles Enrolled

42%

66% 34%

58%

Index 64 171 Spa Dom Eng Dom

Eligibles Enrolled

39%

68% 32%

61%

Index 57 191

(Hispanic enrolled) / (Hispanic Eligible)

Page 13: Winning ACA 2ND Growth Race ver07-16-14-Final

31%

30%

10%

8% 1%, A/O

10%

8%

1%

WNH

Hisp

AA

A/O

14M Uninsured Opportunity Remaining ~34M Opportunity Including IFP Eligibles 10-24M or 69% is Multicultural & Millennial

Opportunity By Segment

1. WNH 61%

2. Millennials 49%

3. Multicultural 39%

4. Hispanic 20%

5. AA 16%

13

Mu

lticultu

ral 3

9%

Source: Based on Share of Eligible Opportunity in 38 states (FFM states, CA & NY)

projected to US Total

Page 14: Winning ACA 2ND Growth Race ver07-16-14-Final

Winners Rebalanced the Playing Field: Blues & HN in CA & CO-OPs in NY

14

Sources: Covered CA Enrollment Press Released on April 2014, NY State of Health 2014 Open Enrollment Report June 2014, & Scarborough CA & NY DMAs 2011, 2012 R2

Index 32

57

161

317

Exchange Enrollment 2014

Commercial Insurance 2012

Index

267

50

180

19%

30%

6%

36%

8%

19%

58% 2%

Exchange Enrollment 2014

Commercial Insurance 2012

13%

40%

5%

3% 12% 6%

6%

17

6%

17% 17%

20%

9%

8%

19%

17%

15%

11%

62%

Page 15: Winning ACA 2ND Growth Race ver07-16-14-Final

15

2. Understanding the Newly

Insured Segments - Similarities & Key Nuances

Page 16: Winning ACA 2ND Growth Race ver07-16-14-Final

Uninsured Wellness Mindset Not Significantly Different From Insured

16

Wellness Mindset Opportunity

16%

32%

52%

20%

33%

47%

Insured

Source: Scarborough & GfK-MRI data fusion USA+ 2013 R2 Survey of the American Consumer

Uninsured Eligibles: Uninsured, Ages 25-64, FPL 139-400

Insured: Insured, FPL400+

Uninsured Eligibles

Page 17: Winning ACA 2ND Growth Race ver07-16-14-Final

-31 -33

-44

0

20 17

6

64

47 42

56 50

Wellness- Minded Individuals are More Prone to Engage in Prevention

Wellness-Minded Wellness- Ambivalent

Wellness-Averse

Regularly Go to Dr. for Check-ups

Uninsured 18+

SSG Wellness SpectrumTM Powered by GfK-MRI

100 Index US Total

Avg. Tot WnH H AA Tot WnH H AA

Tot WnH H AA

17 Source: GfK-MRI 2013 double base Survey of the American Consumer Base: Total Uninsured 18+, National

Page 18: Winning ACA 2ND Growth Race ver07-16-14-Final

Unins. & Ins. Millennials Transact Online; 1/3 Uninsured Still Prefer Store-Front

18

61% 59%

20% 34%

19% 7%

Insured Uninsured

Banking Methods

92% 83%

Insured Uninsured

Internet & Mobile Web Mill

Omni-Channel Transactions are not shown, however very key.

Source: Scarborough USA+ 2013 and GfK MRI Fusion R2 Survey of the American Consumer; Enrolled a/o Apr 19 FPL 400%+ vs Uninsured + FPL 139-400%; Age 18-34 Significance tests run at 95% confidence level

Page 19: Winning ACA 2ND Growth Race ver07-16-14-Final

6 in 10 Uninsured Eligibles Mobile Savvy; Prefer “Sealing the Deal” in Retail/In-Person

83%

57%

1%

3%

6%

3%

10%

38%

Insured Uninsured

Internet & Mobile Web HISP 25-64

.7x 58%

39%

26% 53%

14% 8%

Insured Uninsured

Banking Methods WNH 25-64

WHITE NH

HISP

2x

19

Source: Scarborough USA+ 2013 and GfK MRI Fusion R2 Survey of the American Consumer; Enrolled a/o Apr 19 FPL 400%+ vs Uninsured + FPL 139-400%; Age 25-64 Significance tests run at 95% confidence level

Page 20: Winning ACA 2ND Growth Race ver07-16-14-Final

66%

34%

Span Dom Eng Dom

Insured

Vast Majority of Uninsured Eligibles Lack Communication Essentials

20

Uninsured Eligibles

HS Dimploma or less

Some College

College Degree or above

Insured

Uninsured Eligibles

70%

30%

57%

25%

29%

14%

29%

47%

Source: SSG Analyses of Scarborough USA+ 2013R2Uninsured Eligibles: Uninsured, Ages 25-64, FPL 139-400 Insured: Insured, FPL400+

Page 21: Winning ACA 2ND Growth Race ver07-16-14-Final

Exchange Population is Very Different From Insured; Millennials Not Too Different

21

Exchange

Eligible Insured

Nuances

JS, Mary: Something related to Dr. Annual Consultation would be eye opening and of direct impact to our story … Im guessing that it would be different among eigible uninsured v insured and also across uninsured segments incl Mill….PLEASE CHECK Next slide, I think the statement need to be edited and sourced to SSG Wellness Spectrum without chart.

Importance in Medical Consultation

52% 63%

48% 37%

Uninsured Insured

I'm My Own Doctor

Doctor Knows BestThe uninsured (ages 25-64)

are 29% more likely to act as if they are their own doctors in

comparison to those already insured

Source: SSG Analyses of Scarborough USA+ 2013R2Uninsured Eligibles: Uninsured, Ages 25-64, FPL 139-400 Insured: Insured, FPL400+

Page 22: Winning ACA 2ND Growth Race ver07-16-14-Final

22

3. RALP - Readiness, Acquisition,

Loyalty, & Profitability

Page 23: Winning ACA 2ND Growth Race ver07-16-14-Final

OPERATIONS CULTURAL READINESS 23

Page 24: Winning ACA 2ND Growth Race ver07-16-14-Final

Socio-Economic & Cultural Needs

24

Too often Latino patients delay medical care until their conditions worsen and necessitate immediate attention

Two main drivers

• Socioeconomic factors

– Lack of health care insurance / limited health care literacy

– Limited transportation options

– Work concerns (i.e., no PTO)

• Cultural factors

– Expectation that one should tolerate pain without complaint

– Belief that certain conditions (such as pregnancy) are natural and do not require medical attention

HOW DO WE INCORPORATE CULTURE IN THE CUSTOMER JOURNEY OF NEWLY EXCHANGE INSURED?

Managing Latinos Use Of Acute Care Needs

Page 25: Winning ACA 2ND Growth Race ver07-16-14-Final

Latin Ready Assessment®

An Innovation and Growth Tool

• How ready is your organization to provide a seamless customer

experience to Latino and other multicultural segments today?

25

Page 26: Winning ACA 2ND Growth Race ver07-16-14-Final

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

No opportunities are

being explored.

No opportunities are

being explored.

Business is considering:

-Operations

-Human Resources

-Public Relations

Some opportunities are

being explored in:

-Operations

-Human Resources

-Public Relations

-Advertising

-Community Relations

Business is considering:

-Marketing Programs

-Social Media

Exploring opportunities

in:

-Operations

-Human Resources

-Public Relations

-Advertising

-Community Relations

-Marketing Programs

-Social Media

-Financial ROI

Business is considering:

-Development of

Taskforce

-Multicultural Champion

Exploring opportunities

in:

-Operations

-Human Resources

-Public Relations

-Advertising

-Community Relations

-Marketing Programs

-Social Media

-Financial ROI

-Multicultural Champion

-Budget

These opportunities are

integrated into the

business strategy; they

are proactive efforts, not

an afterthought.

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely L

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eady

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atin R

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(10-19)A

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2030

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(10-19)A

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(20-29)Fairly L

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2030

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(20-29)Fairly L

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2030

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(10-19)A

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(20-29)Fairly L

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2030

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2030

4050

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

*L2L’s Proprietary Latin Ready Spectrum ™ Tool

Latin Ready Assessment®

An Innovation and Growth Tool

• A revolutionary proprietary tool that evaluates how financially, operationally, and

emotionally prepared organizations are to address the rapidly growing Latino market.

• The LRA benchmarks an organization’s Latino DNA, objective observations and provides

a road map on how your organization can become Latin Ready™, in alignment with

CLAS – 15 National Standards by Minority Office.

26

Page 27: Winning ACA 2ND Growth Race ver07-16-14-Final

Latin Ready™ Spectrum - Benchmarks Surveyed Sectors are Almost Latin Ready™ with an average score of 27.09

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

Barely Latin Ready(10-19)

Almost Latin Ready(20-29)

Fairly Latin Ready(30-39)

Latin Ready(40-50)

Stages of Latin Readiness™

Not Latin Ready(0-9)

0 10 20 30 40 50

*L2L’s Proprietary Latin Ready Spectrum™ Tool

Analysis based on a sample of 11 LRA studies from 2012-2014: 5 healthcare, 5 education, 1 retail/direct sales, 1 non for profit

Healthcare (25.63)

Education

(18.75)

(27.09)

All Sectors

27

Retail (36.8)

Non-for Profit

(27.2)

Page 28: Winning ACA 2ND Growth Race ver07-16-14-Final

Latin Ready™ Spectrum – Benchmarks Challenges and Business Impact

28

Challenges Operationally Ad Hoc/ One off initiatives Lack of ownership/champion Lack of diversity at C- level Financially Insufficient data e.g. revenue,

market size, cultural nuances Lack of metrics of success Lack of financial commitment Emotionally Disconnect between C-level suite

and middle management on unified strategy

Not consistent external and internal communication

Blame glame on “marketing/advertising”

Business Opportunity Operationally Internal basic readiness/in

language/in culture systems and protocols

Compliance with national standards (healthcare)

Diversity & Inclusion strategy Financially Established metrics and tracking

mechanisms / results driven on revenue, market share, sales, volume, etc.

Assigned budget 20-60% Latin Readiness increase in

12 months Emotionally Internal champion / company wide

commitment External communication and

outreach (segment goodwill)

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Fine-Tuning Messaging

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How Can A Marketer Reliably Listen To Fine-tune Messaging For Branding & Acquisition?

30

Best-in-Class Leaders Mine Data to Find Un-Met Needs of Key Segments

Challenge Voice of Consumers,

with emotions, frustrations, and unmet

needs

Approach Scientific-approach to

sorting through a multitude of insights

using Statistical, Text & Contextual Mining

techniques

Benefit

Quickly identify sore spots from recent ACA enrollees. Insights help optimize messaging for

second round

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Segmented Approach Can Overcome Regional Difficulties

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Planet Superheroes

Fit & Trendy

Wellness Strivers

Busy Convenients

Savvy & Carefree

Tech munchers

Source: GfK-MRI 2012 double base Survey of the American Consumer Base: Total Uninsured 25-64 National

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Selecting Optimal Promotional & Engagement Methods

@

Page 33: Winning ACA 2ND Growth Race ver07-16-14-Final

Managed Care Industry Leaders Understand Nuances of Segments

33

Best-in-Class Leaders Mine Data to Find Nuanced Segment Personas

Challenge

Market Leaders interact with segmentations

proactively with actionable nuanced consumer personas

Approach

Scalable Data Analysis that informs marketer

how to improve Awareness,

Consideration, and Preference

Benefit

Marketer can interact with growth segments,

and efficiently guide the consumer through

purchase funnel

Page 34: Winning ACA 2ND Growth Race ver07-16-14-Final

Online Radio and TV Key Engagement Channel for Newly Enrolled Hispanics

34

White NH Hispanic African Am Asian/O

California Eligible Uninsured

Source: Eligible Population: Uninsured/IFP, age 18-64 in FPL 139-400% (000’s) SSG Analysis of Scarborough USA+ 2013 R2

Managed Care CMO’s can influence new and confused enrollees by connecting with

them in the proper channels…Relevantly!

1.TV viewers

2.Online Radio listeners

1,075 1,595 185 339

441 674 59 162

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Bonding with newly insured for loyalty by tackling segment health disparities

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Bonding with Newly Insured

Page 36: Winning ACA 2ND Growth Race ver07-16-14-Final

Reduce Disparities

• Education Partners

• Outcomes

• Cost & Subsidies

• Spectrum

• Data Fusion

• Individual or Geo level

• Wait til too sick

• Non-compliance

• Fear of system

• Cultural Relevancy

• Cultural Readiness

• H/C Literacy Cultural

Readiness

Excess Cost/ Readmission

Drivers

Prevention & Disease Mgt

Wellness Propensity

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Cultural Nuances

Page 37: Winning ACA 2ND Growth Race ver07-16-14-Final

SSG Wellness Segmentation Identifies Low Risk Acquisition Pool

37

Have/ Had Preventable Chronic Disease (PCD)

SSG Wellness SpectrumTM Powered by GfK-MRI

Generations: GenX

Indices vs. US Total Avg.;Likelihood to Have PCD Above or Below US Avg. Source: GfK-MRI 2013 double base Survey of the American Consumer Base: Total Generation X 1968-1982

9

-5

-14 Wellness-Averse Wellness -Ambivalent Wellness-Minded

100 Index US Total

Avg.

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Brand Advocates

Page 39: Winning ACA 2ND Growth Race ver07-16-14-Final

SSG Brand Heart & Mind Engagement Model™

Ad

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un

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Ac

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Lo

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ali

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Deep

En

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Purchase &

Experience

Disillusionment

Bitterness

© 2014 Santiago Solutions Group, Inc.

Fam

ilia

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Perf

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-Im

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Favora

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Love

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Inte

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Cultu

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-20 -22

-35

7 1

-4

-26

59 55

71

36 43

Top Segment Is Most Likely To Be Brand Advocate

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Healthcare: Knowledge & WOM SSG Wellness SpectrumTM Powered by GfK-MRI

Uninsured 18+

Wellness-Minded Wellness- Ambivalent

Wellness-Averse

100 Index US Total

Avg.

Source: GfK-MRI 2013 double base Survey of the American Consumer Indices vs. Uninsured 18+ US Total Avg. Category Influentialism Segments*- Categories Recommended To People: Healthcare Family/Friends or Neighbors/Colleagues or People you Don't Necessarily Know (in stores, online, etc.) AND Healthcare: I have a great deal of knowledge in this area

Tot WnH H AA

WnH H Tot AA Tot WnH H AA

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Managing Cost$

41 41

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Effective Leaders Solve Specific Strategic Issues Impacting Cost

Management

42

How to win

enrollment of loyal

members?

How to manage and keep new exchange members?

How to contain risk and ensure marketing dollars deliver against goals?

Page 43: Winning ACA 2ND Growth Race ver07-16-14-Final

Manage Risks by Augmenting Healthy Segment Acquisition

Wellness-Minded Wellness- Ambivalent

Wellness-Averse

100 Index US Total

Avg.

9 9

-5

18

-5 -9

5

14

-14

-9

-23

0

Have/ Had Preventable Chronic Disease (PCD) SSG Wellness SpectrumTM Powered by GfK-MRI

Generations: GenX

Indices vs. US Total GenX Avg. Likelihood to Have PCD Above or Below US Avg. Source: GfK-MRI 2013 double base Survey of the American Consumer

Tot WnH H AA Tot WnH H AA

H Tot WnH AA

43

Page 44: Winning ACA 2ND Growth Race ver07-16-14-Final

Executive Summary

44

• An enrollment opportunity of 10-24 Million uninsured and IFP eligibles still remains, 49% of which is Millennial and 39% of which is Multi-cultural

What

• Most uninsured lack the communication and health literacy displayed by their insured counterparts and vital to ensuring their successful and sustained enrollment

Who

•Honing in on the socio-economic & cultural needs of the newly insured and remaining eligibles, identifying a low risk acquisition pool (as defined by the SSG Wellness Spectrum), and mindfully building a consumer brand advocate team will place providers in an adequate position to profitably mine the 2nd ACA enrollment period.

How

Page 45: Winning ACA 2ND Growth Race ver07-16-14-Final

45

Marketing to a Diverse America Conference October 15-17 – Atlanta 3rd Multicultural Health Marketing Conference featuring SSG and leading multicultural marketers.

DTC Perspectives is proud to announce the third annual edition of this exciting and important new marketing conference – The Multicultural Health National: Marketing to a Diverse America (MCH National) – October 15-17 at the Melia Hotel in Atlanta, GA.

Attendance Recommended For: Pharmaceutical (Rx and OTC) Marketers Advertising Agency Executives and

Creatives Representatives from Health Plans and

Managed Care Companies Healthcare Providers Mass and Ethnic Media Companies Government Officials and Policy Makers

Page 46: Winning ACA 2ND Growth Race ver07-16-14-Final

TIME FOR

YOUR QUESTIONS

46

Page 47: Winning ACA 2ND Growth Race ver07-16-14-Final

SSG Monthly Insights Newsletter

Santiago Solutions Group

@Carlos_SSG

818.736.5661

SantiagoSolutionsGroup.com

@Santiago_Group

santiagosolutionsgroup.com/subscribe/

[email protected]

Thank You

We appreciate the support of

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