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Viral Marketing in Health: Humana Steps Up

I talked about Humana‘s innovation group a few days ago. They have done it again with two new games. One is on HumanaGames.com and the other is a Facebook application.

The Freewheelin Cycle Challenge is an online bicycle-racing videogame that matches you and a quirky virtual opponent. To make it to the finish line first, players energize their bicyclist and pick up speed by capturing nutritious snacks, such as nuts and oranges. They lose energy, however, by rolling over holiday junk food, including candy canes, cookies and other sugary snacks.

“The Battle of the Bulge” is an application that will be available at Facebook.com beginning Dec. 24. To participate, users go to “The Battle of the Bulge” Facebook page and answer a few questions about their lifestyle, including exercise and eating habits. Based on the responses, users are assigned a virtual waistline, affectionately called a “bellytar.” The goal of the game is to maintain an ideal weight.

But it won’t be easy. Other “friends of flab” can “fling fat” your way, making your bellytar’s pants literally bulge at the seams. In a worst-case scenario, you could be headed toward an online heart attack. To shape up, simply answer questions about exercise correctly and watch your bellytar shrink before your very eyes. Then answer questions about nutrition correctly to fling some fat of your own.

I find these to both be great examples of viral marketing which Seth Godin does a good job of explaining on his blog. Obviously, there is a long-term objective here which is driving healthy behaviors and positioning Humana as a leading edge company. They also hope to learn about human behavior and understand how tools like these can affect healthcare.

And We Have Two Winners??

In looking at recent investor decks from both Medco and Express Scripts, I was surprised to find almost identical charts each claiming victory on drug trend management.  Here are the two charts…you can judge for yourself.

(Express Script’s from Credit Suisse Healthcare Conference 11/13/08)

(Medco’s from 2008 Analyst Day 11/21/08)

medco-drug-trendesrx-drug-trend

BCBSA On Consumer Driven Care

The BCBS Association released a study a few months ago on Consumer Driven Care.  Here is the presentation and a few highlights.  In general, it appears to show that it is working to save costs and get members engaged without negative side effects of them not using needed care.

  • CDHP enrollment is up 25%.
  • 10 percent more members said they would be careful about healthcare costs if they shared in the savings (incentives work)
  • 43% of those HSA (Health Savings Account) eligible with an open account use mail order pharmacy versus 30% of those with non-CDHP plans.  (Since overall mail use is around 18% this seems high, but the point is valid.)
  • 52% of those HSA eligible with an open account ask their MD about the cost of treatments
  • HSA eligibles are much more involved in tracking and estimating healthcare costs
  • HSA enrollees require more support from their plan – communications and service become more critical in driving their satisfaction.

Social Media Presentation

When looking for some information on social media and innovation, I found these two presentations which I thought I would share.

A Few Examples Of Technology Going Mainstream

Two things caught my attention this week on how technology (especially social networking) is making its way into the mainstream.

In today’s USA Today, they compare this year’s Heisman winner (Sam Bradford) with last year’s winner (Tim Tebow).  As it runs through their statistics – age, year, records, first place votes, one jumped out at me – Facebook friends.  They actually compared how many friends the two quarterbacks had in Facebook.  Really…how does that matter?

A few days ago, Michigan’s GOP Chairman Saul Anuzis announced his interest in leading the Republican Party via Twitter.  Who was subscribed to his Twitter feed would be my question?

“It would be suicide for the Republican Party and conservatives to not aggressively embrace technology,” said Matt Lewis, a writer for the conservative Web site Townhall.com. “The world is dramatically changing in the way people get their information and the way they communicate — the party needs to change with it.”

Both examples make the point that these technologies are here to stay and are revoluntionizing the way we think about communications, marketing, personal branding, etc.  Where is healthcare?  When is the last time you saw the CEO of a major insurance plan providing his Twitter feed to the members?  In most cases, you can’t even find contact information for a lot of companies anymore.

More Guns and Safes but Less Pregnancies

Some of you will remember my blogging about Microtrends and Kinney Zalesne’s participation in the Silverlink Think Different event.  (Kinney is one of the author’s of the book – Microtrends.)  Well, the authors of the book are now writing a weekly column for the Wall Street Journal.

The first one is about the new Mattress Stuffers.  As we saw recently with people over-subscribing to treasury bills at 0% interest, there is a demand for safe places to put their money.  People have lost faith in a lot of the institutions that our economy is built on – housing, automotive, banking, government.  Purchases of guns are up this year.  Purchases of safes are up this year.

“refraining from having kids is the ultimate consumer pull-back”

As part of this consumer pullback, they predict that there will be a dip in pregnancies nine months from now.  We are certainly entering a new age that will shape this generation much like the Depression shaped my parents generation.  Expectations will be reset.  The way people invest will change.  People’s view of money (e.g., cash versus credit) will change.

I have already seen thrifty being “cool” versus extravagence being “cool”.  It won’t happen in this first wave of change, but I do think this is a good thing for preventative health.  People will be more interested in planning forward and making smart decisions that pay off long term versus figuring they can fix it retrospectively with money.

Is Your MD Honest With You?

They are probably not intentionally deceptive, but there are some things that doctors don’t tell us (at least according to Dr. David Newman in his book Hippocrates’ Shadow: Secrets From The House Of Medicine).

  1. Physicians don’t know as much as you think they do.
  2. Doctors do know that many of the tests, drugs and procedures they order and prescribe either do not work or have not been proven to work.
  3. Doctors disagree about everything.
  4. Doctors like ordering tests better than they like listening to you.

docs-v-internetIt’s a tough issue.  I talked about the placebo effect and the nocebo effect before.  That is exactly the type of things the USA Today article on this talks about.

Studies show half of patients who go to the doctor with a cold are prescribed an antibiotic.  Colds are caused by viruses; antibiotics kill only bacteria.

The idea that Americans get worse medical care that they realize- often because they get too many, not too few, tests, drugs, and procedures – is gaining ground.

The question still is whether you want to know everything.  Certainly, we should better arm physicians to talk about these gray areas and take them off the pedistal.  Part of that is addressing things like malpractice.  We will never control costs and improve care without eliminating the need for defensive medicine.

Spend Time With Your Positive Friends

Earlier in the year, there was a study that showed how your friends and social network can affect your weight loss.  I blogged about this and quiting smoking as part of your network earlier.  Now, in Penelope Trunk’s blog, she talks about how your friends can make you happy and that happiness is linked to better health.  Interesting, she also says that if you say you are happy then you get the same benefits.

“optimism, a trait shown to be associated with good physical health, less depression and mental illness, longer life and, yes, greater happiness”  Time Magazine article

It brings me to two thoughts:

  1. You should tell yourself that you are happy and you’ll feel better.
  2. Member communications should stress happiness and help people understand how they can be happy by taking certain actions.

happy

Black Is The New Pink

I am stealing this line from a tee shirt I saw the other day, but it immediately came to mind when reading an article about colors in the US Today. I was amazed when it talked about people buying new iPods (for example) since they wanted a new color. Just because I get tired of my green iPod…do I really go back and buy the red one (especially in today’s economy)?

“Bleak 2008 also happens to be the holiday season when shoppers may want their gifts to be colorful. Or at least, a different color from last year’s model.”

“When you add color to a product, you stimulate the consumer’s awareness that the version they already have is obselete.”

Some of the favorite colors were:

  • Blue, dark blue, dark green, and red (tomato) for men
  • Purple, blue, red (tomato), and blue-purple for women

It just makes me think about healthcare communications and what is the color switch that we need. Companies have talked about obesity, diabetes, preventative care, adherence, and many other actions for years. What is it that becomes different? How do we compel the consumer to act?

  • Is it a change in mode – direct mail to automated call?
  • Is it a change in tone of the message – caring to pushy?
  • Is it a change in message – qualitative to quantitative?
  • Is it a change in source – health plan to provider?

To manage healthcare costs in the US, we have to get individuals engaged in their care. The magic bullet is how to do this.

Great Presentation – Mktg in Recession

I came across this presentation and loved its simplicity.  It delivers a crisp message using few words and a lot of visuals.  Given the challenges in the economy (and more on topic with communicating efficiently), I thought I would share this.

Joining The Board of Advisors at CareFlash

After learning more about CareFlash, I was excited to have the opportunity to join the Board of Advisors.  You can learn more about the company below, but what struck me was the examples of how this could be used by a family dealing with a complex medical situation where they needed help from their community of friends.  After seeing several families with kids in the ICU for prolong periods of time, I can only imagine their challenge in keeping everyone up to date on their child’s condition and seeking out help with errands without being overwhelmed.  CareFlash offers a simple, Health 2.0 type approach to solving that problem using blogging, a shared calendar, and 3D annimation of medical conditions. (See a video tour here.)

We deliver unprecedented healthcare advocacy and world class education to people in the richest circumstances imaginable, while offering unique philanthropic benefits to healthcare-related foundations, advocacy groups, religious institutions, etc. What CareFlash does is unique and unprecedented… and free.

When someone learns that they (or their loved one) have been diagnosed with a chronic healthcare challenge, a flurry of painful emotions appear ranging from fear and feelings of aloneness, to anxiety, uncertainty and even depression. As families begin the process of navigating through this experience together, it commonly becomes clear that people are unprepared and inexperienced at the realities of serving as a caretaker. CareFlash addresses these challenges, empowering our users to do the following:

Establish private and secure online communities around a loved one in order to share and facilitate updates, discussions and well-wishes

  • Update friends, family, coworkers and congregants through a ‘many-to-many’ communication tool. CareFlash streamlines the sharing of updates and well wishes
  • Educate the patient, caretaker and community on the specific disorder and treatment options at hand, using easy to understand 3-D medical animations narrated in plain everyday English, Spanish and other languages.  They range from pregnancy and neonatal issues to cancer, cardiovascular, ears/eyes, neurological, genetic, bladder/kidney, digestive/mouth, endocrine, blood/immune, respiratory, orthopedic, skin/cosmetic and hundreds of others.
  • Engage and organize involvement where help is needed… doing so in an unobtrusive, non-confrontational way through our easy-to-use iHelp Calendar
  • This is all offered to our users for free because our revenues are derived from advertising

In addition, CareFlash delivers unique philanthropic benefits to healthcare-related foundations and institutions, advocacy groups and religious institutions via alliance partnerships that provide them fundraising and marketing… never at any cost to them.

Another more lighthearted video about CareFlash is below.

This is a free service so I would encourage you to consider recommending this to families you know who could leverage this technology approach.  It is also a great tool for alumni groups (e.g., colleges, large institutions) or organizations who deal with families or patients to promote (e.g., specialty pharmacies).

MD Rating Sites

(Getting a few things out here and off my desk)

This is a question I often wonder about.  I was glad to see that e-patients put a report online.  I haven’t read it yet, but I think it is something that many of you would want to know.

I think that the main issue Given hit upon in the report (but I’m not sure she recognizes as the primary challenge of doctor rating sites) is the numbers issue. With over 700,000 physicians in the U.S., a ratings database of 10,000 or even 20,000 is pitifully and woefully small.

Preaching To The Choir

On the Maritz healthcare blog, the author talks about segmenting the population to drive wellness behaviors.  I couldn’t agree more.  That’s what we always talk about.  Understand what motivates different people is critical.  Bob Nease talked about this the other day on the Express Scripts blog.  You have to help people feel confident and provide them with a motivating and personal message that compels them to take action.

The challenge is aggregating data and learning from prior interactions to understand how people respond, when they respond, what mode they respond to, and what motivates them.  (among other things)

That is why communications is both a science and an art.

All I Want For Christmas Is A Pre-Paid HC Gift Card

I am surprised more people aren’t offering this.  Last year, Highmark BCBS in Pennsylvania offered a $25-$5,000 pre-paid Visa gift card that people could use for health related expenses.

Of course, you can always buy a Visa or AMEX gift card and give it to someone, but I think there is a certain perceived value in giving it to someone with an intent for the purchase.  It would be an easy safety net for your kid at college or a nice surprise to give to someone at the holidays.

An Example of Being Overmedicated

We all know that people have a lot of prescriptions.  Here is an interesting story about one individual and the process that her family went through to do essentially Medication Therapy Management (MTM) and find out the right mix of drugs.  I don’t know the person recommended in the story, but I certainly recommend making sure your physician and especially your pharmacist know all your drugs and talk with you to see about potentially having too many prescriptions (especially once you are above 10 different medications).

Each added prescription increases the likelihood not only of a problematic interaction but also of misuse. Studies show that half of older people sometimes fail to follow their Rx instructions. It’s no wonder. Consider my mom’s regimen: She took 32 pills a day, at five different times—some once a day, some twice, some three times, and some as needed. One pill had to be split in half for the morning dose but not for the evening dose. Some were taken with food, others on an empty stomach. She also used three different asthma inhalers plus a nebulizer, all on different schedules. I’m half her age, and I couldn’t keep that straight.

Changing Behavior – Examples

On the Express Scripts Consumerology Blog, I noticed a new entry this morning from Bob Nease (Chief Scientist) about changing behavior.  It points to two things – motivation and self-efficacy.  (What’s in it for me and do I believe I can be successful.)

There is an interesting study from the University of Michigan that he discusses, and he also provides some detail on one of their web pilots.  What the web study showed is that a simpler message led to more “click throughs”.  This is very similar to what we see in the voice channel of communications.

If I call you and tell you there is an opportunity to save money with your health benefit, you are likely to go to the next step or transfer to hear more.  On the other hand, if I tell you a lot in the message, I might get a much lower click-through (or continuation or transfer) rate.

Since ultimately, I care about conversion in the claims data (i.e., did the patient really change behavior) these metrics are nice proxies but don’t mean much.  I care about did the patient and their physician actually act on the recommendation or the opportunity to save money.  I posted that as a comment on the blog so hopefully Bob can add that detail.

We have clearly seen this in some of our programs where we would rather qualify them on the phone and then transfer them leading to a higher close rate than simply drive up transfers.

Ix and Health 2.0

Yesterday, I had a brief (5 minute) opportunity to present on a webinar by the Center for Information Therapy (Ix).  Similar to the Health 2.0 conferences, they talked about some trends and then asked 5 companies to talk about how they were delivering information to patients/members.  The companies that presented were:

As one of the moderators observed, it is interesting to see how information is being delivered using different modes.  Certainly web is great if you get people there, but as I think I have spoken about before, one of the challenges is that some of the patients at the highest risk aren’t engaged so you have to have an outbound strategy to engage them.  You can’t depend upon them engaging without being prompted.

Health 3.0 Conference

I guess we shouldn’t be surprised.  The Health 2.0 movement has gotten lots of press and had great attendance at the conferences.  Now there is a Health 3.0 LinkedIn group and conference

I am not sure I know the difference yet.  I speculated on Health 3.0 after my first Health 2.0 conference to get a stake in the ground.  The one big thing that I notice is that the speakers are established companies talking about what they are doing which was one thing missing in the Spring Health 2.0 conference, but which seemed to have changed slightly in the more recent Health 2.0 conference in October.

Context Matters – Look at Gas Prices

As I saw gas prices locally fall below $1.80 yesterday, I thought about how different that context is versus having gas closer to $5.00 per gallon.  We all saw how quickly the auto companies moved to emphasize miles per gallon in their advertising.  [You could argue that they (and the public) should have been focused on this for years.]  I wonder if that will disappear and return to the more traditional advertising.

In another example, I noticed the Wal-Mart slogan the other day which is “Save Money.  Live Better.”  I don’t know if this is new, but it caught my attention in today’s economy.  They are trying to position themselves as improving your life through cost savings. 

I haven’t seen a lot of examples in healthcare where companies are seizing on this economic focus to change their messaging.  It should be a healthcare company with the Wal-Mart slogan helping drive Information Therapy (Ix) out to members to help them understand how to optimize their out-of-pocket spending.

I think it is so important both to understand messaging and how that varies across segments of the population, but to also understand the need to change that messaging to reflect the macro-forces which are present in society.

More On The Economic Impact On Healthcare

Deloitte just published the results of a survey they did which continues to hammer home the issue of how today’s economic times are affecting people’s health behaviors.  I am just getting ready to do my webinar on this.

Here are some of the results from Deloitte:

  • Only 6 percent of Americans surveyed believe their family is completely prepared to handle future health care costs.
  • More than half of respondents surveyed said that reducing costs (67 percent), increasing access (56 percent) and improving quality (57 percent) of health care are issues that are important to them in selecting a president.
  • Of the survey respondents who reported delaying or skipping care in the past 12 months, 27 percent said they did so because they could not afford the cost.
  • Nearly half (47 percent) said their household’s spending on health care products and services has increased during the past 12 months, and 63 percent said it limits their spending on other essentials.
  • Twenty-two percent said they have an outstanding medical bill that is more than 90 days past due.

So, I guess the question is “What are you doing for your members?”:

  • Are you helping them understand how to save money?
  • Are you encouraging them to stay compliant with their medications to avoid complications?
  • Are you encouraging them to be preventative (e.g., flu shot) to avoid ER visits?
  • Are you providing them with timely guidance on when to use Over-the-Counter (OTC) medications versus prescriptions?
  • Are you helping them split medications?
  • Are you moving them to mail order?
  • Are you encouraging 90-day prescriptions?
  • Are you offering them incentives for being healthy or managing their health – coupons, points?

We are seeing a lot more interest from members in this information.  They don’t know what they can do, but they want to do something.

Of course, the challenge is setting up these programs, personalizing the messaging, and getting results.  For those of you interested in these programs, contact me.  We have had some great results offering these as a turnkey service and driving the success rates up dramatically.  [2-5x improvement in 5 weeks]

No More “Robo-Calls”

This is a phrase you have probably heard several times this election period.  Somedays I think the same thing when I get 5-6 a day mostly from the Obama campaign.  It reminds me of some education I do with a lot of companies on the technology evolution around outbound calling.  Let me hit a few key points here.

First, everyone across industries is trying to figure out how to improve their access to customers (members).  How do they keep them up to date with relevant information in a timely, efficient, and effective manner.  Direct mail is a dying strategy.  E-mail is good sometimes, but you can’t push sensitive health information out via e-mail.  Text messaging has a role, but it’s not relevant for everyone.  So, automated calling has become a first-line solution rather than using call center representatives which are expensive (or more often as a complement to the call center representative making them more efficient).

Historically, call center representatives would “smile and dial” just trying to catch someone at home.  You might get lucky, but in most cases, you call 5-10 times just to get a person on the phone to talk with.  It’s not a good use of resources and time.

The next evolution was the dialer technology which calls out to people and once it hears a voice, it transfers the respondent to a call center agent.  But, the voice could be an answering machine in some cases or in many cases it might not be the right person.  These are the annoying calls you get where there is a delay after you say hello and before the person at the other end responds.  The technology is searching for an agent that’s not on the phone to connect you with.

People realized that using agents to call out wasn’t always necessary so they moved to “blast” or “robo-calls”.  These are non-intelligent calls that simply push a message out to someone.  As soon as you say hello, they start playing a recorded message and likely repeat it at the end in case it’s an answering machine they are “talking” to.  There is no interaction and no personalization.

But, that technology too has evolved.  You can now place highly personalized and interactive calls that leverage speech recognition technology.  The calls use your name and ask you to confirm that they are speaking with the right person.  The calls use the name of the company calling and potentially your employer.  The calls can also provide personalized information such as the drug you are taking or the health condition you have.  The voice is a recorded voice not a text-to-speech (TTS) solution.

The calls respond differently based on how you answer certain questions – i.e., different paths are dynamically generated.  And, the calls start to interact with other modes of communication – would you like to transfer to an agent to talk further?, would you like a copy of this offer sent to you in a letter or e-mail?, would you like a reminder sent to you as a text message?, or would you like us to fax your physician to get a new prescription for you?

The technology focuses on the interaction with the consumer and making it a pleasant experience.  In healthcare, people respond to this technology because of several factors:

  • It’s highly personalized to them.
  • It’s coming from a company they trust – their health insurer or pharmacy.
  • It’s interactive and conversational.
  • It’s important information – refill reminder, savings information, benefit change.
  • They have to authenticate themselves in order to receive sensitive information.
  • It adapts to them (e.g., please call me for future calls in the morning).
  • It offers them an opportunity to talk to an agent by transferring.

Now, I would say most companies are evolving from individual campaigns using different modes of communication (letter vs. calls) to an integrated communication strategy which has common messaging and is based on consumer preferences.  This approach allows for even better results and continues to drive personalization and customization based on historical learning and experiences with the individual.

But, mass customization does require technology and analysis.  Pulling in different data elements and looking at how to best deliver a message and get someone to listen and take action is complex work.  But, it’s a lot of fun watching success and outcomes improve as you move across the continuum.

Complementary Webinar – Cost Savings Programs

If interested, I am going to host a webinar for managed care companies and PBMs.  (Sorry, but this is limited to clients and prospects only.)

Proactive Cost Savings Programs for Your Members

In these economic times, members are looking for all the opportunities they can find to save money and reduce their out-of-pocket spending.  This is a great time to drive loyalty by proactively interacting with your members and helping them understand how to save money.

Some of the timely communication programs that will make an impact include:

  • Movement to generics (i.e., therapeutic interchange)
  • Movement to mail or 90-day retail
  • Pill splitting or dose consolidation

This is true for your commercial members as well as your Medicare members who are in the “donut hole”.  Don’t let your members struggle and end up skipping doses or not taking their medication.  This can lead to much bigger issues downstream.

Join Silverlink Communications for this interactive webinar and learn how you can design communication programs that help your members save money while improving your bottom line.

Register Here.

Customer Experience Matters

I found this new blog (Customer Experience Matters) and thought I would share it.  It is written by Bruce Temkin who works for Forrester Research.

To get you started, here are a few posts I think you would enjoy:

Prescribing Placebos

I found this entry on the WSJ Health Blog and all the comments very interesting.  At the core, the issue is that if a physician prescribes a placebo (sugar pill, vitamin, OTC, antibiotic) to make the patient feel better even though it medically won’t (but may mentally)…is there something wrong with that.

Obviously, if it drives a financial burden for the patient, that would be wrong, but I don’t see physicians doing that.

If it prescribed a medication that had serious side effects, that would be wrong, but I don’t see physicians doing that.

If it was a simple remedy (e.g., take B12), that doesn’t seem harmful.  There have been plenty of arguements about medications like antidepressants and whether they work, but they still get prescribed quite a bit.

Pharmacy Musical Chairs

Remember back in the 90s when AT&T, Sprint, and all the other companies kept offering you incentives to move to their service?  I had an uncle who just kept moving around and getting $50-$100 checks.  I thought he was crazy, but he never had an issue.

Given the economy and the incentives being offered in pharmacy, I wonder why a consumer wouldn’t do the same.  I saw a $25 gift card offer at Walgreens yesterday.  I know Target has had a $10 gift card offer for a while.  Some of the mail pharmacies occassionally offer coupons or copay waivers.

So, if I was a consumer with a maintenance drug that I have used for a while and don’t need consultation on, why wouldn’t I move my prescription every month to a different pharmacy and get these gift cards.  I think I would.  I don’t know all the terms, but if I had a generic, I might actually make money on my prescription.

I am sure this will be a short-term phenomena.

Drug Prices Go Up

A recent report by AARP which is talked about on the WSJ Health Blog reveals the following:

“Last year, the wholesale price of specialty drugs rose 8.7%, three times the rate of inflation. The price of non-specialty, branded drugs rose 7.4%, while the price of generic drugs fell by 9.6%.”

Are we surprised?  Generics have tons of competition so prices will go down over time unless they get too low and people jump out of the market.  Brand drug utilization keeps going down so they are going to raise prices.  And, specialty drugs have a limited market so their prices are going to continue to go up.

Is this right?  I could debate this forever.  But, it is a free market.  This is what happens with supply and demand.  We all want the drugs to extend our lives and make us feel better even when we have chronic illnesses.  But, it isn’t cheap to do research and trial and error to find out what works (at least it’s not cheap without testing on humans in an uncontrolled environment…which I don’t think we want).

Health 2.0 Conference

From the outside looking in, it looks like the Health 2.0 Conference is going to be a big hit this week with almost 900 people attending.  Rather than going to back-to-back conferences, I opted to go to a pharmacy conference over this one which has several of our executives attending.

It promises to be an interesting session, and it looks like the press coverage of the event continues to go up.

To learn more about the conference – click here.

To official conference blog is here, but I expect there will be lots of bloggers adding their notes.  They also pointed to Twitter for information (use #health2con or #health 2.0).

Some of the companies sponsoring the conference include:

Kaiser Permanente

Johnson and Johnson

Cisco

A.D.A.M.

American Well

Connextions Health

Community for Connected Health

Destination Rx

Edelman

ICW

ICW

Sage Software

Sermo

Eliza

Microsoft HealthVault

Myca

PhysiciansWellnessNetwork

RightHealth

Silverlink

TelaDoc

Athena Health

Physic Ventures

Safe-Med

Cisco

Locate-A-Doc

OptumHealth

SharpBrains

PrivateAccess

BeWell

BodyMaps

Invest Northern Ireland

healthcare

phreesia

olive tech

gene ed

Conecto

Within3

Navigenics

Praxeon

Relay Health

PharmaSurveyor

icyou

Medical Marketing and Media

MHS

MHS

Article On Silverlink Communications

The October 2008 issue of ADVANCE for Health Information Executives contains a nice article about Silverlink Communications by Robert Mitchell. Here are a few items from the article:

  • It focuses on our Adaptive HealthComm Science approach which brings decision sciences to the area of driving healthcare behaviors. [This is what leading consumer companies, credit card companies, and gaming companies use to understand consumers.]
    • “Adaptive HealthComm Science looks at microsegments of the member population to try different interventions with different populations — all standing against control groups and measurements of what works best. It then adapts, learns and tries again. “The communication system continually learns and automates its processes so that it is capturing new data and learning along the way from those interactions. It is consistent and can be measured.”
      • It is amazing to see how much programs can be improved over relatively short periods of time by rapidly testing isolated variables to find the right solution for each microsegment of the population.
    • One of my favorite examples from my past was simply using stamps turned at an angle on a letter to improve the rate at which direct mail was opened. It looked more like a human had hand licked each stamp rather than a machine which put the stamp on perfectly each time.
  • It talks about the ability to do on the call calculations and dynamic pathing on the core automated calling platform.
    • On-the-call calculations: If you have 3 drugs to refill, but you only choose two of them then it can tell you what your copay is. Or, if you tell the caller your weight, it can calculate the difference from a prior weight it had collected.
    • Dynamic pathing: Based on answers you give, the call is intelligent enough to serve up different content to the member and/or route you to a different group of live agents based on rules.

“We’ve invested heavily in people, technology, processes and a methodology that continuously improves to maximize the effectiveness of health care communications,” Stan Nowak, CEO and co-founder of Silverlink, said. “Over the next few years, changes in the way health care stakeholders communicate with patients and health plan members will be one of the keys to lowering health care costs while driving consumer affinity.”

“To the consumer, health plan products are largely undifferentiated on the basis of benefits or network, and consumers experience their health plan almost exclusively through the communications they receive from the plan,” Nowak continued. “Health care organizations have an opportunity to clearly differentiate themselves through proactive and personalized communications, improving their members’ experiences with each interaction, and earning consumer trust and affinity. In essence, for health plans, communications is their product.”

Proof Communication Matters

The reason we communicate with patients and members in healthcare is that we want to drive them to action or inform them of information.  Whichever party you like, I think the TV commercials and the debate make this point very clear.

  • You either like scare tactics or not.  Some portion of the population will respond to those.  (I personally see this as desparate and don’t care…especially when some of them are such a stretch.)
    • Should you point out to people that they should stay adherent or risk serious side effects or hospitalization?
  • People want clear messaging.  I thought Obama was the one being too high level early on.  In the debate, John McCain was the one that didn’t seem to answer the question.  At least Palin said she was going to talk about another topic not give a glossy answer in the VP debate.
    • We got this feedback from MDs at Express Scripts that said just to tell them what we needed and stop with lots of general messaging.

Think about how you motivate your kids or your employees.  It’s all the same.  This is what you want from your health provider or your insurer.

(I must admit to being frustrated with the politicians as I am sure anyone who works in communications is.  To have Palin (the relative newcomer) being the best presenter (not so great in interviews) is surprising.)