Consumer Driven Healthcare

• Are all consumers the same? • Deloitte/ Four Consumer Classifications • Trailblazers o Younger, higher income, excellent health, more men, use report cards of doctors, hospitals, will change doctors if dissatisfied • Prospectors o 2nd youngest group, high income, men=women, open to wearable tech & virtual office visits, use quality ratings • Homesteaders o 2nd oldest, low income, women>men, not open to tech, avg. wellness, convenience > OOP, don’t change providers • Bystanders o Oldest, poorest, women > men, not open to tech, avg. wellness, don’t share info with doctor, least likely to follow healthy diet, choose doctor on OOP and convenience • Why are we talking about this? o If consumer can pick their health care option, then who are the consumers, i.e., what types do they fit? o What do they want? o With Congress and the States trying to model health care as ACA or an alternative, then what patient types should they consider? • In actuality, the US already has a multi-tiered health care system – o Healthy, young people can buy commercial insurance or not o Poor people and children have Medicaid or County hospitals/clinics for caring for the poor and uninsured o General Public has the ACA o Older people have Medicare o Injuries have Workers Comp • If we use the Deloitte Consumer Classifications, then we have one method of classifying different patient types. • For other than Medicaid/Medicare, Workers Comp, and Commercial Insurance, the law of large numbers prevails. To provide insurance for people with pre-existing conditions, healthy and sick people must participate. Options include: o Modifying the ACA – produced low ER, low hospital, downward drug spend – needs alternative options for healthy individuals o Aggregating populations with sick and poor to contribute to insurance o Various per-capita formulae for different segments of the population o State or Federal government re-insurance programs o National health care o Other options ______ Make sure to subscribe to get the latest episode. Contact Us: Email: [email protected] Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation