The presentation starts with an overview of behavioral science but then focuses on a specific category of consumer science known as psychographic segmentation. The presentation describes psychographic segmentation and provides case studies of how this consumer science has achieved significant results in healthcare for both clinical and business applications.
3. 3
Context
• Our presentation
• Broad in application
• Focused in approach
• My professional journey
• Academic behavioral scientist (until 1995)
• Applied behavioral scientist (since 1995)
• PatientBond’s mission and approach
• We leverage our deep understanding of healthcare consumers to help healthcare
organizations interact with them effectively for mutually beneficial outcomes
• Our proven approach is grounded in behavioral science and informed by many years of
experience and trial and error learning
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4. 4
A consumer-centric view of health ecosystem
Consumers
Providers
Employers
Friends
and Family
Payers
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5. 5
Health-related behaviors are complex, each with many causes
CAUSES
Personality
Emotions/Moods
Motivation
Beliefs/Values/Attitudes
Knowledge/Skills
Income/Wealth
Experiences
Social forces
5
BEHAVIORS
Choosing a health plan
Choosing a doctor
Preventative behaviors (diet, exercise,
safe sex, stress management, washing
hands, annual exams, etc)
Response to symptoms
Medication adherence
Chronic disease management
Causes Behaviors
6. 6
Understanding causes of behavior is necessary
but not sufficient to influence behavior
Many causes themselves are fixed or difficult to change
--personality
--genetics
Other causes can be changed but with considerable effort, time and money
--knowledge
--skills
Often the best approach is to adjust the situation to the preferences of the
consumer
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8. 8
Look Through the Eyes of Consumers
Think Like a Healthcare
Consumer
“We need to look at
healthcare choices through
the eyes of the healthcare
consumer, NOT how the
system THINKS the consumer
sees healthcare choices!”
10. 10
Why Psychographics?
Because Traditional Methods Like Demographic Segmentation is Not Enough
• Male
• Born in 1948
• Raised in the UK
• Married twice
• Lives in a castle
• Wealthy and Famous
• Male
• Born in 1948
• Raised in the UK
• Married twice
• Lives in a castle
• Wealthy and Famous
Prince Charles Ozzie Osbourne
14. 14
SELF ACHIEVERS 19%
Motivated by goals, measures,
progress. Likes to have a plan.
Respects the physician.
PRIORITY JUGGLERS 18%
Puts personal wellbeing behind
their obligations to family and work.
WILLFUL ENDURERS 31%
Lives in the “here and now” and wants
immediate gratification. Convenience,
ease and simplicity is key.
DIRECTION TAKERS 15%
Needs clear and concise guidance
from a credentialed source.
BALANCE SEEKERS 17%
Wants options and choices in their
health journey. Likes to discover
new and interesting solutions.
The PatientBond Psychographic Segmentation Model
Proactive & Engaged Reactive or Disengaged
16. 16
Willful Endurers account
for 2/3 of all people who
visit an Emergency Room
at least once per year
Self Achievers are 3X – 7X
more likely than the
other segments to visit an
ER at least twice per year
There is a significant opportunity to convert these
patients to Primary Care and other Service Lines
Frequency of Emergency Room Visits
17. 17
Segment-Specific Drivers of Switching Hospitals
Balance Seekers Priority Jugglers
Poor customer service Poor communication skills on the
part of the physician and staff
Wait time to see a physician
once in the facility
18. 18
Social Media
Self Achievers and Willful Endurers account for 69% of positive feedback on social
media for Primary Care Physicians, but 77% of negative feedback on PCPs.
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Each Segment Has a Different Engagement Strategy
Self Achiever:
Achieve the goal;
Improvement
Balance Seeker:
Choices, Options,
Knowledge, Context
Priority Juggler:
How family/others
benefit; Commitment
Direction Taker:
Expert, credentialed
physician says so
Willful Endurer:
Here & Now, Live for
today, First step, Easy
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Channel Mix & Frequency Vary by Segment and Topic
HEALTH FINANCIAL
MARKETING
Balance Seeker
Every 2 months Every 2 weeks Every month
Willful Endurer
Every 3 weeks Every 2 weeks Every 2 weeks
Priority Juggler
Every 2 months Every month Every 3 weeks
Self Achiever
Every month Every 2 weeks Every 3 weeks
Direction Taker
Every month Every 2 weeks Every month
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PatientBond “Where We Play”
Hospitals &
Health Systems
Health Insurance/
Payers
Urgent Care
Clinical/
Health Outcomes
Marketing
(Acquisition & Retention)
Patient
Payments
23. 23
R² = 0.3331
0
5
10
15
20
25
30
35
40
20 25 30 35 40 45 50 55 60 65 70
FY17
Visits
Thousands
Total Willful Endurers Thousands
Market Population of Willful Endurers
vs. Urgent Care Site Volume
(r = 0.58, r2
= 0.33)
Site Success & Selection
24. 24
Readmission Reduction
Opt-In Consent
Patient Agrees to
Participate in Program
Motivational Messaging
8-10 segment-specific messages
over 30-day period via
combination of text, IVR or
email
Customized Dashboard
Dashboard enables staff to
monitor progress
Embedded Actions
Patient responds to
questions
Segmentation Survey
Patient Segmented via
12-Question Survey
25. 25
Spine CHF CHF COPD CHF
Pre-PatientBond
Readmission Rate
7% 18% 18% 22% 21%
Post-PatientBond
Readmissions Rate
1.45%
(n=87)
2.4%
(n=315)
9%
(n=108)
4%
(n=100)
9.7%
(n=320)
3 Month Savings $120,000 $520,000 $90,000 $180,000 $517, 864
Readmissions Program Results
Hospital D
16 Month Results
• $2.4 million saved
• 20 to 1 ROI
Hospital D
Hospital C
Hospital B
Hospital A
26. 26
Medically Underserved Populations
Six Week Nutrition
Education Series
• 2/3 of participants who missed a class
returned for subsequent classes
• 100% of participants rated psychographic
communications as Extremely or Very Helpful
70%
Attended at Least Half the Sessions
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One Message, Five Segment Versions
Priority Juggler
Balance Seeker
You made the smart choice with Priority Care! You know your body best, but you
should be feeling better by now. We ask that you please pay the balance due on
your account, and you can choose the payment option that is best for you.
Willful Endurer
We are proud of you for completing your procedure at Priority Care so that we
can help make each day the best it can be. So that we can continue to serve you
and eliminate the need to future notices, we ask you to please take next step
and pay the balance due on your account. We’ve made it simple for you!
Because many people are counting on you, Priority Care is committed to getting
you back to good health. For the services we provided, we ask you please pay
the balance due on your account.
Self Achiever From Priority Care: Congratulations on a successful procedure! To complete the
service provided to you, please pay the balance due on your account.
Direction Taker From Priority Care: It was important to your physician that you completed your
procedure. In return for our service, now we ask that you please pay the balance
due on your account.
Payment
Reminder
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Patient Financial
Responsibility Payments
Patient Financial
Responsibility Payments
Using automated, psychographically enhanced payment reminders, digital
statements and online payment options:
4X increase in patient payments within 10 days
61% increase in patients making payments
14% - 24% increase in 120 days+ balances collected
>50% reduction in statement and postage costs
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• Validated the psychographic
model in the UK
• Wales wants to pilot
• Work with NHS
• Next three national studies about to be
fielded
• Data available in May
• Hospital insights
• Health Insurance Shopper’s Journey
• Urgent Care insights
• Price Transparency
• Clinical Research
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