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1
Is it Behaviors or
Motivations that Matter?
Hint: We can change
behaviors
M a r c h 2 4 , 2 0 2 2
2
Presenters
Brent Walker
SVP Marketing & Analytics
PatientBond
Mark Spranca, PhD
Chief Strategy Officer
PatientBond
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
3
4
A consumer-centric view of health ecosystem
Consumers
Providers
Employers
Friends
and Family
Payers
4
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
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
6
7
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!”
9
What are
Psychographics
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
11
Different People Respond to Different Ways
of Saying the Same Message
12
GEICO's shares expanded by 0.9 percentage points as
its written premiums surged by 16.1%. (Feb 26, 2019)
13
One of the secrets
to P&G’s success
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
15
patientbond.com/classify
Discover Your Own Segment
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
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
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.
Operationalizing
Psychographic
Segmentation
20
20
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
21
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
22
PatientBond “Where We Play”
Hospitals &
Health Systems
Health Insurance/
Payers
Urgent Care
Clinical/
Health Outcomes
Marketing
(Acquisition & Retention)
Patient
Payments
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
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
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
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
27
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
28
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
29
• 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
Latest Updates
30
BRENT WALKER
SVP Marketing & Analytics
brent@patientbond.com
513 314 5981
www.patientbond.com
MARK SPRANCA, PHD
Chief Strategy Officer
mark.spranca@patientbond.com
781 724 2180
Thank You!

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Is it Behaviors or Motivations that Matter? Hint: We can change behaviors

  • 1. 1 Is it Behaviors or Motivations that Matter? Hint: We can change behaviors M a r c h 2 4 , 2 0 2 2
  • 2. 2 Presenters Brent Walker SVP Marketing & Analytics PatientBond Mark Spranca, PhD Chief Strategy Officer PatientBond
  • 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 3
  • 4. 4 A consumer-centric view of health ecosystem Consumers Providers Employers Friends and Family Payers 4
  • 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 6
  • 7. 7
  • 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
  • 11. 11 Different People Respond to Different Ways of Saying the Same Message
  • 12. 12 GEICO's shares expanded by 0.9 percentage points as its written premiums surged by 16.1%. (Feb 26, 2019)
  • 13. 13 One of the secrets to P&G’s success
  • 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.
  • 20. 20 20 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
  • 21. 21 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
  • 22. 22 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
  • 27. 27 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
  • 28. 28 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
  • 29. 29 • 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 Latest Updates
  • 30. 30 BRENT WALKER SVP Marketing & Analytics brent@patientbond.com 513 314 5981 www.patientbond.com MARK SPRANCA, PHD Chief Strategy Officer mark.spranca@patientbond.com 781 724 2180 Thank You!