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© 2018 Pegasystems Inc. CONFIDENTIAL
Pega Healthcare Report
February 2019
Methodology
The research was conducted by Censuswide on
behalf of Pegasystems. Data was collected online
between 12.21.2018 - 01.18.2019 among the total
sample of 214 decision makers of engagement
programs in large companies across Healthcare
payers, Healthcare providers and Life sciences/
pharma:
Healthcare Payers n=128
Healthcare Provider/Health System n=53
Pharmaceutical Company n=33
Note: The research conducted adheres to the MRS
Codes of Conduct and ICC/ESOMAR World Research
Guidelines. Censuswide is registered with the
Information Commissioner's Office and is fully
compliant with GDPR (2018).
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
64%
26%
7%
1% 2%
65%
23%
9%
2% 2%
64%
32%
4%
0% 0%
61%
30%
3%
0%
6%
Strongly agree Agree Neither agree nor disagree Disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization enables our patients/members to have easy access to healthy food in the communities we serve
96% of healthcare providers agree or strongly agree with this, whereas only 88% of healthcare payers do.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
64%
26%
7%
1%
0%
2%
Strongly agree Agree
My organization enables our
patients/members to have easy
access to healthy food in the
communities we serve
90% of respondents agree with this,
with almost two thirds (64%) saying they
‘strongly’ agree with this.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
61%
33%
2% 3% 1%
56%
38%
2% 3% 2%
62%
34%
2% 2% 0%
82%
15%
0%
3%
0%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization is easily accessible via multiple communication channels (i.e. chat, phone, text) to serve our patients/members
Almost all (97%) pharmaceutical companies agree or strongly agree with this, whereas only 93% of healthcare payers do.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
61%
33%
2%
3%
1%
0%
Strongly agree Agree
My organization is easily accessible
via multiple communication channels
(i.e. chat, phone, text) to serve our
patients/members
94% of respondents agree with this,
with almost two thirds (61%) saying they
‘strongly’ agree with this.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
54%
38%
6%
1% 1% 1%
55%
36%
6%
2% 1% 1%
51%
43%
4%
2%
0% 0%
55%
39%
6%
0% 0% 0%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Our patients/members have a consistent experience regardless of which channel they initially contact us through
94% of pharmaceutical companies and 94% of healthcare providers agree or strongly agree with this, whereas only 91% of healthcare payers
do.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
54%38%
6%
1% 1% 1%
Strongly agree Agree
Our patients/members have a
consistent experience regardless of
which channel they initially contact
us through
92% of respondents agree with this,
with more than half (54%) saying they
‘strongly’ agree with this.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
63%
31%
3% 2% 1% 1%
63%
31%
2% 2% 1% 0%
68%
25%
4%
0%
2% 2%
52%
39%
3% 3%
0%
3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization designs wellness programs (step counting, gym memberships, etc.) based on the needs of our patients/members
94% of healthcare payers agree or strongly agree with this, whereas only 91% of pharmaceutical companies do.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
63%
31%
3%
2% 1% 1%
Strongly agree Agree
My organization designs wellness
programs (step counting, gym
memberships, etc.) based on the
needs of our patients/members
94% of respondents agree with this,
with almost two thirds (63%) saying they
‘strongly’ agree with this.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
57%
35%
5%
1% 1% 1%
59%
31%
7%
2% 1% 1%
62%
34%
2%
0%
2%
0%
42%
52%
0%
3%
0%
3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization offers personalized wellness programs for individuals (unique program for each member)
96% of healthcare providers agree or strongly agree with this, whereas only 90% of healthcare payers do.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
57%
35%
5%
1% 1% 1%
Strongly agree Agree
My organization offers personalized
wellness programs for individuals
(unique program for each member)
92% of respondents agree with this,
with almost 3 in 5 (57%) saying they
‘strongly’ agree with this.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
35%
21%
7%
11%
25%
2%
37%
23%
9%
13%
17%
1%
36%
11%
2%
11%
38%
2%
27% 27%
6%
0%
33%
6%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization sends inconsistent information to our members/patients (wellness program information that is not personalized or
that might provide conflicting guidance for multiple chronic conditions)
60% of healthcare payers agree or ‘strongly’ agree with this, whereas only 47% of healthcare providers do.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
35%
21%
7%
11%
25%
2%
Strongly agree Agree
My organization sends inconsistent
information to our members/patients
(wellness program information that is
not personalized or that might
provide conflicting guidance for
multiple chronic conditions)
Almost 3 in 5 (56%) respondents agree
with this, with more than a third (35%)
saying they ‘strongly’ agree with this.
Q1. To what extent do you agree or disagree with the following statements?
Question One
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
67%
29%
1% 1% 1% 1%
70%
25%
2% 2% 1% 1%
66%
32%
0% 0%
2%
0%
55%
36%
3%
0% 0%
6%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization enables building a strong care team (clinical professionals and family) for our members/patients to help them make
better choices about their health
Healthcare payers are most likely to ‘strongly’ agree with this (70%) and pharmaceutical companies are least likely to (55%).
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
67%
29%
1% 1% 1% 1%
Strongly agree Agree
My organization enables building a
strong care team (clinical
professionals and family) for our
members/patients to help them make
better choices about their health
95% of respondents agree with this,
with more than two thirds (67%) saying
they ‘strongly’ agree with this.
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
52%
37%
5%
2% 2% 1%
52%
41%
4%
2% 2% 1%
55%
32%
6%
4% 4%
0%
52%
30%
9%
3%
0%
6%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization provides financial incentives and rewards to encourage our members/patients to make healthy choices
92% of healthcare payers strongly agree or agree with this, whereas 82% of pharmaceutical companies do.
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
52%
37%
5%
2%
2%
1%
Strongly agree Agree
My organization provides financial
incentives and rewards to encourage
our members/patients to make
healthy choices
89% of respondents agree with this,
with more than half (52%) saying they
‘strongly’ agree with this.
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
54%
35%
7%
1% 1% 1%
53%
37%
6%
2% 2% 1%
57%
34%
8%
0%
2%
0%
55%
27%
9%
3%
0%
6%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization enables appropriate access of our members/patients pertinent medical history to their healthcare team
Healthcare providers are most likely to agree or strongly agree with this statement (91%) and pharmaceutical companies are least likely to
(82%).
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
54%35%
7%
1% 1% 1%
Strongly agree Agree
My organization enables appropriate
access of our members/patients
pertinent medical history to their
healthcare team
89% of respondents agree with this,
with more than half (54%) saying they
‘strongly’ agree with this.
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
58%
35%
5%
1% 1% 1%
62%
31%
6%
1% 1% 1%
57%
36%
8%
0% 0% 0%
46%
49%
0% 0%
3% 3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization works with all segments of the healthcare ecosystem (Payers, Providers, Online Pharmacy companies (PBM), and
Pharmaceutical companies) to provide a seamless experience to our members/patients
62% of healthcare payers ‘strongly’ agree with this, whereas only 46% of pharmaceutical companies do.
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
58%
35%
5%
1% 1% 1%
Strongly agree Agree
My organization works with all
segments of the healthcare
ecosystem (Payers, Providers, Online
Pharmacy companies (PBM), and
Pharmaceutical companies) to
provide a seamless experience to our
members/patients
93% of respondents agree with this,
with almost 3 in 5 (58%) saying they
‘strongly’ agree with this.
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
58%
34%
5%
1% 1% 2%
59%
33%
6%
1% 1% 1%
55%
40%
2% 2%
0%
2%
64%
27%
3%
0% 0%
6%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization provides a member/patient portal that helps them access information they need to realize and understand their
benefits
64% of pharmaceutical companies ‘strongly’ agree with this, whereas only 55% of healthcare providers do.
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
58%
34%
5%
1% 1% 2%
Strongly agree Agree
My organization provides a
member/patient portal that helps
them access information they need to
realize and understand their benefits
92% of respondents agree with this,
with almost 3 in 5 (58%) saying they
‘strongly’ agree with this.
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
56%
34%
7%
2%
1% 1%
53%
37%
6%
4%
0% 0%
64%
23%
9%
0%
2% 2%
52%
39%
3%
0% 0%
6%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
My organization has a centralized way to prioritize wellness programs, outreach, benefits information, etc., that are sent to
members/patients
64% of healthcare providers ‘strongly’ agree or agree with this, whereas only 52% of pharmaceutical companies do.
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
56%
34%
7%
2% 1% 1%
Strongly agree Agree
My organization has a centralized
way to prioritize wellness programs,
outreach, benefits information, etc.,
that are sent to members/patients
89% of respondents agree with this,
with almost 3 in 5 (56%) saying they
‘strongly’ agree with this.
Q2. To what extent do you agree or disagree with the following statements?
Question Two
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Question Three A
Q3a. What channels do you use to connect with the following? (Select all that
apply)
83%
64% 63% 64%
58% 59%58%
54%
51% 50%
52%
47%
70%
65%
71%
57% 58% 57%
63%
52%
56%
58%
53%
51%
24%
31% 32% 30%
38%
31%
41%
28% 26% 25% 23%
27%
38%
27% 27%
23% 24% 24%
39%
34%
25%
32%
23%
21%
49%
29%
26%
30% 29%
27%
Patients/Members Doctor's offices Hospitals Health Insurance Payers Pharmaceutical/Drug
companies
Pharmacy Benefit
Manager/Prescription Mail
Order pharmacies
Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Patients/Members
The top three ways that
respondents like to
interact with their
patients/members are;
email (83%), phone
(70%) and web/online
portal (63%).
83%
58%
70%
63%
24%
41%
38%
39%
49%
1% 2% 1%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three A
Q3a. What channels do you use to connect with the following? (Select all that
apply)
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Doctor’s Offices
The top three ways that
respondents like to
interact with doctor’s
offices are; phone
(65%), email (64%)
and mail (54%).
64%
54%
65%
52%
31%
28%
27%
34%
29%
5% 3% 1%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three A
Q3a. What channels do you use to connect with the following? (Select all that
apply)
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Hospitals
The top three ways that
respondents like to
interact with hospitals
are; phone (71%),
email (63%) and
web/online portal
(56%).
63%
51%
71%
56%
32%
26%
27%
25%
26%
2% 4% 1%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three A
Q3a. What channels do you use to connect with the following? (Select all that
apply)
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Health Insurance
Payers
The top three ways that
respondents like to
interact with health
insurance payers are;
email (64%),
web/online portal
(58%) and phone
(57%).
64%
50%
57%
58%
30%
25%
23%
32%
30%
5% 4% 2%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three A
Q3a. What channels do you use to connect with the following? (Select all that
apply)
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Pharmaceutical/Drug
companies
The top three ways that
respondents like to
interact with
pharmaceutical/drug
companies are; email
(58%) / phone (58%),
web/online portal
(53%) and mail (52%).
58%
52%
58%
53%
38%
23%
24%
23%
29%
3% 5% 1%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three A
Q3a. What channels do you use to connect with the following? (Select all that
apply)
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Pharmacy Benefit
Manager/Prescription
Mail Order
pharmacies
The top three ways that
respondents like to
interact with pharmacy
benefit
manager/prescription
mail order pharmacies
are; email (59%),
phone (57%), and
web/online portal
(51%).
59%
47%
57%
51%
31%
27%
24%
21%
27%
5% 6% 3%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three A
Q3a. What channels do you use to connect with the following? (Select all that
apply)
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Question Three B
Q3b. What channels do you use MOST to connect with the following?
28%
19%
18%
21%
23%
24%
10%
12%
5%
9% 9%
7%
24%
28%
30%
22%
18% 18%19%
25%
29%
27% 26%
25%
1% 2%
3% 3%
7%
5%
3% 3%
2%
3%
4%
6%
4%
2% 2%
3%
2% 2%
1%
2%
4%
1% 2%
1%
6%
3%
2%
4%
3%
6%
Patients/Members Doctor's offices Hospitals Health Insurance Payers Pharmaceutical/Drug
companies
Pharmacy Benefit
Manager/Prescription Mail
Order pharmacies
Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Patients/Members
Respondents use email
most to connect with
patients/members
(28%).
28%
10%
24%
19%
1%
3%
4%
1% 6%
1%
3%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three B
Q3b. What channels do you use MOST to connect with the following?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Doctor’s Offices
Respondents use the
phone most to connect
with doctor’s offices
(28%).
19%
12%
28%
24%
2%
3%
2%
2%
3%
4%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three B
Q3b. What channels do you use MOST to connect with the following?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Hospitals
Respondents use the
phone most to connect
with hospitals (30%).
17%
5%
30%
29%
3%
2%
2%
4%
2%
1%
4%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three B
Q3b. What channels do you use MOST to connect with the following?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Health Insurance
Payers
Respondents use the
web/online portal the
most to connect with
health insurance
payers (26%).
Question Three B
Q3b. What channels do you use MOST to connect with the following?
21%
9%
23%
26%
3%
3%
3%
1%
4%
2%
3%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Pharmaceutical/drug
companies
Respondents use the
web/online portal the
most to connect with
pharmaceutical/drug
companies
(26%).
23%
9%
18%
26%
7%
4%
2%
2%
3%
5%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three B
Q3b. What channels do you use MOST to connect with the following?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Pharmacy Benefit
Manager/Prescription
Mail Order
pharmacies
Respondents use the
web/online portal and
email the most to
connect with pharmacy
benefit
manager/prescription
mail order pharmacies
(each 24%).
24%
7%
18%
24%
5%
6%
2%
1%
6%
1%
6%
Email
Mail
Phone
Web/online portal
Fax
Text
Messaging app (Facebook,
WhatsApp, etc.)
Chat
Mobile App
Question Three B
Q3b. What channels do you use MOST to connect with the following?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
86%
13%
1% 1%
84%
15%
1% 1%
87%
11%
2% 0%
91%
9%
0% 0%
Yes, we are investigating new
technologies now
Yes, we plan to within the next year No, we don't plan to Unsure
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Pharmaceutical companies are most likely to be investigating in new technologies now (91%), whereas healthcare payers are least likely to be
doing so currently (84%), but they are most likely to say they plan to do so in the next year (15%).
Question Four
Q4. Are you planning to explore new technologies to better engage your
members/patients?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
86% of respondents
are investigating new
technologies now, 13%
plan to within the next
year and only 1% don’t
plan to.
Question Four
Q4. Are you planning to explore new technologies to better engage your
members/patients?
86%
13%
1% 1%
Yes, we are investigating new
technologies now
Yes, we plan to within the next year
No, we don't plan to
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
48%
27%
15%
5% 4%
2%
52%
19%
16%
6% 6%
2%
42%
36%
17%
2% 2% 2%
42%
46%
3%
6%
0%
3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Our members/patients share information on their health on social media
Pharmaceutical companies are most likely to agree with this (overall 88% agree with this), and healthcare payers are least likely to agree (70%).
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
48%
27%
15%
5%
4%
2%
Strongly agree Agree
Our members/patients share
information on their health on social
media
Three quarters (75%) of respondents
agree with this, and almost half (48%)
’strongly’ agree with this.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
53%
35%
6%
4%
1% 1%
48%
40%
5% 6%
2% 0%
62%
26%
8%
2%
0%
2%
58%
30%
9%
0% 0%
3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Our members/patients use our mobile application to manage their health.
Healthcare providers are most likely to ‘strongly’ agree with this (62%), and healthcare payers are least likely to agree (48%).
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
53%
35%
6%
4%
1% 1%
Strongly agree Agree
Our members/patients use our
mobile application to manage their
health
Almost 9 in 10 (88%) respondents agree
with this, and 53% say they ‘strongly’
agree with this.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
46%
39%
9%
2% 2% 2%
44%
42%
6%
4%
2% 2%
51%
38%
8%
0%
2% 2%
49%
27%
21%
0% 0%
3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
We enable members/patients to share real-time health data via connected devices or mobile health apps
Healthcare providers are most likely to agree with this (with 89% saying they agree overall) compared to just 76% of pharmaceutical companies.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
46%
39%
9%
2% 2% 2%
Strongly agree Agree
We enable members/patients to share
real-time health data via connected
devices or mobile health apps
85% of respondents agree with this, and
almost half (46%) ‘strongly’ agree.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
46%
39%
10%
2% 2% 1%
48%
40%
8%
2% 2%
0%
51%
36%
8%
2% 2% 2%
33%
39%
24%
0% 0%
3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Our members/patients use the free nurse-based care services we provide to help them with their medical condition
Healthcare payers are most likely to agree with this (with 88% saying they agree overall) compared to just 73% of pharmaceutical companies.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
46%
39%
10%
2% 2% 1%
Strongly agree Agree
Our members/patients use the free
nurse-based care services we
provide to help them with their
medical condition
85% of respondents agree with this, and
almost half (46%) ‘strongly’ agree.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
50%
34%
11%
3% 2% 1%
48%
36%
12%
3%
2%
0%
53%
30%
9%
4%
2% 2%
52%
33%
9%
0%
3% 3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Our organization offers the latest digital technology to give members/patients more options to engage with your organization.
Healthcare providers are most likely to ‘strongly’ agree with this (53%) compared to just 48% of healthcare payers.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
50%
34%
11%
3%
2% 1%
Strongly agree Agree
Our organization offers the latest
digital technology to give
members/patients more options to
engage with your organization
84% of respondents agree with this, and
half (50%) ‘strongly’ agree.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
33%
22%
13%
8%
23%
1%
35%
27%
14%
6%
18%
0%
21%
23%
4%
15%
38%
0%
42%
6%
21%
6%
21%
3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Our members/patients are likely to leave our organization due to poor communication or engagement.
Healthcare payers are most likely to agree with this (with 62% agreeing overall), whereas only 43% of healthcare providers agree.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
33%
22%
13%
8%
23%
1%
Strongly agree Agree
Our members/patients are likely to
leave our organization due to poor
communication or engagement
More than half (55%) of respondents
agree with this, and a third (33%)
‘strongly’ agree.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
45%
37%
11%
6%
1% 1%
43% 42%
9%
6%
0% 0%
55%
25%
13%
6%
2%
0%
39%
36%
12%
6%
3% 3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Our members/patients receive the same experience regardless of the communication channel (phone, web, chat).
Healthcare payers are most likely to agree with this (with 85% agreeing overall), whereas only 76% of pharmaceutical companies agree.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
45%
37%
11%
6%
1% 1%
Strongly agree Agree
Our members/patients receive the
same experience regardless of the
communication channel (phone, web,
chat)
More than 4 in 5 (82%) respondents
agree with this, and almost half (45%)
‘strongly’ agree.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
51%
38%
7%
2% 1% 1%
46% 45%
5% 3%
1% 1%
59%
30%
11%
0% 0% 0%
61%
27%
6%
0%
3% 3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
We offer enough channels (email, phone, chat, etc.) for our members/patients to communicate with us?
Pharmaceutical companies are most likely to ‘strongly’ agree with this (61%), whereas only 46% of healthcare payers ‘strongly’ agree.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
51%
38%
7%
2% 1% 1%
Strongly agree Agree
We offer enough channels (email,
phone, chat, etc.) for our
members/patients to communicate
with us?
9 in 10 (90%) respondents agree with
this, and more than half (51%) ‘strongly’
agree.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
59%
31%
8%
1% 1% 1%
56%
35%
6%
2% 1% 0%
66%
26%
8%
0% 0% 0%
58%
24%
12%
0%
3% 3%
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Our organization makes it convenient for members/patients to engage with us?
Healthcare providers are most likely to ‘strongly’ agree with this (66%) and healthcare payers are least likely to (56%).
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
59%
31%
8%
1% 1% 1%
Strongly agree Agree
Our organization makes it convenient
for members/patients to engage with
us?
9 in 10 (90%) respondents agree with
this, almost 3 in 5 (59%) ‘strongly’
agree.
Q5.To what extent do you agree or disagree with the following statements?
Question Five
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Pharmaceutical companies are least likely to be currently offering the ability to schedule virtual
appointments (67%) but they are most likely to be currently building this capability (30%).
77%
16%
5% 2%
79%
13%
7%
2%
79%
17%
2% 2%
67%
30%
0%
3%
Yes, we can schedule virtual
appointments
No, but we are currently
building that capability
No, but we are considering
offering it
No, we do not have it in our
plans
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Question Six
Q6. Does your organization offer ‘virtual appointments’ via webcam/Skype/Facetime
for appointments that might not require an in-person visit?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
More than three
quarters (77%) of
respondents say
their organisation
offers virtual
appointments. A
further 16% don’t
currently offer this,
but are building
this capability, 5%
are considering
offering it and only
2% do not have it
in their plans at all.
Question Six
Q6. Does your organization offer ‘virtual appointments’ via webcam/Skype/Facetime
for appointments that might not require an in-person visit?
77%
16%
5%
2%
Yes, we can schedule virtual
appointments
No, but we are currently
building that capability
No, but we are considering
offering it
No, we do not have it in our
plans
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Question Seven
Q7. What level of trust/confidence do you believe your members/patients have in
the following?
83%
13%
2% 1% 1%
80%
15%
3% 2% 1%
87%
13%
0% 0% 0%
88%
6%
3% 0% 3%
Highly Trusted Somewhat Trusted Neutral Very Little Trust N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Current doctor
Pharmaceutical companies are most likely to believe their members/patients ‘highly’ trust their current doctor (88%) and healthcare payers are
least likely to believe this (80%).
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Current Doctor
96% of respondents believe
their members/patients
‘somewhat’ or ‘highly’ trust
their current doctor.
83%
13%
2% 1%0%
1%
Highly Trusted
Somewhat
Trusted
Neutral
Very Little Trust
No Trust at all
Question Seven
Q7. What level of trust/confidence do you believe your members/patients have in
the following?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Question Seven
Q7. What level of trust/confidence do you believe your members/patients have in
the following?
59%
32%
6%
2%
1% 1%
59%
30%
7%
3%
1% 0%
57%
38%
4%
0% 0%
2%
61%
30%
3% 3%
0%
3%
Highly Trusted Somewhat Trusted Neutral Very Little Trust No Trust at all N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Health insurance company
Pharmaceutical companies are most likely to believe their members/patients ‘highly’ trust their health insurance company (61%) and healthcare
providers are least likely to believe this (57%).
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Health Insurance
Company
91% of respondents believe
their members/patients
‘somewhat’ or ‘highly’ trust
their health insurance
company.
59%
32%
6%
2% 1% 1%
Highly Trusted
Somewhat
Trusted
Neutral
Very Little Trust
No Trust at all
Question Seven
Q7. What level of trust/confidence do you believe your members/patients have in
the following?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Question Seven
Q7. What level of trust/confidence do you believe your members/patients have in
the following?
55%
36%
6%
3%
1%
52%
37%
7%
5%
0%
64%
34%
2% 0% 0%
52%
36%
6%
3% 3%
Highly Trusted Somewhat Trusted Neutral Very Little Trust N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Pharmaceutical/drug company
Healthcare providers are most likely to believe their members/patients ‘highly’ trust pharmaceutical/drug companies (64%) and healthcare payers
are least likely to believe this (52%).
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Pharmaceutical/drug
company
92% of respondents believe
their members/patients
‘somewhat’ or ‘highly’ trust
pharmaceutical/drug
companies. 55%36%
6%
3%
0% 1%
Highly Trusted
Somewhat
Trusted
Neutral
Very Little Trust
No Trust at all
Question Seven
Q7. What level of trust/confidence do you believe your members/patients have in
the following?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Question Seven
Q7. What level of trust/confidence do you believe your members/patients have in
the following?
60%
29%
7%
1% 1% 1%
60%
30%
7%
1% 2% 1%
62%
28%
8%
0% 0% 2%
58%
30%
6%
3%
0%
3%
Highly Trusted Somewhat Trusted Neutral Very Little Trust No Trust at all N/A
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Pharmacy Benefit Manager/Prescription Mail Order pharmacy
Healthcare providers are most likely to believe their members/patients ‘highly’ trust pharmaceutical/drug companies (64%) and healthcare payers
are least likely to believe this (52%).
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Pharmacy Benefit
Manager/Prescription Mail
Order pharmacy
90% of respondents believe
their members/patients
‘somewhat’ or ‘highly’ trust
pharmacy benefit
manager/prescription mail
order pharmacy.
60%
29%
7%
1% 1% 1%
Highly Trusted
Somewhat
Trusted
Neutral
Very Little
Trust
No Trust at all
Question Seven
Q7. What level of trust/confidence do you believe your members/patients have in
the following?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
“We believe we are succeeding in our engagement programs with our members/patients”.
Pharmaceutical companies are most likely to ‘strongly’ agree with this (73%) and healthcare payers are least likely to (65%).
67%
29%
3% 1%
65%
31%
4%
1%
70%
30%
0% 0%
73%
24%
3%
0%
Strongly agree Agree Neither agree nor disagree Disagree
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Question Eight
Q8. How strongly do you agree or disagree with the following statement?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
“We believe we are
succeeding in our
engagement programs
with our
members/patients”
97% of respondents agree
with this, and 67%
’strongly’ agree with this.
Question Eight
Q8. How strongly do you agree or disagree with the following statement?
67%
29%
3%
1%
Strongly agree
Agree
Neither agree nor
disagree
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Healthcare payers are most likely to believe that their members/patients are ‘highly’ engaged with them
(73%), and healthcare providers/health systems are least likely to (66%).
Question Nine
71%
23%
5%
1% 1%
73%
22%
4%
0% 1%
66%
26%
8%
0% 0%
67%
24%
6%
3%
0%
Highly engaged Somewhat engaged Neutral Somewhat unengaged Extremely unengaged
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Q9. How engaged or unengaged do you think your members/patients are with you?
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
94% of respondents
believe their
members/patients are
engaged with them, and
more than 7 in 10 (71%)
think they are ‘highly’
engaged.
Question Nine
Q9. How engaged or unengaged do you think your members/patients are with you?
71%
23%
5%
1% 1%
Highly
engaged
Somewhat
engaged
Neutral
Somewhat
unengaged
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Pharmaceutical companies are most likely to consider their engagement programs ‘highly’ effective (73%),
and healthcare payers are least likely to (66%).
Question Ten
Q10. How effective or ineffective do you believe your engagement programs are?
69%
25%
6%
1% 1%
66%
27%
6%
1% 0%
72%
23%
6%
0% 0%
73%
21%
3%
0%
3%
Highly effective Somewhat effective Neither effective or
ineffective
Somewhat ineffective Highly ineffective
All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
94% of respondents
believe their engagement
programs are effective,
with almost 7 in 10 (69%)
believing that they are
‘highly’ effective.
Question Ten
Q10. How effective or ineffective do you believe your engagement programs are?
69%
25%
6%
1% 1%
Highly
effective
Somewhat
effective
Neither
effective or
ineffective
Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
Pega Healthcare Report

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Pega Healthcare Report

  • 1. © 2018 Pegasystems Inc. CONFIDENTIAL Pega Healthcare Report February 2019
  • 2. Methodology The research was conducted by Censuswide on behalf of Pegasystems. Data was collected online between 12.21.2018 - 01.18.2019 among the total sample of 214 decision makers of engagement programs in large companies across Healthcare payers, Healthcare providers and Life sciences/ pharma: Healthcare Payers n=128 Healthcare Provider/Health System n=53 Pharmaceutical Company n=33 Note: The research conducted adheres to the MRS Codes of Conduct and ICC/ESOMAR World Research Guidelines. Censuswide is registered with the Information Commissioner's Office and is fully compliant with GDPR (2018). Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 3. 64% 26% 7% 1% 2% 65% 23% 9% 2% 2% 64% 32% 4% 0% 0% 61% 30% 3% 0% 6% Strongly agree Agree Neither agree nor disagree Disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization enables our patients/members to have easy access to healthy food in the communities we serve 96% of healthcare providers agree or strongly agree with this, whereas only 88% of healthcare payers do. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 4. 64% 26% 7% 1% 0% 2% Strongly agree Agree My organization enables our patients/members to have easy access to healthy food in the communities we serve 90% of respondents agree with this, with almost two thirds (64%) saying they ‘strongly’ agree with this. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 5. 61% 33% 2% 3% 1% 56% 38% 2% 3% 2% 62% 34% 2% 2% 0% 82% 15% 0% 3% 0% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization is easily accessible via multiple communication channels (i.e. chat, phone, text) to serve our patients/members Almost all (97%) pharmaceutical companies agree or strongly agree with this, whereas only 93% of healthcare payers do. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 6. 61% 33% 2% 3% 1% 0% Strongly agree Agree My organization is easily accessible via multiple communication channels (i.e. chat, phone, text) to serve our patients/members 94% of respondents agree with this, with almost two thirds (61%) saying they ‘strongly’ agree with this. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 7. 54% 38% 6% 1% 1% 1% 55% 36% 6% 2% 1% 1% 51% 43% 4% 2% 0% 0% 55% 39% 6% 0% 0% 0% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Our patients/members have a consistent experience regardless of which channel they initially contact us through 94% of pharmaceutical companies and 94% of healthcare providers agree or strongly agree with this, whereas only 91% of healthcare payers do. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 8. 54%38% 6% 1% 1% 1% Strongly agree Agree Our patients/members have a consistent experience regardless of which channel they initially contact us through 92% of respondents agree with this, with more than half (54%) saying they ‘strongly’ agree with this. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 9. 63% 31% 3% 2% 1% 1% 63% 31% 2% 2% 1% 0% 68% 25% 4% 0% 2% 2% 52% 39% 3% 3% 0% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization designs wellness programs (step counting, gym memberships, etc.) based on the needs of our patients/members 94% of healthcare payers agree or strongly agree with this, whereas only 91% of pharmaceutical companies do. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 10. 63% 31% 3% 2% 1% 1% Strongly agree Agree My organization designs wellness programs (step counting, gym memberships, etc.) based on the needs of our patients/members 94% of respondents agree with this, with almost two thirds (63%) saying they ‘strongly’ agree with this. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 11. 57% 35% 5% 1% 1% 1% 59% 31% 7% 2% 1% 1% 62% 34% 2% 0% 2% 0% 42% 52% 0% 3% 0% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization offers personalized wellness programs for individuals (unique program for each member) 96% of healthcare providers agree or strongly agree with this, whereas only 90% of healthcare payers do. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 12. 57% 35% 5% 1% 1% 1% Strongly agree Agree My organization offers personalized wellness programs for individuals (unique program for each member) 92% of respondents agree with this, with almost 3 in 5 (57%) saying they ‘strongly’ agree with this. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 13. 35% 21% 7% 11% 25% 2% 37% 23% 9% 13% 17% 1% 36% 11% 2% 11% 38% 2% 27% 27% 6% 0% 33% 6% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization sends inconsistent information to our members/patients (wellness program information that is not personalized or that might provide conflicting guidance for multiple chronic conditions) 60% of healthcare payers agree or ‘strongly’ agree with this, whereas only 47% of healthcare providers do. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 14. 35% 21% 7% 11% 25% 2% Strongly agree Agree My organization sends inconsistent information to our members/patients (wellness program information that is not personalized or that might provide conflicting guidance for multiple chronic conditions) Almost 3 in 5 (56%) respondents agree with this, with more than a third (35%) saying they ‘strongly’ agree with this. Q1. To what extent do you agree or disagree with the following statements? Question One Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 15. 67% 29% 1% 1% 1% 1% 70% 25% 2% 2% 1% 1% 66% 32% 0% 0% 2% 0% 55% 36% 3% 0% 0% 6% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization enables building a strong care team (clinical professionals and family) for our members/patients to help them make better choices about their health Healthcare payers are most likely to ‘strongly’ agree with this (70%) and pharmaceutical companies are least likely to (55%). Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 16. 67% 29% 1% 1% 1% 1% Strongly agree Agree My organization enables building a strong care team (clinical professionals and family) for our members/patients to help them make better choices about their health 95% of respondents agree with this, with more than two thirds (67%) saying they ‘strongly’ agree with this. Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 17. 52% 37% 5% 2% 2% 1% 52% 41% 4% 2% 2% 1% 55% 32% 6% 4% 4% 0% 52% 30% 9% 3% 0% 6% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization provides financial incentives and rewards to encourage our members/patients to make healthy choices 92% of healthcare payers strongly agree or agree with this, whereas 82% of pharmaceutical companies do. Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 18. 52% 37% 5% 2% 2% 1% Strongly agree Agree My organization provides financial incentives and rewards to encourage our members/patients to make healthy choices 89% of respondents agree with this, with more than half (52%) saying they ‘strongly’ agree with this. Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 19. 54% 35% 7% 1% 1% 1% 53% 37% 6% 2% 2% 1% 57% 34% 8% 0% 2% 0% 55% 27% 9% 3% 0% 6% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization enables appropriate access of our members/patients pertinent medical history to their healthcare team Healthcare providers are most likely to agree or strongly agree with this statement (91%) and pharmaceutical companies are least likely to (82%). Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 20. 54%35% 7% 1% 1% 1% Strongly agree Agree My organization enables appropriate access of our members/patients pertinent medical history to their healthcare team 89% of respondents agree with this, with more than half (54%) saying they ‘strongly’ agree with this. Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 21. 58% 35% 5% 1% 1% 1% 62% 31% 6% 1% 1% 1% 57% 36% 8% 0% 0% 0% 46% 49% 0% 0% 3% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization works with all segments of the healthcare ecosystem (Payers, Providers, Online Pharmacy companies (PBM), and Pharmaceutical companies) to provide a seamless experience to our members/patients 62% of healthcare payers ‘strongly’ agree with this, whereas only 46% of pharmaceutical companies do. Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 22. 58% 35% 5% 1% 1% 1% Strongly agree Agree My organization works with all segments of the healthcare ecosystem (Payers, Providers, Online Pharmacy companies (PBM), and Pharmaceutical companies) to provide a seamless experience to our members/patients 93% of respondents agree with this, with almost 3 in 5 (58%) saying they ‘strongly’ agree with this. Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 23. 58% 34% 5% 1% 1% 2% 59% 33% 6% 1% 1% 1% 55% 40% 2% 2% 0% 2% 64% 27% 3% 0% 0% 6% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization provides a member/patient portal that helps them access information they need to realize and understand their benefits 64% of pharmaceutical companies ‘strongly’ agree with this, whereas only 55% of healthcare providers do. Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 24. 58% 34% 5% 1% 1% 2% Strongly agree Agree My organization provides a member/patient portal that helps them access information they need to realize and understand their benefits 92% of respondents agree with this, with almost 3 in 5 (58%) saying they ‘strongly’ agree with this. Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 25. 56% 34% 7% 2% 1% 1% 53% 37% 6% 4% 0% 0% 64% 23% 9% 0% 2% 2% 52% 39% 3% 0% 0% 6% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company My organization has a centralized way to prioritize wellness programs, outreach, benefits information, etc., that are sent to members/patients 64% of healthcare providers ‘strongly’ agree or agree with this, whereas only 52% of pharmaceutical companies do. Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 26. 56% 34% 7% 2% 1% 1% Strongly agree Agree My organization has a centralized way to prioritize wellness programs, outreach, benefits information, etc., that are sent to members/patients 89% of respondents agree with this, with almost 3 in 5 (56%) saying they ‘strongly’ agree with this. Q2. To what extent do you agree or disagree with the following statements? Question Two Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 27. Question Three A Q3a. What channels do you use to connect with the following? (Select all that apply) 83% 64% 63% 64% 58% 59%58% 54% 51% 50% 52% 47% 70% 65% 71% 57% 58% 57% 63% 52% 56% 58% 53% 51% 24% 31% 32% 30% 38% 31% 41% 28% 26% 25% 23% 27% 38% 27% 27% 23% 24% 24% 39% 34% 25% 32% 23% 21% 49% 29% 26% 30% 29% 27% Patients/Members Doctor's offices Hospitals Health Insurance Payers Pharmaceutical/Drug companies Pharmacy Benefit Manager/Prescription Mail Order pharmacies Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 28. Patients/Members The top three ways that respondents like to interact with their patients/members are; email (83%), phone (70%) and web/online portal (63%). 83% 58% 70% 63% 24% 41% 38% 39% 49% 1% 2% 1% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three A Q3a. What channels do you use to connect with the following? (Select all that apply) Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 29. Doctor’s Offices The top three ways that respondents like to interact with doctor’s offices are; phone (65%), email (64%) and mail (54%). 64% 54% 65% 52% 31% 28% 27% 34% 29% 5% 3% 1% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three A Q3a. What channels do you use to connect with the following? (Select all that apply) Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 30. Hospitals The top three ways that respondents like to interact with hospitals are; phone (71%), email (63%) and web/online portal (56%). 63% 51% 71% 56% 32% 26% 27% 25% 26% 2% 4% 1% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three A Q3a. What channels do you use to connect with the following? (Select all that apply) Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 31. Health Insurance Payers The top three ways that respondents like to interact with health insurance payers are; email (64%), web/online portal (58%) and phone (57%). 64% 50% 57% 58% 30% 25% 23% 32% 30% 5% 4% 2% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three A Q3a. What channels do you use to connect with the following? (Select all that apply) Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 32. Pharmaceutical/Drug companies The top three ways that respondents like to interact with pharmaceutical/drug companies are; email (58%) / phone (58%), web/online portal (53%) and mail (52%). 58% 52% 58% 53% 38% 23% 24% 23% 29% 3% 5% 1% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three A Q3a. What channels do you use to connect with the following? (Select all that apply) Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 33. Pharmacy Benefit Manager/Prescription Mail Order pharmacies The top three ways that respondents like to interact with pharmacy benefit manager/prescription mail order pharmacies are; email (59%), phone (57%), and web/online portal (51%). 59% 47% 57% 51% 31% 27% 24% 21% 27% 5% 6% 3% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three A Q3a. What channels do you use to connect with the following? (Select all that apply) Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 34. Question Three B Q3b. What channels do you use MOST to connect with the following? 28% 19% 18% 21% 23% 24% 10% 12% 5% 9% 9% 7% 24% 28% 30% 22% 18% 18%19% 25% 29% 27% 26% 25% 1% 2% 3% 3% 7% 5% 3% 3% 2% 3% 4% 6% 4% 2% 2% 3% 2% 2% 1% 2% 4% 1% 2% 1% 6% 3% 2% 4% 3% 6% Patients/Members Doctor's offices Hospitals Health Insurance Payers Pharmaceutical/Drug companies Pharmacy Benefit Manager/Prescription Mail Order pharmacies Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 35. Patients/Members Respondents use email most to connect with patients/members (28%). 28% 10% 24% 19% 1% 3% 4% 1% 6% 1% 3% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three B Q3b. What channels do you use MOST to connect with the following? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 36. Doctor’s Offices Respondents use the phone most to connect with doctor’s offices (28%). 19% 12% 28% 24% 2% 3% 2% 2% 3% 4% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three B Q3b. What channels do you use MOST to connect with the following? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 37. Hospitals Respondents use the phone most to connect with hospitals (30%). 17% 5% 30% 29% 3% 2% 2% 4% 2% 1% 4% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three B Q3b. What channels do you use MOST to connect with the following? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 38. Health Insurance Payers Respondents use the web/online portal the most to connect with health insurance payers (26%). Question Three B Q3b. What channels do you use MOST to connect with the following? 21% 9% 23% 26% 3% 3% 3% 1% 4% 2% 3% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 39. Pharmaceutical/drug companies Respondents use the web/online portal the most to connect with pharmaceutical/drug companies (26%). 23% 9% 18% 26% 7% 4% 2% 2% 3% 5% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three B Q3b. What channels do you use MOST to connect with the following? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 40. Pharmacy Benefit Manager/Prescription Mail Order pharmacies Respondents use the web/online portal and email the most to connect with pharmacy benefit manager/prescription mail order pharmacies (each 24%). 24% 7% 18% 24% 5% 6% 2% 1% 6% 1% 6% Email Mail Phone Web/online portal Fax Text Messaging app (Facebook, WhatsApp, etc.) Chat Mobile App Question Three B Q3b. What channels do you use MOST to connect with the following? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 41. 86% 13% 1% 1% 84% 15% 1% 1% 87% 11% 2% 0% 91% 9% 0% 0% Yes, we are investigating new technologies now Yes, we plan to within the next year No, we don't plan to Unsure All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Pharmaceutical companies are most likely to be investigating in new technologies now (91%), whereas healthcare payers are least likely to be doing so currently (84%), but they are most likely to say they plan to do so in the next year (15%). Question Four Q4. Are you planning to explore new technologies to better engage your members/patients? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 42. 86% of respondents are investigating new technologies now, 13% plan to within the next year and only 1% don’t plan to. Question Four Q4. Are you planning to explore new technologies to better engage your members/patients? 86% 13% 1% 1% Yes, we are investigating new technologies now Yes, we plan to within the next year No, we don't plan to Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 43. 48% 27% 15% 5% 4% 2% 52% 19% 16% 6% 6% 2% 42% 36% 17% 2% 2% 2% 42% 46% 3% 6% 0% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Our members/patients share information on their health on social media Pharmaceutical companies are most likely to agree with this (overall 88% agree with this), and healthcare payers are least likely to agree (70%). Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 44. 48% 27% 15% 5% 4% 2% Strongly agree Agree Our members/patients share information on their health on social media Three quarters (75%) of respondents agree with this, and almost half (48%) ’strongly’ agree with this. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 45. 53% 35% 6% 4% 1% 1% 48% 40% 5% 6% 2% 0% 62% 26% 8% 2% 0% 2% 58% 30% 9% 0% 0% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Our members/patients use our mobile application to manage their health. Healthcare providers are most likely to ‘strongly’ agree with this (62%), and healthcare payers are least likely to agree (48%). Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 46. 53% 35% 6% 4% 1% 1% Strongly agree Agree Our members/patients use our mobile application to manage their health Almost 9 in 10 (88%) respondents agree with this, and 53% say they ‘strongly’ agree with this. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 47. 46% 39% 9% 2% 2% 2% 44% 42% 6% 4% 2% 2% 51% 38% 8% 0% 2% 2% 49% 27% 21% 0% 0% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company We enable members/patients to share real-time health data via connected devices or mobile health apps Healthcare providers are most likely to agree with this (with 89% saying they agree overall) compared to just 76% of pharmaceutical companies. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 48. 46% 39% 9% 2% 2% 2% Strongly agree Agree We enable members/patients to share real-time health data via connected devices or mobile health apps 85% of respondents agree with this, and almost half (46%) ‘strongly’ agree. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 49. 46% 39% 10% 2% 2% 1% 48% 40% 8% 2% 2% 0% 51% 36% 8% 2% 2% 2% 33% 39% 24% 0% 0% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Our members/patients use the free nurse-based care services we provide to help them with their medical condition Healthcare payers are most likely to agree with this (with 88% saying they agree overall) compared to just 73% of pharmaceutical companies. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 50. 46% 39% 10% 2% 2% 1% Strongly agree Agree Our members/patients use the free nurse-based care services we provide to help them with their medical condition 85% of respondents agree with this, and almost half (46%) ‘strongly’ agree. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 51. 50% 34% 11% 3% 2% 1% 48% 36% 12% 3% 2% 0% 53% 30% 9% 4% 2% 2% 52% 33% 9% 0% 3% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Our organization offers the latest digital technology to give members/patients more options to engage with your organization. Healthcare providers are most likely to ‘strongly’ agree with this (53%) compared to just 48% of healthcare payers. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 52. 50% 34% 11% 3% 2% 1% Strongly agree Agree Our organization offers the latest digital technology to give members/patients more options to engage with your organization 84% of respondents agree with this, and half (50%) ‘strongly’ agree. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 53. 33% 22% 13% 8% 23% 1% 35% 27% 14% 6% 18% 0% 21% 23% 4% 15% 38% 0% 42% 6% 21% 6% 21% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Our members/patients are likely to leave our organization due to poor communication or engagement. Healthcare payers are most likely to agree with this (with 62% agreeing overall), whereas only 43% of healthcare providers agree. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 54. 33% 22% 13% 8% 23% 1% Strongly agree Agree Our members/patients are likely to leave our organization due to poor communication or engagement More than half (55%) of respondents agree with this, and a third (33%) ‘strongly’ agree. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 55. 45% 37% 11% 6% 1% 1% 43% 42% 9% 6% 0% 0% 55% 25% 13% 6% 2% 0% 39% 36% 12% 6% 3% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Our members/patients receive the same experience regardless of the communication channel (phone, web, chat). Healthcare payers are most likely to agree with this (with 85% agreeing overall), whereas only 76% of pharmaceutical companies agree. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 56. 45% 37% 11% 6% 1% 1% Strongly agree Agree Our members/patients receive the same experience regardless of the communication channel (phone, web, chat) More than 4 in 5 (82%) respondents agree with this, and almost half (45%) ‘strongly’ agree. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 57. 51% 38% 7% 2% 1% 1% 46% 45% 5% 3% 1% 1% 59% 30% 11% 0% 0% 0% 61% 27% 6% 0% 3% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company We offer enough channels (email, phone, chat, etc.) for our members/patients to communicate with us? Pharmaceutical companies are most likely to ‘strongly’ agree with this (61%), whereas only 46% of healthcare payers ‘strongly’ agree. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 58. 51% 38% 7% 2% 1% 1% Strongly agree Agree We offer enough channels (email, phone, chat, etc.) for our members/patients to communicate with us? 9 in 10 (90%) respondents agree with this, and more than half (51%) ‘strongly’ agree. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 59. 59% 31% 8% 1% 1% 1% 56% 35% 6% 2% 1% 0% 66% 26% 8% 0% 0% 0% 58% 24% 12% 0% 3% 3% Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Our organization makes it convenient for members/patients to engage with us? Healthcare providers are most likely to ‘strongly’ agree with this (66%) and healthcare payers are least likely to (56%). Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 60. 59% 31% 8% 1% 1% 1% Strongly agree Agree Our organization makes it convenient for members/patients to engage with us? 9 in 10 (90%) respondents agree with this, almost 3 in 5 (59%) ‘strongly’ agree. Q5.To what extent do you agree or disagree with the following statements? Question Five Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 61. Pharmaceutical companies are least likely to be currently offering the ability to schedule virtual appointments (67%) but they are most likely to be currently building this capability (30%). 77% 16% 5% 2% 79% 13% 7% 2% 79% 17% 2% 2% 67% 30% 0% 3% Yes, we can schedule virtual appointments No, but we are currently building that capability No, but we are considering offering it No, we do not have it in our plans All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Question Six Q6. Does your organization offer ‘virtual appointments’ via webcam/Skype/Facetime for appointments that might not require an in-person visit? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 62. More than three quarters (77%) of respondents say their organisation offers virtual appointments. A further 16% don’t currently offer this, but are building this capability, 5% are considering offering it and only 2% do not have it in their plans at all. Question Six Q6. Does your organization offer ‘virtual appointments’ via webcam/Skype/Facetime for appointments that might not require an in-person visit? 77% 16% 5% 2% Yes, we can schedule virtual appointments No, but we are currently building that capability No, but we are considering offering it No, we do not have it in our plans Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 63. Question Seven Q7. What level of trust/confidence do you believe your members/patients have in the following? 83% 13% 2% 1% 1% 80% 15% 3% 2% 1% 87% 13% 0% 0% 0% 88% 6% 3% 0% 3% Highly Trusted Somewhat Trusted Neutral Very Little Trust N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Current doctor Pharmaceutical companies are most likely to believe their members/patients ‘highly’ trust their current doctor (88%) and healthcare payers are least likely to believe this (80%). Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 64. Current Doctor 96% of respondents believe their members/patients ‘somewhat’ or ‘highly’ trust their current doctor. 83% 13% 2% 1%0% 1% Highly Trusted Somewhat Trusted Neutral Very Little Trust No Trust at all Question Seven Q7. What level of trust/confidence do you believe your members/patients have in the following? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 65. Question Seven Q7. What level of trust/confidence do you believe your members/patients have in the following? 59% 32% 6% 2% 1% 1% 59% 30% 7% 3% 1% 0% 57% 38% 4% 0% 0% 2% 61% 30% 3% 3% 0% 3% Highly Trusted Somewhat Trusted Neutral Very Little Trust No Trust at all N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Health insurance company Pharmaceutical companies are most likely to believe their members/patients ‘highly’ trust their health insurance company (61%) and healthcare providers are least likely to believe this (57%). Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 66. Health Insurance Company 91% of respondents believe their members/patients ‘somewhat’ or ‘highly’ trust their health insurance company. 59% 32% 6% 2% 1% 1% Highly Trusted Somewhat Trusted Neutral Very Little Trust No Trust at all Question Seven Q7. What level of trust/confidence do you believe your members/patients have in the following? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 67. Question Seven Q7. What level of trust/confidence do you believe your members/patients have in the following? 55% 36% 6% 3% 1% 52% 37% 7% 5% 0% 64% 34% 2% 0% 0% 52% 36% 6% 3% 3% Highly Trusted Somewhat Trusted Neutral Very Little Trust N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Pharmaceutical/drug company Healthcare providers are most likely to believe their members/patients ‘highly’ trust pharmaceutical/drug companies (64%) and healthcare payers are least likely to believe this (52%). Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 68. Pharmaceutical/drug company 92% of respondents believe their members/patients ‘somewhat’ or ‘highly’ trust pharmaceutical/drug companies. 55%36% 6% 3% 0% 1% Highly Trusted Somewhat Trusted Neutral Very Little Trust No Trust at all Question Seven Q7. What level of trust/confidence do you believe your members/patients have in the following? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 69. Question Seven Q7. What level of trust/confidence do you believe your members/patients have in the following? 60% 29% 7% 1% 1% 1% 60% 30% 7% 1% 2% 1% 62% 28% 8% 0% 0% 2% 58% 30% 6% 3% 0% 3% Highly Trusted Somewhat Trusted Neutral Very Little Trust No Trust at all N/A All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Pharmacy Benefit Manager/Prescription Mail Order pharmacy Healthcare providers are most likely to believe their members/patients ‘highly’ trust pharmaceutical/drug companies (64%) and healthcare payers are least likely to believe this (52%). Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 70. Pharmacy Benefit Manager/Prescription Mail Order pharmacy 90% of respondents believe their members/patients ‘somewhat’ or ‘highly’ trust pharmacy benefit manager/prescription mail order pharmacy. 60% 29% 7% 1% 1% 1% Highly Trusted Somewhat Trusted Neutral Very Little Trust No Trust at all Question Seven Q7. What level of trust/confidence do you believe your members/patients have in the following? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 71. “We believe we are succeeding in our engagement programs with our members/patients”. Pharmaceutical companies are most likely to ‘strongly’ agree with this (73%) and healthcare payers are least likely to (65%). 67% 29% 3% 1% 65% 31% 4% 1% 70% 30% 0% 0% 73% 24% 3% 0% Strongly agree Agree Neither agree nor disagree Disagree All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Question Eight Q8. How strongly do you agree or disagree with the following statement? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 72. “We believe we are succeeding in our engagement programs with our members/patients” 97% of respondents agree with this, and 67% ’strongly’ agree with this. Question Eight Q8. How strongly do you agree or disagree with the following statement? 67% 29% 3% 1% Strongly agree Agree Neither agree nor disagree Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 73. Healthcare payers are most likely to believe that their members/patients are ‘highly’ engaged with them (73%), and healthcare providers/health systems are least likely to (66%). Question Nine 71% 23% 5% 1% 1% 73% 22% 4% 0% 1% 66% 26% 8% 0% 0% 67% 24% 6% 3% 0% Highly engaged Somewhat engaged Neutral Somewhat unengaged Extremely unengaged All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Q9. How engaged or unengaged do you think your members/patients are with you? Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 74. 94% of respondents believe their members/patients are engaged with them, and more than 7 in 10 (71%) think they are ‘highly’ engaged. Question Nine Q9. How engaged or unengaged do you think your members/patients are with you? 71% 23% 5% 1% 1% Highly engaged Somewhat engaged Neutral Somewhat unengaged Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 75. Pharmaceutical companies are most likely to consider their engagement programs ‘highly’ effective (73%), and healthcare payers are least likely to (66%). Question Ten Q10. How effective or ineffective do you believe your engagement programs are? 69% 25% 6% 1% 1% 66% 27% 6% 1% 0% 72% 23% 6% 0% 0% 73% 21% 3% 0% 3% Highly effective Somewhat effective Neither effective or ineffective Somewhat ineffective Highly ineffective All Respondents Healthcare Payer Healthcare Provider/Health System Pharmaceutical Company Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.
  • 76. 94% of respondents believe their engagement programs are effective, with almost 7 in 10 (69%) believing that they are ‘highly’ effective. Question Ten Q10. How effective or ineffective do you believe your engagement programs are? 69% 25% 6% 1% 1% Highly effective Somewhat effective Neither effective or ineffective Pega Healthcare Report © 2019 Pegasystems. Used with permission from Pegasystems.