10-Step Marketing Plan
Kapit-Kamay sa Kalusugan (KKK)
Health Management System
Marc Edsel C. Ayes
Marketing Management
November 30, 2010
Health Insurance
Systems
• Primarily PhilHealth
• LGU subsidies for
residents (i.e. PCGH)
• Health card service
providers
The San Isidro Model
• LGU fund reallocation
towards health
• Enrollment of
constituents in
PhilHealth program
• Prioritization of health
projects
• Promotion of health-oriented
topics to constituents
Current PhilHealth
Issues*
• Information management systems
- Requirements unclear for enrollees
- Too much time spent explaining processes
• Poor Turnaround time
• Accessibility
• Compliance
• Performance Indicators
*Based on US-AID policy unit report Del. No. 28 dated June 30, 2005, available at
http://erc.msh.org/LEAD_CD/D_Partnership_Arrangements/PhilHealth_Operational_Issues.pdf
Proposal:The Product
• Inter-mediation between Indigent
Patients and PhilHealth Services
• Streamline processes for patients
• Create Health Agendas for selected groups
of indigents
Step 1:
The Primary Target
Market
Stakeholders
• PhilHealth
• Indigent patients
- Poor understanding of PhilHealth policies
- Inadequate access to information
- Non-utilization of PhilHealth benefits
- Fail to see merits of health insurance
Current PhilHealth
Issues*
• Information management systems
- Requirements unclear for enrollees
- Too much time spent explaining processes
• Poor Turnaround time
• Accessibility
• Compliance
• Performance Indicators
*Based on US-AID policy unit report Del. No. 28 dated June 30, 2005, available at
http://erc.msh.org/LEAD_CD/D_Partnership_Arrangements/PhilHealth_Operational_Issues.pdf
Step 2:
Needs,Wants, and
Demands of the PTM
Types of Indigent
Patients
• Ka-Freddy - the worker
• Aling Mila - the single mother with
children
• Mang Caloy - the elderly retired
• Tenten & Myrna - the young unemployed
“Ka-Freddy”
• Desires Job security -
steady income
• Blue-collar jobs -
constant threat to health
• Immediate return to
workforce after
treatment
“Aling Mila”
• Desires Family
security and stability
• Juggles supporting self
and household
• Importance of
prevention of illness
• “Bawal ako magkasakit”
“Mang Caloy”
• Desires disease-free
retirement with partner
• Partner’s health usually
precedes their own
• Importance of
minimizing impact of
illness
Tenten & Myrna
• Desires personal
stability in raising a
child
• Problems with stable
income and education
• Usually reluctant to seek
aid
Step 3:
Competition and
Competitive Position
Map
Direct Competition
• Other Health Care Insurance (HMO)
Providers
• Target:
- Salary earners
- Hospital based, usually tertiary
- Stratified capitation
Indirect Competition
• “Sulit Cards”
• Target
- Indigents with little/no
money for
medicines/services
- Limited
PhilHealthPhilHealth
Price
Service Quality
HMO ServicesHMO Services
MaxicaMaxica
rere
MEDIcarMEDIcar
dd
MedSeMedSe
rvrv
KKKKKK
Step 4:
The Gap - Positioning
Statement
“A Health-Coach”
• The NEED to clarify
processes in PhilHealth
• Aid in obtaining
PhilHealth benefits
• Lay out a health
agenda specific to their
needs
• Promote self-
sufficiency
Step 5:
Market Size
Healthcare Costs
• Raising price of health care
• Expected to increase by 10-15% in the next
5 years
• Advances in technology and specialization
Solutions?
• Improved subsidy (LGU/national)
• HMO entrants - currently 18 listed in
Metro Manila alone
• PhilHealth coverage
- LGUs promoting 100% PhilHealth coverage
- San Isidro Formula
Step 6:
The Product
Health Management
made Accessible
• HMO intermediary between patient
and PhilHealth
• Personal assistance in completion of
PhilHealth requirements
• Assurance of premium payment
• Personalization of health benefits specific to
their needs
For Ka-Freddy...
• Monthly wellness check-
up
• Coverage for
dependents
• Rehabilitation coverage
for injuries
• Processing for
PhilHealth coverage and
company requirements
For Aling Mila...
• Coverage for
dependents
• Monthly wellness check-
up, including maternity
check-up
• Maternal screening
packages
• Immunization packages
For Mang Caloy...
• Monthly wellness check-
up
• Yearly executive check-
up
• Coverage for
maintenance
medications
For Tenten & Myrna...
• Maternity wellness
package
• Breastfeeding education
programs
• Procurement of pre-
employment clearance
• Quarterly wellness
check-ups
Step 7:
Promotions
Collaboration
• Make a collaborative effort with PhilHealth
to widen its base
• Present applications at PhilHealth booths in
selected hospitals
Health Care Centers
• Flyers and brochures at HCCs for
increased awareness
• Person-to-person marketing of service at
weekly HCC visits of target patient groups
The Doctors
• Provide option to patients through
PhilHealth Doctors
• Selection of indigents that may benefit from
the service
Step 8:
The Price
Current Premium
• 100Php/month to be paid on quarterly,
semi-annual, or annual schemes
Proposed Premium
• Additional 50Php per month for the first
year
Step 9:
The Place
Where to find it?
• Wherever there is PhilHealth
• Barangay Health Centers
• PhilHealth accredited physician offices
Step 10:
The Winning Strategy
The Winning Strategy
• Goal: Improve PhilHealth coverage and access to
its benefits
• Focus on core weakness of PhilHealth processes
- Patients don’t know their benefits
- They don’t know HOW to obtain their benefits
- They can’t allocate their healthcare budget on what’s most
important to them
• Forward accessibility of services
10-Step Marketing Plan
Kapit-Kamay sa Kalusugan (KKK)
Health Management System
Marc Edsel C. Ayes
Marketing Management
November 30, 2010

Marketing plan

  • 1.
    10-Step Marketing Plan Kapit-Kamaysa Kalusugan (KKK) Health Management System Marc Edsel C. Ayes Marketing Management November 30, 2010
  • 2.
    Health Insurance Systems • PrimarilyPhilHealth • LGU subsidies for residents (i.e. PCGH) • Health card service providers
  • 3.
    The San IsidroModel • LGU fund reallocation towards health • Enrollment of constituents in PhilHealth program • Prioritization of health projects • Promotion of health-oriented topics to constituents
  • 4.
    Current PhilHealth Issues* • Informationmanagement systems - Requirements unclear for enrollees - Too much time spent explaining processes • Poor Turnaround time • Accessibility • Compliance • Performance Indicators *Based on US-AID policy unit report Del. No. 28 dated June 30, 2005, available at http://erc.msh.org/LEAD_CD/D_Partnership_Arrangements/PhilHealth_Operational_Issues.pdf
  • 5.
    Proposal:The Product • Inter-mediationbetween Indigent Patients and PhilHealth Services • Streamline processes for patients • Create Health Agendas for selected groups of indigents
  • 6.
    Step 1: The PrimaryTarget Market
  • 7.
    Stakeholders • PhilHealth • Indigentpatients - Poor understanding of PhilHealth policies - Inadequate access to information - Non-utilization of PhilHealth benefits - Fail to see merits of health insurance
  • 8.
    Current PhilHealth Issues* • Informationmanagement systems - Requirements unclear for enrollees - Too much time spent explaining processes • Poor Turnaround time • Accessibility • Compliance • Performance Indicators *Based on US-AID policy unit report Del. No. 28 dated June 30, 2005, available at http://erc.msh.org/LEAD_CD/D_Partnership_Arrangements/PhilHealth_Operational_Issues.pdf
  • 9.
  • 10.
    Types of Indigent Patients •Ka-Freddy - the worker • Aling Mila - the single mother with children • Mang Caloy - the elderly retired • Tenten & Myrna - the young unemployed
  • 11.
    “Ka-Freddy” • Desires Jobsecurity - steady income • Blue-collar jobs - constant threat to health • Immediate return to workforce after treatment
  • 12.
    “Aling Mila” • DesiresFamily security and stability • Juggles supporting self and household • Importance of prevention of illness • “Bawal ako magkasakit”
  • 13.
    “Mang Caloy” • Desiresdisease-free retirement with partner • Partner’s health usually precedes their own • Importance of minimizing impact of illness
  • 14.
    Tenten & Myrna •Desires personal stability in raising a child • Problems with stable income and education • Usually reluctant to seek aid
  • 15.
  • 16.
    Direct Competition • OtherHealth Care Insurance (HMO) Providers • Target: - Salary earners - Hospital based, usually tertiary - Stratified capitation
  • 17.
    Indirect Competition • “SulitCards” • Target - Indigents with little/no money for medicines/services - Limited
  • 18.
    PhilHealthPhilHealth Price Service Quality HMO ServicesHMOServices MaxicaMaxica rere MEDIcarMEDIcar dd MedSeMedSe rvrv KKKKKK
  • 19.
    Step 4: The Gap- Positioning Statement
  • 20.
    “A Health-Coach” • TheNEED to clarify processes in PhilHealth • Aid in obtaining PhilHealth benefits • Lay out a health agenda specific to their needs • Promote self- sufficiency
  • 21.
  • 22.
    Healthcare Costs • Raisingprice of health care • Expected to increase by 10-15% in the next 5 years • Advances in technology and specialization
  • 23.
    Solutions? • Improved subsidy(LGU/national) • HMO entrants - currently 18 listed in Metro Manila alone • PhilHealth coverage - LGUs promoting 100% PhilHealth coverage - San Isidro Formula
  • 24.
  • 25.
    Health Management made Accessible •HMO intermediary between patient and PhilHealth • Personal assistance in completion of PhilHealth requirements • Assurance of premium payment • Personalization of health benefits specific to their needs
  • 26.
    For Ka-Freddy... • Monthlywellness check- up • Coverage for dependents • Rehabilitation coverage for injuries • Processing for PhilHealth coverage and company requirements
  • 27.
    For Aling Mila... •Coverage for dependents • Monthly wellness check- up, including maternity check-up • Maternal screening packages • Immunization packages
  • 28.
    For Mang Caloy... •Monthly wellness check- up • Yearly executive check- up • Coverage for maintenance medications
  • 29.
    For Tenten &Myrna... • Maternity wellness package • Breastfeeding education programs • Procurement of pre- employment clearance • Quarterly wellness check-ups
  • 30.
  • 31.
    Collaboration • Make acollaborative effort with PhilHealth to widen its base • Present applications at PhilHealth booths in selected hospitals
  • 32.
    Health Care Centers •Flyers and brochures at HCCs for increased awareness • Person-to-person marketing of service at weekly HCC visits of target patient groups
  • 33.
    The Doctors • Provideoption to patients through PhilHealth Doctors • Selection of indigents that may benefit from the service
  • 34.
  • 35.
    Current Premium • 100Php/monthto be paid on quarterly, semi-annual, or annual schemes
  • 36.
    Proposed Premium • Additional50Php per month for the first year
  • 37.
  • 38.
    Where to findit? • Wherever there is PhilHealth • Barangay Health Centers • PhilHealth accredited physician offices
  • 39.
  • 40.
    The Winning Strategy •Goal: Improve PhilHealth coverage and access to its benefits • Focus on core weakness of PhilHealth processes - Patients don’t know their benefits - They don’t know HOW to obtain their benefits - They can’t allocate their healthcare budget on what’s most important to them • Forward accessibility of services
  • 41.
    10-Step Marketing Plan Kapit-Kamaysa Kalusugan (KKK) Health Management System Marc Edsel C. Ayes Marketing Management November 30, 2010