Creative Models for Finding, Reaching and Marketing to the Un- and Under-insured: Lessons Learned from One State
Health Insurance Exchange.
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Marketing to the Uninsured
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Creative Models for Finding,
Reaching and Marketing to the
Un- and Under-insured:
Lessons Learned from One State
Health Insurance Exchange
Sponsored by KPS3 Marketing
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Presenters
STEPHANIE KRUSE
CEO of KPS3 Marketing
Reno, NV
stephanie@kps3.com
M. DONALD KOWITZ
Retired CEO of Saint Marys Health Plans
Reno, NV
mdkowitz@aol.com
S H E R R I R I C E
CEO of Access to Healthcare Network
Reno, NV
sherri@accesstohealthcare.org
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Our topic today:
Two creative models
for identifying, reaching
and enrolling un- and
under-insured persons.
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Model 1:
A creative union between Saint Marys
Health Plans and Access to Healthcare
Network to reach uninsured Nevadans and
market the Saint Marys health insurance
products on the state exchange
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Model 2:
A successful research-based marketing
AND outreach program developed by
KPS3 Marketing to market Nevadas health
insurance exchange
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The players in Model 1:
Access to Healthcare Network
損損 Mission: increase access to primary and specialty healthcare service for the under and
uninsured, working poor, Nevada residents, through shared responsibility and community
wide partnership
損損 The first nonprofit Medical Discount plan in the United States. Licensed with the Nevada
Division of Insurance
損損 Served over 35,000 low income Nevadans since 2007
Saint Marys Health Plans
損損 A regional healthcare company with a full range of commercial health insurance products
and administration services
損損 Serves over 65,000 members in Nevada
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Model 1
How the model worked:
Role of Saint Marys Health Plans
損損 Competitive product and rates
損損 Product design that mirrored member financial responsibility in AHNs existing medical
discount plans
Role of AHN
損損 Marketing
損損 Enrollment
損損 Care coordination
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Model 1
Why we thought we could do this and benefit Nevadans, and our organizations.
損損 SMHP wanted to participate in the Nevada exchange but minimize the potential risk of a
previously uninsured population
損損 AHN served several thousand people with its medical discount plan that placed a heavy
emphasis on member financial responsibility and care coordination
損損 Many of AHNs members were eligible for subsidies to purchase insurance and AHN would
lose them as medical discount plan members
損損 Since AHNs members were already accessing health care, they posed less risk than a
population with no previous health care coverage
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Model 1
Why Health Plans decided to partner with a non-profit.
損損 AHN had deep relationships with its medical discount plan members and could influence their
selection of a health plan on the exchange
損損 AHN had a care coordination model that was effective in assisting its members to receive care
in the appropriate setting
損損 AHN was creative and entrepreneurial; they were willing to become a licensed brokerage in
order to sell exchange products to their members
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Model 1
Lessons learned during enrollment. What we achieved.
損損 SMHP enrolled almost 5,000 exchange members in Northern Nevada
損損 A significant portion of those resulted from AHNs efforts
損損 Given the problems with the exchange web site, a partner like AHN, directing members
to SMHP and assisting them in the enrollment process, was critical to achieving targeted
membership results.
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Model 1
Claims experience with AHN members who enrolled. Difference between
care coordinated members and non-care coordinated members.
損損 Claims experience still being evaluated
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Model 1
What if you dont have an ideal non-profit to partner with?
損損 Build your own strong care coordination component
損損 Partner with social services entity
損損 Find an organization with knowledge of what each FPL level qualifies for
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Model 2
KPS3 Marketing: Nevada Health Links marketing and outreach firm.
損損 Full-service marketing, advertising, PR, digital firm
損損 23 years of healthcare marketing: providers, carriers, public health, associations
損損 Founder: 11 years prior experience in healthcare marketing
損損 Based in Reno and Las Vegas, national client base
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Model 2
The research foundation to discover how our targets think and act.
Especially about an unknown concept and sensitive topic.
損損 Secondary research
損損 Focus groups on brand, imagery, concepts to reach them
損損 Pre-campaign survey
損損 Self awareness: We are not our target audience
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Model 2
Messaging
損損 Explain the concept of an exchange
損損 Simple terms, comparisons, graphics
損損 Explain value of insurance to uninsured:
avoiding big debt or bills, staying healthy
to work and enjoy life, protecting your
family, the mom factor, peace of mind
損損 Income based, based on your budget (not
affordable)
損損 Our targets wanted to know there would
penalties on taxes
損損 $50/month threshold
損損 This is no laughing matter
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Model 2
Outreach
損損 Trust, personal relationships critical
損損 Non profit, religious,
government partners
損損 Events and presentations
損損 Door to door campaign
損損 School program
損損 Tupperware parties
損損 Enrollment events (updating this year
to storefronts)
損損 Measured in quality of touches
and cost per touch
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Model 2
Channels to reach prospects
損損 Outreach
損損 TV
損損 Radio
損損 Transit
損損 Outdoor
損損 Digital/mobile (great for measurement)
損損 Print for Spanish and rural Nevada
損損 PR
損損 Some social
損損 B2B delayed because SHOP module didnt function
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Model 2
Challenges
損損 Non functioning website for much of
enrollment period
損損 Call center not staffed adequately
for first two months
損損 Controversy of ACA and HealthCare.gov
損損 Pricing of plans above prospects
stated price point
損損 Variations in brokers and
assisters approaches
損損 Large influx of new Medicaid members
損損 Young Invincibles
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Model 2
Results
損損 20 million plus visitors to website,
2 million plus unique
損損 Hundreds of thousands of calls to call center
損損 Post campaign survey: from 11% to 68%
awareness in target audience, remarkable
unaided recall of brand, 87% of prospects
state propensity to buy but BIG price
sensitivity
損損 Strong results in digital/mobile -
high click through, views of pre-roll video
損損 Less than 90 cents in cost per touch
of 1.6 million touches in outreach
損損 37,937 people enrolled and paid
(payment module didnt work well)
損損 474,453 people completed applications
and 45,729 selected a health plan
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Lessons learned for
next enrollment
損損 Value of people who know the target populations
損損 Personal assistance in enrolling
損損 Enrollment events - ease of access
損損 Have a website that works