Jay Sheehy, senior vice president of product innovation at EmblemHealth, explained that being able to tailor your message to specific patient populations will help to better engage consumers, which will prove to be more successful for healthcare companies in the long term.
Jay Sheehy, senior vice president of product innovation at EmblemHealth, explained that being able to tailor your message to specific patient populations will help to better engage consumers, which will prove to be more successful for healthcare companies in the long term.
Transcript (slightly modified)
Do you differentiate between consumers who are in the marketplace versus consumers with employer insurance?
We do, and we need to. The difference is: are you directly engaging with the consumer, which is where you’re going in the marketplace, or are you working through the employer or their advocate, being a broker or a consultant. Are they a part of that process? So you need to tailor your message.
Also you often find there are different ways to really get to the consumer, meaning that when you’re dealing with an employer, it can be an amalgamation of a lot of different backgrounds, so you may have to change your message. You may have to adjust your message to what the employers strategy is as well, as opposed to gong direct to the consumer.
However my view, and based upon all of my research over the last several years, is we are really moving to a consumer marketplace. By 2020, I feel over 60% of the healthcare in the United States through 1 means where another will be direct to the consumer with public exchanges, with Medicare, with Medicaid and with private exchanges. So again, refining and really understanding the consumer in the marketplace is going to be really critical for all of us to be successful longer term.
You expect more people on the exchanges and that more employer coverage may diminish in the future?
I think similar to 25 or 30 years ago when we moved from defined benefit pension plans to 401k, I think we’re clearly reaching a tipping point in the United States where we’re moving from defined benefits sponsored by employers to more defined contribution programs with vehicles like the public and private exchanges are very fast growing, rapid areas for the employer groups where they’re looking for help to really give the good housekeeping seal of approval on different arrays of choices but giving their employees more choice but actually moving towards that defined contribution program.
Real-World Study Reveals Key Insights into DLBCL Treatment Patterns, Outcomes
April 18th 2024A recent study offers valuable insights into the characteristics, treatment patterns, and outcomes of diffuse large B-cell lymphoma (DLBCL) in patients across different lines of therapy, providing a look into the landscape of DLBCL management.
Read More
Overcoming Employment Barriers for Lasting Social Impact: Freedom House 2.0 and Pathways to Work
April 16th 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our second episode, in which we learn all about Freedom House 2.0 and the Pathways to Work program.
Listen
Making Giant Strides in Maternity Health Through Baby Steps
April 9th 2024To help celebrate and recognize National Minority Health Month, we are kicking off a special month-long podcast series with our strategic alliance partner, UPMC Health Plan. Welcome to our first episode, which is all about the Baby Steps Maternity Program and its mission to support women throughout every step of their pregnancy journey.
Listen
Gene and Cell Therapies Hold Potential—but How Can Payers Manage Their Costs?
April 18th 2024Presenters at the Academy of Managed Care Pharmacy (AMCP) 2024 annual meeting discussed the current promise and future potential of gene and cell therapies, as well as payer management strategies for these costly treatments.
Read More
Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
Read More