Posted on April 5, 2016 09:54 PMComments:
I'm excited to present this survey we put out to our community to get a better sense of their goals and who and how they are interested in being rewarded. With our launch of Tandem we have created a very flexible way for any types of sponsors to deliver rewards and incentives for a whole range of health related activities. These could be lifestyle related or more specific to managing your health in the health system. Examples include:
- Visiting your physician
- Getting your flu shot
- Enrolling in a prevention program (e.g. diabetes)
- Getting a screening
- Using telehealth services
Posted on March 30, 2016 04:51 PMComments:
Posted on March 29, 2016 08:02 PMComments:
It's All About Sales in Healthcare - Created with Haiku Deck, presentation software that inspires
Health insurance is partly a game of hardcore sales and then a game of mitigating risk.
- Help me schedule my appointments
- Offer some training webinars/seminars
- Give me a chance to meet “my navigator person” in person
- Let me connect with them over phone, text or email
- Grocery stores
- Ride sharing companies (Uber)
- Travel (Expedia)
- Ecommerce (Amazon)
- Fitness classes (Classpass)
- Select premium mobile apps
Posted on March 24, 2016 03:34 PMComments:
- Why HRAs don’t work, and may even leave individuals LESS likely to change health habits.
- How new behavioral influence methods help people create sustainable healthy habits.
- How hyper-personalization drives engagement.
- Why you’ll never want to roll out a traditional HRA again, when you see what’s possible instead.
Posted on March 10, 2016 04:27 PMComments:
Poor experience increases friction. Friction increases effort. Effort increases time. Time is money. And that financial burden gets pushed down to each of us.
Portals display information. Invisible interfaces trigger and acknowledge action in a welcomed way.
Posted on March 1, 2016 05:49 PMComments:
What is guaranteed issue? Guaranteed issue prohibits insurers from charging differentials based on health status and requiring them to offer coverage to any purchaser. What this means is that anyone can buy insurance at an established price regardless of their health status. The risk in guaranteed issue is the adverse selection death spiral where only people that need to use the insurance buy it. That’s why regulations require that everyone have insurance or face a penalty.
- Risk Adjustment: Redistributes funds from health plans that have low risk to health plans that have higher risk enrollees. The idea is that health plans shouldn’t be penalized because they got a bunch of high risk members (i.e. adverse selection).
- Risk Corridors: Limits losses beyond an allowable range with the idea of encouraging health plans to keep premiums down. The government would step in and manage payments to reduce big swings in the initial years of healthcare reform. This has not worked. If you read my post “Insurance Co-ops and the Risk Corridor – Land of the Lost” you would see that insurers asked for $2.87 billion while only $362 million was available for payout. The result? Half of the co-ops set up for the Exchange are out of business and more are falling (see the recent news on Moda).
- Reinsurance: Provides payments to plans that enroll higher cost individuals. The idea is to protect against rising premiums by capping risk for high cost enrollees.
What other ways can we address the problem?
Posted on February 5, 2016 08:39 PMComments:
Posted on January 19, 2016 03:35 PMComments:
I have a good friend, Andrew Sykes, who is a well-respected wellness actuary. I’d say he is one of the sharpest guys in healthcare I have met and he is an advisor for our company. We spend a lot of time talking about the consumerization of healthcare and how personalization is an imperative to align the right interventions to the right people at the right time. The prevailing wisdom has been to first assess a person, figure out a bit more about them, and then propose something they should do. The problem with the traditional assessment is that it is fraught with error. Andrew Sykes wrote an article a few years back articulating why he believes this is the case and I wanted to share the high points.
What is a health risk assessment? A health assessment typically consists of about 5-10 pages of questions that cover topics around exercise, eating, alcohol, biometrics, and more. Many of you have probably filled one out (when you are going to get $100+ from your employer most likely). Here are the problems with traditional assessments according to Andrew Sykes:
1. Health assessments paint a biased picture of the population. Most people that fill out health assessments are healthier than average so the data is skewed. It is more worthwhile to just assume that your population maps to the general population of healthcare prevalence (why wouldn’t they?) and focus the attention (and incentive dollars) on programs.
2. We have really poor memories. I can’t even remember what I did yesterday so when the assessment asks questions about my physical activity or my nutrition I am likely going to recollect myself in a much better state (oh, of course I work out 5 days/week). We have hindsight bias and wishful memories.
3. We know we’re being observed. We know the assessment is going to be collected and reviewed by someone, somewhere. As a result, we alter our behavior because we are being observed. And we know what the right answer should be so we’re inclined to overestimate our health too. There is a term for this called the Hawthorne Effect. Asking fewer questions with more frequency in a less intrusive way can glean more accurate information.
4. We are programmed to misreport. As humans we are already biased to misreport because anything less than “getting a good grade” is failure. As a result, we tell “white lies” on health assessments that we skim through in as little time as possible. When the reports come back that we’re actually healthier than we really are, it only exacerbates the problem.
5. Health assessments focus too much on risk factors, not health habits. Health assessments ask questions to smoke out high risk individuals for intervention but that’s not how health assessments are marketed. They are marketed to promote positive health drivers. Improving health isn’t about merely being “not sick” but rather helping make someone their best selves. If a health assessment is actually going to be useful, its content should be squarely focused on improving health drivers like exercise, nutrition and sleep.
6. Health assessments actually drive up healthcare costs. Health assessments give people a “free pass” to go visit their physician and get prescription medications which drive up healthcare costs. Most people do not learn about the results from their health assessment and fundamentally change their behavior. By going to the doctor with some new information, individuals can work to “treat” their health risks rather than reverse them with a change in lifestyle.
The traditional health assessment is dead. Let’s stop spending money on it as soon as possible. It’s not enough to say that it’s a good year over year benchmark because people aren’t truthful and healthcare is not getting improved because of the assessment. There is a better way. Learning about individuals is a process, not a 5-10 page questionnaire. It is a process that directly accompanies engagement in actions and programs designed to improve health, not just treat the health risk.
Posted on November 9, 2015 02:30 PMComments:
Posted on November 9, 2015 12:10 AMComments:
Awesome blog posts
- higi Acquires EveryMove
- Can Google Maps Save Healthcare?
- Technology is Not the Problem in Consumer Healthcare
- Improving Health Without Healthcare
- How Marketing Can Save Healthcare
- EveryMove Adds to its Clinical Advisory Board
- Health and Well-Being as a Competitive Advantage -- Invitation to Work Room
- What Would Jeff Bezos Do In Healthcare?
- Running 100 Miles Toward the Health Evolution Summit
- Top 5 Ways Health Plans Win by Not Competing on Price