IMS Strategyn Health Care Study - 1 Setting the Stage for Disruptive Innovation in the Health Care...

IMS

Strategyn Health Care Study - 1

Setting the Stage forDisruptive Innovation

in the Health Care Industry

Introduction page

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What is Strategyn?

Strategyn specializes in the discovery of high-growth emerging markets and thecreation of breakthrough product andservices. Our patented approach toinnovation is featured in the January 2002issue of the Harvard Business Review …

... and in the March issue recognized asone of the best business ideas of 2002.

What is Strategyn

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Our approach is the result of 10 yearswork with companies such as HP,Johnson & Johnson, Medtronic, Agilent,Motorola, UTC and Bosch, all ofwhich have applied Strategyn’s thinkingto manage various aspects of innovation.

How did we evolve?

How did we evolve?

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What successes havebeen realized?

How will this impact your bottom line?

Cordis became the angioplasty balloon market leader - gaining over 20 points of share. They also created the stent - which became a $1 billion market in one year … the fastest growing medical device in history.

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How did they achievethis success?

Minimize the force tocross the lesion

Minimize restenosis- recurrence

Minimize the time to move in winding vessels

Minimize damage toother vessels

Minimize the time to place the balloon

1) Uncovered the criteria their customers used to judge value.

70+

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2) Quantified their importance and the degree to which they were currently satisfied.

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3) Identified the opportunities for improvement - the most important, leastsatisfied criteria.

46%Value delivered

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4) Devised and patented product features that better satisfied the key opportunities for improvement.

46%Value delivered 70%

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2y + yz3 x zy3 + yz3 x zy3 - x2y3z6 + 2x2 + 2y + yz3 x zy3 - x2y3z6 +

x2y3z6 + 2x2 + 2y + yz3 x zy3 - x2y3z6 + 2y + yz3 x zy3 + yz3 x zy3 -

x2y3z6 + 2x2 + 2y + yz3 x zy3 - x2y3z6 + 2y = The Optimal Solution

How do we think about theinnovation process?

The process is analogous to solving a complex simultaneous equation, where the objective is to find the best solution to satisfy the criteria used to judge value.

Solutions

Criteria

OptimalSolution

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How is the process typicallyaddressed?

Organizations often talk with customers to formulate and brainstorm ideas, select those to prototype, evaluate them with customers and use the feedback to make design refinements ... without ever knowing what criteria customers use to judge value.Solution-basedSolution-based

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What is wrong with this approach?

Talk withcustomers

Document requestedsolutions

Deliver what customers request

It is a process of trial and error Conflicting outcomes between constituents

are often unknown Hundreds of worthless ideas are considered Breakthrough ideas may go unnoticed The wrong trade-off’s may be made

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How does Strategyn makethese improvements?

We have devised a system for measuring the value of an idea ... making it possible to formulate and pursue breakthrough ideas, while avoiding investments in efforts that will ultimately fail.

IBM PCjr1984 - 1985

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What do we do differently?

Outcome-basedOutcome-based

Capture and prioritize all the criteria customers use to judge value

Systematically focus creativity on key opportunities for improvement

Optimize ideas to create breakthrough solutions

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How can this be applied tothe health care industry? Understand how value is measured

in the eyes of each constituent Prioritize the opportunities for

improvement Provide critical information needed

for strategy formulation

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What is the goal?

The goal is to provide suppliers, insurers, regulators, service providers and others in the industry with the market insight that is needed to direct resources and speed progress toward health care reform and market and product innovation

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What are the challenges?

There are many constituents - suppliers, insurers, regulators, service providers and patients - all of whom have conflicting desired outcomes …

… but all of which are increasingly more dependent on the patient as a source of revenue.

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How can we leveragethis fact?

We can provide the industry with a customer-centric view of the market …

… a view that will set a foundationfrom which disruptive innovationcan flourish.

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How do we begin?

We begin by understanding, from the customer’s perspective, what job they are trying to perform … or what underlying process they aretrying to execute.

Managing HealthObtaining

Care

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1. Manage basic body functions2. Maintain physical function3. Assess physical condition4. Ensure proper nutrition5. Reduce the risk of disease6. Manage medications7. Manage mental health8. Manage disease

Managing Health


Care

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1. Accessing care2. Diagnosing illness3. Planning treatment4. Obtaining treatment5. Managing costs6. Paying bills

Obtaining Care


Care

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What do we do next?

Next, we determine what customers are trying to achieve and how they measure success as they execute this job or underlying process.


Care

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Define the customer(s) Plan outcome-based interviews Capture “desired outcomes” Net out duplicate outcomes

How do we capture thesemeasures of value?

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How was this accomplished?

In May 2002, we conducted interviews with 70 males and females of all ages and income levels to capture their desired outcomes on managing their health and obtaining health care.

The interviews were conducted in Miami, FL and Minneapolis, MN.

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What criteria are used to judge value?

When managing basic body functions, people are trying to: Get the proper amount of sleep Achieve the desired level of energy – prevent fatigue Maintain regularity – regular bowel movements Remain free from pain, move without pain Prevent dehydration

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When maintaining physical function, people are trying to: Maintain body weight within a desired range Maintain the desired level of muscle tone Maintain the desired level of strength Maintain the desired level of flexibility Maintain the desired level of physical performance

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When assessing physical conditions, people are trying to: Determine if any genetic defects are present Determine if any toxins are present in the body Determine if any hormonal imbalances are present Determine if any internal body parts are being overburdened Know with certainty that the body is free from disease

10

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When ensuring proper nutrition, people are trying to: Determine how the body is reacting to what is eaten Determine if certain foods are not being digested properly Determine which foods may have potentially harmful effect Determine if the body is properly absorbing nutrients Determine what dosage of supplements should be taken

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When reducing risk of disease, people are trying to: Prevent the likely onset of a genetically disposed disease Minimize the frequency of illness – e.g., common cold Minimize the frequency of allergic reactions Reduce the risk of contracting a curable disease or infection Prevent the build-up of harmful toxins, pollutants in the body

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When managing medications, people aretrying to: Minimize the number of medications that must be taken Determine what dosage produces the desired results Determine if a medication is having the desired effect Avoid unwanted drug interactions and side effects Ensure needed medications are taken when required

5

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When managing mental health, people aretrying to: Maintain a positive attitude Stay mentally alert Maintain concentration and focus Determine why you do things that are not good for you Manage anxiety

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When managing disease, people aretrying to: Slow the progression of an incurable disease Prevent the aggravation of an existing medical condition Prevent a cold/illness from getting worse Learn how to control, manage a disease/problem Prevent the reoccurrence of a disease

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What is unique about thesedesired outcomes? They are stable over time They are finite in number They represent all the customer’s

measures of value

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1

2

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n

Solution A

Outcomes

Solution B

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Solution “N”

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EVOLVED

100%

0%

The Objective of Innovation

OutcomesOutcomes

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Prepare a survey Administer it to a larger population Determine the importance of each

outcome Determine the degree to which they

are satisfied

How do we prioritizethe outcomes?

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How was this accomplished?

Between August and October 2002, we surveyed 270 individuals that represented an accurate sample of the US population across age and gender.

Age Group Female Male Total 20 - 34 41 41 82 35 – 44 33 33 66 45 – 54 25 25 50 55 – 64 18 18 36 65 – 80 18 18 36 Total 135 135 270

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What new insights does thispresent to the industry? Prioritize areas of opportunity Identify segments of opportunity

… and with this knowledge we can …

Apply disruptive technology concepts Create outcome-based “purpose” brands

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Outcomes

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Prioritize areas of opportunity

Determine if geneticdefects are present

Determine if any toxinsare present in the body

Maintain body weight within a desired range

Maintain the desiredlevel of muscle tone

Maintain concentrationand focus

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Opportunity = Importance + f(Importance - Satisfaction)

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Identify segments ofopportunity

4 segment solution

Segments of opportunity

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Apply disruptive technologyconcepts

Determine if geneticdefects are present


Maintain body weight within a desired range

Maintain the desiredlevel of muscle tone


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CostLevel

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Outcomes

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Create outcome-based“purpose” brands

PurposeBrand

PurposeBrand

DescriptorBrand

DescriptorBrand

Not

ext

enda

ble

but m

ost v

alua

ble

Infinitely extendable

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Uncovered opportunities across the broad market

Discovered 4 market segments and unique opportunities within each Prioritized opportunities to pursue

with disruptive technologies Identified potential “purpose” brands

What were the keyfindings?

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Broad Market Opportunities - Managing Health(Greatest Opportunities for Improvement Across All Segments)

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Broad Market Opportunities - Managing Health(Opportunities for Improvement Across All Segments)

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Broad Market Opportunities - Managing Health(Least Opportunities for Improvement Across All Segments)

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Broad Market Opportunities - Obtaining Care(Greatest Opportunities for Improvement Across All Segments)

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Broad Market Opportunities - Obtaining Care(Opportunities for Improvement Across All Segments)

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Broad Market Opportunities - Obtaining Care(Opportunities for Improvement Across All Segments)

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Broad Market Opportunities - Obtaining Care(Least Opportunities for Improvement Across All Segments)

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What were the keyfindings? Uncovered opportunities across the

broad market Discovered 4 market segments and unique opportunities within each Prioritized opportunities to pursue


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Why are marketssegmented?

To effectively and efficiently market products and services to individuals who value the same desired outcomes and therefore the same solutions.

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How are market usuallysegmented?

Markets are often segmented by SICcode or industry groups, business size, price point, geography, age or some other convenient classification.

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What is wrong with thisapproach?

It is rare to find the segment population to be homogeneous as customers seldom agree on which outcomes are most important and least satisfied ...

… thereby undermining the reasonsfor segmenting.

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What would work better?

It is best to identify groups of individuals who agree on which outcomes are most important and least satisfied ...

… this is the market’s natural order of segmentation.

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Why opportunity-basedsegments? They are substantial Filled with opportunity Have important implications for action Are accessible and measurable Are homogeneous Define market entry points for

disruptive technology

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SelectAttributes Data Analysis

Cluster

ProfileSegments

ClusterAnalysis

The objective is to group together customers that uniquely

value certain outcomes - to discover the market’s “natural

order” of segmentation.

Opportunity-based Segmentation Process

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How are the attributesselected?

We select the attributes that explain why some customers are different than others ...

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Nearly everyone rates the attribute high opportunity - will not serve as a basis for segmentation.

Nearly everyone rates the attribute low opportunity - will not serve as a basis for segmentation.

Clear differences in opinion exist - serves as a solid basis for segmentation.

High variance; low kurtosis

Low variance; high kurtosis

Low variance; high kurtosis

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

Selecting Segmentation Variables

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72

10

Selected Variables

1. Achieve the desired level of energy - prevent fatigue

2. Determine the reason you feel the way you feel

3. Determine how much of a specific food is

acceptable without having harmful effects

4. Determine if any genetic defects are present

5. Maintain the desired level of physical performance

6. Determine if all senses are functioning properly

7. Prevent dehydration

8. Continue to look youthful

9. Determine if any toxins are present in the body

10. Reduce the risk of unwanted pregnancy

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Identify segments ofopportunity

4 segment solution

Segments of opportunity

1

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n

Outcomes

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What solutions exist?1

2

3

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n

Outcomes

5 segments 33 11 14 26 16

4 segments 21 37 29 13

3 segments 51 20 29

2 segments 35 65

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Segment 2Body Basics

(Outside-In)

21%34%Segment 3

Healthy Minded(Mind Over Matter)

Segment 1Food Centric

(Inside-Out)24%

Segment 4Genetically

At Risk(Pre-Destined)

Opportunity-based segments are segments of opportunity.

21%

Opportunity-Based Segments

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This segment manages health from the inside-out as they address issues related to food consumption, nutrient absorption and food processing. “You are what you eat.”

Segment 1: Food Centric

21%

24%34%

Segment 3: Healthy Minded

Segment 2: Body Basics Segment 4: Genetically At Risk

This segment feels their health is pre-destined and acts to prevent or control diseases to which they are genetically disposed.

21%This segment manages health from the mind, as they are intent on keeping it clear and focused and free from stress. “Healthy mind, healthy body”.

This segment manages health from the outside-in, as they are focused on maintaining weight, muscle tone and joint flexibility - as well as managing anxiety. “Look good - feel good”.

Segment Definitions

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Food Centric (inside-out) - Individuals in this segment manage their health by focusing on what goes into their bodies. They are concerned with what to eat, nutrient imbalances, toxins and toxic effects and food absorption and processing. They are also concerned with overburdening any internal organs and making sure they are working properly. Memory is also a key issue.

When obtaining health care, they are concerned with questionable tests and procedures, with costs for non-standard treatments and with treatment plans that do not work.

This segment contains a higher population of women (64%) and people under 5’6’’. They tend to have lower than average incomes, come from the Northeast or Northwest and have a greater concern for their health. They are more likely to have government paid insurance and to be unsatisfied with their primary physician. They make more doctor visits than average, have more children between 1 and 5 and feel they should have better access to premium services.

Segment 1

21%

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Opportunities - Segment 1(Managing Health)

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Opportunities - Segment 1(Obtaining Health Care)

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Segment 2

Body Basics (outside-in) - Individuals in this segment manage health from an external perspective. They are concerned with maintaining muscle tone, body weight and joint mobility as well as maintaining concentration and focus and managing anxiety. They are also concerned with preventing the recurrence of a disease as well as preventing a genetically disposed disease.

When obtaining health care they are concerned with the time it takes insurance companies to approve requested treatments and second opinions along with them denying treatments and dragging their feet when paying charges. This segment is also concerned with the cost of prescription drugs.

The individuals in this segment tend to be less educated and contain a higher percentage of smokers (25%) and people without insurance (15%). They are more likely to be between 20 - 34 and 65 - 80 and to use the web to diagnose problems, find alternative treatments and to validate diagnoses.

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Segment 3

Healthy Minded (mind over matter) - Individuals in this segment believe that a healthy mind means a healthy body. They want to maintain a positive attitude, stay mentally alert, get the proper amount of sleep and maintain focus and concentration. They want to remain free from pain and relieve physical stress. They are also concerned with contracting and spreading disease and with unwanted drug interactions.

When obtaining health care they are concerned with mis-diagnoses, taking the wrong treatment and negative side-affects from the treatment.

Individuals in this segment tend to be middle age (35 - 54), more educated, have higher incomes and older children at home. They are less concerned about health care issues although most have insurance (97%). They are more satisfied with their insurance company and with their primary physician and are more likely to believe that only those that can afford superior health care should get it. Theyare more likely to be from the Northwest and to search the web usingGoogle and “other” methods - but not for diagnosis information.

21%

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Segment 4

Genetically At Risk (pre-destined) - Individuals in this segment are trying to determine if any genetic defects exist, to prevent the onset or reoccurrence of a genetically disposed disease and/or to learn to control a disease or problem once diagnosed. They are strongly concerned with the toxin levels in their body and if their senses and internal body parts are overburdened or functioning improperly. Relieving mental stress is also a key issue.

When obtaining health care they want to obtain care quickly in the event of an emergency and to reduce the cost of long term disability insurance. They want a quick and accurate diagnosis when needed and an insurance company that will not deny the needed treatments.

This segment tends to be somewhat older, more educated and to have higher incomes. They are the least satisfied with their health care coverage, most likely to use alternative treatments and to believe that everyone should have the same care - regardless of what they can afford. They are more likely to use the web (Web MD) and to live in the upper mid west.

24%

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Disrupting Segment 11

2

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n

Outcomes

Determine what foodsshould be eaten

Determine which foodsmay have toxic effects

Detect any vitamin ornutrient imbalances

Prevent the buildup ofharmful toxins

Determine if nutrientsare properly absorbed

10

8

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6

SkillLevel

9

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CostLevel

1-1

1-1

1-1

1-1

1-1

Target

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Disrupting Segment 1:Suppliers/Providers1

2

3

4

n

Outcomes

Nutrient deficiency testing kits Electronic food “consultants” that

analyze nutrient deficiencies prior to eating and suggest the best “meal”

Food testing products that show when and how foods react and when toxic build-ups occur

Nutrient absorption testing kits

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Disrupting Segment 1:Insurers1

2

3

4

n

Outcomes

Flexible testing protocols that minimize the number of wasteful diagnostic tests

Treatments that are “guaranteed” to address the problem - patients do not have to pay for faulty treatment plans

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2

3

4

n

Outcomes

Maintain weight withinthe desired range

Maintain mobility ofthe joints

Maintain muscle toneto desired levels

Manageanxiety

Prevent the recurrenceof a disease

8

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7

7

8

SkillLevel

7

6

5

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7

CostLevel

1-1

1-1

1-1

1-1

1-1

Target

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2

3

4

n

Outcomes

Low-cost muscle stimulators that maintain muscle tone

Exercise programs that combine weight management with maintenance of joint mobility

Cigarette replacements to help manage anxiety

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2

3

4

n

Outcomes

Real time approvals for requested treatments and second opinions

No treatments are denied - costs are shared with patients who choose higher cost treatment options

Charges are paid by the insurance company in 20 days

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2

3

4

n

Outcomes

Maintain a positiveattitude


Stay mentallyalert

Get the proper amountof sleep

Avoid unwanted drug interactions

7

8

7

4

9

SkillLevel

6

6

7

5

8

CostLevel

1-1

1-1

1-1

1-1

1-1

Target

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2

3

4

n

Outcomes

Genetically developed foods and supplements that improve focus and concentration

Sleep educing drugs/herbs with no side effects or drug interactions

On-line “cheerleaders and coaches” to help maintain a positive attitude

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2

3

4

n

Outcomes

Consumers pay more to cover optional advanced diagnostic tests when concerned with mis-diagnoses and wrong treatments

Patients use web-based tool to assess potential side affects from treatments (available in doctor’s office)

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2

3

4

n

Outcomes

Determine if any geneticdefects are present

Validate presence of adisposed disease


Determine if any bodyparts are overburdened

Relieve mentalstress

10

8

7

8

6

SkillLevel

9

7

6

8

7

CostLevel

1-1

1-1

1-1

1-1

1-1

Target

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2

3

4

n

Outcomes

Genetic screening to detect defects Self-administered toxin tests to

determine if any toxins are present Body “stress test” to see if any body

parts are being overburdened

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2

3

4

n

Outcomes

Consumers pay more for “quick action” emergency care option

Special long-term disability insurance for those genetically disposed to disease

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Create outcome-based “purpose” brands

PurposeBrands

PurposeBrands

DescriptorBrand

DescriptorBrand

Infinitely extendable

You are whatyou eat

Look good,feel good Healthy mind,

healthy body

Plan for the worse,hope for the best

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What can we conclude?

Many opportunities for improvement exist in the market …

… only 51% of the desired value is being delivered to people managing their health ...

… only 39% of the desired value is being delivered to people when obtaining health care

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Consumers are not best segmented by age, income or gender

Consumers think differently about obtaining health care in each segment

Unique market strategies are appropriate

The market is ripe for disruption

What can we conclude?

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What strategies begin to emerge?


Care

Suppliers create low cost - low skill products forconsumers. Theseproducts - which are notcovered by insurance - help patients manage theirhealth in the way they seefit and reduce or moreefficiently manage theneed for care.

Insurers provide differentoffering to address theunique outcomes in eachsegment. These“premium” services - whichdo not include the mostpopular, low cost “tools”,will create more customervalue and provide a higherreturn.

Providers continue to manage patient“breakdowns”, focusing on high-end solutions, butalso assist patients inmanaging health byproviding solutions thatare not yet ready for low cost/low skill - e.g. geneticscreening.

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Appendix

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Region S1 S2 S3 S4 TotalNortheast 20% 10% 12% 14% 13%Southeast 18% 19% 14% 17% 17%Up mid-west14% 29% 25% 32% 26%Low mid-west 20% 16% 14% 19% 17%West 5% 10% 5% 3% 6%Northwest 18% 7% 18% 3% 10%Southwest 5% 10% 12% 12% 10%

In what part of the US do you live?

Region

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Degree S1 S2 S3 S4 Total4 29% 42% 49% 37% 40%5 - Very 72% 58% 51% 63% 60%

How concerned are you about the health care issues that impactyour ability to manage your health?

Degree Concerned About Issues

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Yes/No S1 S2 S3 S4 TotalYes 27% 23% 23% 23% 24%No 73% 77% 77% 77% 76%

Do you suffer from any chronic diseases?

Suffering From Chronic Diseases

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Gender S1 S2 S3 S4 TotalMale 36% 54% 56% 51% 50%Female 64% 46% 44% 49% 50%

Are you a male or female?

Gender

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Age S1 S2 S3 S4 Total20 - 34 34% 36% 26% 24% 31%35 - 44 23% 19% 30% 29% 24%45 - 54 21% 19% 19% 14% 18%55 - 64 11% 11% 14% 19% 13%65 - 80 11% 16% 11% 14% 13%

What is your age?

Age

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Number S1 S2 S3 S4 Total1 - 3 46% 53% 54% 51% 52%4 - 7 27% 25% 23% 23% 24%8 - 12 11% 10% 11% 17% 12%13 - 20 7% 4% 11% 6% 7%More than 20 9% 8% 2% 3% 6%

How many times have you visited a doctor in the past 12 months?

Number of Doctor Visits

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Yes/No S1 S2 S3 S4 TotalYes 91% 85% 97% 92% 90%No 9% 15% 4% 8% 10%

Do you have health care insurance?

Insurance

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Who Pays S1 S2 S3 S4 TotalEmployer 10% 22% 16% 23% 18%Employer-you 35% 24% 33% 32% 30%Spouse emp 12% 14% 15% 18% 15%You 12% 19% 16% 12% 15%Government 20% 14% 11% 12% 14%Union 0% 0% 2% 2% 1%Other 12% 6% 6% 2% 6%

Do you have health care insurance?

Who Pays For Insurance

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Level S1 S2 S3 S4 Total1 - Not at all 8% 3% 2% 5% 4%2 8% 9% 9% 10% 9%3 41% 39% 26% 33% 35%4 22% 23% 35% 35% 28%5 - Totally 22% 27% 29% 17% 24%

How satisfied are you with your health care insurance coverage?

Satisfaction With Insurance

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Source S1 S2 S3 S4 TotalGoogle 7% 10% 18% 17% 13%Harvard 2% 0% 4% 2% 2%Mayo Clinic 4% 7% 5% 8% 6%NLM 0% 1% 1% 5% 2%Web MD 14% 22% 18% 25% 20%Other 4% 4% 12% 8% 7%None 71% 62% 51% 49% 59%

Which of the following web sites do you use as asource for medical information?

Sources of Information

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Use S1 S2 S3 S4 TotalDiagnose 27% 34% 7% 28% 25%Alternatives 27% 40% 26% 38% 33%Validation 40% 49% 37% 44% 43%

Is it very important for you to use the web to ...?(Percent responding 5, very important)

Web Uses

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Type S1 S2 S3 S4 TotalChiropractor 14% 20% 14% 14% 16%Acupuncture 4% 3% 4% 0% 3%Homeopathic 4% 4% 5% 9% 6%Massage 14% 7% 11% 15% 11%Spiritual MD 4% 3% 4% 5% 4%Other 5% 8% 4% 5% 6%None 70% 65% 67% 62% 66%

Which of the following alternative medical services haveyou received in the past 12 months?

Alternative Care

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Number S1 S2 S3 S4 TotalNone 52% 50% 44% 51% 49%1 18% 17% 25% 22% 20%2 21% 25% 18% 12% 20%3 7% 7% 5% 8% 7%4 2% 1% 5% 6% 3%5 0% 0% 4% 0% 1%More than 5 0% 0% 0% 1% 0%

How many children do you have living at home?

Number of Children

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Number S1 S2 S3 S4 TotalNone 56% 67% 66% 59% 63%1 33% 10% 13% 25% 19%2 11% 20% 16% 13% 15%3 0% 0% 3% 3% 2%More than 5 0% 0% 3% 0% 2%

How many of your children are between the ages of 1 and 5?

Number of Children Ages 1 - 5

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Level S1 S2 S3 S4 Total1 - Not at all 0% 4% 2% 6% 3%2 9% 3% 4% 9% 6%3 23% 11% 7% 8% 12%4 38% 29% 33% 31% 32%5 - Totally 30% 52% 54% 45% 46%

How satisfied are you with your primary health care physician?

Satisfaction With Primary Physician

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Level S1 S2 S3 S4 Total1 - Not at all 2% 7% 7% 5% 5%2 0% 5% 12% 3% 5%3 - Agree 20% 23% 23% 12% 20%4 16% 13% 18% 14% 15%5 - Strongly 63% 52% 40% 66% 55%

Do you agree that everyone should receive the same health care,regardless of what they can afford?

How Should the System Work?

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Do you agree that you should get premium services only ifyou are willing to pay more for them?


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Do you agree that you are obligated to subsidize the medicalpayments of others in the US so they can obtain needed care?


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Income S1 S2 S3 S4 Total< $25K 23% 16% 11% 22% 18%$25 - $50K 27% 42% 40% 25% 34%$51 - $75K 23% 15% 23% 12% 18%$76 - $100K 13% 7% 9% 23% 12%$101 - $150K 6% 2% 12% 9% 7%$150 - $200K 2% 1% 0% 2% 1%> $200K 0% 1% 0% 0% 0%D/N, Refused 7% 15% 5% 8% 10%

What is your household income?

Income

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Level S1 S2 S3 S4 TotalGrade school 2% 7% 2% 3% 4%High school 21% 27% 19% 20% 23%2 year 23% 19% 14% 11% 17%Some college 13% 12% 14% 14% 13%College 21% 23% 28% 31% 26%Masters 16% 8% 18% 15% 13%PhD 0% 0% 4% 3% 2%

What is the highest degree you have received?

Education

IMS


Height S1 S2 S3 S4 TotalLess than 5ft 0% 1% 0% 1% 1%5’0’’ - 5’4’’ 36% 22% 19% 22% 24%5’5’’ - 5’6’’ 21% 14% 18% 17% 17%5’7’’ - 5’10’’ 23% 30% 40% 34% 32%5’11’’ - 6’0’’ 14% 13% 14% 12% 13%6’1’’ - 6’3’’ 4% 15% 7% 12% 10%6’4’’ or more 2% 3% 2% 2% 2%

What is your height?

Height

IMS


Reason S1 S2 S3 S4 TotalCannot get appointments 16% 24% 19% 14% 19%Services are unaffordable 20% 16% 12% 14% 16%Take too much time out of schedule 18% 10% 11% 17% 13%Cannot get the doctor you want14% 9% 16% 17% 13%No faith that doctor has best answer 12% 15% 7% 17% 13%Doctor does not know your history 14% 6% 16% 9% 11%

How frequently do you avoid obtaining medical care because ....?(Top 2 box - percent responding frequently)

Reasons for Avoiding Medical Care

IMS


Reason S1 S2 S3 S4 TotalBelieve doctor cannot help 9% 14% 4% 12% 10%Unfriendly staff 9% 12% 4% 12% 10%Bad past experiences with doctor 13% 13% 4% 8% 10%Fear the procedure required 11% 10% 9% 8% 9% Fear what you might be told 12% 13% 2% 3% 8%Fear of mistakes, malpractice 12% 7% 2% 6% 7%The drive is too long 2% 5% 9% 3% 5%

How frequently do you avoid obtaining medical care because ....?(Top 2 box - percent responding frequently)

Reasons for Avoiding Medical Care

IMS


Statement S1 S2 S3 S4 TotalI know when I need medical care 84% 86% 86% 91% 88% I want a doctor to show real interest 91% 86% 81% 91% 87%I will play a more proactive role89% 85% 81% 88% 86% I want to control how money is spent 69% 54% 65% 65% 60%I can choose a quality hospital 54% 61% 61% 58% 59%I trust the info doctors give me 54% 61% 49% 54% 55%I can choose a quality doctor 52% 55% 49% 49% 52%Focused on money, not services 55% 41% 35% 51% 46%I can choose a quality plan 48% 46% 44% 45% 45%I do not trust I can get what I need 38% 27% 35% 40% 34%

To what degree do you agree with ....?(Top 2 box - percent that strongly agree)

Ideas on Health Care

IMS


Statement S1 S2 S3 S4 TotalTotal mismatch in what is offered 32% 32% 14% 34% 29%I’d be more productive with drugs 30% 33% 14% 33% 28%I’m forced to do more than desired 32% 29% 16% 26% 26% I would consider myself overweight 27% 24% 23% 31% 26%I know as much as the doctor 30% 26% 12% 26% 24%Doctors are forced to do wrong thing 25% 21% 19% 32% 24%I am losing my faith in doctors 23% 13% 11% 17% 16%I’d use web, not doctor for diagnosis 18% 21% 9% 15% 16%I need more info to manage weight 14% 16% 9% 12% 13%

To what degree do you agree with ....?(Top 2 box - percent that strongly agree)

Ideas on Health Care

Date post:	21-Dec-2015
Category:	Documents
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IMS Strategyn Health Care Study - 1 Setting the Stage for Disruptive Innovation in the Health Care...

Documents