Another Kitchen Sink Survey: What consumers think about a variety of healthcare topics…

1. Another Kitchen Sink Survey:What consumers think about a variety of healthcare topics… Presented by: Rob Klein, President Klein & Partners, Inc. 4th Quarter, 2010

2. Introduction

3. Introduction Background and Purpose • The purpose of this quantitative survey was to understand consumers’ current thinking on a wide range of healthcare-related topics. Topics included: • Healthcare reform • Primary care physician interactions • Mobile messaging • Smart phones • Tag reader • Electronic medical records • Communication preferences and interest in new information sources • Websites visited • Hospital and health plan choice influencers • Price shopping • Sleep studies • Preventive screening guidelines • Health insurance • Second opinions Methodology • A national online survey was conducted among 400 heads of household, 21 or older who are most responsible for healthcare decisions for the household. The interviewing was conducted from October 19-26, 2010. The sample frame used was e-Rewards’ online consumer panel. The final data set was weighted by education. • The total sample size of 400 yields a sample error of +/-4% at the 90% Confidence Level (CL). For example, if this study were repeated 100 times, in 90 times out of that 100 (i.e., 90% confidence level) we would find a total sample statistic of 50% to fall within 46% and 54%. • In the charts, letters (e.g., A, B, C) and arrows indicate a statistically significant difference at the 90% Confidence Level. Colors and bolding are used to highlight interesting patterns and/or findings.

4. ...and now the rest of the story

5. …before and after Healthcare reform

6. Not too surprisingly, issue importance varies greatly by political party affiliation: Democrats Economy and education Republicans Taxes/spending and terrorism Q1: Which of the following issues is MOST important to you?

7. Q2: If you currently have health insurance, do you think there will or will not be a specific benefit to you with this new healthcare reform?

8. Less confidence… but it separates along party lines again. Q3: Do you expect to see lower healthcare costs for you if health reform passes in Washington?/… now that health reform has passed?

9. Q4: Now that healthcare reform has passed, if you had a choice to buy health insurance from the federal government or from a private insurance company, which do you think you would prefer?

10. Q5: What do you think will get better or worse for you personally with the new healthcare reform?

11. Q6: How do you feel healthcare reform will impact your relationship with your…?

12. Q7: Who do you really trust to help you figure out and navigate the new healthcare system that will emerge through healthcare reform in the coming years?

13. Women are more optimistic than men Q10: Do you think in 5-6 years when healthcare reform is fully implemented that we will have a healthcare system that is…?

14. Women significantly more likely than men Sometimes we just need the right carrot! Q9: If you were offered a financial incentive to change a certain aspect of your lifestyle, how likely would you be to change that behavior or lifestyle?

15. Primary care physician

16. 87% of folks have a primary care physician. Q11: Do you have a primary care or personal physician? Q12: When you were first looking for a new primary care physician, where did you look or who did you talk to about finding a new doctor?

17. Preferred communication method with physician Q13: Which ONE communication method would you most prefer for……?

18. Mobile messaging

19. Q14: How interested would you be in receiving MOBILE MESSAGING from these caregivers about your own health? Q15: What type of health-related information would you most like to receive via mobile messaging from a caregiver?

20. ‘Can you hear me now?’ Smart phones

21. Apps downloaded: WebMD – 4% Others – 6% None – 90% Q16: Have you used a smart phone or any phone that can access the internet to go online and do any of the following…? Q17: And which of the following, if any, would you be very interested in using a smart phone to look up in the near future? Q18: Have you downloaded any ‘Apps’ to your smart phone that are related in any way to healthcare or to managing your health? What?

22. Tag reader

23. Q19: Are you aware of this ‘App’ and, if so, have you downloaded and used this ‘App’?

24. Electronic medical records

25. Q20: How interested would you be in having online access to your own personal health record called an Electronic Medical Record to track your own health through a secure website that only you and your doctor and hospital can access? Q21: How would you prefer to access your electronic medical record? Q22: If your current primary care physician could not provide you with access to your Electronic Medical Records how likely would you be to switch to a new primary care doctor that could provide you access to your Electronic Medical Records?

26. Communicaton methods

27. Q23/24: Which of the following communication methods have you used and how would you like to be able to communicate with your…?

28. Q23/24: Which of the following communication methods have you used and how would you like to be able to communicate with your…?

29. Q23/24: Which of the following communication methods have you used and how would you like to be able to communicate with your…?

30. Q23/24: Which of the following communication methods have you used and how would you like to be able to communicate with your…?

31. Websites visited

32. Hospital website – 33% Health plan website – 54% Really great healthcare-related websites: WebMD – 9% BCBS – 3% Mayo Clinic – 3% UnitedHealthcare – 2% Aetna – 2% Drugs.com – 1% None – 75% Q25/26: Have you been to a hospital/health plan website in the past year? Q25a/26a: What got you to go to that hospital’s/health plan’s website? Q27: Have you visited any really great healthcare-related websites lately that really stuck in your head? If so, what healthcare-related websites were really great?

33. Interest in new information sources

34. Green = old school Blue = new school Q28: Which of the following sources have you ever sought health-related information from?

35. Q29: Which of the following information, if any, have you sought on the Internet?

36. Q30: Next, which of the following online health-related activities have you participated in over the past few years?

37. (especially older and no college) Q31: If you could be sent regular reminders for when specific preventive care appointments are due, which ONE of the following methods would you most prefer to receive these reminders from?

38. ! Q32: Which of the following healthcare topics have you recently read something about? Q33: Which of the following healthcare topics would you be very interested in reading an article on in the future? Q34: Which of the following people or organizations would you trust to receive these articles from?

39. Choosing a hospital or health plan

40. Information source credibility – for choosing a hospital Average used = 7% Average credibility = 17% Q35: Next, if you had to be hospitalized and you wanted to gather information about which hospital you should choose, which of the following sources of information are most credible to you (whether you have used them or not) and which ones have you actually used?

41. Information source credibility – for choosing a health plan Average used = 7% Average credibility = 19% Q36: If you were choosing a new health plan and you wanted to gather information about which health plan you should choose, which of the following sources of information are most credible to you (whether you have used them or not) and which ones have you actually used?

42. Transparency Price shopping

43. Transparency/Price shopping Not sure = 28% Q37: Within the past year, did you or did a member of your immediate household contact any healthcare organization, hospitals, or physician offices to ask about the price for a specific visit, test, treatment, or surgery? IF YES… Q38: How did you check on pricing? Q39: What type of health service did you ask about pricing for? Q40: Did you end up choosing the least expensive provider?

44. Sleep studies

45. 12% of Americans have had a sleep study conducted… …especially men and those 45-64 (Older) (Younger) Q41: Have you ever had a sleep study conducted? Q42: Have you ever discussed any sleeping issues with your doctor? Q43: Whether or not you have had a sleep study conducted personally, if you were to have a sleep study conducted where you spend the night at a Sleep Center would you prefer that Sleep Center be located…?

46. Preventive screening guidelines

47. Negative Positive Q44: There are common preventive screening guidelines put out by different institutions such as the government, health-related associations. These guidelines could include at what age you should start receiving a certain test, how often you should receive it, and what certain results mean. Which of the following words would you use to describe how you feel about these guidelines?

48. Health insurance

49. Older Average premium increase = 12% Premium has not gone up – 31% Not sure – 31% Q45: What type of health insurance, if any, do you have? Q46: What choice did you have when you selected your health insurance plan? Q47: How much, if at all, has your monthly premium gone up in the past year?

50. 8% do not have health insurance A third of adults (32%) have had to delay or avoid seeking healthcare services in the past year because they couldn’t afford the cost due to a change in employment or health benefits – this number rises to 79% of those without health insurance. Q45: What type of health insurance, if any, do you have? Q48: You checked that you currently do not have health insurance. Which of the following best describes your current situation?