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Innovation
for a New Reality

Patrick Feeney
Senior Manager, Electronic Commerce
@pdf1974, @bcbsil

Event hashtag #MobiU2011
Innovation in Health Care
Key Themes Emerging Now, Soon … and Beyond


                                    #MobiU2011 - @pdf1974 - @bcbsil   2
The Need for Innovation




     Health Care                Increasing Customer
       Reform                       Expectations




  Rising Costs and          Shift to Consumer Focused
  Aging Populations               Business Models

                          #MobiU2011 - @pdf1974 - @bcbsil   3
Four Key Themes




    The Personalized
                            The Rise of
    Health Care
                            Prevention
    Experience


   The                                The
   “Unwiring”               Consumerism
   of Health Care           of Health Care




                       #MobiU2011 - @pdf1974 - @bcbsil   4
Health Information Anytime, Anywhere

 Health care is no longer confined to the hospital or doctor‟s office.
 At an increasing rate, health professionals and those they serve are seeking and
 receiving health information anytime, anywhere.


          Now                         Soon                        …and Beyond

        Simple remote              Cross-stakeholder                 Advanced genome
        patient monitoring         health information                mapping
                                   exchange

        Integrated wellness                                          Smart-chip
                                   Tele-Doctor /
        programs                   Tele-Medicine
                                                                     sensor networks

        Accountable care           2D Code Health                    Advanced
        organizations              Care Applications                 Bioinformatics

        Online personal
                                    Digital health                   Health care retail
        health records
                                    coaching                         exchanges

                                                        #MobiU2011 - @pdf1974 - @bcbsil   5
Innovation at HCSC
How we are pushing the boundaries

                                    #MobiU2011 - @pdf1974 - @bcbsil   6
Health Care Service Corporation (HCSC)


                                                          Life, Disability
                                                          and Annuities




                                                                Dental




13 Million+ Members || 16,000+ Employees || $15B+ 2010 Revenue

                  Other Subsidiaries and Joint Ventures




                                                  #MobiU2011 - @pdf1974 - @bcbsil   7
A Fundamental Shift

  “business as usual”…                          “new     reality”

     Existing members                     Potential new members

 13M
                                            Different characteristics

    Traditional products                         New products


          B2B focus
                                       Direct B2C market Prevention/wellnes
                                                                 s
    Traditional channels                         New channels



                        Tsunami of Regulation
                                                #MobiU2011 - @pdf1974 - @bcbsil   8
Case Study:
Blue Access Mobile Program




                      #MobiU2011 - @pdf1974 - @bcbsil   9
Significant Opportunity

   The competitive                      … required the timely
   landscape                            creation of a robust
   facing HCSC…                         mobile program
 Business Context                      Our Solution

• Rising costs for care/disease       • Develop mobile solutions to
  management and member                 create a simpler, more
  servicing                             affordable, and more
• Shifting member expectations to       accessible experience
  engage differently with their       • Develop a targeted multi-waved
  health plan                           approach focusing first on
• Increasing competitor interest in     members
  mobile                              • Build industry-leading capabilities
• Rising ubiquity of mobile usage       to become more in line with user
  across member base                    expectations

                                              #MobiU2011 - @pdf1974 - @bcbsil   10
Significant Opportunity

Blue Access Mobile aligns with HCSC’s                          …and enables HCSC to deliver a targeted
        corporate strategy…                                     and personalized mobile experience

Simpler
     Mobile provides members with convenient
     access to information and transactions
     Members interact with mobile devices all
     day, every day
                                                                        2013
More Affordable
     Mobile can help bend the cost curve by:
                                                               2012
           Reducing member servicing cost
                                                        2011
           (calls to call center, member
           mailings)
           Improving outreach and compliance
           with disease management programs
     …allowing for lower premiums


More Accessible
     Approximately 90% of HCSC members               Measurable Benefits
     have a mobile phone                                  Decreasing Administrative and Medical Costs
     Mobile phones allow for real time interaction        Generating revenue growth opportunities
     with members at the point of decision                Improving quality of care and member satisfaction




                                                                           #MobiU2011 - @pdf1974 - @bcbsil    11
“Mobile” is a combination of technologies

      Mobile phone sits at the intersection             Devices still evolving
                  Communication                         Communication Medium
                     Medium                              • Mobile is no longer simply voice, it is
                                                           voice and text
                                                          In the first half of 2010, it was estimated that
                                              Tablet?     72% of adults use their cell phones as a
                                                          means to send or receive text messages
                                                         • The trend is moving towards even less
                                                           voice communication
                                                          Teens spend about a half hour a day talking
                                                          on a cell phone, but 1½ hours a day sending
                                                          or receiving texts. 3

                                                        Application Platform
                                                         • Google, Apple, Palm and Blackberry
                                                           provide a platform for mobile application
                                                           development
                                                          “People aren’t making their decisions about
                                                          phones based on what apps to buy. But it is
                                                          becoming something of a consideration.”2


                                                        Tracking Device
                                                         • The mobile devices is becoming both
                                                           contextually and personally aware of you
Application                             Tracking          In February 2009, Google launched
 Platform                                Device           Latitude enabling people to track friends,
                                                          family, employees with, or without, GPS

                                                          #MobiU2011 - @pdf1974 - @bcbsil                    12
Targeted Audience

1                                   2                                      3
      Focus on the                       Identify Target                        Provide targeted
      Member first                      Member Segments                          segments with
                                                                                  personalized
                                                                                  opportunities




 •   HCSC‟s member population       •   HCSC‟s member population            •   mOpportunities were
     is inherently mobile, making       was segmented across three              identified based on the
     them the first population to       different levers:                       targeted segments‟ wants
     target for a mobile strategy         • Member servicing costs              and needs
                                          • Care management
 •   Members account for the              • Market segments                 •   HCSC will ultimately provide
     majority of both HCSC‟s cost                                               a personalized mobile
     and revenue                    •   Member segments with largest            experience that decreases
                                        mHealth ROI are targeted                cost and increases revenue,
                                                                                quality of care and member
                                                                                satisfaction




                                                                       #MobiU2011 - @pdf1974 - @bcbsil         13
Evolution of Mobile




                      #MobiU2011 - @pdf1974 - @bcbsil   14
Targeted Audience

                                                              Cost      Revenue     Quality   Satisfaction
                                     Member
                                  Servicing Costs
                                    (claims and EOB
                                      inquiries, etc.)
                                                                                                

        Use of Mobile              Health Status
        (Power, Casual,
            Non)
                                    (asthma, COPD,
                                     diabetes, etc.)                                            

                                  Sales Segment
                                 (individual, large group,
                                           etc.)
                                                                                                 

                  Segmenting Members
                                                                  Prioritizing & Targeting Segments
HCSC‟s membership will be segmented through two different     •    Member segments will be prioritized
lenses:                                                            and targeted based on a number of
      • Members will first be segmented by their mobile            various factors
        usage from power users to non users
                                                              •    Once segments are prioritized, those
      • Members will then be further segmented by HCSC
                                                                   with the largest potential mobile ROI
        business unit view of member (disease state, market
                                                                   will be targeted
        segment, admin cost)

                                                                      #MobiU2011 - @pdf1974 - @bcbsil
Targeted Audience

           Primary Targets                         Secondary Targets                   Non-Target

 The Mobile            The Whiz             The Late               The                  The Lost
  Managed               Bangs               Bloomers             Hesitants               Causes




      11%                  21%                 24%                   20%                   24%
                                                “All of my
“It would be nice    “They can tell me     information is all   “Health insurance      “I only have this
if you could send    where the nearest      over the place. I    fraud is difficult     one phone and
  us a text saying   Starbucks is, they   would love to have       to reset and I     I‟m not looking to
 the last time you   should be able to    it in one place and     would want to        upgrade… I still
 got this test was   tell me where the        just show the        know that it's      want my carrier
  Aug. 2006; you      nearest hospital     doctor „here look          secure”         sending me mail”
should schedule a            is”               at this app‟”     -26-35 year old ,      -- 55+ year old,
  new one now”       - 26-35 year old ,      46-55 year old              IL                   OK
– 31 year old , OK           IL               diabetic , NM


                                                                  #MobiU2011 - @pdf1974 - @bcbsil    16
Mobile Approach




   Mobile Web      Mobile       Mobile
                  Messaging   Applications




                                             17
Multi Wave Approach

                         Mobile Product Strategy                                    User Experience
                                                                                    All users experience standard, basic
Wave 1




                                   Foundational
         •Basic mobile capabilities and low data capabilities                       mobile capabilities focused on mWeb
         •Offers a „one size fits all‟ opportunity to members and targets           and 1-way SMS as fundamental
          all members                                                               technology is built out

                                    Intermediate                                    Capabilities including dynamic
Wave 2




         •Intelligent communications delivered via basic mobile                     communication are added, enabling
          capabilities
                                                                                    more effective exchanges between
         •Mostly „one size fits all‟ opportunities with specific upgrades to
                                                                                    member and payer
          accommodate for data integration

                                  Advanced                                          User preferences are leveraged and
Wave 3




         •Leveraging sophisticated mobile technologies to provide a                 incorporated into the communication
          seamless member experience complete with channel                          experience to ensure a streamlined
          optimization                                                              experience for member and payer


                                                                                    Technologies supporting multiple
Wave 4




                                    Integrated                                      channels and communication platforms
         •Building out the infrastructure to enable all necessary systems
                                                                                    are integrated to consolidate
          to interface with mobile applications
                                                                                    communications

                                                                                    The user has a holistic healthcare
                                 Customized
Wave 5




         •Provide a personalized mobile health experience tailored to a             experience with all tools, channels,
          user based on their health data                                           preferences, and health data integrated
                                                                                    and personalized for a user experience




                                                                               #MobiU2011 - @pdf1974 - @bcbsil             18
HCSC Blue Access® Mobile

       HCSC’s Multi-phased                         …is expected to produce a
       Blue Access Mobile                          significantly positive ROI
       Strategy…                                   beginning with the first “wave”

                                                           Wave 1 ROI (2010 -> 2016)
                                                    Cost                 Implementation: $4.3m
                                                                           Maintenance: $8.3m
                                                    Benefit                Admin cost: $25.0m
                                                    (savings)             Medical cost: $26.6m
                                                    Net                                    $39m


• Earlier “waves” focus on building foundational   • Benefits from administrative costs will be seen
  capability and addressing “low hanging fruit”      first, followed by medical cost savings

• Later “waves” include more advanced              • By leveraging the investment from Wave 1,
  capabilities designed to provide customers         subsequent waves are able to generate
  with a comprehensive mobile experience             similar or greater ROI


                                                                #MobiU2011 - @pdf1974 - @bcbsil   19
Blue Access Mobile:     Public Site

   Mobile Public Site
                                 Sample Features

                                  Mobile Quote        Provider Finder




                                            #MobiU2011 - @pdf1974 - @bcbsil   20
Blue Access Mobile:    Member Site

  Mobile Member Site         Sample Features
                                                            Coverage
                                         Claims Status
                               ID Card                     Information




                                  Maternity Care        Diabetes
                                   Information          Articles




                                           #MobiU2011 - @pdf1974 - @bcbsil    21
                                                                             21
Blue Access Mobile:             One-Way & Two-Way SMS Text

 Sample Features
    Diabetes Care                  Claims Status                          ID Card
   Management Tips


                                                                   BCBSIL

   Text:
   Eating protein with every                                                            IDCARD
   meal or snack helps slow
   the rise and fall of blood                                      ID #: ##, Medical Group #: ##,
                                                                   Coverage Effective
   sugar and reduce hunger                                         Date:MM/DD/YYYY
   cravings.
                                   A claim has been
                                   paid. Please log
                                   onto the Blue
                                   Access website for
                                   details.




                                                        #MobiU2011 - @pdf1974 - @bcbsil             22
Advanced Mobile Programs

Sample Features
     Blue Cross Blue Shield    WellDoc Diabetes Care
        Provider Finder       Management Pilot Program




                                   #MobiU2011 - @pdf1974 - @bcbsil   23
Blue Access Mobile Utilization

Mobile Web - National Statistics             •   Illinois Provider Finder Mobile App
• Mobile Public site visitors                    downloads (YTD)
     • 300%+ increase in public                   • Android: 5,747 downloads
        mobile website hits from April            • iPhone: 11,665 downloads
        2010 to 2011
•   Blue Access for Members (BAM)
    Mobile website stats (YTD)
     • 20,895 BAM logins via mobile
     • 8,186 BAM mobile claims
        page views
•   Shop for Insurance - Individual Retail
    Quotes (YTD)
     • 5,601 quotes generated



                                                         #MobiU2011 - @pdf1974 - @bcbsil
Questions
and Answers




              #MobiU2011 - @pdf1974 - @bcbsil

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MobiU2011 Lecture: STRAT225 Creating Mobile Conversations - BCBS

  • 1. Innovation for a New Reality Patrick Feeney Senior Manager, Electronic Commerce @pdf1974, @bcbsil Event hashtag #MobiU2011
  • 2. Innovation in Health Care Key Themes Emerging Now, Soon … and Beyond #MobiU2011 - @pdf1974 - @bcbsil 2
  • 3. The Need for Innovation Health Care Increasing Customer Reform Expectations Rising Costs and Shift to Consumer Focused Aging Populations Business Models #MobiU2011 - @pdf1974 - @bcbsil 3
  • 4. Four Key Themes The Personalized The Rise of Health Care Prevention Experience The The “Unwiring” Consumerism of Health Care of Health Care #MobiU2011 - @pdf1974 - @bcbsil 4
  • 5. Health Information Anytime, Anywhere Health care is no longer confined to the hospital or doctor‟s office. At an increasing rate, health professionals and those they serve are seeking and receiving health information anytime, anywhere. Now Soon …and Beyond Simple remote Cross-stakeholder Advanced genome patient monitoring health information mapping exchange Integrated wellness Smart-chip Tele-Doctor / programs Tele-Medicine sensor networks Accountable care 2D Code Health Advanced organizations Care Applications Bioinformatics Online personal Digital health Health care retail health records coaching exchanges #MobiU2011 - @pdf1974 - @bcbsil 5
  • 6. Innovation at HCSC How we are pushing the boundaries #MobiU2011 - @pdf1974 - @bcbsil 6
  • 7. Health Care Service Corporation (HCSC) Life, Disability and Annuities Dental 13 Million+ Members || 16,000+ Employees || $15B+ 2010 Revenue Other Subsidiaries and Joint Ventures #MobiU2011 - @pdf1974 - @bcbsil 7
  • 8. A Fundamental Shift “business as usual”… “new reality” Existing members Potential new members 13M Different characteristics Traditional products New products B2B focus Direct B2C market Prevention/wellnes s Traditional channels New channels Tsunami of Regulation #MobiU2011 - @pdf1974 - @bcbsil 8
  • 9. Case Study: Blue Access Mobile Program #MobiU2011 - @pdf1974 - @bcbsil 9
  • 10. Significant Opportunity The competitive … required the timely landscape creation of a robust facing HCSC… mobile program Business Context Our Solution • Rising costs for care/disease • Develop mobile solutions to management and member create a simpler, more servicing affordable, and more • Shifting member expectations to accessible experience engage differently with their • Develop a targeted multi-waved health plan approach focusing first on • Increasing competitor interest in members mobile • Build industry-leading capabilities • Rising ubiquity of mobile usage to become more in line with user across member base expectations #MobiU2011 - @pdf1974 - @bcbsil 10
  • 11. Significant Opportunity Blue Access Mobile aligns with HCSC’s …and enables HCSC to deliver a targeted corporate strategy… and personalized mobile experience Simpler Mobile provides members with convenient access to information and transactions Members interact with mobile devices all day, every day 2013 More Affordable Mobile can help bend the cost curve by: 2012 Reducing member servicing cost 2011 (calls to call center, member mailings) Improving outreach and compliance with disease management programs …allowing for lower premiums More Accessible Approximately 90% of HCSC members Measurable Benefits have a mobile phone Decreasing Administrative and Medical Costs Mobile phones allow for real time interaction Generating revenue growth opportunities with members at the point of decision Improving quality of care and member satisfaction #MobiU2011 - @pdf1974 - @bcbsil 11
  • 12. “Mobile” is a combination of technologies Mobile phone sits at the intersection Devices still evolving Communication Communication Medium Medium • Mobile is no longer simply voice, it is voice and text In the first half of 2010, it was estimated that Tablet? 72% of adults use their cell phones as a means to send or receive text messages • The trend is moving towards even less voice communication Teens spend about a half hour a day talking on a cell phone, but 1½ hours a day sending or receiving texts. 3 Application Platform • Google, Apple, Palm and Blackberry provide a platform for mobile application development “People aren’t making their decisions about phones based on what apps to buy. But it is becoming something of a consideration.”2 Tracking Device • The mobile devices is becoming both contextually and personally aware of you Application Tracking In February 2009, Google launched Platform Device Latitude enabling people to track friends, family, employees with, or without, GPS #MobiU2011 - @pdf1974 - @bcbsil 12
  • 13. Targeted Audience 1 2 3 Focus on the Identify Target Provide targeted Member first Member Segments segments with personalized opportunities • HCSC‟s member population • HCSC‟s member population • mOpportunities were is inherently mobile, making was segmented across three identified based on the them the first population to different levers: targeted segments‟ wants target for a mobile strategy • Member servicing costs and needs • Care management • Members account for the • Market segments • HCSC will ultimately provide majority of both HCSC‟s cost a personalized mobile and revenue • Member segments with largest experience that decreases mHealth ROI are targeted cost and increases revenue, quality of care and member satisfaction #MobiU2011 - @pdf1974 - @bcbsil 13
  • 14. Evolution of Mobile #MobiU2011 - @pdf1974 - @bcbsil 14
  • 15. Targeted Audience Cost Revenue Quality Satisfaction Member Servicing Costs (claims and EOB inquiries, etc.)    Use of Mobile Health Status (Power, Casual, Non) (asthma, COPD, diabetes, etc.)    Sales Segment (individual, large group, etc.)   Segmenting Members Prioritizing & Targeting Segments HCSC‟s membership will be segmented through two different • Member segments will be prioritized lenses: and targeted based on a number of • Members will first be segmented by their mobile various factors usage from power users to non users • Once segments are prioritized, those • Members will then be further segmented by HCSC with the largest potential mobile ROI business unit view of member (disease state, market will be targeted segment, admin cost) #MobiU2011 - @pdf1974 - @bcbsil
  • 16. Targeted Audience Primary Targets Secondary Targets Non-Target The Mobile The Whiz The Late The The Lost Managed Bangs Bloomers Hesitants Causes 11% 21% 24% 20% 24% “All of my “It would be nice “They can tell me information is all “Health insurance “I only have this if you could send where the nearest over the place. I fraud is difficult one phone and us a text saying Starbucks is, they would love to have to reset and I I‟m not looking to the last time you should be able to it in one place and would want to upgrade… I still got this test was tell me where the just show the know that it's want my carrier Aug. 2006; you nearest hospital doctor „here look secure” sending me mail” should schedule a is” at this app‟” -26-35 year old , -- 55+ year old, new one now” - 26-35 year old , 46-55 year old IL OK – 31 year old , OK IL diabetic , NM #MobiU2011 - @pdf1974 - @bcbsil 16
  • 17. Mobile Approach Mobile Web Mobile Mobile Messaging Applications 17
  • 18. Multi Wave Approach Mobile Product Strategy User Experience All users experience standard, basic Wave 1 Foundational •Basic mobile capabilities and low data capabilities mobile capabilities focused on mWeb •Offers a „one size fits all‟ opportunity to members and targets and 1-way SMS as fundamental all members technology is built out Intermediate Capabilities including dynamic Wave 2 •Intelligent communications delivered via basic mobile communication are added, enabling capabilities more effective exchanges between •Mostly „one size fits all‟ opportunities with specific upgrades to member and payer accommodate for data integration Advanced User preferences are leveraged and Wave 3 •Leveraging sophisticated mobile technologies to provide a incorporated into the communication seamless member experience complete with channel experience to ensure a streamlined optimization experience for member and payer Technologies supporting multiple Wave 4 Integrated channels and communication platforms •Building out the infrastructure to enable all necessary systems are integrated to consolidate to interface with mobile applications communications The user has a holistic healthcare Customized Wave 5 •Provide a personalized mobile health experience tailored to a experience with all tools, channels, user based on their health data preferences, and health data integrated and personalized for a user experience #MobiU2011 - @pdf1974 - @bcbsil 18
  • 19. HCSC Blue Access® Mobile HCSC’s Multi-phased …is expected to produce a Blue Access Mobile significantly positive ROI Strategy… beginning with the first “wave” Wave 1 ROI (2010 -> 2016) Cost Implementation: $4.3m Maintenance: $8.3m Benefit Admin cost: $25.0m (savings) Medical cost: $26.6m Net $39m • Earlier “waves” focus on building foundational • Benefits from administrative costs will be seen capability and addressing “low hanging fruit” first, followed by medical cost savings • Later “waves” include more advanced • By leveraging the investment from Wave 1, capabilities designed to provide customers subsequent waves are able to generate with a comprehensive mobile experience similar or greater ROI #MobiU2011 - @pdf1974 - @bcbsil 19
  • 20. Blue Access Mobile: Public Site Mobile Public Site Sample Features Mobile Quote Provider Finder #MobiU2011 - @pdf1974 - @bcbsil 20
  • 21. Blue Access Mobile: Member Site Mobile Member Site Sample Features Coverage Claims Status ID Card Information Maternity Care Diabetes Information Articles #MobiU2011 - @pdf1974 - @bcbsil 21 21
  • 22. Blue Access Mobile: One-Way & Two-Way SMS Text Sample Features Diabetes Care Claims Status ID Card Management Tips BCBSIL Text: Eating protein with every IDCARD meal or snack helps slow the rise and fall of blood ID #: ##, Medical Group #: ##, Coverage Effective sugar and reduce hunger Date:MM/DD/YYYY cravings. A claim has been paid. Please log onto the Blue Access website for details. #MobiU2011 - @pdf1974 - @bcbsil 22
  • 23. Advanced Mobile Programs Sample Features Blue Cross Blue Shield WellDoc Diabetes Care Provider Finder Management Pilot Program #MobiU2011 - @pdf1974 - @bcbsil 23
  • 24. Blue Access Mobile Utilization Mobile Web - National Statistics • Illinois Provider Finder Mobile App • Mobile Public site visitors downloads (YTD) • 300%+ increase in public • Android: 5,747 downloads mobile website hits from April • iPhone: 11,665 downloads 2010 to 2011 • Blue Access for Members (BAM) Mobile website stats (YTD) • 20,895 BAM logins via mobile • 8,186 BAM mobile claims page views • Shop for Insurance - Individual Retail Quotes (YTD) • 5,601 quotes generated #MobiU2011 - @pdf1974 - @bcbsil
  • 25. Questions and Answers #MobiU2011 - @pdf1974 - @bcbsil