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MONEY Sarah L. Sinha [email protected] Diana D. Sessions [email protected] Marie-Louise Saratsiotis [email protected] @AccentureHealth Accenture Health Copyright © 2017 Accenture All rights reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. CONNECT WITH US METHODOLOGY FOR MORE INFORMATION: SEE THE RESEARCH Accenture surveyed 2,000 US consumers, men and women aged 18+, both employed and unemployed, to assess how price transparency and affordability impact their behaviors related to medical services. The online survey, which Accenture conducted between August and September 2016, included both insured and uninsured consumers across eight regions: New England, Mideast, Great Lakes, Plains, Southeast, Southwest, Rocky Mountain and Far West, based on The Bureau of Economic Analysis definition of regions for comparison of economic data. The analysis provided comparisons by region, gender, age, household, employment and insurance status. ABOUT ACCENTURE Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations. Combining unmatched experience and specialized skills across more than 40 industries and all business functions – underpinned by the world’s largest delivery network – Accenture works at the intersection of business and technology to help clients improve their performance and create sustainable value for their stakeholders. With approximately 425,000 people serving clients in more than 120 countries, Accenture drives innovation to improve the way the world works and lives. Visit us at www.accenture.com. ABOUT ACCENTURE INSIGHT DRIVEN HEALTH Insight driven health is the foundation of more effective, efficient and affordable healthcare. That’s why the world’s leading healthcare providers and health plans choose Accenture for a wide range of insight driven health services that help them use knowledge in new ways—from the back office to the doctor’s office. Our committed professionals combine real-world experience, business and clinical insights and innovative technologies to deliver the power of insight driven health. For more information, visit: www.accenture.com/insightdrivenhealth. of younger generations of older generations Findings suggest that communication and education may play an important part in addressing consumer concerns and buying behaviors. For example: NEARLY ALL CONSUMERS WANT HEALTHCARE COST INFORMATION. Financial planning is the #1 reason that consumers want healthcare cost information (versus for price shopping or calculating affordability). This attitude is consistent across several demographics. EMPLOYMENT STATUS INSURANCE COVERAGE TYPE COST SHARING LEVEL Percentage of cost-conscious consumers who say “I want healthcare cost information to plan/budget for my out-of-pocket expenses – but it does not typically affect where or when I choose to receive services.” More Millennials and Gen Z consumers than older consumers indicated financial planning as the top reason for wanting cost transparency. Consumers with government insurance coverage have higher affordability concerns than those with commercial insurance. Medicaid patients have the lowest cost sharing levels, and yet have the most concern about the affordability of out-of-pocket costs. Gen X and Millennials are significantly more price sensitive With the exception of Medicaid, all are the number one reason within each category. When told in advance how much a medical service would cost… The young are also more than 3 times as likely to price shop as older generations. Consumers that have concerns about their ability to pay for medical services. Percentage of cost-conscious consumers who say “I want healthcare cost information to plan/budget for my out-of-pocket expenses – but it does not typically affect where or when I choose to receive services.” of consumers overall chose a lower cost provider Almost half of those consumers want it for financial planning purposes; very few use the information to price shop for a different provider. EDUCATE TO DIFFERENTIATE Employed THE SHOW ME 48 % Unemployed 44 % Medicare Employer/Direct Purchase Other Gov’t Commercial Insurance Marketplace Medicaid 55 % 53 % 53 % 46 % 17 % 18 % 16 % 6 % 1 % Plan Covers 100% $650 - $1,299 $1,300 - $2,599 $2,600 - $5,199 >$650 >$5,200 Baby Boomers Silents Millennials Gen Z Gen X Uninsured Insured ABILITY TO PAY 49 % 51 % 50 % 52 % 48 % 44 % THE TAKE ON TRANSPARENCY IS CONSISTENT ACROSS DEMOGRAPHICS THE TAKE ON TRANSPARENCY IS CONSISTENT ACROSS DEMOGRAPHICS THE YOUNGER GENERATION WILL DRIVE DEMAND FOR TRANSPARENCY THE YOUNG ARE MORE PRICE SENSITIVE Despite having the lowest levels of cost sharing responsibility (copays, deductibles, coinsurance). PRICE SHOPPING Medicare Other Gov’t Medicaid 45 % Employer/Direct Purchase Insurance Marketplace 46 % 91 % of consumers would like pricing information from providers in advance of care. of cost-conscious consumers want healthcare cost information “to plan/budget for my out-of-pocket expenses – but it does not typically affect where or when I choose to receive services.” 5 % 17 % 12 % 61 % 42 % 38 % 34 % 59 % 33 % 41 % 33 % There’s almost no downside to providing healthcare cost information upfront. In fact, offering price transparency and financial education could be especially beneficial for younger patients and those with price sensitivity. THE DEMOGRAPHICS OF HEALTHCARE PRICE TRANSPARENCY 43 % 33 % Gen X 28 % Millennials 26 % Baby Boomers 19 % ...decided to delay receiving the service. Gen X Millennials Gen Z 61 % 47 % Baby Boomers 45 % 42 % Government Commercial

The Demographics of Healthcare Price Transparency | …...61% 42% 38% 34% 41% 59% 33% 33% There’s almost no downside to providing healthcare cost information upfront. In fact, o˜ering

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Page 1: The Demographics of Healthcare Price Transparency | …...61% 42% 38% 34% 41% 59% 33% 33% There’s almost no downside to providing healthcare cost information upfront. In fact, o˜ering

MONEY

Sarah L. [email protected]

Diana D. [email protected]

Marie-Louise [email protected]

@AccentureHealth

Accenture Health

Copyright © 2017 Accenture All rights reserved.

Accenture, its logo, and High Performance Delivered are trademarks of Accenture.

CONNECT WITH US

METHODOLOGYFOR MORE INFORMATION:

SEE THE RESEARCH

Accenture surveyed 2,000 US consumers, men and women aged 18+, both employed and unemployed, to assess how price transparency and a�ordability impact their behaviors related to medical services. The online survey, which Accenture conducted between August and September 2016, included both insured and uninsured consumers across eight regions: New England, Mideast, Great Lakes, Plains, Southeast, Southwest, Rocky Mountain and Far West, based on The Bureau of Economic Analysis definition of regions for comparison of economic data. The analysis provided comparisons by region, gender, age, household, employment and insurance status.

ABOUT ACCENTUREAccenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations. Combining unmatched experience and specialized skills across more than 40 industries and all business functions – underpinned by the world’s largest delivery network – Accenture works at the intersection of business and technology to help clients improve their performance and create sustainable value for their stakeholders. With approximately 425,000 people serving clients in more than 120 countries, Accenture drives innovation to improve the way the world works and lives. Visit us at www.accenture.com.

ABOUT ACCENTUREINSIGHT DRIVEN HEALTHInsight driven health is the foundation of more e�ective, e�icient and a�ordable healthcare. That’s why the world’s leading healthcare providers and health plans choose Accenture for a wide range of insight driven health services that help them use knowledge in new ways—from the back o�ice to the doctor’s o�ice. Our committed professionals combine real-world experience, business and clinical insights and innovative technologies to deliver the power of insight driven health. For more information, visit: www.accenture.com/insightdrivenhealth.

of younger generationsof older generations

Findings suggest that communication and education may play an important part in addressing consumer concerns and buying behaviors.

For example:

NEARLY ALL CONSUMERS WANT HEALTHCARE COST INFORMATION.

Financial planning is the #1 reason that consumers want healthcare cost information (versus for price shopping or calculating a�ordability). This attitude is consistent across several demographics.

EMPLOYMENT STATUS

INSURANCE COVERAGE TYPE

COST SHARING LEVEL

Percentage of cost-conscious consumers who say “I want healthcare cost information to plan/budget for my out-of-pocket expenses – but it does not typically a�ect where or when I choose to receive services.”

More Millennials and Gen Z consumers than older consumers indicated financial planning as the top reason for wanting cost transparency.

Consumers with government insurance coverage have higher a�ordability concerns than those with commercial insurance.

Medicaid patients have the lowest cost sharing levels, and yet have the most concern about the a�ordability of out-of-pocket costs.

Gen X and Millennials are significantly more price sensitive

With the exception of Medicaid, all are the number one reason within each category.

When told in advance how much a medical service would cost…

The young are also more than 3 times as likely to price shop as older generations.

Consumers that have concerns about their ability to pay for medical services.

Percentage of cost-conscious consumers who say “I want healthcare cost information to plan/budget for my out-of-pocket expenses – but it does not typically a�ect where or when I choose to receive services.”

of consumers overall chose a lower cost provider

Almost half of those consumers want it for financial planning purposes; very few use the information to price shop for a di�erent provider.

EDUCATE TO DIFFERENTIATE

Employed

THE

SHOW ME

48%

Unemployed44%

Medicare

Employer/DirectPurchase

Other Gov’t

CommercialInsuranceMarketplace

Medicaid55%

53%

53%

46%

17%18%16%

6%

1%

Plan Covers100%

$650 - $1,299

$1,300 -$2,599

$2,600 - $5,199

>$650 >$5,200

BabyBoomers

Silents Millennials Gen ZGen X

Uninsured Insured

ABILITY TO PAY

49% 51%50%

52%

48%

44%

THE TAKE ON TRANSPARENCY IS CONSISTENT ACROSS DEMOGRAPHICS

THE TAKE ON TRANSPARENCY IS CONSISTENT ACROSS DEMOGRAPHICS

THE YOUNGER GENERATION WILL DRIVE DEMANDFOR TRANSPARENCY

THE YOUNG ARE MORE PRICE SENSITIVE

Despite having the lowest levels of cost sharing responsibility (copays, deductibles, coinsurance).

PRICE SHOPPING

Medicare Other Gov’tMedicaid

45%

Employer/DirectPurchase

InsuranceMarketplace

46%91%of consumers would like pricing information from providers in advance of care.

of cost-conscious consumers want healthcare cost information “to plan/budget for my out-of-pocket expenses – but it does not typically a�ect where or when I choose to receive services.”

5% 17%

12%

61%

42%

38%

34%

59% 33%41% 33%

There’s almost no downside to providing healthcare cost information upfront. In fact, o�ering price transparency and financial education could be especially beneficial for younger patients and those with price sensitivity.

THE DEMOGRAPHICS OF HEALTHCARE PRICE TRANSPARENCY

43%

33%

Gen X 28%

Millennials 26%

Baby Boomers19%

...decided to delay receiving the service.

Gen XMillennialsGen Z

61% 47%

Baby Boomers

45%42%

Government Commercial