CMS is doing some market research for the companies that will be selling to or servicing the newly insured under the reform law, including those who may be purchasing through exchanges. (CMS Paper) Seems like an odd role for them, but I am sure with the concern about what will happen when reform really hits home, they wanted to see if they could do whatever might help it be successful. The basic thrust of the presentation is segmentation of the potentially newly insured and how to address the various subgroups. Of the uninsured population, about 48 million people, over half are under the age of 35, over half are at 138% of poverty level or below in terms of income, 55% are male and the majority are minorities, with almost a third being Hispanic. There is a wide geographic diversity in number and percent of uninsured. Surprisingly, 75% are full-time workers in a family. Only 11% completed college and almost 16% have no English speaking adult in the household. CMS goes on to use a six-bucket lifestyle and psychographic approach to segment the group. These buckets are Informed, Healthy & Educated; Sick, Active & Worried; Mature and Secure; Healthy & Young; Passive & Unengaged; and Vulnerable & Unengaged. In terms of the uninsured, about 48% are Healthy & Young; 29% are Sick, Active & Worried and 15% are Passive & Unengaged. CMS goes on to suggest the major concerns of each bucket and how they might be reached with marketing. While it is kind of weird that our tax dollars are being spent in this manner, the research is interesting.
✅ Subscribe via Email
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
Healthy Skeptic Podcast
This is an outstanding report on total global drug spending and trends, with projections out to 2025. It helps you understand this important area of health care, which does much...
June 1, 2021
MedPAC 2019 Report to Congress
June 18, 2019
Mercer, a large benefits consulting firm, confirms that health plan premiums are rising in 2023, publishing survey results showing that employers expect an increase of costs by at least 5%....
December 9, 2022
More money pouring into young health care companies as Dispatch Health gains $330 million in new capital to deliver high acuity health care in a patient’s home, rather than a...
November 30, 2022
A lot of money is invested in health care startups and growth companies, since health care is 20% of the economy, but the returns aren’t always good. Here is another...
November 1, 2022
Access ACO Care Management Chronic Disease Comparative Effectiveness Consumer Directed Health Consumers Devices Disease Management Drugs EHRs Elder Care End-of-Life Care FDA Financings Genomics Government Health Care Costs Health Care Quality Health Care Reform Health Insurance Health Insurance Exchange HIT HomeCare Hospital Hospital Readmissions Legislation M&A Malpractice Meaningful Use Medicaid Medical Care Medicare Medicare Advantage Mobile Pay For Performance Pharmaceutical Physicians Providers Regulation Repealing Reform Telehealth Telemedicine Wellness and Prevention Workplace