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2 – Source: McKinsey & Co, Individual Market Enrollment – An Updated View, 2014.
3 – Source: Private Exchange: U.S. Census, Bureau of Labor and Statistics, Kaiser Employer Health Benefits 2012 Annual Survey. Public Exchange: Congressional Budget Office 2013 Estimate of the Effects of the Affordable Care Act on Health Insurance Coverage, CBO’s February 2013
4 – Source: PwC Strategy & Consumer Survey, 2014.
5 – CSC.com, "How to unlock the future of your business"
1 – Source: PwC Health Research Institute Consumer Survey, December 2013 6 – CSC.com, "Cloud Empowered Enterprise, A Strategic Framework to Enable an Agile Enterprise"
7 – Forbes Insights, "Customers For Life" July, 2014
8 – CSC.com, "CIO Survey: 2014–2015"
10 – Ponemon Institute, "Cost of Data Breach Study: Global Study," 2013
11– CSC.com, "The Evolving Role of Data in Decision Making"
9 – *CSC.com, "CIO Survey: 2014–2015"
www.csc.com/contact_us
Contact CSC to discuss our suite of solutions that can help your
healthcare organization shift to a flexible, future-ready platform at
of enterprises will have adapted their
infrastructure to exploit big data insights to
their potential.11
LESS THAN 20% BY 2015
of CIOs and IT leaders in
healthcare believe big data
insights contribute positively
to productivity and efficiency.11
For personalized healthcare, accessing and
processing big data insights can not only
serve individuals as consumers, but help
save lives, improve outcomes and reduce
costs. This requires setting up the right
systems with the help of experts who
understand not only how to process data
ststreams from disparate sources, but who
can also turn that intelligence into
actionable results. The key is to employ an
advancing maturity model alongside your
new data management platforms:
PRESCRIPTIVE AND PREDICTIVE ANALYTICS FOR PERSONALIZED MEDICINE
Actual dollar loss is approaching
200 per data record for security breaches.
And most databases have millions of records.10
of IT leaders in healthcare see cyberscurity as a top priority this year.981%
With a growing number of engaged and mobile members and the continually escalating frequency
and sophistication of cyber attacks, the need for a well-constructed and governed cybersecurity
strategy is critical. Any breaches impact a company's image (and potentially market share) and can
have massive cost and financial penalty repercussions.
A COMPLETE CYBERSECURITY PROGRAM
of IT leaders in
healthcare view the
development of mobile
applications as a high priority
in the coming year.8
60%An increasingly mobile populace is comfortable
interacting with everything from banking to healthcare
providers from the palm of their hand.
MeaMeanwhile, healthcare providers can use mobile devices
to react quicker to patient needs and with greater
access to information. Mobile apps also generate closer
customer contact, greater point-of-purchase influence
and “customer-for-life” opportunities.7
A MOBILE & AGILE PLATFORM
Moving to a cloud-based
infrastructure can cut
your IT budget by
A cloud-empowered enterprise can see a
40% reduction in TCO for business-critical applications, freeing up resources for
more innovation.6
Cloud-based applications are faster to develop, test, and change and deploy; and the IT operating
model is dynamic and scalable to meet changing business conditions, enabling better and more
responsive support to business needs, at a lower cost.
CLOUD TRANSFORMATION AND I.T. INFRASTRUCTURE
Total cost of ownership (TCO) typically drops by
20%-30%largely from eliminating obsolete apps,
infrastructure and databases.5
80% of your IT budget is typically consumed by
managing legacy
applications.5
Legacy systems hinder adoption while also increasing your cost burden and reducing your
agility/market responsiveness. Further, healthcare organizations are frequently set up to support
employer groups instead of individual markets. The key is modernizing your platform to be
flexible and fast enough to adapt. Consider:
HEALTHCARE SYSTEMS INTEGRATION
Cloud transformation and I.T. infrastructure
A mobile and agile platform A comprehensive
cybersecurity program
Prescriptive and predictive analytics
A fully integrated healthcare system
With those three main goals informing your overall strategy, how you differentiate
yourself depends on how well you execute on these five key areas:
5 PILLARS FOR TRANSFORMATION5 PILLARS FOR TRANSFORMATION
Create a high-level roadmap for
transformation to state-of-the-art
individual market capabilities.
Develop an enterprise architectural
blueprint that supports these strategies,
including application portfolio analysis
and high-level infrastructure
architecture, future state architecture,
and modernization recommendations
for existing applications.
Develop a clear strategy for every
consumer market. It should include
the business and operational
strategies including business goals
and associated operational SLAs.
Diagnosis and Design of Path Forward
These three things should guide your journey to successful consumerization:
DIGITAL CONSUMER STRATEGY AND GOVERNANCE
START WITH SOUND STRATEGYSeeing through a consumer-first lens means knowing first how to deliver a
cohesive strategy and smart governance to deal with legacy problems.
START WITH SOUND STRATEGY
What does it all mean? You need a complete plan that delivers transformative, future-ready solutions to stay
competitive in this consumer-driven healthcare universe.
Even simple things, like selecting your health plan, are changing. Mobile apps and automated
services will streamline the process for consumers while lowering costs for insurance companies:
This doesn't mean there isn't still a place for both public and private exchanges.
Trends indicate a leveling off of overall public exchange growth while
private exchanges continue to climb.
We can only expect this trend to continue into the future. Surveys revealed that the majority of consumers age
18–44 prefer digital channels for insurance acquisition, while those 45 and older prefer brick-and-mortar experiences. As current generations age, they'll be more comfortable in a digital environment than today's
older consumers are.
Public vs Private Exchange Annual Enrollment3Millions of members
Consumer Preferred Forms of Engagement by Age4(Digital VS. Facility)
Need further proof? Consider the shifting approach in purchasing from B2B insurance channels to B2C since
2009 (forecast to 2016). In that time frame:
B2B channels (small and large group and ASO providers)
actually decline in growth by 2% 41%While B2C channels like
individual plans and
Medicare increase by
prefer a website provided by
employer to get prices
EMPLOYER WEBSITE
prefer to use “other” methods to
shop for healthcare
Examples:-Government websites; industry coalitions;
Pharmacy cost information
OTHER
prefer an online healthcare shopping
website with different options at
different prices as opposed to
things like individual insurance
company sites, retail clinic provider
sites, making phone calls
Examples:CaCastlight and Change Healthcare provide
expected cost information for physicians,
services, and prescriptions
SHOPPING WEBSITE
prefer to shop using their health
insurance company’s website
Examples:- my EasyBook by United Healthcare,
OOP cost calculatiors, public and
private exchanges menu of plan options
- 6% prefer a mobile app version
INSURANCE WEBSITE
prefer calling
around to get
prices
CALLING
prefer to use healthcare organization
and company websites
Examples:-Many retail clinics provide a menu of prices for
various treatments
-Many hospitals do not yet provide price
information
COMPANY WEBSITE
Overwhelmingly, consumers prefer to shop for health insurance online where they can evaluate options and plans across multiple carriers.
Technology-driven solutions place themember at the center of the industry
THE NEW APPROACH TO
HEALTHCARE
When it comes to healthcare in the 21st Century, one constant applies across the board: Whether it’s insurance companies,
patient care providers or pharmacies, a member-first philosophy is taking root. Employers are shifting more responsibility
onto employees, empowering members to make their own decisions regarding healthcare. Meanwhile, delivery methods
are shifting to direct channels, like mobile apps.
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