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ERB EXECUTIVE RESEARCH BRIEF 2016 AGE-IN STUDY MARKETING TO MEDICARE AGE-INS: INTERNET AND DIRECT MAIL TRENDS Deft Research’s 11th annual Age-in Study was published in June of 2016. The survey captures the attitudes and preferences of 64-year olds as they approach Medicare enrollment. The report is designed to help health plans and marketers develop specific strategies, tailor messaging, design products to meet the needs of those first entering Medicare, and plan engagement activities at the right times of the year. USE OF CHANNELS FOR SHOPPING Direct Mail 39% 46% 38% 27% 12% KEY OBSERVATION #1 Consumers coming to Medicare from the Individual Market now make up the majority of new Age-in enrollees. The growth of the Individual Market has created a division in the Age-in market based on a consumer’s likelihood to enroll in Medicare upon turning 65. According to the study, 2-in-3 consumers with Employer-Sponsored Insurance (ESI) plan to enroll in Medicare at 65, compared with 95% of Age-ins from the Individual Market who intend to enroll. This high rate of Individual Market conversion contributes to our estimate that more than 50% of new Medicare enrollees will come from the Individual Market. CURRENT SOURCE OF COVERAGE BY PRODUCT PREFERENCE Base: Plan to Enroll in Medicare at 65 ESI Individual Market Medicare Advantage 10 to 12 7 to 9 4 to 6 0 to 3 ----------------Months before 65th Birthday------------------ SOURCE: Deft Research, Age-in Study, June 2016. The implication of the chart above is that by the time direct mailers begin sending their largest volumes, the market will have been “pre-conditioned” by what can be found online. Conclusions will have been reached, and preferences established. In many cases, direct mail will arrive in Age-ins’ mailboxes too late to be persuasive. In an already rich information environment, direct mail’s message has to offer personal assistance, sources of advice, opportunities to learn, or some other value that online information won’t provide. KEY OBSERVATION #3 53% 50% Direct mail motivates many consumers to visit websites. Even though most internet users said they found websites on their own, direct mail was the top promotional vehicle for driving consumers to websites. Mail drove three times more visitors to websites than Internet or TV advertisements. 42% MedSupp SOURCE: Deft Research, Age-in Study, June 2016. According to the study, nearly 40% of all Age-ins currently purchase individual coverage, and will likely account for more than 50% of new Medicare sales. If this group can be targeted, individually insured 64 year-olds could represent a built-in “lift” for Age-in marketers. KEY OBSERVATION #2 47% 41% Below is a thread of observations that build to a conclusion about direct mail and internet use among Age-ins. 45% 44% Internet Here is an instance of direct mail offering a value that may have been missed by Internet do-it-yourselfers—the health plan’s website and the facilities it provides. This is also an opportunity for health plans to send targeted populations to different websites. According the the study, the most likely visitor to a health plan’s website is a more sophisticated consumer than others (gauged by education, income, and health insurance literacy), and perhaps could be the target. Or, perhaps different websites can be developed for different levels of health insurance literacy. CONCLUSION Internet shopping rates have surpassed the rates of all other shopping activities. Internet activity is the most prevalent shopping activity among Age-ins in 2016 and the activity they spend the most time doing. Rates of internet activity remain steady throughout the 12 months prior to the 65th birthday. In any given month prior to age 65, a predictable and consistent percentage of Age-ins (40-45%) are using the internet to shop for health insurance. In contrast, direct mail and other channels are subject to the promotional schedules and budgets of insurers, and so rates of use are not as steady. The study is a continuation that confirms but also adds to our 11 years of observations about marketing Medicare plans to Age-ins. It reinforces the notion that in an optimized marketing mix, the channels work together so that the preferences of consumers are always being addressed. But, for the first time—and coinciding with the growth of the Individual Market—we find evidence that internet shopping has moved past other channels as the most frequent activity utilized by Age-ins. CONTINUED ON PAGE 2 2016 Age-in Study Deft Research, LLC. All Rights Reserved. SMIS. SENIOR MARKET INTELLIGENCE SERVICE ERB Most frequent, but not foremost. If marketers are to reach the bulk of their Age-ins, other channels have to remain deployed. Only their function is likely to evolve. Direct mail and other channels may no longer be as effective as they once were as introductions and announcements. Their better purpose may be to offer unique shopping values—advice, assistance, and opportunities to targeted populations. ABOUT THE RESEARCH Deft Research’s 11th annual Age-in Study was published in June of 2016. It is the second report in our annual 3-part Medicare research series, SENIOR MARKET INTELLIGENCE SERVICE. The study captures the preferences and attitudes of 64 year-olds as they approach Medicare enrollment as well as seniors who are Late-to-Medicare. The report is designed to help our health plan clients and their marketing agencies develop specific strategies, tailor messaging, design products to meet the needs of those first entering Medicare, and plan their engagement activities at the right times of the year. WHAT IS THE SENIOR MARKET INTELLIGENCE SERVICE? Deft’s SENIOR MARKET INTELLIGENCE SERVICE is an annual 3-part Medicare research subscription designed to provide clients with high-quality, affordable market and consumer insights. Managers at the nation’s leading health plans and agencies rely on Deft’s piercing insights and expert consultation to assist with their marketing, product development, new member acquisition, and retention strategies. The 2016 studies and subscription enhancements include: Senior Shopping And Switching Study (Feb 2016) ☐ National Benchmark Report ☐ Local Market Oversample (General population) ☐ Marketer’s Planning Tool ☐ Member Acquisition Models ☐ Benefit Design Trade-off Service Age-in Study (June 2016) The study is based on the responses of: • 1450 Age-ins: 64 to 65 + 3 months, not enrolled in Medicare • 153 Late-to-Medicare: 65 + 4 months to 68, not enrolled in Medicare • 656 Re-Contacts: Age-in or Late-to-Medicare respondents from our 2015 Age-in survey. The survey excluded seniors who recieve health benefits through TRICARE or Medicaid. ☐ National Report ☐ Benefit Design Trade-off Service Medicare Member Experience Study (Sept 2016) ☐ National Benchmark Report ☐ Local Market Oversample (General population) ☐ Member Study (sample of your plan members) ☐ Member Retention Models Data for the study was collected online between May 17, 2016 and June 2, 2016. Table of Contents Study Overview 3 Glossary of Key Terms 4 Pre-Medicare Insurance Coverage 5 Medicare Health Insurance Literacy 11 Likely Plan Enrollment 21 Indicators of Product Preference 27 Information and Resources Used in Decision Making 39 The Shopping Process 52 Late-to-Medicare Seniors 66 Deft Research is the health insurance industry’s trusted source for relevant market and consumer information. We are committed to helping our clients identify opportunities for innovation, and better service and communicate with their members. Our research and guidance supports the nation’s top healthcare brands in making more confident business plans and decisions. [email protected] | 612-436-8318 | www.deftresearch.com @deftresearch | © 2016 Deft Research, LLC. All Rights Reserved