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Consumer Choices in Healthcare - US - January 2010

The Great Recession, high unemployment rates, rising premiums, an aging population, and more are changing the face of healthcare in America. Providers in the category must understand these challenges and appropriate responses if they are to flourish.

To that end, this report examines:

  • Factors driving healthcare utilization, including incidence of chronic illnesses like diabetes and obesity, along with the wide ranging impacts of an aging population
  • What features and benefits respondents want out of healthcare plans
  • Specific strategies and tactics for meeting consumer desires for healthcare, including new types of plans
  • Specific strategies and tactics to meet some of the most pressing challenges facing the category, including obesity

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Table of contents

  1. Scope and Themes

    • What you need to know
      • Definition
        • Data sources
          • Sales data
            • Consumer survey data
              • Advertising creative
                • Abbreviations and terms
                  • Abbreviations
                    • Terms
                    • Executive Summary

                      • Health expenditures in America
                        • Healthcare expenditures continue to skyrocket
                          • Health insurance in America
                            • A fragmented category
                              • Insights and opportunities
                                • What consumers really want in health plans
                                  • Attitudes towards healthcare
                                  • Insights and Opportunities

                                    • What the people want
                                      • Build-A-Bear healthcare
                                        • Simple explanations, please
                                          • Figure 1: Understanding of doctor visit coverage, October 2009
                                        • Inexpensive interventions
                                        • Inspire Insights

                                            • Trend: Corporate Partnerships
                                              • What it’s about
                                                • The $900 billion big picture
                                                  • Implications
                                                    • Trend: Fit or Fat
                                                      • What it’s about
                                                        • The growing cost of growing waists
                                                          • Obesity and depression
                                                            • Implications
                                                            • Market Size

                                                              • Key points
                                                                • Healthcare costs outpacing GDP
                                                                  • NHE and GDP trends and forecast
                                                                    • Figure 2: NHE and GDP, 2003-18
                                                                    • Figure 3: Population, by age, 2005-15
                                                                • Leading Companies

                                                                  • Key points
                                                                    • A fragmented category
                                                                      • Financial pressures from all sides
                                                                        • Snapshot of leading companies
                                                                            • Figure 4: Top 10 health insurance groups, by direct premiums written, 2008
                                                                        • Healthcare Coverage

                                                                          • Key points
                                                                            • State of healthcare coverage
                                                                              • Figure 5: Number of insured/uninsured, 1999-2007
                                                                            • Who has health insurance?
                                                                                • Figure 6: Health insurance coverage, by gender, age, race/Hispanic origin and HH income, 2006/07 and 2008/09
                                                                              • Coverage by type of insurance
                                                                                • Figure 7: Health insurance coverage, 2007
                                                                              • PPOs are most popular
                                                                                • Figure 8: Insurance coverage owned, by household income, October 2009
                                                                              • Who are the uninsured?
                                                                                • Figure 9: Uninsured rates for Hispanics and blacks, 2007 and 2008
                                                                            • The Competitive Environment: Alternatives in Healthcare Coverage

                                                                                • Medical tourism
                                                                                  • Trading down
                                                                                    • Complementary and alternative medicine
                                                                                      • DIY healthcare
                                                                                      • Market Drivers

                                                                                        • Key points
                                                                                          • How and why the healthcare dollar is spent
                                                                                              • Figure 10: National health expenditures, 2007
                                                                                              • Figure 11: Cost of healthcare from the six most common causes of death, 2009
                                                                                            • The Great Recession sickens America
                                                                                              • The Great Recession sickens the category
                                                                                                  • Figure 12: Unemployment rates, October 2007-October 2009
                                                                                                • Usage of healthcare
                                                                                                  • Figure 13: Practitioners visited, by gender, October 2009
                                                                                                  • Figure 14: Practitioners visited, by age, October 2009
                                                                                                • The possible effect of healthcare reform
                                                                                                • Innovation and Innovators

                                                                                                  • Making healthier choices
                                                                                                    • Communication drives compliance
                                                                                                      • Healthcare in the workplace
                                                                                                        • Sales and marketing
                                                                                                        • Brands and the Advertising Landscape

                                                                                                          • Advertising snapshot
                                                                                                              • Figure 15: Adspend by leading health insurers, 2007 and 2008
                                                                                                            • Overview of the brand landscape
                                                                                                              • Kaiser Permanente
                                                                                                                • Figure 16: Kaiser Permanente ad clip, 2009
                                                                                                                • Figure 17: Brand analysis of Kaiser Permanente
                                                                                                              • Aetna
                                                                                                                • Figure 18: Aetna ad clip, 2009
                                                                                                                • Figure 19: Brand analysis of Aetna
                                                                                                            • Understanding Insurance Coverage

                                                                                                              • Key points
                                                                                                                • More than five in 10 have complete understanding of basic coverage
                                                                                                                  • Figure 20: Understanding of doctor visit coverage, October 2009
                                                                                                                • Understanding prescription coverage but not alternative
                                                                                                                  • Figure 21: Understanding of treatment coverage, October 2009
                                                                                                                • About six in 10 understand payment options
                                                                                                                  • Figure 22: Understanding of the financial aspect of insurance, October 2009
                                                                                                                • Affluent better understand coverage
                                                                                                                  • Figure 23: Understanding of coverage, by household income, October 2009
                                                                                                              • Most Important Aspects of Insurance (What Consumers Really Want)

                                                                                                                • Key points
                                                                                                                  • The big three: Prescription coverage, physician access, and low deductibles
                                                                                                                    • Figure 24: Most important aspects of health insurance coverage, by gender, October 2009
                                                                                                                  • Over-45s want prescription coverage; 18-34s, family coverage
                                                                                                                      • Figure 25: Most important aspects of health insurance coverage, by age, October 2009
                                                                                                                    • Affluent and wanting prescription coverage, physician access
                                                                                                                        • Figure 26: Most important aspects of health insurance coverage, by household income, October 2009
                                                                                                                    • Who Should Provide Coverage?

                                                                                                                      • Key points
                                                                                                                        • Introduction
                                                                                                                          • Employers for females, individuals for males
                                                                                                                            • Figure 27: Opinions about who should provide insurance, by gender, October 2009
                                                                                                                          • The presence of children makes the difference
                                                                                                                            • Figure 28: Opinions about who should provide insurance, by presence of children in HH, October 2009
                                                                                                                          • Respondents aged 25-54 hold employers responsible
                                                                                                                            • Figure 29: Opinions about who should provide insurance, by age, October 2009
                                                                                                                        • Opinions about Coverage

                                                                                                                          • Key points
                                                                                                                            • Health insurance is unaffordable
                                                                                                                              • Figure 30: Opinions about cost of health insurance, by age, October 2009
                                                                                                                            • Freedom of choice and condition restrictions
                                                                                                                              • Figure 31: Opinions about health insurance coverage, by age, October 2009
                                                                                                                            • More affluent and expecting to bear higher costs
                                                                                                                              • Figure 32: Opinions about cost of health insurance, by HH income, october 2009
                                                                                                                          • Researching Healthcare

                                                                                                                            • Key points
                                                                                                                              • Time invested in healthcare
                                                                                                                                • Figure 33: Time spent thinking about health insurance, by household income, October 2009
                                                                                                                              • Females use more sources
                                                                                                                                • Figure 34: Sources of information on healthcare, by gender, April 2008-June 2009
                                                                                                                              • Age dictates information source
                                                                                                                                • Figure 35: Sources of information on healthcare, by age, April 2008-June 2009
                                                                                                                            • Impact of Race and Hispanic Origin

                                                                                                                              • Key points
                                                                                                                                • Hispanics place responsibility on employer
                                                                                                                                  • Figure 36: Opinions about who should provide insurance, by race/Hispanic origin, October 2009
                                                                                                                                • Blacks concerned about pre-existing condition restrictions
                                                                                                                                  • Figure 37: Opinions about health insurance coverage, by race/Hispanic Origin, October 2009
                                                                                                                                • Opinions about coverage
                                                                                                                                  • Figure 38: Opinions about cost of health insurance, by race/Hispanic origin, October 2009
                                                                                                                              • Cluster Analysis

                                                                                                                                  • Cost-concerned
                                                                                                                                    • Family Firsts
                                                                                                                                      • Accessers
                                                                                                                                        • Cluster characteristics
                                                                                                                                          • Figure 39: Healthcare clusters, October 2009
                                                                                                                                          • Figure 40: Insurance coverage owned, by healthcare clusters, October 2009
                                                                                                                                          • Figure 41: Most important aspects of health insurance coverage, by healthcare clusters, October 2009
                                                                                                                                          • Figure 42: Opinions about health insurance coverage, by healthcare clusters, October 2009
                                                                                                                                        • Cluster demographics
                                                                                                                                          • Figure 43: Healthcare clusters, by gender, October 2009
                                                                                                                                          • Figure 44: Healthcare clusters, by age, October 2009
                                                                                                                                          • Figure 45: Healthcare clusters, by HH income, October 2009
                                                                                                                                          • Figure 46: Healthcare clusters, by race/Hispanic origin, October 2009
                                                                                                                                        • Cluster methodology
                                                                                                                                        • Custom Consumer Groups

                                                                                                                                          • Females aged 18-54 going online
                                                                                                                                              • Figure 47: Sources of information, by gender and age, April 2008-June 2009
                                                                                                                                            • Not married and buying insurance
                                                                                                                                                • Figure 48: How policy obtained, by marital status and presence of children in HH, April 2008-June 2009
                                                                                                                                              • How marriage and children change benefits wanted
                                                                                                                                                  • Figure 49: Most important aspects of health insurance coverage, by marital status and presence of children in HH, October 2009
                                                                                                                                                • With children and going online
                                                                                                                                                  • Figure 50: Sources of information on healthcare, by marital status and presence of children in HH, April 2008-June 2009
                                                                                                                                              • Appendix: Other Useful Consumer Tables

                                                                                                                                                • Insurance coverage varies by race/Hispanic origin
                                                                                                                                                  • Figure 51: Insurance coverage owned, by race/Hispanic origin, October 2009
                                                                                                                                                • Affluent believe it’s the employer’s responsibility
                                                                                                                                                  • Figure 52: Opinions about who should provide insurance, by household income, October 2009
                                                                                                                                                • Over-65s have different opinions
                                                                                                                                                  • Figure 53: Opinions about cost of health insurance, by age, October 2009
                                                                                                                                                • PPOs and HMOs for households with children
                                                                                                                                                  • Figure 54: Insurance coverage owned, by presence of children in the HH, October 2009
                                                                                                                                              • Appendix: Trade Associations

                                                                                                                                                Companies Covered

                                                                                                                                                • American Cancer Society (ACS)
                                                                                                                                                • American Diabetes Association
                                                                                                                                                • American Heart Association, Inc.
                                                                                                                                                • American Medical Association (AMA)
                                                                                                                                                • American Pharmacists Association (APhA)
                                                                                                                                                • American Psychological Association
                                                                                                                                                • Co-operative Group
                                                                                                                                                • Consumer Healthcare Products Association (CHPA)
                                                                                                                                                • CVS Caremark Corporation
                                                                                                                                                • Greenfield Online
                                                                                                                                                • Henry J. Kaiser Family Foundation
                                                                                                                                                • Kaiser Permanente
                                                                                                                                                • National Association of Insurance Commissioners (NAIC)
                                                                                                                                                • National Sleep Foundation (NSF)
                                                                                                                                                • Safeway Inc
                                                                                                                                                • U.S. Bureau of Labor Statistics
                                                                                                                                                • WellPoint, Inc.
                                                                                                                                                • YouTube, Inc.

                                                                                                                                                Consumer Choices in Healthcare - US - January 2010

                                                                                                                                                US $3,995.00 (Excl.Tax)