The Retailization of Heath Care at DMA2013

This was the best session I attended at the Direct Marketing Association’s just-concluded annual conference, featuring a CMO from a large insurer and a finance exec with huge experience in retail at Google, with excellent moderation from another healthcare exec. A few takeaways:

Tremendous change in the healthcare industry is underway, and it’s not just because of Obamacare. Used to be insurers could underwrite and consumers had no choice because they got insurance through employers. Now insurers have to accept everybody and consumers can shop around. Over the next 10 years a trillion dollars will shift in the industry as consumers shop around.

Google perspective: Google is where people come when they have concerns about their health. Worried about a diagnosis or a pain, they google it. They have a serious reason for being there and are making a critical decision about their health. 50% of queries now related to healthcare reform. Many queries from mobile devices and about Medicare… so it’s absolutely not true that “people 65+ don’t use the Internet”.

How healthcare is marketed: focus moving to retail. Consumers want self service. Price transparency is not necessarily a bad thing; retailers have known this for 10 years. (Retailers lead the way because their margins are razor thin so they have to be agile.) Insurers are worried about protecting their brand with standard Gold, Silver, Bronze levels. But customers not just interested in lower price, they will pay more for value if you demonstrate it. This is how Nike, Coach, Tiffany maintain a premium price.

The customer experience: companies need to add a Chief Customer Officer who reports directly to the C suite. Insurers are used to saying no to their customers; we’re in a new era where they need to learn to say yes. Don’t let your org chart show: if the customer goes through a phone tree and they have to answer the same health or personal questions they just answered to a new person, that’s your org chart showing. Customer has to be at the center of your business model, just as they are in retail.

Where should you spend your next dollar as a healthcare marketer? Traditional model was very straightforward: send people a mailer or an agent, they sign up. Now they may get input from a number of places. Most marketers don’t cover the fact that you’re watching an ad then go to Google and search; they don’t have a search strategy combined with their TV buy. Mobile devices a big black hole because there is no equivalent to a cookie to find out how they researched their decision on their phone or tablet, then moved to their computer or the other way round. Gamification may become part of the marketing process: reward people for learning about the health.

What’s the impact of the startup problems at healthcare.gov and the state exchanges? People assume that the Internet “just works” so this has been a profoundly negative experience. We know from retail that when people experience this kind of “choke point” they don’t return. But ACA is a marathon, not a sprint. The question is how well the government will respond from here.

Behavioral Economics at DMA2013

Dan Ariely is a professor of psychology and behavioral economics at Duke University, and also a consultant to the Wilde Agency. Yesterday he delivered an entertaining and eye-opening keynote called “Who Put the Monkey in the Driver’s Seat?” in which he documented irrational and yet predictable human behavior for the benefit of the direct marketers at DMA2013.

First example: statistics for organ donor signups in European nations. Organ donation doesn’t hit all the altruism hot buttons because it happens after you’re dead, and the recipient will never know who provided the life-saving transplant. So it’s not surprising that donations are close to zero in some countries, such as Germany. Yet in demographically similar nations, such as Austria, donations are close to 100%. The difference? In the high-donor nations people have to opt out at their DMV if they don’t want to donate and people will do almost anything to avoid doing something.

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This buckslip produced a 588% lift.
Moving on to direct marketing: a large insurance company wanted to improve response for its affinity accidental death offer. So a chart was added on a buckslip, showing people that although they are eligible for $3 million in coverage at present they are only at $800K. It’s obvious at a glance that the reader is missing out. Given a reference point, response increased from 0.34% to 2%.

Another example is a response form for The Economist. Given the choice of an online-only subscription for $59, print-only for $125, or online plus print for $125, 84% opted for the last option. Who wouldn’t—it’s like getting online for free! But in fact it’s a significant upsell for anyone who was considering an online-only subscription. And when the print-only option was removed the numbers reversed: 68% went for online-only, vs only 32% for the online plus print combo.

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Ariely poked fun at the direct marketer’s infatuation with Big Data.
As a creative practitioner, I eat this up. It’s one thing to sell your prospects through a positive reception of your carefully presented benefits, but much better if you can cement the sale by making them feel like they’ve gotten a great deal or they aren’t missing out. As to that organ donor stat, most of us have found that negative option offers (in which you have to opt out to keep something from happening) lead to poor pay-up, conversions and renewals. But if the consumer is dead, I guess that isn’t a problem. Fascinating stuff.

Onsite at #DMA2013

I just arrived in Chicago for the Direct Marketing Association’s annual conference and have already seen a couple of great sessions and met some folks that made the whole trip worthwhile. (Also happened to walk down Michigan Avenue as the marathon was being run and got to see both the men and women winners.) If you’re here please email me via the contact form or tweet to @otisregrets and hopefully we’ll find a time to meet up.

I’m leading a panel at 10 am Wednesday with Dawn Wolfe of Autodesk and Philip Reynolds of Palio+Ignite. The topic is “KISS: Keys to Copy and Content that Generate Results” and we’ll talk about how to apply powerful and simple communications techniques to selling complex products. Attend and you will see and learn:
* A refi direct mail offer that was so successful, it drew a cease-and-desist order
* An insider’s view of ED (erectile dysfunction) advertising
* how to sell software through “gamification”
* and much more!

This is the last breakout session of the conference and the exhibit hall will have shut the day previous, so there’s absolutely no reason not to join us. See you one Wednesday October 16.

It’s all about positioning, isn’t it?

Today’s Wall Street Journal had a nice anecdote from a gathering of retired American Airline employees. A flight attendant remembered a flight where there were 125 Kosher meals on board and only 50 people said they’d ordered Kosher meals. With a normal meal service, they’d run out of options and everybody in the back of the plane would get a Kosher meal whether they ordered it or not.

Solution: the crew announced that American was testing a special menu and the first 50 people to press their call buttons would get to try it. The meals sold out quickly. The Kosher labels were stripped of and what might have been a “I didn’t ask for that” complaint turned into an anticipated treat. All because of the right positioning.

I’m old enough to remember the days of meal service on airplanes, how about you? I also remember the frequent flyer’s trick of always ordering a special meal (Kosher was good, as was the fruit plate, but I always went for the seafood plate if available) on the premise that if it was custom-prepared it would be better (not always true).

Do you have a favorite recollection from the “golden age of flying”? Let’s get together at DMA 2013 next week in Chicago and compare notes. I’m leading a panel on Wednesday the 16th at 10 am with Dawn Wolfe of Autodesk and Philip Reynolds of Palio+Ignite. It’s all about positioning, what else? Come see us!

Back by popular demand at DMA2013

My panel discussion on K.I.I.S. (Keep it simple, stupid) marketing was asked to return to the Direct Marketing Association’s annual conference based on our being one of the top-rated panels at last year’s event. DMA2013 is happening in Chicago and we’ll be the last session before the wrap-up lunch presentation on Wednesday, October 16. I love Wednesday sessions because they happen after the trade show is over and the Echo awards are done, so anyone who’s still around has a serious reason for being there.

Once again, Dawn Wolfe of Autodesk and Philip Reynolds of Palio+Ignite will join me and show what happens when, instead of technical jargon or corporate posturing, your advertising connects with the reader or viewer or web browser based on a simple appeal to the things that are important to them. The rules of “back by popular demand” are that the framework of the topic is the same, but the examples and case histories used have to be completely new. Come sit in… it will be an interesting and hopefully entertaining hour.