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    Marketing in times of price transparency

    October 26th, 2006

    (Today we've got a special guest, Carolyn Kent, of Cleverley & Associates covering a long overdue topic. For more on pricing transparency, check out pricingtransparency.net)

    Guest Post By Carolyn Kent

    As a marketer, I am fascinated by the movement toward price transparency. Then again, I don’t work in a hospital. I can’t help but wonder how hospital marketers are responding to this issue and what types of strategies they have in place to address it.

    Remember the 4 P’s of the marketing mix? Product, Price, Promotion, Place. Traditionally, hospital marketing has focused on the 3 of those that hospital marketers could control – Product, Promotion, Place. The Price factor was left up to the Chargemaster Coordinators and other individuals within the hospital that are involved in the price-setting process.

    The notions of consumer-driven healthcare and price transparency are going to fundamentally change how hospital marketers approach the various elements of the marketing mix. With the media reporting issues surrounding hospital charges nearly everyday, Price is an increasingly important portion of the marketing mix. Granted, it is still not something that marketers can control, but they have an obligation to understand how pricing for procedures is determined and how certain rates are negotiated with various payers. Why?

    Because consumers are demanding to know.

    There is much discussion among healthcare executives about price transparency, but not many are talking to consumers about it. And consumers very much want to be a part of the discussion.

    Price transparency and consumer-driven healthcare will force marketers to engage with consumers of healthcare as never before. Think about it: consumer-driven healthcare. You simply cannot afford to not engage the consumer. And the longer you evade discussing these issues, the more skeptical consumers will become.

    Embrace this as an opportunity to connect with consumers in a real, open dialog regarding their concerns. I know this is a lot of conceptual talk. Easier said than done, right? I certainly do not have the “right” answer for all hospitals, but here are some specific actions to get you thinking outside of the box.

    - Invest in your web site.
    One of the key web marketing principles involves offering relevant content. Find out what customers want when they visit a hospital web site and then deliver it to them. Are they searching for price information? Quality measures? Service lines offered? Whether their health plan is accepted? One hospital in my market, Riverside Methodist Hospital, has an excellent section dedicated to “Health Questions and Answers”. Information about consumer health concerns is a value-added feature that many hospital web sites lack. Riverside also has a section on their site called Taking Charge of Your Healthcare. It’s somewhat buried, but what a terrific example of relevant content! Don’t bury content like this – it should be front and center on your home page because it’s timely and valuable. If you’re feeling especially daring, you can even make your web site interactive, with an “Ask the Doctor” section or a discussion board. High Point Regional Health System in North Carolina even has patient blogs.

    - Prepare to talk price.
    If you haven’t done so already, collaborate with your Chargemaster team to understand your hospital’s pricing structure and how it was established. The fact of the matter is that people are going to continue to ask about it, whether they are consumers or media personnel. The hospitals that are making a visible attempt to engage in an open dialog about price transparency, the hospitals that are not afraid to discuss their pricing structure with the media, are going to gain the public’s trust and position themselves as industry thought leaders.

    - Educate consumers.
    Many hospitals offer classes to the community about preventative care and other health-related topics. Have you ever considered offering free sessions about the following topics? How to Understand Your Hospital Bill, What to Expect During Your Stay, How to be a More Informed Consumer of Healthcare, etc.

    - Monitor satisfaction.
    In 2007, CMS will begin reporting the results of a nationwide customer satisfaction survey about hospitals on its Hospital Compare web site. Consumers will be able to lookup the results online and compare various hospitals against one another. If you’re not already conducting your own patient satisfaction surveys on a regular basis, you’d better start. While every hospital will have some degree of unsatisfied patients, the important thing to focus on is the level of satisfaction of your happy patients. Therefore, work to increase the number of satisfied patients. Monitor your Net Promoter Score (how likely a consumer is to recommend your hospital to another consumer). This will help you to tie in quality measures with your marketing strategy for price transparency.

    - Remember the People.
    Some marketers will argue that the marketing mix really consists of 5 P’s, the fifth one being People. I happen to agree with them. That said, do not forget to engage your consumers. I cannot stress this enough. This is, after all, the era of consumer-driven healthcare.

    I know that the obstacles to making medical prices available are significant. And I know that that is not part of most hospital marketers’ jobs. But hospital marketers’ jobs are to understand their customers’ needs and develop a plan that surrounds those needs. And in an era of consumer-driven healthcare, customers want to talk about price transparency. Embrace it.

    I’ve used the word “consumer” continually throughout this article. Do you consider your customers to be consumers that shop around for prices and to whom you can market, or patients that you simply treat? Or both?

    Comments, Pingbacks:

    Comment from: Carolyn Kent [Visitor] · http://www.cleverleyassociates.com
    I apologize for not responding to this comment sooner, as I was out of town for several days. You are right, however. Patients do need to be more involved in their care. They need to step up and assume the role of active consumer - and hospitals should be encouraging that. I'm curious to see other views on patients v. consumers. I know there are some out there who do not believe that patients will truly ever "shop around" for medical care.
    Permalink 11/03/06 @ 16:34
    Comment from: Jared Johnson [Visitor] · http://www.richardsonregional.com
    Carolyn, I'm curious about your opinion on the other side of transparency -- quality measures. From what you see, is there as much demand for hospitals to post quality measures online as there is to post pricing information? What do consumers want to know on a Web site relating to quality of patient care, and how can a hospital maximize the usefulness of this information
    Permalink 11/27/06 @ 17:08
    Comment from: Carolyn Kent [Visitor] · http://www.cleverleyassociates.com
    Hi Jared,

    From my experience, quality measures are just as important to publish as pricing. Each set of metrics speak to a different segment of your market, but it's vital to address both and "cover all your bases" so to speak.

    I visited your web site and noted that Richardson Regional publishes quality measures for heart attack, heart failure, and pneumonia. Hats off to you for not only divulging this information, but for being a top-quality provider.

    One drawback to quality measures is that they can be difficult for consumers to understand. Okay, so at Richardson, in 95% of the pneumonia cases, blood cultures were performed before the first antibiotic. What does that mean to me, the consumer? At your web site, however, you do an excellent job of explaining what each measure means. Way to go. (Not every hospital web site I've seen does that)

    The other glaring problem with quality measures is that they aren't available for every procedure and they do not address unmeasurable aspects of quality of care, such as doctor availability, nurse temperament, food quality, etc. How can we, as healthcare providers, make this side of quality of care "transparent" to our consumers? Let our patients do the talking.

    One thing I would suggest to enhance this area of your web site would be to incorporate some patient testimonials. Are you currently conducting patient surveys? This would be an easy way to obtain some testimonials for your web site. As we all know, word of mouth is often the most effective marketing tool at our disposal.

    Best of luck,
    Carolyn
    Permalink 11/28/06 @ 09:10
    Comment from: Edward D. West [Visitor] · http://www.providence.org/home/default.htm
    Hi Carolyn,

    This may be an old thread but I was wondering if you could give me a little direction in regards to Transparency in Healthcare. Specifically, Is there one overall definition for Transparency in Healthcare and what are the different key components that should be part of a Transparency strategy/policy for a healthcare system (especially in the areas of quality, safety, and patient satisfaction). Your thoughts would be greatly appreciated.

    EDW
    Permalink 03/21/07 @ 13:45
    Comment from: Carolyn Kent [Visitor] · http://www.cleverleyassociates.com
    Hi Ed,

    What a question! I don't think there is one overall definition for transparency in healthcare. Achieving one unanimously agreed-upon definition for transparency is about as fruitless as achieving universal healthcare at this point. And that isn't necessarily a bad thing. Cleverley + Associates has defined pricing transparency as "The full, accurate, and timely disclosure of hospital prices to consumers of healthcare, as well as the process employed to arrive at those prices." But of course, there are matters of transparency in healthcare other than those of pricing. Much discussion is now being dedicated to cost transparency: not only disclosure of cost of services to consumers, but, from the hospitals' perspective, cost of supplies from vendors.

    It's risky to get locked into a universal definition of transparency. Ultimately, transparency is a consumer-owned issue, and by virtue of being such, will continue to evolve to meet consumer needs. It is our job to track that development.

    With regard to a transparency strategy, I consider there to be 4 actionable components:

    1) A market orientation - this demands a market consciousness that transcends day-to-day functions and encompasses the entire organization. It could include making strategic decisions that take all functional departments into account, and providing functional divisions enough information on consumer characteristics and how they influence the role of each division. This correlates perfectly with monitoring patient satisfaction. Empower front-line employees to act on behalf of satisfying patients at any cost (see If Disney Ran Your Hospital…). This is especially critical, and especially difficult to implement, for a hospital system as opposed to a single hospital.

    2) Publication of data - be proactive in the process of becoming transparent - if you haven't done it already, chances are you're going to have to do it sooner or later. The easier you make it for your consumers to find what they are looking for, the more likely they will form a positive association with a stay in your hospital.

    3) Statistical process control (SPC) - originally promoted as a manufacturing tool, this allows you to visually monitor quality performance against standards your organization has set. Virginia Mason Medical Center has proven that SPC can work in a hospital-setting (download it from Harvard Business Review - it is well worth the $6). SPC operates under the assumption that a process has variation and that this variation is affected by several parameters - when SPC is applied to "control" each parameter, the result is a controlled process with less variation.

    4) Flexibility - as I said before, this is a consumer-owned issue and it will evolve. Be prepared for that and embrace the changes.

    To me, it all comes down to how a hospital views its visitors - as patients or as consumers. I hope this has helped in some way. My apologies for the length!

    Carolyn
    Permalink 03/21/07 @ 15:05
    Comment from: westedward [Member]
    Carolyn,

    Thanks a lot for your response. It was very helpful and it provided a lot of direction on how to approach Transparency. One other question, who would be the key general people (or stakeholders) to have on a team charged with developing such a tranparency strategy?

    Thanks again.

    EDW
    Permalink 03/21/07 @ 15:57

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