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Maximizing Enrollment, Engagement and Retention with a Multi-Channel StrategyMatthew Brown, Kony Healthcare | August 2012
2Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 2
AUTOMOTIVE/ENERGY FINANCIAL SERVICES INSURANCE HEALTHCARE/PHARM TRAVEL/HOSPITALITY
Kony Blue Chip Customers
3Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 3
Agenda
Reform and the Consumerization of Healthcare The Multi-Channel Challenge Strategies for acquisition, retention and health
3
4Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 4
Reform is Driving a Multi-Channel Strategy
5Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 5
Poll 1
What in your opinion will be the leading outcome of Reform and the “Consumerization of Healthcare”?Answers:A) Consumers will choose their own health plansB) Consumers will spend more time researching health
plansC) Consumers will seek out tools that allow them to
identify their preferences by location and other criteria
D) Members will be more engaged with their providers and treatments
6Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 6
Reform and Market Changes
Reform and the ACA is driving MAJOR change The old way of communication is DYING Growth is a key objective
Informed consumers, agent/broker engagement Member Retention is a key objective
Improved member experience, share lower cost options Member/Patient Communication is a key objective
Multi-channel approach, unified branding and experience Member/Patient Self Service is a key objective
Call center offset, e-claims, e-ID card, highest quality experience
7Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 7
Reach the Uninsured
How are you leveraging mobile to help you acquire a greater share of 49.1 million uninsured?
8Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 8
Wait – there is more
Nearly one in 10 employers to drop health coverage
About one in 10 employers plan to drop health coverage when key provisions of the new health care law kick in, according to a survey by Deloitte.
9Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 9
Poll 2
Do you currently have a plan to reach the uninsured?Answers:A) YesB) NoQuestion 2a: What will be your primary way to reach them? C) Television or print adsD) Agents/BrokersE) SEO/WebF) Mobile ApplicationsG) Social Media
10Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 10
Demographics of Mobile in US:Minorities Lead the Way
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The Demographics of Mobile in US:Seniors are Fastest Growing
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Why Mobile - NOW
Assumption Seniors do not use
smartphones for health Lower income individuals
can’t afford smartphones Ethnic minorities are slower
adopters of technology Limited use cases for
mobile/multichannel in Medicare/Medicaid
Reality 38% of seniors have
smartphone – 76% use it for health
Lower income individuals rely on Smartphone as personal computer
45% ethnic minorities own vs. 31% Caucasian
61% have downloaded mobile health apps
* Nielsen Research and Manhattan Research
13Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 13
What is Multi-Channel?
14Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 14
Poll 3
What does the term “Multi-channel” mean to you?Answers:A) Smartphones (iOS, Android, mobile web, MSFT, etc)B) Smartphones, tablets, mobile webC) Smartphones, tablets, mobile web, desktop,
devices, kiosks
15Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 15
Consumer Preference
How do customers choose to interact?
Phone/TabletSelf Service/Kiosk
Desktop/Laptop
Informed and Uncommitted Digitally
Empowered
Time Aware Socially Conscious
16Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 16
Location and Presence
Where can I access information?
HomeClinic or Pharmacy
Mobile
Transport
17Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 17
Fundamental Shift toward Consumer
Consumer adoption is forcing a better UI/UX
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Each wave of computing has had a driving force behind it
CLIENT WEB
The past Today
MOBILE
Technology Content Experience
Customers and employees are demanding fast access, ease of use, and modern UIs of mobile apps.
19Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 19
The Path to Multi-Channel
CLIENT WEB
Today
MOBILE
Technology Content Experience
MULTI-CHANNEL
Productivity
Customers and employees demand those same attributes on any device, anywhere, at any time.
The past Today Tomorrow
20Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 20
Fragmentation and Chaos Is the New Normal
Percent of smartphones (U.S.) grows from 43% to >80% by 2015
More than 200 new tablets and more than 250 new smartphones will be announced globally in 2012
New devices and form factors will emerge through 2015 Mobile AD meets mainstream and Web AD The focus will turn to multichannel, not
just mobile Consumers will continue to own several cross platform
devices
21Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 21
Different Devices / Different Experiences
22Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 22
BUSINESSHow do I…
Secure brand adherence / loyalty? Deliver customer convenience? Reduce customer support costs? Get to market fast? Attain operational effectiveness? Drive employee productivity? Increase profitability? Lower risks?
Plethora of device options, modes, delivery mechanisms?HTML5 iOS phone & tablet /HTML4 Android phone & tablet /Native Windows phone, desktop & kiosk /Hybrid RIM / Symbian /Mixed-Mode Desktop Web
Consumer demand for on-device functionality (GPS, payments, etc)?
Employee demands for BYOD? Deliver great UI/UX experience? Security and data integrity challenges?
The Multi-Channel Challenge
TECHNOLOGYHow do I cope with…
?
?
23Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 23
Any DeviceEvery user
Run Everywhere
The KonyOne Platform
MOBILE WEB• Individual, device optimized sites• Basic HTML >> HTML5
HTML5 WEB• SPA• Wrapper, Hybrid
NATIVE SUPPORT FOR 7 OSs
SMS / MMS SERVICES
SOCIAL MEDIA
KIOSK
Write OnceA single code base
TABLETS
24Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 24
Paths to Success
Custom B2C, B2E App
Configurable pre-built apps
Multi-Channel Enterprise Application Platform (MEAP)
25Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 25
Kony Healthcare Solutions
26Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 26
Poll 4
What is the stage of your mobile application development?A) Non-ExistentB) Early Stage DevelopmentC) Currently DevelopingD) Deployed and Live
27Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 27
Engaging Consumers Everywhere
Plan Info
Health and wellnessNew Revenue
Provider& HIT
Find providers (geo-based locator)
Research medications and prices
EMR
Backend integration with legacy systms
View/track all claims by plan member
View benefits information by member
Request and get an instant quote
Research and shop for plans
Save search results
Enrollment
Graphical 3D ID Cards (view, e-mail or print)
Plan expense summary
Account balance details
Treatment cost estimator
Adherance
Appointment Reminders
Find facilities (urgent care, pharmacy)
Continuity of Care
28Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 28
Payer Use Cases for Multi-Channel
Member Facing Apps Member Cards Rx Management Claims Management Wellness / Adherence Plan Compare / Shop Cost Estimation
Employee Facing Apps HR Management Corporate Intranet Closed Loop Feedback SFA / CRM Broker / Enrollment
Provider Facing Apps Formulary Management Claims Status Cost Estimation Pay for Performance
29Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 29
Poll 5
What are your top priority multi-channel deployments? (multiple answers allowed)A) Member facing application, mobilize member portalB) Provider applicationsC) Agent, Broker, Sales force enablementD) Cost estimator and benefit toolsE) Payment solutions
30Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 30
Patient/Member Multi-Channel: Same App, Any Device
Memberapp
7:00AM 9:00AM 10:00AM 1:00PM 4:00PM 8:00PM
Member receives
appointment notification on Android
phone
Driving to work, vitals pushed to PHR via
Microsoft Sync App
While in clinic waiting room,
inputs new data on iPad
regarding treatment regimen
From work member
completes visit survey in
32-bit desktop app
Checks in at the pharmacy
using Windows-
based kiosk
A day-in-the-life of a member or patient in a multi-channel world
Verifies drug interactions
using Android Phone
31Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 31
Health Plan Member Applications
Time-to-Market is important- New Requirements from the Employers- Healthcare reform just around the corner- RFP Responses! Specific to native mobile
Kony: 8-12 weeks implementation
Complexity of Mobile Deployments- Internal Resource Constraints- Security Compliance Issues
Kony: WORE+ pre-built plug-n-go app
Kony: secure server+ HIPAA compliance
Consumer Engagement and Adoption- The right set of features and flows- Driving member adoption- Call center offset, ID Card, etc
Kony: Features/flows based on leading Health Plan practicesKony: Stunning UI+
data integration capabilities
32Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 32
Agent/Broker Multi-Channel: Same App, Any Device
Agentapp
7:00AM 9:00AM 10:00AM 1:00PM 4:00PM 8:00PM
Agent receives
notification on iPhone of todays sales
calls
At home, quickly
accesses app via Desktop
Web to review client
details
While onsite, leverages
data on iPad to discuss
Plan Options, Benefits,
Enrollment
From office, Agent
completes enrollment
details in 32-bit desktop
Member accesses
“welcome” packet on Windows-
Surface
Agent reviews status
updates on Android phone
A day-in-the-life of an Agent/Broker in a multi-channel world
33Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 33
Agent and Broker Applications
Location Services for Agents- Agent access increases usability- Initial wave of consumers entering market- Productivity, leads, reporting
Kony: 8-12 weeks implementation
Complexity of Mobile Deployments- Multiple Producer Channels- Security Compliance Issues
Kony: WORE+ pre-built plug-n-go app
Kony: secure server+ HIPAA compliance
Agent Engagement and Adoption- The right set of features and flows- Driving higher enrollment- Improve relations
Kony: Features/flows based on leading Health Plan practicesKony: Stunning UI+
data integration capabilities
34Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 34
ACO/Provider Multi-Channel: Same App, Any Device
Providerapp
7:00AM 9:00AM 10:00AM 1:00PM 4:00PM 8:00PM
Provider receives
notification on Hospital
Blackberry of todays rounds
At home, quickly
accesses app via Desktop
Web to review lab
results
While in clinic, leverages
data on iPad to discuss treatment
options
From clinic, provider
completes visit details in
32-bit desktop app
Directs patients to
hospital pharmacy
using Windows-
based kiosk
Reviews radiology
images, EMR and triage on
Android phone
A day-in-the-life of a Provider in a multi-channel world
35Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 35
ACO/Provider Applications
Location Services for Provider- Location access increases usability- 92% of providers desire mEMR- Productivity, vitals, reporting
Kony: 8-12 weeks implementation
Complexity of Mobile Deployments- HIT partners and legacy systems- Security Compliance Issues
Kony: WORE+ pre-built plug-n-go app
Kony: secure server+ HIPAA compliance
Provider Engagement and Adoption- The right set of features and flows- Driving higher utilization- Improve relations
Kony: Features/flows based on leading Health Plan practicesKony: Stunning UI+
data integration capabilities
36Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 36
Multi-Channel Product Solutions
Business to Consumer
Business to Consumer
Business to Enterprise
Business to Partners
Mobile Member Social Health Networks
Provider Support Tools Agent/Broker Enablement
Plan Compare Spend Tracker/Treatment Cost Estimate
Clinical Data and Research
Member Outreach/Engagement
Health Monitoring Enrollment Ancillary Services Nurse – mobile PHR
Device Integration – (Glucometer, etc..)
Customer Service/Call Center Support
Call Center Customer Support
Clinical Treatment Options
HSA/Flex Spending Proper Care Post - Op PBM Post-Operation Care
Tele-Medicine Claim Submission RFP Response Remote Patient Monitoring
Health Risk Assessment Survey
Goals and Gamification
Small/Large Employer Presentations
Employer Facing Tools – Explanation of Benefits, HR mgmt
37Copyright © 2012 Kony Solutions, Inc. CONFIDENTIAL 37
Q&A