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Health Insurance - US - July 2013

Published By :

Mintel

Published Date : Jul 2013

Category :

Health Insurance

No. of Pages : 216 Pages


The PPACA will have far-reaching consequences in the way Americans purchase health insurance. While not everybody is enthused about the new options, the best hope for controlling healthcare costs right now is to get as many people as possible to enroll. The most effective way for this to happen is for the government and the industry to work together.
Table of Content

Scope and Themes
What you need to know
Data sources
Sales data
Consumer survey data
Direct marketing creative
Abbreviations and terms
Abbreviations
Terms
Companies mentioned in this report

Executive Summary
The market
The population is aging, which will increase the need for healthcare
Figure 1: Age of U.S. population, by percentage, 2010, 2030
Figure 2: Percentage of uninsured in U.S. population, by age, 2010-11
Market drivers
Healthcare costs are still rising, but rate of increase is slowing
Figure 3: Consumer price indices overall and for related healthcare items, 2003-12
Leading companies
WellPoint has largest market share
Figure 4: Top five health insurance companies, by direct written premiums, 2010, 2012
The consumer
Figure 5: Type of health insurance coverage owned, April 2013
Figure 6: Awareness of provisions of healthcare reform/PPACA, by gender, April 2013
Figure 7: Attitudes toward healthcare and the PPACA, April 2013
Figure 8: Plans for choosing healthcare coverage April 2013
Figure 9: Satisfaction with current healthcare plan, April 2013
What we think

Issues and Insights
Health exchanges will reduce, not eliminate, the number of uninsured
Issues:
Insights:
Why pay for insurance if the penalty costs less?
Issues:
Insights:
What groups offer the most potential once the PPACA is implemented?
Issues:
Insights:
How can insurers encourage people to take action?
Issues:
Insights:
Is there opportunity among people with employer-sponsored health insurance?
Issues:
Insights:

Trend Application
Inspire Trend: Return to the Experts
Opportunities for health insurers
Inspire Trend: Help Me Help Myself
Opportunities for health insurers
Mintel Futures: Access Anything, Anywhere
Opportunities for health insurers

Market Size and Forecast
Key points
Number of uninsured rose for a decade, but now is beginning to drop
Figure 10: Number of insured/uninsured people in U.S., 2001-11
Figure 11: Percentage of uninsured in U.S. population, by age, 2001, 2006, 2011
Figure 12: Number of uninsured in U.S. population, by age, 2010-11
Number of firms offering health insurance is trending down
Figure 13: Number of firms offering employer sponsored health insurance, 1999-2012
Figure 14: Percentage of covered workers at firms that offer health insurance, 1999-2012
Premiums written have more than doubled since 2003
Figure 15: Increase in healthcare premiums, 2003-11
NHE is growing faster than GDP
Figure 16: Growth in NHE and GDP, 2009-21 (Projected)
Figure 17: Increase in NHE as a percentage of GDP, 2009-12 (Projected)
Costs are still high, but increases are slowing
Figure 18: Consumer price indices, overall and for related healthcare items, 2003-12
Insurance is highest portion of healthcare cost – and growing
Figure 19: Average annual healthcare expenditures across all ages, 2007-11
Expanded eligibility for Medicaid
Figure 20: Medicaid enrollment with and without expansion, by state, 2022 (projected)

Market Drivers
Key points
Population is aging
Figure 21: Population estimates, by age, 2012, 2015, 2020, 2030
Figure 22: Age segments as a percentage of the population, 2012, 2030
Unemployment is trending down
Figure 23: Unemployment in U.S., May 2008- May 2013
Healthcare costs are still rising, but rate of increase is slowing
Figure 24: Consumer price indices overall and for related healthcare items, 2003-12
The federal government is ramping up publicity
Figure 25: Sources of PPACA information plan to use in the future, by gender, April 2013

Competitive Context
Key points
WellPoint has largest market share
Figure 26: Top ten health insurance companies, by direct written premiums, 2010, 2012
United Health Group is the largest healthcare company by membership
Figure 27: Largest healthcare companies, by membership, October 2012
Health exchanges’ effect on competition will vary by state
Concierge medicine
Medical Tourism
Figure 28: Percentage of respondents who would consider going overseas for an operation, by gender and age, April 2013
Penalty for noncompliance is low
Figure 29: Intentions for enrolling in a health plan, all non-insured respondents by age, April 2013

Innovations and Innovators
Key points
Compass SmartShopper™
Aetna’s CarePass
Wellview from UnitedHealthcare
Hospitals are forming insurance companies

Marketing Strategies
Key points
Direct mail volume drops in Q1 2013
Overview of the PPACA landscape
Figure 30: Awareness of provisions of healthcare reform/PPACA, overall, April 2013
Figure 31: Awareness of provisions of healthcare reform/PPACA, by gender, April 2013
Figure 32: Number of uninsured Americans, by gender, 2001-11
People plan to change how they get PPACA information
Figure 33: Sources of PPACA information used in the past vs. plan to use in the future, April 2013
Sources of PPACA information
Figure 34: Sources of PPACA information used in the past, by insurance company, April 2013
Figure 35: Sources of PPACA information plan to use in the future, by insurance company, April 2013
The federal government is ramping up publicity
Figure 36: Sources of PPACA information plan to use in the future, by gender, April 2013
Univision and WellPoint team up to educate Hispanics on the PPACA
Wellness programs
Humana
Figure 37: Humana video, 2013
Blue Cross
Figure 38: Blue Cross television ad, 2012
Figure 39: Blue Cross Blue Shield video, 2013
UnitedHealth Group
Online Presence
Online/Email Ads
Figure 40: UnitedHealthcare online ad, March 2013.
Figure 41: UnitedHealthcare email, March 2013
Direct mail
Figure 42: UnitedHealthcare direct mail ad, April 2013
Figure 43: UnitedHealthcare direct mail ad, May 2013
Figure 44: UnitedHealthcare direct mail ad, April 2013
Figure 45: UnitedHealthcare direct mail ad, April 2013
Print
Figure 46: UnitedHealthcare print ad, 2012
TV ads
Figure 47: UnitedHealthcare, television ad, August 2011
Figure 48: UnitedHealthcare, television ad, January 2012
Humana
Online presence
Online/Email
Figure 49: Humana online ad, 2012
Figure 50: Humana email ad, 2013
Direct mail
Figure 51: Humana direct mail ad, 2013
Figure 52: Humana direct mail ad, 2013
Print
Figure 53: Humana print ad, 2013
Figure 54: Humana print ad, 2012
Figure 55: Humana print ad, 2012
TV ads
Figure 56: Humana television ad, 2011
Figure 57: Humana television ad, 2012
Aetna
Online presence
Online/Email ads
Figure 58: Aetna online ad, 2013
Figure 59: Aetna online ad, 2012
Figure 60: Aetna email ad, 2013
Direct mail
Figure 61: Aetna direct mail ad, 2013
Figure 62: Aetna direct mail ad, 2013
Video
Figure 63: Aetna video ad, 2012

Social Media – Health Insurance
Key points
Key social media metrics
Figure 64: Key brand metrics, health insurance brands, June 2013
Market overview
Brand usage and awareness
Figure 65: Usage and awareness of selected health insurance brands, April 2013
Interaction with brands
Figure 66: Interaction with selected health insurance brands, April 2013
Online conversations
Figure 67: Percentage of consumer conversation by selected health insurance brands, May 20, 2013-June 19, 2013
Figure 68: Online mentions, selected health insurance, by day, May 20, 2013-June 19, 2013
Where are people talking about health insurance brands?
Figure 69: Mentions, by page type, selected health insurance brands, May 20, 2013-June 19, 2013
What are people talking about?
Figure 70: Mentions, by type of conversation, selected health insurance brands, May 20, 2013-June 19, 2013
Figure 71: Major areas of discussion surrounding health insurance brands, by day, May 20, 2013-June 19, 2013
Figure 72: Major areas of discussion surrounding health insurance brands, by page type, May 20, 2013-June 19, 2013
Brand analysis
HCSC
Figure 73: HCSC key social media indicators, June 2013
Key online campaigns
What we think
Aetna
Figure 74: Aetna key social media indicators, June 2013
Key online campaigns
Figure 75: Selected Aetna Twitter mentions, July 2011
What we think
Kaiser Permanente
Figure 76: Kaiser Permanente key social indicators, June 2013
Key online campaigns
What we think
UnitedHealthcare
Figure 77: UnitedHealthcare key social media indicators, June 2012
Key online campaigns
What we think
Humana
Figure 78: Humana key social media indicators, June 2013
Key online campaigns
What we think
WellPoint
Figure 79: WellPoint key social media indicators, June 2013
Key online campaigns
What we think

Consumer’s Current Health Insurance Coverage
Key points
Figure 80: Type of health insurance coverage owned, by gender, April 2013
Figure 81: Type of health insurance coverage owned, by age, April 2013
Figure 82: Type of health insurance coverage owned, by gender and age, April 2013
Figure 83: Type of health insurance coverage owned, by household income, April 2013
Figure 84: Type of health insurance coverage owned, by brand/insurance carrier, April 2013

Knowledge about Healthcare Reform
Key points
Figure 85: Awareness of provisions of healthcare reform/PPACA, by gender, April 2013
Figure 86: Awareness of provisions of healthcare reform/PPACA, by age, April 2013
Figure 87: Awareness of provisions of healthcare reform/PPACA, by gender and age, April 2013
Figure 88: Awareness of provisions of healthcare reform/PPACA, by household income, April 2013
Figure 89: Awareness of provisions of healthcare reform/PPACA, by race, April 2013
Figure 90: Awareness of provisions of healthcare reform/PPACA, by brand usage, April 2013

Sources of Healthcare Reform Information
Key points
Figure 91: Sources used for information on PPACA in the past, by gender, April 2013
Figure 92: Sources used for information on PPACA in the past, by age, April 2013
Figure 93: Sources used for information on PPACA in the past, by gender and age, April 2013
Figure 94: Sources used for information on PPACA in the past, by household income, April 2013
Figure 95: Sources used for information on PPACA in the past, by race, April 2013
Figure 96: Sources used for information on PPACA in the past, by information source used, April 2013
Figure 97: Sources used for information on PPACA in the past, by information source used, April 2013

Future Sources of Information about PPACA
Key points
Figure 98: Sources of PPACA information plan to use in the future, by gender, April 2013
Figure 99: Sources of PPACA information plan to use in the future, by age, April 2013

Attitudes about Own Health Insurance and PPACA
Key points
Figure 100: Attitudes toward healthcare and the PPACA, by gender, April 2013
Figure 101: Attitudes toward healthcare and the PPACA, by age, April 2013
Figure 102: Attitudes toward healthcare and the PPACA, by household income, April 2013
Figure 103: Attitudes toward healthcare and the PPACA, by race, April 2013
Figure 104: Attitudes toward healthcare and the PPACA, by knowledge of PPACA, April 2013

Plans for Choosing Healthcare Coverage
Key points
Switching behavior/Plans to switch
Figure 105: Switching behavior and plans to switch providers in the future, by gender, April 2013
Figure 106: Switching behavior and plans to switch providers in the future, by age, April 2013
Enrolling in new options
Figure 107: Plans to enroll in insurance exchanges/co-ops, by gender, April 2013
Figure 108: Plans to enroll in insurance exchanges/co-ops, by age, April 2013
Factors in considering choice of healthcare
Figure 109: Factors in considering choice of healthcare, by gender, April 2013
Figure 110: Factors in considering choice of healthcare, by Age, April 2013

Uninsureds’ Plan for Choosing Healthcare Coverage
Key points
Plan for choosing healthcare coverage
Figure 111: Uninsureds’ plans for choosing healthcare coverage, by gender, April 2013
Figure 112: Uninsureds’ plans for choosing healthcare coverage, by age, April 2013Plans for choosing health coverage, by age, April 2013
Factors in considering choice of healthcare
Figure 113: Uninsureds’ factors in considering choice of healthcare, by gender, April 2013
Figure 114: Uninsureds’ plans for choosing healthcare coverage, by age, April 2013

Satisfaction with Current Healthcare Plan
Key points
Figure 115: Satisfaction with current healthcare plan, by gender, April 2013
Figure 116: Satisfaction with current healthcare plan, by age, April 2013
Figure 117: Satisfaction with current healthcare plan, by gender and age, April 2013
Figure 118: Satisfaction with current healthcare plan, by brand usage, April 2013
Figure 119: Satisfaction with current healthcare plan, by knowledge of PPACA, April 2013

Cluster Analysis
Cluster methodology
Confident Optimists
Demographics
Characteristics
Opportunity
Uninformed Doubters
Demographics
Characteristics
Opportunity
Educated Skeptics
Demographics
Characteristics
Opportunity
Cluster characteristic tables
Figure 120: Target clusters, April 2013
Figure 121: Type of health insurance coverage owned, by target clusters, April 2013
Figure 122: Awareness of provisions of healthcare reform/PPACA, by target clusters, April 2013
Figure 123: Sources of PPACA information used in the past, by target clusters, April 2013
Figure 124: Sources of PPACA Information source plan to use in future, by target clusters, April 2013
Figure 125: Attitudes toward healthcare and the PPACA, by target clusters, April 2013
Figure 126: Satisfaction with current healthcare plan, by target clusters, April 2013
Cluster demographic tables
Figure 127: Target clusters, by demographic, April 2013
Cluster methodology

Appendix – Social Media – Health Insurance
Figure 128: Brand usage or awareness, April 2013
Figure 129: UnitedHealthcare usage or awareness, by demographics, April 2013
Figure 130: Aetna usage or awareness, by demographics, April 2013
Figure 131: Kaiser Permanente usage and awareness, by demographics, April 2013
Figure 132: WellPoint usage or awareness, by demographics, April 2013
Figure 133: Humana usage or awareness, by demographics, April 2013
Figure 134: HCSC (ie BlueCross and BlueShield) usage or awareness, by demographics, April 2013
Interaction with brands
Figure 135: Activities done, April 2013
Figure 136: Any brand – Activities done, by demographics, April 2013
Figure 137: Any brand – Activities done, by demographics, April 2013
Figure 138: UnitedHealthcare – Activities done, by demographics, April 2013
Figure 139: Aetna – Activities done, by demographics, April 2013
Figure 140: HCSC – Activities done, by demographics, April 2013
Figure 141: Percentage of consumer conversation by selected health insurance brands, May 20, 2013-June 19, 2013
Figure 142: Online mentions, selected health insurance, by day, May 20-2013-June 19, 2013
Figure 143: Mentions, by page type, selected health insurance brands, May 20, 2013-June 19, 2013
Figure 144: Mentions, by type of conversation, selected health insurance brands, May 20, 2013-June 19, 2013
Figure 145: Major areas of discussion surrounding health insurance brands, by day, May 20, 2013-June 19, 2013
Figure 146: Major areas of discussion surrounding health insurance brands, by page type, Mary 20-2013-June 19, 2013

Appendix – Trade Associations

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