HEALTHCARE: WHEN ALL THE PARTS ARE MOVING PARTS Examining the role of marketing during the industry’s transformative moment IN COLLABORATION WITH: A NOTE FROM GYRO:HUMAN Wendy Lurrie Healthcare change is everywhere. As this massive, complex system goes through rapid, profound, awkward and highly public shifts, it’s easy to lose track of who and what the entire enterprise is about – the human being who needs care. No aspect of healthcare is immune from the transformation we’re witnessing: Change is affecting patients, caregivers, physicians, healthcare professionals, hospitals, pharmaceutical companies, insurers, other payers, and medical device and technology providers. When a system this complex undergoes change this dynamic, uncertainty and anxiety abound. The swirl of transformation destabilizes existing structures, changes models, redefines roles and impacts both supply and demand. An environment like this one is unprecedented. But it is also a clarion call to organizations, companies and brands that need to engage their constituencies with greater efficiency using new approaches to communication built on deep understanding of decision-making and the drivers of behavioral change. gyro:human was built to address these challenges at precisely this time in history. We know you are going to find this report informative and insightful. Wendy Lurrie Managing Director gyro:human gyrohuman.com human KEY FINDINGS / 4 HEALTHCARE: WHEN ALL THE PARTS ARE MOVING PARTS / 5 HOSPITALS AND HOSPITAL SYSTEMS (PROVIDERS): THE CONSUMER TAKES CONTROL PHYSICIANS (PROVIDERS): DIGITAL MAKES AN INDELIBLE MARK MEDICAL DEVICES: TIME TO MASTER THE PURCHASE PATH PAYERS: THE IMPACT OF THE NEWLY INSURED / / / 15 / 3 12 SALES TO DOCTORS (PHARMA): CHANGE CREATES OPPORTUNITY CONCLUSION GYRO : HUMAN 11 / / 8 9 DIRECT-TO-CONSUMERS (PHARMA): LIFE AFTER THE PATENT CLIFF BIOTECHNOLOGY: PHARMA’S BEST FRIEND? / / 14 16 18 ABOUT THIS REPORT Two dozen top healthcare executives gathered at Crain’s Communications headquarters in Manhattan in Q4 2014. Led by Crain’s Communications Special Projects Editor Elaine Pofeldt and gyro:human Managing Director Wendy Lurrie, the conversation explored the rapidly changing healthcare landscape. All of the experts shared their perspectives and concerns about the new challenges they face as well as some solutions they have discovered. This report spotlights many of the important points that were raised during this first-of-its-kind discussion. To view “The Changing Landscape of Healthcare” video, please visit gyrohuman.com. WHEN ALL THE PARTS ARE MOVING PARTS / human KEY FINDINGS The changes in the healthcare system are having a destabilizing effect on everyone involved. The walls that have traditionally separated parts of the healthcare system are breaking down, creating not only new models, solutions and opportunities but also confusion and anxiety. The changes brought about through the Affordable Care Act (ACA) are magnified and made more complex by demographics. New cohorts entering the healthcare system bring their own sets of expectations, challenges and needs. The regulatory shifts from procedure-based to outcome-based delivery and payments have equivalents in the marketing and communications of healthcare. This is demonstrated by a new focus on the quality of experience being delivered and an increasing emphasis on accountability. Many of the largest organizations are making enormous changes in all of their business processes and practices as part of a much-needed effort to achieve customer centricity. Consumers want to purchase consumer healthcare like they do goods in any other market. An ecosystem that is at once so large and complex, yet so personal and intimate, places great pressure on marketing and communications to be effective, clear, engaging and, in a time of resource limitations, to also be accountable and efficient. 4 GYRO : HUMAN / WHEN ALL THE PARTS ARE MOVING PARTS human HEALTHCARE: WHEN ALL THE PARTS ARE MOVING PARTS Healthcare is different not only because of its universality, but because of its intimacy. No other industry transformation – recent or historical – has been accompanied by a similar level of anxiety. This is because what we call “healthcare” is actually shorthand for our most fundamental hopes and fears as humans – life and death, independence and dependency, control and chaos. The U.S. healthcare system is in flux, perpetually moving. Changes compound and impact each other with all the complexity and intricacy of a Rube Goldberg machine – albeit with slightly less wit. Healthcare news is everywhere. The approval of a promising new cancer drug. The entrance of a major technology company into the healthcare space. Vaccines in development. Proposed changes to Medicare and Medicaid. A hospital closing. The nursing shortage. Telehealth. It’s all there, part of the public consciousness. The common thread in all this news? Massive change. It’s not orderly or predictable, but it’s unstoppable, and it affects every sector of the healthcare economy and every stakeholder in the country. Unlike other industries that have undergone transformation – banking, travel, car insurance – healthcare uniquely touches every single one of the 317 million inhabitants of the United States. Everyone is a healthcare consumer, and everyone will engage with the system, often when they are at their most vulnerable. No one is immune. The Centers for Medicare & Medicaid Services (CMS) estimate healthcare spending to be 19.9 percent of GDP by 2022, but even that impressive statistic underestimates the role and reach of healthcare in society. Healthcare intersects with nearly every facet of our lives, from policy to politics, business to economics and technology and beyond. HEALTHCARE TO BE 19.9% OF GDP 19.9% The Centers for Medicare & Medicaid Services (CMS) estimate healthcare spending to be 19.9 percent of GDP by 2022. WHEN ALL THE PARTS ARE MOVING PARTS / GYRO : HUMAN 5 human Just because healthcare is important and relevant doesn’t make it approachable or easy to understand. On the contrary, healthcare is a particularly technical industry due to the scientific language of medicine, the complexity of regulation and the jargon of technology. All of this presents unique and critically important challenges: • H ow do we address a topic that is profoundly important and personal but is typically discussed in impenetrable technical ways? • H ow can we expect rational decision-making when the decisions made are also deeply emotional? To step back further, how are those decisions made? • H ow can organizations help their constituents navigate the choppy waters of change with confidence and trust when the rules are changing before their eyes? If the focus of these questions suggests that they can be addressed by improved marketing and communications, then that is no accident. This isn’t a new idea; many players in the healthcare system are sophisticated marketers who have long been using communications strategy to engage with audiences and achieve their goals. Insurance and pharmaceutical companies have made significant investments in marketing over long time horizons. But now, in a confusing, shifting environment, clear, well-crafted and well-executed marketing is becoming more crucial to business success than ever. Sherrie Dulworth, Senior Vice President of Medical Integration and Member Engagement, Health Republic Insurance of New York (left), and Wendy Lurrie, Managing Director, gyro:human (right) kicking off the conversation. Things are changing and everyone knows it. Jane Zimmerman, CCO, Physician Affiliate Group of New York says, “Nothing takes care of itself … You need to be anticipating what the expectations are … and you do need to be proactive [about managing those expectations].” The two historic players in healthcare marketing – insurance payers and the pharmaceutical industry – are not the only major stakeholders anymore. For reasons discussed later in this white paper, many other important players are now entering the healthcare marketing arena. Existing businesses are increasing their commitment to marketing as well as their demands. Others are new. Even the most established healthcare marketers are rethinking what they do and how they do it. What will the new marketing best practices look like? To cover every systemic change and its effects would require a tome. Instead, this report highlights the most important forces shifting the market and addresses their marketing implications for our future. 6 GYRO : HUMAN / WHEN ALL THE PARTS ARE MOVING PARTS human Healthcare is different not only because of its universality, but because of its intimacy. WHEN ALL THE PARTS ARE MOVING PARTS / GYRO : HUMAN 7 human Hospitals and Hospital Systems (Providers): The Consumer Takes Control Challenges branding “You have more le to you than b a l i a v a s e u n e v a It’s more . . . e r o f e b r e ev r for your e v e n a h t t n a t r impo he talk and brand to talk t Only then will walk the walk. ” you earn trust. ffe, Healthcare — Deborah Radcligist Marketing Strate The changes in the hospital landscape are happening with breathtaking velocity. In fact, this sector may be experiencing the most dramatic change of any part of the healthcare system today. We are witnessing an unprecedented number and pace of mergers, acquisitions and consolidations. Hospitals are buying each other, being bought by hospital systems, consolidated into even larger organizations, and acquiring other businesses, like physician groups and healthcare IT providers. What was once a clear and relatively wellunderstood system now seems chaotic and unstable. Some hospital systems are even testing newer models by becoming payers themselves - eliminating insurers from the mix. The critical underlying dynamics driving these changes include a new emphasis on patient satisfaction as measured by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, and a dramatic shift from procedure-based to outcome-based medicine. Providers are now competing for patients who turn to satisfaction ratings, price, reviews and consumer-based metrics for their decision-making. Marketing Implications The situation detailed above is a recipe for confusion and distrust. As long-known hospital names disappear, new brands appear. Organizations are absorbed into huge enterprises that deliver services differently. Every constituency is affected – patients, physicians, employees and community members. Branding done well matters. For example, Emory Healthcare recently incorporated most of its affiliates under the Emory brand, including a former Atlanta community hospital it acquired. This way, Emory can promise and deliver broad reach and a diverse set of capabilities, all with the imprimatur of Emory’s research reputation and 100-year legacy. On the other hand, poor communication sends constituencies into a tailspin. Nearly everyone in New York has heard about the confusion and chaos surrounding the closure of Long Island College Hospital in Brooklyn. The situation has caused enormous anxiety among employees, healthcare providers, patients and members of the community, all amplified in the media. The problems are systemic, lawsuits are everywhere, but there is little question that better, clearer communication and engagement from the outset could have helped mitigate many of the issues still being addressed. 8 GYRO : HUMAN / WHEN ALL THE PARTS ARE MOVING PARTS human T order to combat confusion and build trust, brand building is incredibly important. Brands must be In living, breathing entities that can engage constituents with pitch-perfect messaging delivered through the optimal mix of channels. Internal branding is particularly crucial during a time of industry transformation. And to truly compete in the marketplace, brands need to be differentiated, relevant and authentic in everything they say and do. “You have more branding avenues available to you than ever before,” says Healthcare Marketing Strategist Deborah Radcliffe. “There are those you can control and those you can’t control, like social media … It’s more important than ever for your brand to talk the talk and walk the walk. Only then will you earn trust.” Physicians (Providers): Digital Makes an Indelible Mark Challenges Like hospitals, physicians are care providers, so the two groups are facing some of the same challenges. Both are dealing with the new shift to outcomebased treatment and payment. Both have to work with an increasingly empowered consumer in an environment where their services will be rated and reviewed like any other consumer offering. But there are also several key factors affecting the physician community in particular, starting with the basic employment environment. illennials “The idea that m ntments can’t make appoi th their docs online, email wi s and check review o them.” is unthinkable t ging Director, na Ma , ie rr Lu y nd — We gyro:human The Association of American Medical College (AAMC) Center for Workforce Studies predicts that by 2020, the U.S. will see a shortage of 45,000 primary-care physicians and 46,000 surgeons and specialists. That means that each practitioner is being burdened with more and more responsibility. Record low career satisfaction levels – particularly among general practitioners – reflect the outcome of this pressure. In an attempt to cut out the additional cost and responsibility of running their own business, those working today are increasingly gravitating toward employment by an institution instead of private practice. In fact, this number has risen to between 50 percent and 75 percent, according to The New York Times. Last year, 64 percent of jobs filled by Merritt Hawkins (one of the nation’s leading physician placement firms) involved a physician being employed by a hospital, compared with only 11 percent in 2004. To try to fill the gaps in this shifting environment, “physician extender” positions – nurse practitioners and physician’s assistants – are playing a greater role, as are pharmacists. WHEN ALL THE PARTS ARE MOVING PARTS / GYRO : HUMAN 9 human In addition to workload, changing patient expectations are also transforming a doctor’s job. Patients (especially younger patients) want their doctor visits to work the same way as everything else they have come to expect. Lurrie says, “As we talk about millennials as a cohort, we need to understand their expectations of engaging with healthcare. They expect to engage with it the same way they approach everything else … So the idea that they can’t make appointments online, email with their docs and check reviews is unthinkable to them.” Millennials want their physician to have as robust a digital presence as their bank or taco shop. They want to rely on ratings of a doctor’s performance, much the same way as they would for a restaurant. Telehealth, a premium concierge service designed to meet the demands of digitally native patients or to serve underresourced communities, is also on the rise. 45,000 46,000 PHYSICIAN SHORTAGE ON THE HORIZON The AAMC Center for Workforce Studies predicts that by 2020, the U.S. will see a shortage of 45,000 primary-care physicians and 46,000 surgeons and specialists. Marketing Implications Marketing and communications can help make sense of the disruption in the physician environment. While much attention is being paid to improving the patient experience, it’s equally important to focus on the physician experience since neither exists in a vacuum. Marketers can apply their skills to mapping and understanding the physician journey, emotional and rational drivers, and decision-making process. Marketing insights can be leveraged to develop programs and tools that equip physicians for the brave new world in which they find themselves. These insights can help them achieve digital fluency, develop better communication skills and identify ways to engage with patients. For example, the Physician Affiliate Group of New York conducted a 16,000-person interview with its patients across eight different service lines to find out what patients want and need as well as what would make them feel comfortable. “It boiled down to, out of all of those survey questions, respect,” says Zimmerman. “People felt that when they went in to meet a physician, they wanted the physician to look at them, acknowledge who they are, that they’re here and that the physician is ready and able to help them. It’s very humanistic.” Facilitating communication between physician and physician extender is also crucial to a good patient experience. Defining roles and educating patients about what to expect from these “new” providers can help improve the overall system. Marketers, with their wealth of insight tools, can leverage data, analytics, profiles, personas and more to close the gap. 10 GYRO : HUMAN / WHEN ALL THE PARTS ARE MOVING PARTS human Medical Devices: Time to Master the Purchase Path Challenges The medical device industry is facing a dramatic, game-changing transformation as well. Purchase decision-making is shifting from clinicians to procurement and buying groups in order for institutions to better monitor and control costs. To complicate matters, the contentious 2.3 percent medical device tax (passed in 2013) continues to be burdensome and distracting. Marketing Implications As a result, medical device manufacturers are confronted with a new selling environment. They are facing new audiences with different sets of needs and expectations and a longer purchase cycle with various touchpoints. To win in this arena, they have to understand and embrace a new audience of procurement and buying groups who start their purchase journey in a different way than other audiences. They have to learn how to sell in innovative, value-based ways. Medical device sales forces now have to demonstrate that their devices, whether new or improved, will improve patient outcomes and support their claims with data. This shift isn’t easy, but it’s imperative. And it works. According to a recent study by the Aberdeen Group titled Value-Based Selling: Achieving Sales Success in the Medical Device, Equipment and Diagnostics Industry: “When companies excel at articulating the overall value, notably the economic value, of a medical product or service, they have significantly higher customer retention, market share, revenues and profits.” Marketing has a crystal-clear imperative in this arena: to understand and master this new purchase path and decision-making dynamic. We need to uncover and make actionable insights that enable us to understand new audiences and new buying contexts. And with that will come the creation of messages, value propositions and other content, all delivered through relevant channels. The trend toward value-based assessment and accountability will spill over to medical device manufacturers’ philosophy toward their marketing efforts. As we see in other healthcare sectors, emphasis will be on accountability, attribution and delivering ROI. Measurement and optimization will become more important than ever. TACKLING CHALLENGES HEAD-ON: Two dozen industry leaders explored healthcare’s moment of massive change. WHEN ALL THE PARTS ARE MOVING PARTS / GYRO : HUMAN 11 human Payers: The Impact of the Newly Insured Challenges Due to recent legislative changes related to the ACA, the health insurance industry has the advantage of millions of new consumers ripe for acquisition. However, companies are dealing with a new regulatory environment and uncertainty about how and to what degree these decisions and changes will impact the future of their business. There’s another change going on that doesn’t garner nearly as many headlines: the need to become more customer centric. This isn’t just a buzzword – it refers to the fundamental shift forcing companies, WHAT’S NEXT? Lisa Napolitano, Senior VP of Finance, CBT/DBT Associates (right), which have traditionally marketed primarily to and Natalie Williams, President, QualCode (left) share their thoughts. businesses, to market and engage directly with consumers. To date, even those that presented themselves as business-to-consumer have really been business-to-business, selling to employers who then offer plans to employees. It’s not that insurance companies haven’t marketed to consumers before. They have, through traditional advertising and marketing campaigns. But as these organizations are realizing, customer centricity isn’t about big brand campaigns or friendly marketing materials. It’s about the most fundamental ways in which consumers engage with an organization, and whether that organization is adapting to anticipate and meet the needs and demands of what’s now the most heterogeneous group of insured patients they’ve ever served. ase of Given the incre pating in i c i t r a p s r e r u s in ercent), p 5 2 p u ( s e g n a exch to not only companies need members, but compete for new tention and e r n o s u c o f o s al w energy. loyalty with ne 12 GYRO : HUMAN / WHEN ALL THE PARTS ARE MOVING PARTS This heterogeneity cannot be overstated, and each group or segment brings its own needs, expectations and demands. The younger end of the consumerization phenomenon is more powerful. Consumers desire the same level of always-on access, transparency, peer review, etc., with their insurance that they expect elsewhere. Lurrie says, “We now have a much more empowered set of consumers who will write about things, who will tweet about things, who will make sure that everything is known. And you have to manage all of these channels and know that even if you’re not part of the conversation, it’s happening. You have to be aware and listening and figuring out how to engage wherever and whenever they are happening.” human Other people are moving from employer-based plans to exchanges, a process that’s characterized by anxiety and doubt. The newly insured bring their own challenges, since the entire system is a new experience for them. Given the increase of insurers participating in exchanges (up 25 percent, according to CMS), companies need to not only compete for new members, but also focus on retention and loyalty with new energy. The entire market has been activated and companies will have to manage the inevitable churn that comes with a competitive environment. Marketing Implications In a marketplace this large, with so many currents and crosscurrents, it’s easy to see how marketing best practices are crucial. Whether they take them on wholesale or piecemeal, companies need to use a full range of tactics to identify and communicate with a wide audience of customers clearly and consistently. Aetna was an early adopter in terms of using a plain-language approach to engaging with its members and continues to invest in this critical area. Other large insurance companies have established departments focused on improving business processes to address consumer needs – from systems integration to logistics to customer service and digital access to communications. This is only the beginning. It will take time, focus and resources to make the critical, credible and sustainable shift to true business-to-consumer enterprises. ical to “It’s really crit d population appeal to a broa to understand of consumers ... are coming from, where consumers at they are who they are, wh There is a lot doing online ... e that hasn’t er th y it un rt po of op been tapped.” “It’s really critical to appeal to a broad population of consumers, but [recognize that] O, Wellthie each of them has different segments,” says — Sally Poblete, CE Sally Poblete, CEO, Wellthie. “There is so much data that can be captured to understand where consumers are coming from, who they are, what they are doing online … There is a lot of opportunity there that hasn’t been tapped.” Even on the business-to-business side, the wheels are in motion. According to the 2014 Aon Hewitt Healthcare Survey, the focus of employers is shifting from the specific benefits offered to the quality of the employee health experience they can offer (a key differentiator). Employers overwhelmingly want to see employees participate in health-improvement programs and increase awareness and decision-making related to health issues. Payers must adjust and position themselves to meet the demand for transparency and control with communications programs that align with the consumer mindset. WHEN ALL THE PARTS ARE MOVING PARTS / GYRO : HUMAN 13 human Direct-to-Consumers (Pharma): Life After the Patent Cliff Challenges The trends affecting the pharmaceutical industry are well known, well documented and pre-date most of the shifts that are roiling the rest of the healthcare industry. While consumerization demands for greater transparency, regulatory changes and heightened scrutiny are impacting the market, the most powerful force is the dwindling supply of “blockbuster” drugs that funded companies’ success and growth for decades. Everyone in healthcare is intimately familiar with this “patent cliff,” and while most industry experts expect faster government approvals of new drugs in the coming year, what’s in the pipeline aren’t the “rock star” drugs of the past. Rather, we are looking at new treatments for oncology, generics, rare and orphan diseases, and biologics. Two key trends emerge for pharma companies: • More mergers and acquisitions are being pushed through to facilitate access to new pipelines for drug development. • F ewer resources are available to allocate to marketing, requiring companies to do more with less, and demonstrate a concrete ROI. Marketing Implications It’s easy to address a challenge by throwing money at it, but today pharma companies have to be nimbler and more resourceful about how they spend diminishing budgets. With lower headcounts and smaller budgets, they need to re-examine their marketing approaches for both effectiveness and efficiency. Huge directto-consumer campaigns backed by enormous media spends will become rarer, replaced by programs that can demonstrably deliver results through focused efforts. Radcliffe says, “At the end of the day, all marketers want to drive behavioral change. Yet this is not an easy task in the complex world of pharma. No healthcare consumer wants to need medication. Resistance is ever present throughout the behavioral pathway. As a result, marketing must transform as a series of behavioral ‘nudges.’” 14 GYRO : HUMAN / WHEN ALL THE PARTS ARE MOVING PARTS $170 BILLION NO END IN SIGHT FOR M&A Merger and acquisition activity surged in the second quarter of 2014 with 62 deals announced, representing almost $170 billion of total value. human Those who can leverage marketing intelligence, in combination with new ideas, will lead the pack. Marketing ideas of the future will come from many places – social science, user experience, gaming, data analytics, digital products and much more. Marketers will need to focus less on intent than on behavior, less on awareness than on action, less on acquisition only, and more on the complete life cycle. The pressure to deliver returns will increase, making measurability and attribution paramount. Sales to Doctors (Pharma): doctors who of ge ta en rc pe The jumped from will not see reps percent, 27 percent to 32 tia and according to Quan , market ting Capgemini Consul at track research firms th or. physician behavi Change Creates Opportunity Challenges A combination of factors has changed how pharma companies market to physicians. From regulations in the ACA to scrutiny by public interest groups, there is greater transparency than ever about how drugs are marketed to professionals. Consumers now have access to information about which pharma (or device) company has compensated which physician and in what form. What had been “business as usual” for decades is no longer acceptable. Sales representatives are now unable to persuade doctors to recommend their drugs in an exchange for expensive lunches and luxurious vacations. In this era of “sunshine,” pharma companies have had to find new ways of accessing and activating their physician audience. Marketing Implications As in the medical device sector, we are already witnessing changes. Pharma sales reps need to use a more value- and outcome-based approach (with all the data, tools and support to back it up) to encourage doctors to endorse their drugs. They need to find new ways to add value and distinguish drugs, brands and companies – through professional and patient support programs, education, digital tools and other methods to fill needs within this new regulatory context. Change creates opportunity, and this part of the healthcare arena presents an interesting one. It’s clear that the physician’s world is going through massive transformation. The companies that best understand the new challenges physicians are facing will be best prepared to help address them. Reps can become trusted partners by offering tangible help in navigating the landscape today. MAKING MARKETING WORK: Michael Collura, Director of Marketing at Gramercy Cardiac Diagnostic Services. WHEN ALL THE PARTS ARE MOVING PARTS / GYRO : HUMAN 15 human Biotechnology: Pharma’s Best Friend? Challenges Companies within the biotechnology industry are currently in need of capital and assistance with distribution, sales and marketing as they seek to grow larger. They find a hungry audience in the pharma companies looking to grow their pipelines. As a result, mergers and acquisitions between biotechnology and pharmaceutical companies are on the rise. aordinarily “Branding is extr ding bran important. What essential provides is the tional element of reputa reputation management. Your suggests trust.” ge President of Geor — George Artz, io ns Artz Communicat It’s a rare day that doesn’t bring news of mergers and acquisitions in the pharma and biotech space. A quick scan of the news offers these headlines: “Actavis to Buy Allergan,” “Johnson & Johnson Completes Alios BioPharma Purchase” and so on. And there’s always commentary about what Pfizer and AstraZeneca will do next after the failure of their planned acquisition. Marketing Implications These mergers and acquisitions will lead to brand confusion both internally and externally, and will need to be addressed with clear messaging and brand expression. “Branding is extraordinarily important. What branding provides is the essential element of reputational management,” says George Artz of George Artz Communications. “Your reputation suggests trust.” Cultural differences will need to be reconciled between biotechnology companies with “start up” vibes and the large, formal culture of pharmaceutical companies. In addition, as biotechnology companies shift to the well-oiled distribution and sales models of pharma, they will grapple with similar challenges. Most notably, the shift to a more customer-centric communications strategy and valuebased selling approach. $73.6 BILLION 16 GYRO : HUMAN / WHEN ALL THE PARTS ARE MOVING PARTS MORE MERGERS THAN EVER BEFORE Forty-three deals worth $73.6 billion were completed in the first three quarters of 2014, versus 42 deals worth $39.9 billion completed during all of 2013. human “As healthcare marketing professionals, we have to understand how these dynamic changes impact the most important constituent: people.” — Wendy Lurrie, Managing Director, gyro:human WHEN ALL THE PARTS ARE MOVING PARTS / GYRO : HUMAN 17 human Conclusion The healthcare system is going through a transformation like no other. Breakthroughs are happening in everything from new drugs to new healthcare delivery systems to new ways of engaging with customers. For marketers, this brings both an opportunity and a challenge to the way business is done - from who we target, to how we understand our audiences and engage, the channels and content we create and leverage, the new purchase pathways we create and understand, to the way we measure and evaluate our efforts. Overall, these themes have become clear across every sector of healthcare: What happens in one part of healthcare doesn’t stay in that part of healthcare. The system is now completely interlocked and overlapping, and a shift within any aspect has ripple effects throughout. All of these changes have a dramatic impact on how different stakeholders engage in decision-making. It’s incumbent on all of us to understand and master the new dynamics of this process. In a time of stress, accountability rises. With so much uncertainty, marketers are – and should be – demanding more certainty about their marketing efforts, with a heightened focus on delivering accountable, attributable returns. Customer centricity is more than a buzzword; to be customer centric is to profoundly understand the needs and expectations of a stakeholder at every point in his or her journey. And the customer isn’t only a patient; we need to equally well understand the provider journey, the business decision-maker journey and more. “As healthcare marketing and communications professionals, we have the obligation – in fact, the moral imperative - to understand and address how these changes impact the most important constituent: people,” Lurrie says. “We’re humans. It’s our responsibility to make sure that what we do benefits the people involved. It’s not about tips and tricks and toys; it’s about using the broad spectrum of tools and techniques we’ve developed to help achieve the best outcomes.” 18 GYRO : HUMAN / WHEN ALL THE PARTS ARE MOVING PARTS human About gyro:human Changing healthcare, one human at a time. Everyone alive shares the same basic DNA, but in our attitudes to life we are not all made of the same stuff. There’s huge diversity in the way people face change or react to problems. And in healthcare that matters. Attitudes shape behavior, and behavior has a profound effect on clinical outcomes. To change lives we first need to understand how people really think and act — and then use that knowledge to find humanly relevant ways to reach them. This is the kind of work the new healthcare agency gyro:human was born to do. www.gyrohuman.com About gyro As a global ideas shop, our mission is to create ideas that are humanly relevant. gyro is the 2014 BMA Global B2B Agency of the Year and an Advertising Age Top 50 Agency. gyro also serves as Global Marketing Advisor to FORTUNE. Our 600 creative minds in 14 offices work with top companies including BlackBerry, Cars.com, DuPont, eBay, FedEx, HP, John Deere, SAP, Tate & Lyle, TD Ameritrade and USG. www.gyro.com WHEN ALL THE PARTS ARE MOVING PARTS / GYRO : HUMAN 19 Wendy Lurrie Managing Director d: +1 212 915 2494 m: +1 917 471 2779 e: Wendy.Lurrie@gyro.com www.gyrohuman.com