Seven Ways to Use Market Segmentation at a Health Plan

Implementing marketing segmentation is never a slamthe value of in-house data and make additional data
dunk and health plans have more difficulty than otherworth the cost.5. Advertising agencies often drive
firms because of their regulatory environment. But thesegmentation research and use it well. For example,
pattern of decisions is simple when they are brokenthe client has chosen to target the "mass affluent" as
into steps.First, market segmentation research isdefined by some combination of assets and attitudes.
needed to identify and define market segments. ThisMedia buyers need to know the magazines this
process is fairly involved and is described elsewhere.segment reads and the types of web sites and
(See for example the whitepapers at The researchsearch engines they use. Copy writers will incorporate
helps firms decide which segmentation strategy to use.the deep values of this segment into commercial
These strategies may be based on purchasingscripts. Creative directors will insist that the visual
behavior, consumer characteristics, lifestyle information,imagery of advertising be consistent with what the
or other market information.Second the team must"mass affluent" look like, talk like, and do. Account
ask, "which segment or segments does the health planplanners will concentrate their research on the target
wish to target?"The market research will providesegment,
objective information facilitating this decision. Mostusing the classification tool to recruit and screen the
experts would agree that it is foolish to target aright people.6. Call centers. Health plans can ask
segment to which you do not now have a reasonablysegment classification questions in their response call-in
good fit (e.g. the GMC truck division pursuing a "green",customer interviews and in their telephone enrollment
hybrid-oriented segment).Finally, the fun begins. Onceinterviews. The classification can help find the best plan
target segments have been decided on, there are atfor each caller and this will help assure better
least seven ways to use segmentation.1. Positioning.retention.7. Channel mix. Segments may have different
Take health care as an example. Most health plansaffinities for different distribution and sales channels.
offer multiple plans where premiums and access toPerhaps one segment of buyers is unreceptive to
branded drugs and providers differ. There aree-mail communications; another segment may never
segments of the market willing to trade loweraccept a personal visit but will read your
premiums for more restrictions on access. But othere-mail.It is the exceptional firm, but some have literally
segments are not willing to make this trade. Marketorganized themselves around segments. In these firms,
segmentation will help companies re-position theirany employee can tell you who their target is, and who
"basic" and "premier" plans to match segments'the target is not. If they have multiple brands, each
motivations and concerns Sticking with health care forbrand is adapted to fit one segment. Brand tracking is
an example, some seniors are motivated to actdone at the segment level. The advertising agency for
because of service, convenience, or help with healtheach brand is expected to zero in on that segment in
maintenance. If segmentation is implemented, moreits messaging and media selection. Because some
seniors will find the right product for them.2. Newsegments inherently offer higher or lower unit margins,
markets. Products or brands could be positioned tofinancial expectations of the brands are adjusted
meet the needs of a segment the company does notaccordingly. In health care, one example is Wellpoint's
now serve very well. For example, many limitedcommercial operation organized around products and
income seniors have been automatically enrolled inservices for different segments of
Medicare's Part D plans, but they don't have to stayemployers.ConclusionMarket segmentation is a
there. If a health plan knows what this segment'sfar-reaching strategy that can benefit health plan
concerns are, it could induce them to switch.3.players. Once the targets have been set, the firm has
Geography. Health plans have found it productive toan opportunity to consolidate management of
emphasize different products and selling strategies inoperations around its segmentation strategy. Every
different geographies depending on the mix ofbusiness function can be mobilized to take full
segments in those geographies.4. Direct marketing is alladvantage of the opportunities that market
about segmentation, but it is often focused narrowlysegmentation offers.
on internal sales analysis. Segmentation can leverage