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HEALTH INNOVATIONS POLL: SUMMARY FINDINGS

The healthcare environment today is one of seemingly competing and conflicting demands. Increasing public discourse around the need for cost containment lives side-by-side with consumer demand for unfettered access to care. In this setting, understanding shifting public opinion is critical to shaping innovative solutions that are meaningful to healthcare consumers. Research+Data Insights, a division of H+K Strategies, conducted a nationally representative Health Innovations Poll to better understand public attitudes towards healthcare. Eight hundred Americans aged 18 and over, shared their views on the state of healthcare -- their concerns, expectations and what they value most. CONSUMERS DONT UNDERSTAND OR APPRECIATE THE NOTION OF INNOVATION; THEY CARE MOSTLY ABOUT COSTS Having access to innovative treatments isnt something most people worry about. Is the following something that you worry about a lot, is this something you worry about somewhat or is this something you do not worry about? [Ranked by Worry a lot] Paying medical bills in the event of a catastrophic illness or accident Paying for health insurance coverage Making sure you and your family receive the best quality health care Losing health coverage if you or your significant other lose a job 45 36 33 32

TOTAL (N=800)

Meeting the costs of routine health care (e.g. physicals, preventive screenings, routine prescriptions)

31

Having access to the latest, most innovative medical treatment

21

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When people are asked, unaided, about what they think about innovation, they offer vague responses and frequently mention costs. TOTAL (N=800) 18 14 13 10

What does healthcare innovation mean to you? [OPEN-END] Low/ reasonable/ affordable cost New improvements/ getting better Finding new treatments/ cure Better/ good care/ quality/care

And when asked to choose between either reducing the cost of health care or having access to innovative treatment options, most chose to reduce costs. For each of the following pairs of statements, which comes closest to your view even if neither is exactly right? [ROTATE] For me, its most important to reduce the cost of health care For me, its most important to have access to the most innovative health treatment options TOTAL (N=800) 59 41

This is perhaps not surprising, because the high cost of health care is overwhelmingly seen as the most pressing problem. When it comes to health care, what do you think is the biggest problem facing Americans today? [OPEN-END] High cost/ medical/ healthcare cost (Accepts: high premiums/ copay/ deductibles) Availability of health insurance/ people dont have insurance Too much government involvement/ intervention Obama/ Obamacare Not enough coverage Negative mentions about insurance companies (i.e. making decisions, for profit, etc.) TOTAL (N=800) 53 8 6 5 4 4

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DESPITE THEIR CONCERNS ABOUT COSTS, PEOPLE ARENT WILLING TO GIVE UP CHOICE Although most think people should have access to preferred treatments, cost remains a critical driver of behavior. Do you agree or disagree with the following statements when thinking about health care in the United States? People should not have to consider the cost of treatment when they are dealing with a stressful health issue It is important for people to be able to choose whichever health care treatment they prefer I dont want to consider cost when making a decision about my health N=800 Strongly Agree 57 55 47 Somewhat Agree 27 34 31

When making health care decisions for you and your family, how important are the following factors? [Ranked by Most Important] Cost of services Whether its covered by health insurance Advice from your medical health professional Knowledge of the potential benefits versus the risks associated with a treatment/ service Proximity of treatment to home or work Recommendations from your family and friends Required time away from work and family

TOTAL (N=800) 27 26 25 14 3 3 2

Thinking about the past two years, have you: (select all that apply) [RANDOMIZE] Skipped or postponed a regular doctors visit because of the cost Skipped or postponed a regular doctors visit because you had more urgent priorities Assumed a greater share of our health care costs in the form of higher deductibles or copayments Delayed or avoided changing jobs for fear of losing health coverage Put off any sort of medical treatment because of the cost you would have to pay

TOTAL (N=800) 31 21 24 9 34

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HEALTH INNOVATION MUST BE TANGIBLE TO THE PUBLIC Even though cost is the publics primary concern, people dont want medical companies to develop fewer products to save money. For each of the following pairs of statements, which comes closest to your view even if neither is exactly right? [ROTATE] Medical Companies have to earn enough money from their products in order to fund development of the most innovative treatments and procedures Medical companies should develop fewer products in order to keep treatment costs down TOTAL (N=800)

64

36

Yet access to innovative treatments is not seen as critical when defining high quality care. Rather, people care most about access to quality physicians and medical centers. When you think about high quality health care, how do the following characteristics factor into your assessment? [Ranked by how many people select as #1 important factor] Access to quality primary care physicians Other:* Costs: 14% Misc: 8% None: 3% Location: 3% Alternative care: 2% Accepted by insurance: 2% Access to well-respected hospitals and medical facilities Access to quality medical specialists Access to the latest treatments *Open-ended; respondents were able to provide their own answer.

TOTAL (N=800) 53

31

17 16 12

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Nevertheless, people are willing to pay for innovation if the benefit is perceived as meaningful to them. How likely would you be to pay more for the following? [Ranked by Very Likely] A health plan that provides access to wide variety of treatment options and services A medication if you believe you will have a better outcome with it compared to an older product Treatment at facility known for cutting-edge treatment or services A treatment or service that would require less time away from work and family N=800 Very Likely 34 Somewhat Likely 47

32

48

29

45

21

46

PEOPLE BELIEVE THEY WOULD MAKE DIFFERENT HEALTHCARE DECISIONS IF THEY WERE MORE INFORMED ABOUT COSTS Do you agree or disagree with the following statements when thinking about health care in the United States? If I had a better understanding of how much health care products and services actually cost, I would likely make different medical decisions N=800 How likely would you be to take steps to improve your health (for instance, stopping smoking, improving your diet or exercising more) if it would lower your health insurance payments? [RANDOMIZE] Very Likely Somewhat Likely Strongly Agree Somewhat Agree

20

39

TOTAL (N=800) 56 37

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WHEN PEOPLE MAKE HEALTH DECISIONS, CORPORATE AWARENESS AND REPUTATION IS IMPORTANT Reputation is a key consideration when selecting a health insurer or medical facility To what degree does a companys reputation factor into your health care decision making when it comes to selecting your insurer or coverage plan? [RANDOMIZE] It is the number one thing I consider It is one of several things I consider It matters a little but other things are much more important It really makes no difference Dont know

TOTAL (N=800) 13 55 17 8 7

To what degree does a facilitys reputation factor into your health care decision making when it comes to selecting the location for a medical procedure? [RANDOMIZE] It is the number one thing I consider It is one of several things I consider It matters a little but other things are much more important It really makes no difference Dont know Awareness of a company or treatment can also impact patient-physician dialogue. How much does your awareness of a company or treatment impact discussions you have with your physician about your health? [RANDOMIZE] A lot A little Not too much None at all Dont know

TOTAL (N=800) 17 59 15 5 4

TOTAL (N=800) 36 37 18 4 6

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BEYOND HEALTH PROFESSIONALS, PEOPLE LOOK TO A NUMBER OF SOURCES FOR TRUSTED HEALTH INFORMATION When making health care decisions for you and your family, how much do you trust the following people or organizations to provide you with credible information? [RANKED BY A LOT] Your doctor A nurse or nurse practitioner Organizations that focus on specific diseases Family members and friends Resources on the Internet Your health insurance company AARP or similar organizations Community organizations or support groups Religious leaders at your church or place of worship Your employer The news media National spokespeople N=800 63 33 28 27 26 15 12 11 10 8 6 6 23 45 40 37 70 37 30 33 21 23 25 21

TRUST A LOT

TRUST SOME

When it comes to what people read, see or hear about health care issues, which of the following are your most typical sources of news and information? (Select all that apply) [TOP 5 RANKED] National major network television news (NBC, ABC, CBS, PBS) Online (websites) Friends and family Your local television news National cable network television news (FOX, MSNBC, CNN)

TOTAL (N=800)

54 51 43 40 39

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Which of the following online information sources do you use or access? (Select all that apply) [TOP 5 RANKED] Email (Gmail, Yahoo! Mail etc.) Medical, Caregiving or Senior Websites (WebMD, AARP, Caringinfo.org) News sites (Yahoo! News, MSNBC, Huffington Post, etc.) Social Media sites (Facebook, Twitter, LinkedIn, etc.) National cable network television news (FOX, MSNBC, CNN)

TOTAL (N=800)

52 45 43 41 39

POLLING DEMOGRAPHICS Gender Male Female Age Group 18-29 years 30-39 years 40-49 years 50-59 years 60-64 years 65 or over Marital Status Single Engaged Married/ living with significant other Divorced/ separated Widowed Domestic partnership Children Yes, children over 18 Yes, children under 18 Yes, BOTH children under AND over 18 No children at home 7 20 5 66 26 2 52 13 6 2 19 18 12 22 10 17 50 50

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People in Household 1 2 3 4 5 6 7 Employment Status Employed full-time Employed part-time Full-time homemaker Student Retired Temporarily unemployed Income Less than $20,000 $20,000 to less than $30,000 $30,000 to less than $40,000 $40,000 to less than $50,000 $50,000 to less than $75,000 $75,000 to less than $100,000 $100,000 to less than $200,000 $200,000 or more Insurance Coverage Covered by private insurance through an employer Covered by private insurance but not through an employer Covered by Medicare Covered by Medicaid Covered by Tri-Care Not currently covered by health insurance Other coverage Region Northeast Midwest South West 18 22 37 23 38 7 20 8 2 15 5 16 15 11 12 18 10 10 1 34 13 10 6 23 11 22 39 16 11 6 2 1