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Generation HealthTech: PYMNTS ...
AUGUST 2021

                                                   Generation
                                                   HealthTech:
                                                     How Digital Tools Amplify
                                                     Millennial Patient Loyalty

G e ne ration Heal thTe c h:
How Digit al Tools A mplif y
Mille nnial Patie n t L oyal t y
is base d on f indings f rom
a c e nsus - balanc e d sur vey
of 2 , 26 3 U.S. c onsume r s.
T he play book rev iews the
impac t of ac c ess to digit al
c ommunic ation tools on
patie n t s’ loyal t y to their
heal thc are prov ide r s and
how heal thc are se r v ic es c an
leve rage digit al op tions to
boos t patie nt e ngage me nt .
Generation HealthTech: PYMNTS ...
TABLE
             OF
             CONTENTS

               Introduction  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 02

               Going Beyond Dr. Google  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 06

               Payments are experiences too  .  .  .  .  .  .  .  .  .  .  .  . 10

               Conclusion .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 14

Generation
HealthTech                  Generation HealthTech: How Digital Tools Amplify Millennial Patient Loyalty
                             was done in collaboration with Rectangle Health, and PYMNTS is grateful
                             for the company’s support and insight. PYMNTS.com retains full editorial
                                   control over the following findings, methodology and data analysis.
Generation HealthTech: PYMNTS ...
Introduction

HealthTech, which encompasses         opportunities for healthcare market-     customer experience add-ons for                                                 providers seeking to engage new
everything from popular telehealth    ers to engage patients and sustain       patients.4,5 They represent a fun-                                              consumers and build customer loy-
options to self-service health-       their loyalty over time.3 Millennials,   damental shift in the way patients                                              alty must be aware of the impact the
care kiosks, is generating buzz on    America’s largest age group, are dig-    interact with their healthcare pro-                                             digital shift has had on consumer
Wall Street and in the media, fuel-   ital natives, and PYMNTS’ research       viders, as well as a new standard                                               healthcare preferences for how they
ing heavy investor commitments to     reveals that they are focused on         of customer service that puts con-                                              select, receive and pay for care —
HealthTech innovations in 2021.1,2    convenience and simplicity when          sumer preference first.6 Healthcare                                             especially for millennials.7,8
PYMNTS’ research shows that           it comes to interactions with their
the promotion of HealthTech that      healthcare providers.
improves patient experience      —                                             1. Pifer, R. Digital health funding in 2021 smashes past year’s record with $14.7B. Healthcare Dive. 2021. https://www.healthcaredive.com/news/
                                      HealthTech innovations such as digi-     digital-health-funding-in-2021-smashes-past-years-record-with-147b/602920/. Accessed August 2021.
ranging from digital check-ins to                                              2. Healthcare Investment Dollars in 1H 2021 Hit $47B. Silicon Valley Bank. 2021. https://www.svb.com/trends-insights/reports/healthcare-invest-
                                                                               ments-and-exits/2021-midyear. Accessed August 2021.
                                      tal records management, automated
payments to automated appoint-                                                 3. Healthcare Payment Experience Report. PYMNTS.com. 2021. https://www.pymnts.com/wp-content/uploads/2021/01/PYMNTS-The-Health-
                                                                               care-Payment-Experience-Report-January-2021.pdf. Accessed August 2021.
                                      payment plans and hybrid telehealth
ment reminders — presents new                                                  4. Fine, H. Local health tech companies drive effort to digitize health care records. Los Angeles Business Journal. 2021. https://labusinessjournal.
                                                                               com/news/2021/may/17/los-angeles-emr-tech-companies-drive-digitization/. Accessed August 2021.
                                      options are more than just trendy        5. Deep Dive: How Biometrics And Contactless Payments Are Key To Creating Patient-First Healthcare Experiences. PYMNTS.com. 2021. https://
                                                                               www.pymnts.com/identity/2021/deep-dive-biometrics-patient-first-healthcare-experiences/. Accessed August 2021.
                                                                               6. New Healthcare Study: More Patients Willing To Switch To Doctors With Better Digital Tools. PYMNTS.com. 2021. https://www.pymnts.com/
                                                                               healthcare/2021/new-healthcare-study-more-patients-willing-to-switch-to-doctors-with-better-digital-tools/. Accessed August 2021.
                                                                               7. Ibid.
                                                                               8. With $140B In Medical Debt, Doctors Saying ‘I’ll Bill You’ Doesn’t Cut It Anymore. PYMNTS.com. 2021. https://www.pymnts.com/pymnts-post/
                                                                               healthcare/2021/with-140b-in-medical-debt-doctors-saying-ill-bill-you-doesnt-cut-it-anymore/?c=rectangle-health. Accessed August 2021.
Generation HealthTech: PYMNTS ...
4   | Generation HealthTech                                                                                                        Introduction   |   5

     Millennial consumers are accus-           with Rectangle Health, PYMNTS
     tomed to online experiences that          describes how healthcare providers

                                                                                       68%
     prioritize frictionless interactions,     can leverage millennial and younger
     and HealthTech tools are just one         consumers’ interest in digitally man-
     more way they can digitally manage        aged customer experiences to boost
     the most important areas of their         patient loyalty.
     lives. Despite high levels of health-
     care provider loyalty among most                                                  Share of bridge millennial and younger
     consumers, bridge millennials, mil-
     lennials and Generation Z patients                                                patients interested in being able to review
     lead every other demographic in
     their willingness to switch providers                                             their medical histories digitally
     to those that offer the digital health-
     care tools they desire.

     Younger consumers’ affinity for pro-
     viders that make healthcare services
     easier to access through digital
     tools appears to be growing stron-
     ger. PYMNTS’ research found that
     the likelihood that Gen Z, millennial
     and bridge millennial patients would
     switch to providers that offer digital
     healthcare management tools rose
     from 31 percent in November 2020
     to 35 percent in April 2021.

     In Generation HealthTech: How
     Digital Tools Amplify Millennial
     Patient Loyalty, a collaboration

                                                                                                                  © 2021 PYMNTS.com All Rights Reserved
Generation HealthTech: PYMNTS ...
Going Beyond Dr. Google                      |   7

                                         T
                                                     he trope “Dr. Google”                                             them limit friction when paying for
                                                     to describe consumers’                                            healthcare, such as upcoming pay-
                                                     propensity to research                                            ment reminders and payment plans.
                                                     medical conditions online                                         PYMNTS’ research has found that
                                                     is more than a dismissive                                         most patients — 76 percent — are
                                         aside. Today’s digital-native health-                                         “very” or “extremely” interested in
                                         care consumers not only look up                                               using at least one digital method to
                                         their symptoms, potential provid-                                             manage their healthcare services
                                         ers and co-pay rates before booking                                           or interactions with their providers.
                                         appointments but also want digital                                            This is especially true of bridge mil-
                                         control over their healthcare expe-                                           lennial and younger patients, whose
                                         riences.9,10    PYMNTS data shows                                             interest in such features rises to 86
                                         that making digital healthcare tools                                          percent.
                                         available to consumers can enhance
                                                                                                                       Contrary to stereotypes about mil-
                                         customer experience and build loy-
                                                                                                                       lennials and healthcare avoidance,
                                         alty, but why does it matter so
                                                                                                                       research shows that 93 percent of
                                         much? 11
                                                                                                                       millennials desire a patient rela-
                                         Research shows that most con-                                                 tionship with a primary healthcare
                                         sumer interest in digital healthcare                                          provider (PCP). In addition, the qual-
                                         management tools is practical:                                                ity of their relationship with their PCP
                                         Consumers want digital options                                                matters to millennials: 90 percent

GOING BE YOND                            that save them time in communi-                                               desire a holistic, ongoing relation-

DR. GOOGLE
                                         cating with healthcare providers                                              ship with their provider that includes
                                         and allow them greater interactiv-                                            frequent       communication      about
                                         ity on their own terms. Consumers                                             their emotional and mental health,
Why digital-native patients care about   also want access to tools that help                                           personal relationships and overall

tech tools
                                         9. Dailey, D. Doctor.com’s 2020 Consumer Survey Signals the “Death” of the Referral. Mobile Health Times. 2020. http://www.mobilehealthtimes.
                                         com/doctor-coms-2020-consumer-survey-signals-the-death-of-the-referral/. Accessed August 2021.
                                         10. Hochberg, I.; Allon, R.; Yom-Tov, E. Assessment of the Frequency of Online Searches for Symptoms Before Diagnosis: Analysis of Archival Data.
                                         Journal of Medical Internet Research. 2020. https://www.jmir.org/2020/3/e15065/. Accessed August 2021.
                                         11. Report: Consumers Demand Digital Be Part Of Their In-Person Healthcare Experience. PYMNTS.com. 2021. https://www.pymnts.com/health-
                                         care/2021/report-consumers-demand-digital-be-part-of-their-in-person-healthcare-experience/. Accessed August 2021.

                                                                                                                                        © 2021 PYMNTS.com All Rights Reserved
Generation HealthTech: PYMNTS ...
1
8   | Generation HealthTech                                                                                                                                                                                    Going Beyond Dr. Google     |   9

     lifestyle wellness.12 Another recent                                          “extremely” interested in November                                    Are millennial patients’ unique
     survey revealed the level of frustra-                                         2020 to 68 percent in April 2021) and                                 needs being addressed?

                                                                                                                                                                                                  3
     tion millennials carry with respect                                           filling out medical forms digitally (up                               Millennials make up the highest per-
     to their healthcare providers’ com-                                           from 58 percent to 60 percent). They                                  centage of new parents, and they
     munication practices: 76 percent of                                           also expressed greater interest in                                    also sleep fewer and work more
     millennials said they wished their                                            securely communicating with health-                                   hours than generations before
     providers would reach out to them                                             care providers (increasing from 63                                    them.14 These busy patients are likely
     more often between appointments.13                                            percent to 65 percent) and receiv-                                    to find time-saving digital appoint-
                                                                                   ing digital payment notifications                                     ment reminders, a website with           Are routine administrative tasks
     That means healthcare provider                                                                                                                                                               automated for consumers so
                                                                                   (up from 59 percent to 60 percent).                                   telehealth options and simple digital
     accessibility    and     user-friendly                                                                                                                                                       that in-person visits are focused

                                                                                                                                                         2
                                                                                   Generation Z, millennial and bridge                                   records access to be key engage-
     healthcare communications likely                                                                                                                                                             on care?
                                                                                   millennial consumers also became                                      ment drivers.15
     are essential components of a posi-                                                                                                                                                          While PYMNTS’ research shows that
                                                                                   more likely to switch healthcare pro-
     tive patient-provider relationship for                                                                                                                                                       62 percent of millennials prefer
                                                                                   viders if they were offered digital
     most millennial consumers.                                                                                                                                                                   in-person visits with their healthcare
                                                                                   tools to manage healthcare services,
     Recent PYMNTS research under-                                                 with that share increasing from 31                                                                             providers, they want those visits
                                                                                   percent to 35 percent.
                                                                                                                                                         Is the healthcare provider’s web         to be focused on care and not on
     scores the importance of digital
                                                                                                                                                         presence simple, intuitive and           administrative tasks.17 Digital tools
     healthcare management to millen-
                                                                                   Here are three questions to ask                                       contextually relevant?                   can help healthcare providers keep
     nials. Bridge millennials and younger
                                                                                   when evaluating a healthcare provid-                                  A vast majority of millennials (83       millennial patients loyal with better
     patients showed increased inter-
                                                                                   er’s millennial patient engagement                                    percent) conduct a great deal of         in-office experiences.
     est in both reviewing their medical
                                                                                   strategy:                                                             research well before they book an
     histories digitally (rising from 64 per-
                                                                                                                                                         appointment with a doctor­— on
     cent of patients who were “very” or
                                                                                                                                                         subjects ranging from their poten-
                                                                                                                                                         tial doctors’ credentials to the
     12. Author unknown. Millennials Speak Up About Their Health Care Expectations. American Hospital Association. https://www.aha.org/aha-center-       possible meaning of their symp-
     health-innovation-market-scan/2019-12-17-millennials-speak-about-their-health-care. Accessed August 2021.
     13. Brogan, N. Baby Boomers and Millennials Want More Frequent Communication. Managed Healthcare Executive. 2019. https://www.managed-              toms.16 A healthcare provider with a
     healthcareexecutive.com/view/baby-boomers-and-millennials-want-more-frequent-communication. Accessed August 2021.
     14. Ayesh, R. Millennials sleep and work more than previous generations. 2019. Axios. https://www.axios.com/millennials-lifestyle-work-social-bu-   content-rich, user-friendly website
     reau-labor-statistics-7fbabcc6-d5cb-4066-8ca1-f9724019905b.html. Accessed August 2021.
     15. Report: Consumers Demand Digital Be Part Of Their In-Person Healthcare Experience. PYMNTS.com. 2021. https://www.pymnts.com/health-
     care/2021/report-consumers-demand-digital-be-part-of-their-in-person-healthcare-experience/. Accessed August 2021.
                                                                                                                                                         can provide the answers millennials
     16. Yasgur, B. Millennials Flock to Telehealth, Online Research. WebMD. 2021. https://www.webmd.com/lung/news/20210402/millenni-
     als-flock-to-telehealth-online-research. Accessed August 2021.
                                                                                                                                                         seek while engaging them online.
     17. Goodwin, J. Understanding the “why” for Gen Y: What Millennials are looking for in healthcare practices. Medical Group Management Asso-
     ciation. 2021. https://www.mgma.com/resources/quality-patient-experience/understanding-the-why%E2%80%9D-for-gen-y-what-millennials.
     Accessed August 2021.

                                                                                                                                                                                                           © 2021 PYMNTS.com All Rights Reserved
Generation HealthTech: PYMNTS ...
Payments are experiences too                           |   11

                     C
                               ustomer          experience                                           While stimulus checks and tax
                               reviews    often    neglect                                           refunds helped many millennials
                               how consumers pay for                                                 keep ahead of their medical bills,
                               healthcare, yet these pay-                                            interest in payment plans remains
                               ments are a critical part                                             strong among younger adults.20
                     of patients’ experiences. The past                                              Most patients — 56 percent — are
                     year placed a financial strain on                                               “very” or “extremely” interested in
                     many consumers, including millen-                                               payment plans. Bridge millennial and
                     nials. A recent survey revealed that                                            younger patients also are “very” or
                     more than one-third of millennials                                              “extremely” interested in payment
                     (35 percent) were burdened with an                                              plans at a high rate (73 percent).
                     unexpected medical bill in 2020, and                                            PYMNTS’ research found that many
                     more than half (51 percent) said it                                             healthcare consumers are not
                     was over $2,000.18 According to the                                             offered payment plans despite their
                     same study, most millennials have                                               interest in them. Clear onboarding
                     less than $3,000 earmarked to pay                                               processes for new patients can help
                     for medical expenses. A recent poll                                             limit confusion during payment and
                     of millennial patients revealed that                                            prevent missed payments.
                     48 percent have medical debt, with
                                                                                                     Healthcare providers seeking to
                     54 percent of parents with young
                                                                                                     boost millennial patient loyalty
                     children reporting that they have

PAYMENTS A RE
                                                                                                     should keep in mind the following:
                     ongoing bills they cannot pay all at

E X PER IENCES TOO
                     once.19

                     18. Grunebaum, D. Survey: Millennials Battle Surprise Medical Bills, Debt. Healthcare Insider. 2021. https://healthcareinsider.com/millennials-bat-
                     tle-surprise-medical-bills-251063. Accessed August 2021.
                     19. Adams, K. 72% of Americans say medical debt has kept them from achieving life’s milestones, study finds. 2021. Becker’s Hospital Review.
                     https://www.beckershospitalreview.com/finance/72-of-americans-say-medical-debt-has-kept-them-from-achieving-life-s-milestones-study-finds.
                     html. Accessed August 2021.
                     20. Burton, A.; Carpenter, J. Here’s How Young Americans Are Using Their Stimulus Checks. The Wall Street Journal. 2021. https://www.wsj.com/
                     articles/heres-how-young-americans-are-using-their-stimulus-checks-11613154233. Accessed August 2021.

                                                                                                                      © 2021 PYMNTS.com All Rights Reserved
Generation HealthTech: PYMNTS ...
12   | Generation HealthTech                                                                                                             Payments are experiences too    |   13

     Competitiveness requires                  important digital offering that would    communications frictionless is key        to make payments online as well as
     connectedness                             encourage switching providers. This      to sustaining millennial engage-          to send direct communication to the
     Healthcare providers are encounter-       kind of digital feature is even more     ment. PYMNTS researchers learned          office.
     ing new categories of competition,        relevant for Gen Z consumers (23         that younger patients are replacing
     from exclusively online telehealth        percent in 2021). Notifications about    phone contact with visiting the prac-
     services to personal health monitor-      insurance coverage (rising from 6        tice’s website. Research found that
     ing apps, that aim to reduce the need     percent to 12 percent) and payments      13 percent of younger patients (Gen
     for in-person checkups. Healthcare        (rising from 3 percent to 7 per-         Z, millennials and bridge millenni-
     providers seeking to retain millen-       cent) also became significantly more     als) said using a practice’s website
     nial patients and build loyalty should    important this year.                     was their most preferred method in
     provide these consumers with an                                                    2021 — increasing from 9 percent in

                                                                                                                                        73%
     arsenal of relevant digital healthcare
                                               In-person care should be                 2020. In line with this trend, the sur-
                                               data-driven                              vey revealed that 31 percent in 2021
     tools.
                                               Millennials want better in-person        said calling on the phone was their
     Millennials are loyal but aware of        healthcare experiences as well as        most preferred method, down from
     their options                             simplified digital communications
                                                                                                                                        Share of bridge
                                                                                        36 percent in 2020.
     Millennials value their time with their   because they are used to the effi-
                                                                                        Look at digital engagement as
                                                                                                                                        millennial and
     healthcare providers, and tools that      ciency of digital channels. Asking a
     limit friction in areas such as paper-    series of relevant questions in-office   more than a website
     work or billing surprises can preserve
     positive patient-provider relation-
                                               about their desired digital healthcare
                                               options will ensure they are receiv-
                                                                                        Email and text notifications grew
                                                                                        from 2020 to 2021 as a key digital              younger patients
     ships. Email and text notifications
     grew as key digital offerings that
                                               ing the care they need in the way
                                               they prefer.
                                                                                        offering that encourages patients
                                                                                        to switch providers. This implies
                                                                                                                                        who are “very”
     could encourage patients to switch
                                               Make communications effortless
                                                                                        that millennial patients are not just
                                                                                        gleaning information from health-
                                                                                                                                        or “extremely”
     providers. The importance of noti-
     fications about appointments more         Patients are looking to interact with    care provider websites but are using            interested in
                                               the healthcare provider’s office as      them as a way to connect to their
                                                                                                                                        payment plans
     than doubled from 2020 to 2021, ris-
     ing from 6 percent to 14 percent of       easily as a retailer’s helpdesk or       providers. Ensure that your practice
     consumers who said this is the most       texting with a friend. Making digital    website includes an easy, secure way

                                                                                                                                          © 2021 PYMNTS.com All Rights Reserved
Generation HealthTech: PYMNTS ...
CONCLUSION

   W                                                      METHODOLOGY
                  hile PYMNTS’ research shows that
                  most millennial and younger patients
                  prefer traditional in-person health-
                  care with a trusted provider, their
                  desire for digital convenience and
                                                            Generation HealthTech: How Digital
   low-friction payment experiences often overrides         Tools Amplify Millennial Patient
   their loyalty to a familiar physician. When given a      Loyalty is based on findings from a
   choice between a familiar healthcare provider and        survey of 2,263 consumers represen-
   one who offers the digital healthcare manage-            tative of the U.S. adult population.
   ment options that millennials favor, many patients       The playbook reviews the impact of
   choose a digitally enhanced customer experi-             access to digital communication tools
                                                            on patients’ loyalty to their health-
   ence over familiarity. Today’s consumers see their
                                                            care providers and how healthcare
   healthcare experiences — from how they manage
                                                            services can leverage digital options
   appointments to how payments are arranged — as           to boost patient engagement.
   key to an overall positive patient visit. Healthcare
   providers seeking to remain competitive with con-
   sumers’ growing array of options, from telehealth
   to self-service health kiosks, must offer patients
   an in-office customer experience that meets their
   digitally inspired standards.
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