HIMSS20 & Other Conferences Go Virtual – Insight & Information

By | HIMSS | No Comments

The historic cancellation of the 2020 HIMSS Conference & Exhibition has impacted the way healthcare leaders and change-makers obtain information, exchange ideas, and network with others. In the last two weeks, many conferences have canceled or are canceling their physical events and are ‘going virtual’ to salvage the content and speakers they had lined up for their events. Other conference organizers are scrambling to figure out how to support their attendees and exhibitors going forward. Indeed, the conference and media industry – healthcare or otherwise – are mapping and paying the digital freight to help ensure their future.

Here’s some information on the virtual events and content the HealthCare Executive Group, our sponsors, partners, and associates are sharing to make the best of the cancellations of major healthcare conferences like the 2020 HIMSS Conference & Exhibition. And a bit of history on how HCEG provides a year-round approach to supporting the information and networking needs of healthcare executives and change-makers.

HIMSS 20 Cancellation – Collaborating Virtually

Almost immediately after HIMSS Leadership announced the cancellation of the 2020 HIMSS Conference & Exhibition, a slew of announcements about virtual events and content sharing were made by various speakers, attendees, exhibitors, and others involved in the HIMSS20 conference. This cancellation was the first time in nearly 60 years that the HIMSS Conference was canceled. And no one: attendees, speakers, panelists, sponsors, exhibitors, and/or those hired to produce the 2020 HIMSS Conference & Exhibition have NOT been impacted in one way or another by this cancellation.

And shortly after HIMSS announced the cancellation of their annual conference, they announced that the HIMSS 2020 Global Health Conference & Exhibition is Going Digital.

RELATED: HIMSS CEO: Cancelling Conference was ‘heartbreaking’, But HIMSS20 Digital is Set for Growth

Information and Insight About the Future of Healthcare Conferences – Go Virtual

The comfort of meeting and exchanging ideas and information with each other at in-person events has changed. There’s no denying this fact. People are going to have to get comfortable with sharing information, making acquaintances, and networking with others in new, largely unknown and somewhat difficult to use, channels and platforms. Thankfully, the HealthCare Executive Group has decades of experience facilitating interaction between healthcare executives and the companies that support their mission.

In addition to our Annual Forum and quarterly Executive Leadership Roundtables, HCEG presents webinars, online discussion, podcasts and blog posts such as this post.

HCEG has also established both formal and informal partnerships with complementary organizations that also serve our members and other healthcare industry participants associates. These partnerships extend and complement the content, networking opportunities, and value offered by HCEG and its partners. For 2020, these partnerships include being a HIMSS Collaboration Partner and AHIP Educational Partner.

RELATED: The HealthCare Executive Group: Supporting & Convening Leaders & Change Makers in 2020 & Beyond

HCEG Sponsor Partners – Conferences Go Virtual

HCEG sponsors scheduled to present in Orlando have stepped up and performed the work to share most of their scheduled presentations. We urge you to check out these virtual shares – webinars, recordings, blog  posts, and other information – from our sponsor partners:

Change Healthcare:

Our longtime sponsor Change Healthcare has prepared videos, graphics, blog posts and more to share information intended for HIMSS20 attendees.

See the Virtual On-Demand HIMSS20 Experience from Change Healthcare here.

Surescripts:

Webinar recordings, blog posts and other digital content intended to help HIMSS20 attendees understand how Cost & Transparency and the Consumer Experience are key to improving healthcare outcomes are shared here by Surescripts and in the following downloads.

Executive Director Ferris Taylor shares thoughts on HIMSS20 cancellation and how HCEG is participating in #virtualHIMSS20 in this podcast from @healthcare_pod

Other HIMSS20 Participants – Go Virtual

Over the last week, dozens, if not 100’s, of virtual presentations and digital artifacts have been shared to help ameliorate the cancellation of the 2020 HIMSS Conference. Here are some of those digital shares of potential value:

Decision Insights Emerging Patterns 2018-2020

Compliance Trends and Frameworks for the Healthcare Industry

Virtual HIMSS – Consumerism & Patient Engagement Pavilion

The Near Future of Virtual & Intimate In-Person Events

Over the last week, since the 2020 HIMSS Conference has been canceled, a number of worldwide organizations, companies, and individuals have shared valuable insight into what may turn out to be the future of long-standing ‘initiatives’

Here are a few considerations:

  • How will healthcare leaders and change-makers obtain the leads they’ll lose from Cancelled Conferences and Events?
  • How will the current organizer dominatrix move forward over the next 12-24 months?
  • How will the organizer bring their conference or event online?

Here are some ideas for ‘Going Virtual:’

10 steps for scrappy marketers to survive the #HIMSS20 cancellation

Amid Coronavirus Fears, Startups Rethink the Virtual Conference

Best Practices: Hosting Events In The Age Of #Coronavirus (COVID-19)

Key planning recommendations for Mass Gatherings in the context of the current COVID-19 outbreak

What it takes to run a great virtual meeting

Connect with HealthCare Executive Group All Year-Round

Consider the following if you’d like to learn more about the healthcare delivery system transformation and connect with other healthcare leaders and changemakers.

HCEG. HealthCare Executive Group. 2020 HIMSS Conference & Exhibition. HIMSS20. Digital Health. Health Tech. HIMSS20 Collaborator. HealthIT.

Healthcare Leaders & Change Makers at the 2020 HIMSS Conference & Exhibition

By | HIMSS | No Comments

The 2020 HIMSS Conference & Exhibition is two weeks away and the HealthCare Executive Group (HCEG) is looking forward to attending, presenting, and exhibiting at this granddaddy of all health IT conferences. In addition to supporting members, sponsors and partners, HCEG is also a HIMSS20 Collaborator. If you’re attending the conference and haven’t already registered, be sure to use the H20Collab discount code to save on your registration here.

This post shares some information on the 2020 HIMSS Conference & Exhibition and highlights some HIMSS Conference information related to HCEG, the HCEG Top 10, and our members and sponsors.

2020 HCEG Top 10 at HIMSS20

It’s no surprise that the session tracks at the 2020 HIMSS Conference are grouped into primary categories that largely align with the items on the 2020 HCEG Top 10. Search for sessions based on a range of filtering options here. Click on the “HIMSS Track by Topic” below to see a list of all HIMSS sessions for that specific track.

HIMSS20 Tracks by Topic:2020 HCEG Top 10 Item
Applied Artificial Intelligence and Machine Learning4-Data & Analytics
Biomedical Informatics or Healthcare Informatics6-Holistic Individual Health
Consumerization and Patient Experience2-Consumer Experience
Cybersecurity, Privacy, or Security10-Privacy & Security
Data and Analytics4-Data & Analytics
Health Information Exchange or Interoperability5-Interoperability/Consumer Data Access
Healthcare Applications & Technologies** All HCEG Top 10 items **
Innovation, Entrepreneurship or Venture Investment3-Delivery System Transformation
Leadership, Governance, or Strategy9-Healthcare Policy
Organizational Change Management
Personalized Health or Genomics6-Holistic Individual Health
Population Health or Public Health4-Data & Analytics
Professional & Workforce Development
Quality Improvement Model Practices
Telehealth8-Accessible Points of Care
User Experience (UX), Usability, or User-Centered Design2-Consumer Experience
Value-Based Care Models7-Next Generation Payment Models

HCEG Sponsors Exhibiting at 2020 HIMSS Conference & Exhibition

Several of our sponsors – Change Healthcare, Surescripts, & Zipari – are exhibiting at the HIMSS Conference. If you’re looking to learn more about any of the following product categories, be sure to visit our sponsor’s booth exhibit. HCEG. Healthcare Executive Group. 2020 HIMSS Conference & Exhibition. HIMSS20. Digital Health

 

Product CategoriesHCEG Sponsor
AnalyticsChange Healthcare, Zipari
Artificial IntelligenceChange Healthcare
BlockchainChange Healthcare
Business Continuity and Disaster RecoveryChange Healthcare
Clinical Decision SupportChange Healthcare
ConsultingChange Healthcare
Consumer/Connected Health SolutionsSurescripts, Zipari
Content ProvidersSurescripts
Enterprise Image ManagementChange Healthcare
Financial ManagementChange Healthcare
Health Information ManagementSurescripts
Interoperability/HIE/Integration ToolsChange Healthcare, Surescripts
Network SolutionsSurescripts
Payers/Health PlansSurescripts, Zipari
Privacy & SecurityChange Healthcare
Revenue Cycle ManagementChange Healthcare
SaaS (Software as a Service)Zipari

Search for exhibitors of a specific product category here.

Sponsor Presentations at 2020 HIMSS Conference

Our sponsor Change Healthcare is an Anchor Exhibitor at the 2020 HIMSS Conference and, in addition to sharing insight on their products and services, will be presenting sessions at their Booth #6759. See a list of in-booth presentations here.

Payer and Provider Perspectives: Healthcare Trends for 2020

Our Executive Director, Ferris Taylor, will be presenting “Payer and Provider Perspectives: Healthcare Trends for 2020” on Wednesday, March 11th at 4:15 pm at Change Healthcare’s booth #6759. Ferris will share information on the HCEG Top 10 and the recently released 2020 Industry Pulse Report.

RELATED: Insight from Healthcare Leaders & Change Makers – The 2020 Industry Pulse Report

Surescripts Network Alliance at HIMSS20

Sponsor partner Surescripts will be participating in various presentations at the HIMSS20 conference and will be hosting a cocktail reception in their booth #2030 on Tuesday, March 10th at 5:00 pm. More info here.

Poster Presentations

One of the lesser-known sources of information at the 2020 HIMSS Conference is the various poster presentations. Be sure to check out these posters on your way to or from other sessions and events.

Networking Areas

Beyond the sessions and exhibits, the HIMSS Conference is about networking – making new connections and rekindling existing relationships. To support conference attendee networking opportunities, there are numerous networking opportunities available to HIMSS attendees including dedicated Networking Areas.

Of particular convenience are the following areas where you can meet with others – typically outside the hustle and noise of the main concourses and exhibit hall. These areas are open during conference hours as noted. Access semi-private working areas, recharge your device, network with peers and relax in the Networking Hub.

Executive Lounge – Room W309

  • Monday, March 9 – Friday, March 13 | Open during conference hoursHCEG. Healthcare Executive Group. 2020 HIMSS Conference & Exhibition. HIMSS20. Digital Health. Zipari. Surescripts. Change Healthcare.

HIMSS Spot – Lobby C

  • Tuesday, March 10 – Friday, March 13

Living Room – Room W205A

  • Monday, March 9 – Wednesday, March 11 | 7:00 am – 7:00 pm
  • Thursday, March 12 | 7:00 am – 6:00 pm
  • Friday, March 13 | 7:00 am – 2:00 pm

Networking Hubs

  • Level 1, Lobby B
  • Level 2, Lobby E
RELATED: The HealthCare Executive Group: Supporting & Convening Leaders & Change Makers in 2020 & Beyond

Networking Opportunities

In addition to areas for quiet reflection (relatively quiet), the 2020 HIMSS Conference offers a number of networking events.

Additional Information on the 2020 HIMSS Conference

Connect with HealthCare Executive Group at HIMSS and Year Round

The 2020 HIMSS Conference & Exhibition offers a tremendous opportunity for healthcare leaders and change-makers to learn about the challenges, issues, and opportunities demanding change and innovation from all stakeholders – particularly within the U. S. healthcare system.

Consider the following if you’d like to learn more about the healthcare delivery system transformation and connect with other healthcare leaders and changemakers.

Insight from Healthcare Leaders & Change Makers – 2020 Industry Pulse. HCEG HealthCare Executive Group. Top 10. Digital Health. Health Tech. 2020 Industry Pulse Report Consumer-centric strategy. Sdoh. Value-based-care. In-Network vs. Out-of-Network Providers.

Insight from Healthcare Leaders & Change Makers – The 2020 Industry Pulse Report

By | The Industry Pulse | No Comments

We’re pleased to announce the release of the 2020 Industry Pulse Report! This annual survey commissioned by the HealthCare Executive Group and Change Healthcare takes the pulse of a broad spectrum of healthcare industry leaders representing payers, providers (hospitals, doctors offices, & integrated delivery networks) and other industry participants from across the nation.

The 2020 Industry Pulse Report is based on the 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare executives and change-makers. In its 10th year of production, the survey drew a record number of respondents (445), 80% of who held titles of director level or above shared their responses and comments on survey questions, 25% of those participants were from the C-Suite.

Results of the initial analysis of survey data were announced earlier this month and can be accessed here.  Look for the release of additional insight based on the 2020 Industry Pulse Report and the 2020 HCEG Top 10 including webinars, podcasts, conference presentations and additional article posts over the coming weeks and months leading up to HCEG’s Annual Forum in September.HCEG HealthCare Executive Group. Top 10. Digital Health. Health Tech. 2020 Industry Pulse Report

RELATED: 2020 HCEG Top 10 List – Preliminary Insight & Overview of What’s to Come

Consumer Experience + Value-Based Care = Consumer Centricity

The 2020 Industry Pulse Report provides deeper insight into the topics of healthcare cost and outcomes transparency, the healthcare consumer experience, and adopting next-generation payment models like value-based care. The information and analysis contained in the report help to understand current progress being made by providers and payers on the topics identified as most important by healthcare leaders. The survey was designed to elicit and share information on some of the methods being used, priorities, and areas of alignment and disagreement between the primary survey respondents: providers and payers.

See ‘Additional Areas of Insight’ below for other HCEG Top 10-related items addressed in the 2020 Industry Pulse Report.

Consumer-Centric Strategy Varies Between Payers & Providers

In terms of existence and maturity of a Consumer-Centric Strategy, there were areas of alignment – and disagreement – between the largest two groups of survey participants: providers and payers. These data are presented across a 4-point continuum of Consumer-Centric Strategy:HCEG HealthCare Executive Group. Top 10. Digital Health. Health Tech. 2020 Industry Pulse Report Consumer-centric strategy. Sdoh. Value-based-care.

  1. No Consumer-Centric Strategy
  2. Nascent Consumer-Centric Strategy:  single-point solutions, but no unifying organization-wide approach
  3. Intermediate Consumer-Centric Strategy: a consumer-centric approach, actively investing in technologies but no company-wide impact
  4. Full Consumer-Centric Strategy: fully implemented tools and technologies to achieve consumer-centric outcomes and able to effectively measure improvements

Areas of alignment – and disagreement – between the survey’s two largest respondent groups Providers (hospitals, doctors offices, & integrated delivery networks) and Payers (health plans) presented overall responses from these core survey participant groups across a 4-point continuum of Consumer-Centric Strategy.

Disagreement on Current State of Healthcare Consumer Centricity

It’s no surprise there’s disagreement regarding the responsibility, readiness, and challenges facing providers and payers in their transformation to address consumer-centricity. The report reveals both providers and payers are split in the area of value-based care – perhaps the most common Next Generation Payment Model:

  • Payers are much more likely to have robust consumer-centric strategies and providers are much more likely to have no consumer-centric strategy at all.
  • Payers and providers disagree on who’s best positioned to provide cost and quality data to consumers.
  • Payers are much more likely to have migrated to value-based care models while providers are still predominantly offering fee-for-service models.

RELATED: 2020 Industry Pulse Report: Alignments and AsymmetriesPhysicians Practice

Who’s Best Positioned to Support Consumer Healthcare Journey?

Regardless of role, most respondents think payers (31%) are best positioned to provide cost and quality data to healthcare consumers.  Some survey respondents noted others: “Health Information Networks”, “Insurance Agents”, and “Government Agencies.”

However, most respondents favor providers nearly 3 to 1 as being best positioned to support the consumer on their healthcare journey. Some respondents shared that “Retailers and innovators,” “Case Managers,” and “Friends and Family” are best positioned to support individuals on their healthcare journey.

Financial Improvements to Positively Impact Consumer Satisfaction

Survey participants ranked a series of financial or billing improvements based on how they perceived those improvements as improving customer satisfaction. Turns out, addressing the basics that consumers have come to expect are perceived as driving the most value.Surprise billing. HCEG HealthCare Executive Group. Top 10. Digital Health. Health Tech. 2020 Industry Pulse Report Consumer-centric strategy. Sdoh. Value-based-care. In-Network vs. Out-of-Network Providers.

  • Clear Identification of In-Network vs. Out-of-Network Providers
  • Consolidated Billing from Multiple Providers
  • Elimination of Surprise Billing
  • Online Payment Capabilities
  • Plain-Language EOBs and Simplified Invoicing
  • Real-Time Point-of-Service Billing
  • Simplified Benefit Explanations/Navigation
  • Simplified/Flexible Payment Options

Participants were also asked to rank other non-clinical improvements based on their potential to positively impact consumer satisfaction.

Additional Areas of Insight – 2020 Industry Pulse Report

Beyond the topics noted above, the 2020 Industry Pulse Report includes insight into the following challenges, issues, and opportunities facing healthcare organizations.

  • Barriers to Adopting Value-Based Care
    • Payers cite lack of or limited IT infrastructure as an impediment to value-based care while providers cite unclear or conflicting performance measures and regulatory changes/political uncertainty
  • How They’re Addressing Social Determinants of Health (SDOH)
    • Payers and providers differ on the type of sdoh-related data they are capturing
  • Effectiveness of Artificial Intelligence and Machine Learning
    • Providers are significantly more likely than payers to state Health System Efficiency has been positively impacted by AI and machine-learning
    • Payers are significantly more likely to say Reducing Costs has been positively impacted.
  • Drivers of Demand for Interoperability
    • Payers view Regulatory Changes as driving interoperability while Providers rank Physician-Driven Initiatives as a driver of the demand for interoperability
  • Top Reasons for Continued Cybersecurity Breaches
    • Across all C-Suite respondents, nearly 25% believe that Cybersecurity is not Recognized as a Priority at the Executive/Board Level.

Information on methods used, areas of alignment, respective priority, and disagreement between various supply-side stakeholders on the above areas can be of unique value to payers, hospitals, doctors’ offices, and integrated delivery networks.

Get Your Copy of the 2020 Industry Pulse Report

Download the 2020 Industry Pulse Report for more details on the above and other insights collected by the 2020 Industry Pulse Report. And look for more analysis and commentary on the Industry Pulse survey from HCEG, our sponsor partners and media covering the healthcare industry.

If you have any questions you have about the 2020 Industry Pulse Report, the 2020 HCEG Top 10, or the HealthCare Executive Group, please feel free to email us.

WEBINAR: “Industry Pulse Check: How Providers and Payers See 2020 Healthcare Trends

More Insight for Healthcare Leaders and Change Makers

The 2020 Industry Pulse Report and the HCEG Top 10 list of challenges, issues, and opportunities demand change and innovation from all stakeholders – particularly within the ongoing uncertainty of U. S. healthcare reform and an election year. Consider the following if you’d like to dive deeper into these topics and connect with other healthcare leaders and change-makers.

Please consider sharing your insight, experiences, and opinion as your perspective will help define the issues facing healthcare and reveal how key industry participants are acting to transform the healthcare delivery system.

Recent 3rd-Party Analysis and Coverage of the 2020 Industry Pulse Report

HCEG. HealthCare Executive Group. Annual Forum, events, thought-leadership, personal development opportunities. HIMSS 2020 Collaboration Partner. AHIP Educational Partner

The HealthCare Executive Group: Supporting & Convening Leaders & Change Makers in 2020 & Beyond

By | Annual Forum, Executive Leadership Roundtable, Sponsor, Conferences, HIMSS, Member Benefits | No Comments

Over 30 years ago, C-suite leaders of healthcare organizations came together to form the Managed Care Executive Group (MCEG) – a peer-to-peer mentoring concept used to help its members solve their problems with input and advice from other group members. And 60 years before MCEG was born, Napoleon Hill – author of the popular book Think and Grow Rich – shared the idea of Mastermind Group. In 2014, the Managed Care Executive Group rebranded as the HealthCare Executive Group (HCEG) and continued its mission as a Mastermind Group for healthcare executives.

More Than a Conference Organizer, Media Outlet, or Online Networking Group

In its essence, the HealthCare Executive Group is a Mastermind group comprised of senior healthcare executives and industry leaders focused on transforming the healthcare system. HCEG is not purely a conference organizer, a media/content producer, or promoter of online events but rather an organization chartered to convene and support executive leaders of health plans, health systems, and provider organizations – throughout the year – in their mission to affect true change in our failing healthcare system.

The majority of HealthCare Executive Group members are senior executives associated with health plans, health systems, and risk-bearing provider groups. Memberships at the individual and company levels are available each providing various levels of benefits including discounted to complimentary access to our Annual Forum, events, thought-leadership, and personal development opportunities.

RELATED: A Conference for Healthcare Executives Unlike Any Other

Partnering to Enhance Collaboration, Content and Networking Opportunities

HCEG has established both formal and informal partnerships with complementary organizations that also serve our members and other healthcare industry participants associates. These partnerships extend and complement the content, networking opportunities, and value offered by HCEG and its partners. For 2020, these partnerships include:

HIMSS 2020 Collaboration Partner

HCEG is a Collaboration Partner with the Health Information Management Systems Society (HIMSS) at their 2020 HIMSS Global Health Conference & Exhibition on March 9–13, 2020 in Orlando, FL. We’ll be hosting a “Breakfast Meet and Greet” on Wednesday, March 11th at 7:15 am.

AHIP Educational Partner

Last year, HCEG became an Educational Partner of America’s Health Insurance Plans (AHIP). HCEG members Ian K. Gordon and Ferris Taylor joined Dr. Esteban Lopez in presenting “What Should Be Keeping Health Care Executives up at Night?” For 2020, the HealthCare Executive Group will be hosting an Executive Leadership Roundtable at AHIP’s Institute & Expo 2020 in Miami, FL this coming June.

Other Partnerships for Healthcare Executives & Change Makers

As in previous years, HCEG has partnered with other organizations to present information, insight, and ideas for healthcare delivery system transformation.  These partnerships are outlined in this post titled “Healthcare Innovation & Transformation – Looking Back at 2019 & Forward Through 2020.HCEG. HealthCare Executive Group. Annual Forum, events, thought-leadership, personal development opportunities. HIMSS 2020 Collaboration Partner. AHIP Educational Partner

Testimonies from HCEG Members

 “The conference is a great conference for the level of executives and people that you have in the room talking about issues. There’s not a lot of primers at this conference which is nice. You’ve got people who are ready to dig deep on issues and can have executive-level conversations pretty quickly. And yesterday, I identified three or four potential partnerships between our organizations and how we can work to solve some of these issues together.”  – Ricardo Johnson, Senior Director Healthworx at CareFirst BlueCross BlueShield

“I think they nailed the 2020 Top 10 list (of challenges, issues, and opportunities facing healthcare leadership.) I mean it, really every item on there would have been in the top of my list as well. I think that this group of people has really identified the top issues in the industry and gathered folks who are uniquely qualified to speak to them.” – Sara Stevens, VP of Healthcare Economics & Analytics Ops at Capital District Physicians’ Health Plan

“I think the word is it’s (HCEG’s Annual Forum) still intimate by design. We like to keep it roughly a hundred or so people. The last thing we wanted to be is a giant circus of people who don’t have the chance to share information and have an intimate discussion – so that’s by design.” – Richard Lungen, Managing Member at Leverage Health

RELATED: Networking, Collaboration, And Learning Opportunities for Healthcare Executives

Supportive, Consultative Sponsor Partners

A limited number of healthcare industry product and service vendors serve as sponsor partners to underwrite and assist with HCEG’s events, programming, and content. HCEG’s sponsor partners play a role unlike many vendors who sponsor other healthcare events. Rather than dominating speaker positions, exhibiting products in a booth, or littering HCEG’s physical and digital channels with sales messages, HCEG requires its sponsor partners to serve in a supportive, consultative role on a year-round basis.

Sponsor Partners of HCEG contribute to ongoing educational initiatives and benefit from increased visibility through our year-round thought leadership opportunities via:

  • Development of the HCEG Top 10
  • The HCEG Webinar Series
  • HCEG Executive Leadership Roundtables
  • Regional Networking Events
  • Online Discussions and Virtual Panels
  • HCEG Annual Forum
  • HCEG Original Content
  • HCEG Committees and Board of Directors

See this overview of HCEG sponsor partners and sponsorship of the HealthCare Executive Group.

RELATED: Healthcare Information, Insight, & Ideas – 2019 Webinars & Blog Posts

Connect with Healthcare Industry Executives, Leaders, Innovators & Change-Makers

Stay connected healthcare industry leaders, innovators, and change-makers in 2020 by subscribing to our eNewsletter. And consider becoming a member of the HealthCare Executive Group.

Healthcare Innovation & Transformation – Looking Back at 2019 & Forward Through 2020

By | Annual Forum, HCEG Top 10, Executive Leadership Roundtable, Partner Events, The Industry Pulse, Conferences, Webinar Series | No Comments

Last year was a very busy year for the HealthCare Executive Group (HCEG.) In addition to hosting our 31st Annual Forum in our birthplace of Boston, Massachusetts, HCEG hosted two Executive Leadership Roundtables,  presented the CIO & CTO Strategy Track at the 16th Annual World Health Care Congress, delivered seven webinars in conjunction with our sponsor partners, published 35 blog posts addressing challenges, issues, and opportunities facing healthcare leadership, and presented at several of our partner’s conferences and events.

Moreover, in 2019 HCEG became an Educational Partner with America’s Health Insurance Plans (AHIP) and a Collaboration Partner with the Health Information Management Systems Society (HIMSS.) For 2020, we have an equally insightful and interesting agenda of live, in-person and virtual events and content in store.

Looking Back at HCEG Events – Live, In-Person & Virtual Healthcare Innovation & Transformation

31st HCEG Annual Forum

Our 2019 Annual Forum marking our 31st annual event since HCEG was founded in 1988 took place in Boston, Massachusetts – the birthplace of the HealthCare Executive Group. Check out this page for the agenda, photos, and some proceedings from the forum.  You can also view video interviews of various speakers and attendees here.

RELATED: Healthcare Leaders Interviewed by Mabel Jong at HCEG’s 31st Annual Forum

Executive Leadership Roundtables & Special PresentationsHealthCare Executive Group. Executive Leadership Roundtables. ELR, Professional Networking & Relationships, In-Person, Live Events, Professional Development Opportunities for Healthcare Executives, and Resources, Research & News

HCEG presented two Executive Leadership Roundtable events in 2019: one at the HLTH Forum in Las Vegas and one at special ELR at our Annual Forum in Boston.

In addition, HCEG presented the CIO & CTO Strategy Track at the 16th Annual World Health Care Congress. This track consisted of six separate sessions over two days. See the recap of the WHCC event and the CIO & CTO Strategy track presented by HCEG here.

2020 HCEG Top 10 List & 10th Annual Industry Pulse Survey

The 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare industry leaders, innovators, and change-makers was created by participants of our 31st Annual Forum. This list was then used as the basis for the Industry Pulse research survey sponsored by HCEG and sponsor partner Change Healthcare.

Webinars & Blog Posts Advancing Healthcare Innovation & Transformation

One of the ways we share healthcare information, insight, & ideas is via our Webinar Series Events and blog posts. Our blog posts share insight, information and ideas on items in the HCEG Top 10 list, recaps of webinars and HCEG hosted events, and other information of interest to healthcare industry leaders,  innovators, and change-makers.

Check out this blog post for information, insight, & ideas presented in our webinars and blog posts in 2019.

Looking Forward to HCEG Events & Content in 2020

For 2020, the HealthCare Executive Group has a full schedule of live, in-person and virtual events and a full calendar of content throughout the year. In addition to releasing the results of the 10th Annual Industry Pulse research survey conducted in partnership with Change Healthcare next month, we’ll be creating the 2021 HCEG Top 10 list at our 32nd Annual Forum this coming September.

We’re also looking forward to our new Educational Partnership with America’s Health Insurance Plans (AHIP) and acceptance a Collaboration Partner with the Health Information Management Systems Society (HIMSS.)

32nd HCEG Annual Forum

Our 32nd Annual Forum will be held in Boston, MA on September 21-23, 2020. We’re planning our best forum ever and have some interesting speakers, special events and new information-sharing opportunities planned. Sign up here to receive Annual Forum updates and registration details.

 In addition to our Annual Forum, we’re planning to host several Executive Leadership Roundtables at major healthcare industry conferences: Healthcare Executives Address Industry Challenges, Issues, & Opportunities 2019 Annual Forum of the HealthCare Executive Group (HCEG). Ideas, 'Best Practices' and lessons learned. Intimate venue insight, ideas, and actionable information. 2020 HCEG Top 10 list.

DatesEvent
06/17 – 06/182020 AHIP Institute & Expo: Miami, FL
10/11 – 10/14HLTH Forum: Las Vegas, NV
TBDAHIP Consumer Experience & Digital Health Forum: Chicago, Il

HCEG Presentations at Partner Events

Like 2019, HCEG will be moderating and/or presenting at various conferences and events hosted by our partners. In 2020, we have planning for the following presentations underway:

DatesEventHCEG Participation
01/26 – 01/28AAPAN Forum: Amelia Island, FLPresenting
03/08 – 03/13HIMSS Conference & Exhibition: Orlando, FLHosting Leadership Breakfast Meeting
03/15 – 03/17RISE: Nashville, TNSupporting Sponsor Partners
03/23 – 03/26HPA Spring Leadership Forum: Dallas, TXSupporting Sponsor Partners
03/29 – 04/0117th Annual World Health Care Congress: Washington, DCModerating two sessions
05/04 – 05/07WEDI Spring Conference: La Jolla, CAPresenting
NovemberMassachusetts Association of Health Plans: Boston, MAPresenting
DecemberWEDI Winter Conference: Washington, DCPresenting

10th Annual Industry Pulse Survey

The results of the 10th Annual Industry Pulse survey will be released next month. This important industry survey is based on the 2020 HCEG Top 10 List and offers a deeper dive into the top challenges, issues, and opportunities facing healthcare leadership. Here’s last year’s Industry Pulse report.

To be sure to receive the results of this survey and to keep abreast of industry insight and best practices, become a subscriber to our eNewsletter.

Monthly Themes for HCEG Content in 2020

Every year, HCEG events – including live, in-person events and virtual events like webinars and blog posts – are driven by items on the current HCEG Top 10 list. In addition, HCEG hosts and presents a Webinar Series Event nearly every month on the 3rd Thursday of the month. And publishes blog posts on a bi-weekly basis. In addition to topics centered on specific events and HCEG Top 10 items, content created and curated by HCEG will be focused on the following themes in each month of 2020:

MonthTheme
January2019 Recap & 2020 Preview
February2020 HCEG Top 10 List
March2020 HIMSS Conference

10th Annual Industry Pulse Results

April2020 World Health Care Congress
May32nd HCEG Annual Forum Agenda
JuneAHIP Institute & Expo 2020
JulyHCEG Top 10 Mid-Year Review
August32nd HCEG Annual Forum
September2020 HLTH Forum
October2021 HCEG Top 10
November11th Annual Industry Pulse Survey Opens
December2020 HCEG End of Year Recap

Connect with Healthcare Industry Executives, Leaders, Innovators & Change-Makers

Stay connected healthcare industry leaders, innovators, and change-makers in 2020 by subscribing to our eNewsletter. And consider becoming a member of the HealthCare Executive Group.

Healthcare Information, Insight, & Ideas – 2019 Webinars & Blog Posts

By | Executive Leadership Roundtable, The Industry Pulse, Conferences, Member Benefits, Webinar Series | One Comment

The HealthCare Executive Group (HCEG) offers value to the healthcare industry aimed squarely at its health plan roots – and to forward-thinking, still emerging health systems and ‘value-based providers’ transitioning to ‘risk-bearing providers.’ One of the ways we share healthcare information, insight, & ideas is via our Webinar Series Events and blog posts.

Webinars for Healthcare Industry Executives, Leaders, Innovators & Change-Makers

In 2019, the HealthCare Executive Group hosted and presented the following webinars:

Social Determinants of Health: A Payer’s Strategic Advantage

Kim Ingram and Harry Merkin of HealthEdge joined healthcare industry veteran Constance Sjoquist to share examples of Social Determinants of Health (SDoH) in practice and provide guidance on how healthcare organizations can get started addressing and overcoming challenges organizations face with regards to SDoH. Watch the recording here.

We Can Stop Diseases, But Can We Stop The Fax?

Jeff Sponaugle, CTO of Surescripts was joined by associates Ashley Fifield and Melissa Warnke to review technologies that enhance prescribing and inform care decisions, to get patients the right prescription at the right cost, the first time. View the recording here and access the presentation deck here.

The Doctor Can’t See You Now: New Ways to Speed Up and Improve Provider On-Boarding

Appian, a leading vendor of low-code application development platforms, shared best practices and tools to automate and standardize provider onboarding while minimizing risk to the revenue cycle and operations. View the recording here and access the presentation deck here.

Using People, Process & Technology to Grow Your Business

Sal Gentile, CEO of Friday Health Plans, and Dannette Coleman of HealthEdge shared insight on the art and science of people, process and technology to successfully grow their respective health insurance businesses both from the ground up as well as within an established organization. View the recording here.

Solving the Rubik’s Cube of Payer Data

Mayur Yermaneni and Marina Brown of eQHealth Solutions discussed why it isn’t the volume of payer data that makes it so valuable – it’s the unique view that payer data offers into member/patient health. View the recording here.

The Pulse of the Healthcare Industry for 2019

HCEG Executive Director Ferris Taylor and David Gallegos of Change Healthcare reviewed the analysis of the latest Industry Pulse survey and offered insights into the thoughts and opinions of surveyed healthcare leaders exploring how healthcare leaders are preparing for the future. View the recording here and access the presentation deck here.

HCEG’s 2019 Top 10 List & 9th Annual Industry Pulse Report

HCEG’s Executive Director Ferris Taylor and Digital Strategist Steve Sisko share an overview of the 2019 HCEG Top 10 list and how the 9th Annual Industry Pulse Research Survey builds upon specific items of the HCEG Top 10 list. View the recording here.

Popular Blog Posts for Healthcare Industry Executives, Leaders, Innovators & Change-Makers

In 2019, the HealthCare Executive Group published 35 blogs posts that can be accessed here. The following are some of the more popular blog posts:

Recapping HCEG Hosted & Presented Events

Highlights of 2019 AHIP Consumer Experience & Digital Health Forum

How Technology Innovation Will Play a Critical Role in Prevention (of Accidents & Disease)

What Should Be Keeping Health Care Executives up at Night?

Insight & Observations from the 2019 AHIP Institute & Expo

Healthcare Executives Address Industry Challenges, Issues, & Opportunities in Boston on September 9th

A Conference for Healthcare Executives Unlike Any Other

Executives, Policymakers & Thought Leaders Address Healthcare Innovation and Disruption

Recapping 16th Annual World Health Care Congress & CIO/CTO Strategy Track

Insight from Champions of Health at 2019 HIMSS Global Conference & Exhibition

HealthCare Executive Group & Sponsor Partners at the 2019 HIMSS Conference

Recapping Healthcare Consumerism, Digital Health & What’s Happening w/ HealthCare Executive Group

Leaders Share Insight on Healthcare Consumerism & Digitally Enabled Organizations

What Should Be Keeping Health Care Executives up at Night?

Healthcare Leaders Interviewed by Mabel Jong at HCEG’s 31st Annual Forum

Highlights of 2019 AHIP Consumer Experience & Digital Health Forum

Recapping HCEG Webinar Series Events

The Art & Science of Aligning People, Process, & Technology to Grow Your Healthcare Organization

Insight on Solving the Rubik’s Cube of Payer Data

Using Low-Code Development Platforms to Boost Patient and Member Engagement

Recapping: Do You Have What It Takes to Pilot the Transformation of Healthcare?

Healthcare Executives Create Health’s Future at 2nd Annual HLTH Conference

Building Trust is Essential to Transforming the Healthcare System

HCEG Top 10-Related

2020 HCEG Top 10 List – Preliminary Insight & Overview of What’s to Come

How Healthcare Leaders Leverage the 2019 HCEG Top 10 List

Healthcare ‘Costs & Transparency’ and ‘Consumer Experience’ – Top of Mind for 2020 & Beyond

Other Blog Posts

How Technology Innovation Will Play a Critical Role in Prevention (of Accidents & Disease)

Healthcare Organizations Focus on Data & Analytics for Digital Transformation

Substance Use Crisis Challenge for Healthcare Champions

Networking, Collaboration, And Learning Opportunities for Healthcare Executives

Speeding Up and Improving Provider Onboarding Processes

Stay Connected in 2020 & Beyond

We extend a Special Thanks to HealthCare Executive Group’s 2019 Sponsor Partners for their support throughout the year. For more information, insight, and ideas on healthcare innovation and the transformation of healthcare, subscribe to our eNewsletter and consider becoming a member of the HealthCare Executive Group.

HCEG. What Should Be Keeping Health Care Executives up at Night? 2019 AHIP Consumer Experience & Digital Health Forum Dr. Esteban López, MD, MBA, Ian K. Gordon, Consumer Experience, Digital Health. Social Determinants of Health. SDOH. Health Plans.

Highlights of 2019 AHIP Consumer Experience & Digital Health Forum

By | AHIP, HCEG Top 10, Conferences, Social Determinants of Health, Consumer Experience | One Comment

Consumer Experience has been a high-ranking item on HCEG’s Top 10 list of challenges, issues, and opportunities facing healthcare leaders over the last decade.  And last week, 500+ healthcare industry professionals gathered in Chicago at the 2019 AHIP Consumer Experience & Digital Health Forum to present and discuss the importance of the healthcare consumer experience and various approaches to leveraging digital health platforms and tools to effect an improved consumer experience.

In this post, we’ll share some highlights from AHIP’s Consumer Experience & Digital Health Forum including:

Look forward to 2020 and more information and insight shared by healthcare industry leaders, innovators, and change-makers improving healthcare and health delivery.

What Should Be Keeping Health Care Executives up at Night?

As costs continue to rise, more financial responsibility is shifted to individuals, and non-traditional companies disrupt the traditional healthcare space, executives and industry leaders are under tremendous pressure to transform their organizations due to the challenge of providing coverage for healthcare services offering reasonable outcomes at a fair price.

Check out this blog post to learn more about the following topics addressed by three health industry leaders: Ian K. Gordon, Dr. Esteban Lopez, and Ferris Taylor:

• How challenges, issues, & opportunities have evolved over the last few years
• How they’re transforming and innovating their organizations
• What excites them about the future for health care
• How health plans help support health care consumer’s
• How socioeconomic status and social determinants of health impact health plans
• The role of health plans in addressing the social determinants of health and what work they’re doing
• What they’re doing right and what do they need to do better
• What them up at night with respect to the policy actions or industry trends

How Technology Innovation Will Play a Critical Role in Prevention

In the session titled “How Technology Innovation Will Play a Critical Role in Prevention” at last week’s 2019 AHIP Consumer Experience & Digital Health Forum in Chicago, a gaggle of industry leaders, innovators and change-makers shared their thoughts and ideas on the critical role new innovations in technology will play in preventing serious injuries among the fastest-growing demographic—aging Boomers.

Neel Mehta from Honor moderated a panel consisting of Bryan Adams of Best Buy Health, Dr. Ari Melmed, MD of Kaiser Permanente Colorado, Rajeev Ronanki from Anthem, and Faraz Shafiq of Cambia Health Solutions. The panel shared their take and experiences on the following:

• Latest innovations that can help keep older adults healthy and safe in their homes
• The impact technology might have on the social determinants of health
• How these technology innovations can result in better outcomes for well-being

Read this post for Highlights on How Technology Innovation Will Play a Critical Role in Prevention of Accidents and Disease

Creating Impactful Member Enrollment Correspondence

HCEG member Sheri Johnson, AVP of Member Enrollment and Billing joined fellow UCare AVP of Customer Service Julie Feirtag presented how their company utilized a cross-functional approach to update member enrollment-related correspondence to improve member engagement and experience, drive member action and support the customer service team.

See this sample of select slides on how Sheri and Julie orchestrated a team to define and employ simple language and standard templates to transform enrollment-related letters into actionable, easy-to-understand correspondence. And check out a few of the specific processes used, steps taken, changes made, and outcomes achieved they shared in their session.

Connect with Healthcare Industry Executives, Leaders, Innovators & Change-Makers

We’ll be sharing more from last week’s AHIP CDF in the coming weeks. For more information, insight, and ideas on healthcare innovation and the transformation of healthcare, subscribe to our eNewsletter and consider becoming a member of the HealthCare Executive Group.

Prevention. How Technology Innovation Will Play a Critical Role in Prevention. 2019 AHIP Consumer Experience & Digital Health Forum. Neel Mehta. Honor. Bryan Adams. Best Buy Health. Dr. Ari Melmed, MD. Kaiser Permanente Colorado. Rajeev Ronanki. Anthem. Faraz Shafiq. Cambia Health Solutions. social determinants of health. SDOH

How Technology Innovation Will Play a Critical Role in Prevention (of Accidents & Disease)

By | AHIP, Conferences, Population Health, Social Determinants of Health, Consumer Experience | One Comment

In the session titled “How Technology Innovation Will Play a Critical Role in Prevention” at last week’s 2019 AHIP Consumer Experience & Digital Health Forum in Chicago, a gaggle of industry leaders, innovators and change-makers shared their thoughts and ideas on the critical role new innovations in technology will play in prevention (of accidents & disease) among the fastest-growing demographic—aging Boomers joining original Medicare and Medicare Advantage programs at the rate of 10,000 new beneficiaries a day.

Neel Mehta from Honor moderated a panel consisting of Bryan Adams of Best Buy Health, Dr. Ari Melmed, MD of Kaiser Permanente Colorado, Rajeev Ronanki from Anthem, and Faraz Shafiq of Cambia Health Solutions. The panel shared their take and experiences on the following:

  • Latest innovations that can help keep older adults healthy and safe in their homes
  • The impact technology might have on the social determinants of health
  • How these technology innovations can result in better outcomes for well-being

The remainder of this post shares a few highlights from the session. Access all recordings mentioned in this blog post here.

Highlights on How Technology Innovation Will Play a Critical Role in Prevention

The following are some of the questions that moderator Neel Mehta presented to the panel and some panelist responses to those questions. You can listen to the entire recording – admittedly not of the best quality but still enlightening – here. Specific starting and ending points in the recording are noted below and link to the audio recordings.

Q1: How do health plans support caregivers? (02:24 – 04:30)

Fariz Shafiq: On average, caregivers provide 32 hours a week of unpaid caregiving, essentially a full-time, unpaid job imposing a financial and emotional impact on the caregiver. As a health plan, we recognize that caregiving is an extremely important service. Fariz shared how his organization equips caregivers best:

  • Help with scheduling appointments and checking the efficiency of patient schedules
  • Reconciling medications
  • Help with understanding and paying bills

Rajeev Ronacki: Keeping on top of local resources is a real challenge. We provide members and patients digital apps and help identify and connect members and patients with community-based orgs that can assist them. And we provide an online marketplace where members and patients can also self-serve.

Tech and Touch Must Be Balanced for Innovative Prevention of Accidents & Disease

Q2: The elderly caregiver population, whether it’s home care, provider or family member, are difficult to reach and engage with, regardless of whether they are tech-savvy or not. What are some of the ways you reach this population? (06:45-08:47)

Prevention. How Technology Innovation Will Play a Critical Role in Prevention. 2019 AHIP Consumer Experience & Digital Health Forum. Tech vs. Touch. Wearables. Telehealth. Social determinants of health. SDOH

Bryan Adams: Everything starts with balancing the tech vs. touch concept. We want to leverage technology into the home and surround that with robust services. This will ultimately move the needle not only for the healthcare consumer but also for the healthcare system as a whole.

We have ‘healthcare caring centers’ staffed by people encouraged and trained to have a high level of empathy interaction. Mostly telephonic relationships that establish and nurture a tech vs. touch relationship with the senior.

Q3: One of the things that is appealing to tech innovation in healthcare is Artificial Intelligence. What do you think in your perspective as a provider is the role of the healthcare provider in respect to AI? (08:53-12:53)

Dr. Ari Melmed: It’s a new time for providers and physicians. The role of the provider is to partner with the patient and to address their concerns. To get them the right answers. The amount of information available to everyone online is overwhelming. Staying up to date as a physician nowadays only takes 21 hours a day.

Faraz Shafiq: Computers are helping doctors getting better at diagnoses. Healthcare is so complex and the volume of information so great and often so nuanced that AI-powered assistance is needed.  (10:42-12:09)

RELATED: How Cambia Health Solutions is Leveraging Artificial Intelligence in Healthcare Space

Using Technology & Data to Understand Social Determinants of Health

Q4: I have found that on the medical side there’s a mountain of data. And on the social side there’s a huge and growing amount of data. How can technology support the understanding of how social and community health factors influence outcomes? (13:10 – 15:00)Prevention. How Technology Innovation Will Play a Critical Role in Prevention. 2019 AHIP Consumer Experience & Digital Health Forum. Tech vs. Touch. Wearables. Telehealth. Social determinants of health. SDOH

Rajeev Ronacki: I think the question is what do we do about it? How do we react to it? How do we make it more democratized?

Listen to more of Rajeev’s response here.

Q5: What are some of the challenges in integrating data, making it uniform, and making it ‘analyzable?’ (15:33-19:18)

Rajeev Ronacki: Roughly 80% of the work we need to do on any AI initiative is data prep: obtaining the data, looking at the quality of data, cleansing and integrating it, creating standards for uniformity. There’s nothing secret about it.

Listen to other responses to this question here.

Brick & Mortar Bring Human Interaction and Touch to Accident & Disease Prevention

Prevention. How Technology Innovation Will Play a Critical Role in Prevention. 2019 AHIP Consumer Experience & Digital Health Forum. Tech vs. Touch. Wearables. Telehealth. Social determinants of health. SDOH. Brick and Mortar

Q6: What unique value do brick and mortar companies bring to healthcare? (20:20 – 23:20)

Bryan Adams: Brick and mortar locations enable the touch component of the critical need to balance technology and human touch/interaction mentioned before. This is particularly important for the senior population.

Being entrenched in the neighborhood and being involved with community care initiatives helps us to better understand and capture social determinants of health unique to that area and then take that information and make it actionable. At our company, we’re giving thought on how to leverage our Geek Squad (20,000 people) and over 1200 retail outlets to engage with health plan members and to advance preventive care.

Q7: If telehealth has not yet reached into the home it is gaining a footprint in places like Best Buy, Walmart, and Walgreens. Are you seeing brick and mortar playing a part in expanding the reach of telehealth? (23:40 – 25:20)

Dr. Ari Melmed: Yes. And there are different ways of thinking about telehealth like onsite work clinics which are playing an important role, schools are developing innovative programs, remote clinics are interfacing with centralized, specialized services.

Q8: How has the Medicare market shifted in trying to support senior’s health?  (25:24 – 28:50)

Rajeev Ronacki: Increasingly there’s a consumer preference to do things in the home – particularly in the transition to and from the hospital.

Using TV’s and sensors and voice-assistance to deliver the care that’s needed. I would venture to say that 60-70% of the care that doesn’t need active intervention can be provided in the home. The question is how to deliver it in a way that makes sense.

Bryan Adams: Medicare Advantage as a whole has become a hub of innovation and we’re excited about SSBCI and opening up the ability to address social determinants. (27:31 – 28:38)

Can Technology Address 50% of Preventive Health Measures?

Q9: As Rajeev mentioned, with the right technology 60-70% of the care that doesn’t need active intervention can be provided in the home. What will it take to get to widespread adoption of the minimum technology infrastructure needed to address 50% of preventive medicine? (28:50 – 32:13)

Rajeev Ronacki: Some sort of super simple, USB-type device that’s widely adopted by consumers. Installation and implementation need to be simplified and cost-effective.

Prevention. Preventive Medicine. Primary Care. Care Coordination. SSBCI. Medicare Advantage. How Technology Innovation Will Play a Critical Role in Prevention. 2019 AHIP Consumer Experience & Digital Health Forum. Tech vs. Touch. Wearables. Telehealth. Social determinants of health. SDOH. Brick and Mortar

Listen here from more on how technology in the home may address 50% of preventative medicine.

Q10: Are there any examples of technologies that are starting to scratch the surface of being pretty easy to use? (33:35 – 38:50)

Rajeev Ronacki: Wireless sensors and other devices are becoming increasingly sophisticated and easy to use.

Bryan Adams: Passive devices that operate in the background and do not require the member/patient to do anything special or change any behavior. Devices that measure ADL’s and allow the member/patient to keep living their life without any special attention.

Dr. Ari Melmed: Devices that provide feedback on a real-time basis to drive behavior change. Tools to extract information from medical records and help the physician more quickly understand salient aspects of the patient.

Connect with Healthcare Industry Executives, Leaders, Innovators & Change-Makers

For more information, insight, and ideas on healthcare innovation and the transformation of healthcare, subscribe to our eNewsletter and consider becoming a member of the HealthCare Executive Group.

What Should Be Keeping Health Care Executives up at Night?

By | AHIP, Conferences, Population Health, Social Determinants of Health | 2 Comments

As costs continue to rise, more financial responsibility is shifted to individuals, and non-traditional companies disrupt the traditional healthcare space, executives and industry leaders are under tremendous pressure to transform their organizations due to the challenge of providing coverage for healthcare services offering reasonable outcomes at a fair price.

At last week’s 2019 AHIP Consumer Experience & Digital Health Forum in Chicago, HCEG’s Executive Director Ferris joined Dr. Esteban López, MD, MBA, Chief Medical Officer at BCBS of Texas and Ian K. Gordon, HCEG’s Board Treasurer and Former SVP of Health Insurance Operations at Regence Blue Cross BlueShield.

These three health industry leaders shared their insight on the following:HCEG. What Should Be Keeping Health Care Executives up at Night? 2019 AHIP Consumer Experience & Digital Health Forum Dr. Esteban López, MD, MBA, Ian K. Gordon, Consumer Experience, Digital Health. Social Determinants of Health. SDOH. Health Plans.

  • How challenges, issues, & opportunities have evolved over the last few years
  • How they’re transforming and innovating their organizations
  • How health plans help support health care consumer’s
  • How socioeconomic status and social determinants of health impact health plans
  • The role of health plans in addressing the social determinants of health and what work they’re doing
  • What they’re doing right and what do they need to do better
  • What them up at night with respect to the policy actions or industry trends
  • What excites them about the future for health care

The remainder of this post shares a few highlights from the session. Access all recordings mentioned in this blog post here.

Costs & Transparency, Consumer Experience, & Holistic Individual Health  Top 2020 HCEG List

Costs & Transparency, Consumer Experience, and Delivery System Transformation – the key themes of the AHIP-Consumer Experience & Digital Health Forum – also ranked as the top three items on the 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare leadership. In addition, ‘Holistic Individual Health’ is ranked as #6.HCEG. What Should Be Keeping Health Care Executives up at Night? 2019 AHIP Consumer Experience & Digital Health Forum Dr. Esteban López, MD, MBA, Ian K. Gordon, Consumer Experience, Costs & Transparency. Holisitic Individual Health. Digital Health. Social Determinants of Health. SDOH. Health Plans.

Dr. Esteban Lopez Shares What Keeps Him Up at Night (05:53 – 09:17)

Ferris Taylor kicked off the session by asking Dr. Lopez “What keeps you up at night?”

The value that payers bring – is not networks or care management services – although those are important. Their true value is data and analytics. How do we consume data and use that data to derive value for our members so they can stay healthier? How do we use that data to engage with our providers to deliver value-based healthcare?

Over the last several years, providers and payers have become more efficient. At the same time, members have not become worse off but they’re also not becoming better. But there’s still opportunity.

Health plans need to ask:

  • How do we use the data we have in a meaningful way?
  • How do we couple other readily available data with open-source consumer information and other types of information we have about our members so we can predict outcomes, predict disease, and find the channels where we can best engage our members
  • How we can find the channels where members/patients can best be engaged?

New Generations Demand New Levels of Engagement & Value

External disruptors are out there, and they know how to engage healthcare industry incumbents. People want the Amazon Experience and right now, healthcare is NOT like the Amazon Experience. Especially as we look at Millennials, Generation Z and other generations of Digital Natives, we know that they will not stand for the experiences they are having today in healthcare.

Ian Gordon Starts with a Slightly Different Tack (09:30 – 13:18)

The health system itself and health care payers specifically have spent a large portion of their existence contemplating their own value buttons. We look at things very much from an inside-out perspective. And that’s been very useful until we’ve come into the age of consumerism. At this time, we need to continue, which we’ve started that migration, to look at things from the ‘outside in.’

We talk about the power of members. The power of consumers. As opposed to people. We don’t own them. They own themselves. The more information we have, the more we can create models and services and products that meet the needs of PEOPLE!

Health plans talk about social determinants of health. I like to think about ‘Social Determinants of Health’ as ‘Social Determinants of Individual Happiness’ – of which health is a component.

Focusing on Point Solutions Health Plans Want vs. Overall Holistic Health

Ian related a scenario highlighting how many health plans are not properly focusing on holistic health of the individual.  Some highlights include:

Health plans give members things they want to address to drive down medical loss ratio; as opposed to the broader aspect of overall happiness of which health is a component. We give members program’s and tell them to lose weight and do more activities. And then we wonder why they don’t succeed. And the reason they don’t succeed is because they ate too much.

We need to look people more holistically at individuals, focus more on their individual needs, find out what is our role, data, access to healthcare, the digital transformation needed to create that personalized service are all the key things, I think, that are necessary.

Healthcare is complex and it’s hard to learn but so are a lot of other things. And given the right amount of time, the other organizations (disruptors) will encroach upon the health plan. So, health plans must focus on the holistic component of individuals. What makes them happy and improves their lives. And we need to figure out how to do that with data and become an expert at that. Or partner with others who can do that. And we need to stop trying to compete on the commodity-based components of our business.

Listen to Ian’s entire scenario here (11:11 – 13:18)

Barriers to Improved Health – A Broader Definition of Social Determinants of Health

After both Dr. Lopez and Ian Gordon shared some of their insight and ideas on social determinants of health, Ferris Taylor noted that social determinants of health can also be considered as Barriers to Improved Health. Dr. Lopez shared his insight as a physician in the Emergency Room of a hospital serving a low-income area.

Listen to Dr. Lopez’s ideas on how providers, doctors, nurses, payers, and others can help address barriers to improved health: 13:30 – 17:40

And Ian’s follow on to Dr. Lopez’s ideas based on Ian’s experience with Habitat for Humanity: 17:41 – 19:38

More on What Should Be Keeping Health Care Executives up at Night

For more on what’s been shared above by Dr. Esteban Lopez and Ian Gordon, listen to this audio recording of the “What Should Be Keeping Health Care Executives up at Night?” session from last week’s AHIP Consumer Experience & Digital Health Forum.

Connect with Healthcare Industry Executives, Leaders, Innovators & Change-Makers

For more information, insight, and ideas on healthcare innovation and the transformation of healthcare, subscribe to our eNewsletter and consider becoming a member of the HealthCare Executive Group.

2019 AHIP Consumer Experience & Digital Health Forum. Healthcare Consumer Experience. 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare executives in 2020. health plans, health systems, providers. Healthcare Predictions & Trends for 2020. HCEG. HealthCare Executive Group.

Healthcare ‘Costs & Transparency’ and ‘Consumer Experience’ – Top of Mind for 2020 & Beyond

By | AHIP, Conferences, Consumer Experience | No Comments

‘Costs & Transparency’ and ‘Consumer Experience’ are ranked in the two top spots on the 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare executives in 2020. These two areas of focus for health plans, health systems, and providers – risk-bearing or otherwise – are also frequently referenced on the various lists of ‘Healthcare Predictions & Trends for 2020.’

Rising Costs & Increasing Patient Responsibility for Payment Drive Focus

In a presentation at this week’s 2019 WEDI Winter Conference, Dan Mendelson Founder of Avalere shared some eye-opening facts and statistics that underscore why “Cost & Transparency” is ranked as the top issue facing HCEG member organizations.

  • 84% of consumers believe drug prices are unreasonable
  • 2019 AHIP Consumer Experience & Digital Health Forum. Costs & Transparency. 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare executives in 2020. health plans, health systems, providers. Healthcare Predictions & Trends for 2020. HCEG. HealthCare Executive Group.40% of Americans have saved enough to cover a $1,000 emergency
  • 57% of employees are offered a high deductible plan
  • $13K Average employee health benefit cost
  • Affordability is #1 issue for Democrats (45%) & Republicans (30%)

Higher premiums, higher deductibles, increasing co-insurance, and surprise medical billing are four trends that really took off about a decade ago and show no signs of slowing down. See more presentations from the 2019 WEDI Winter Conference here.

Strategies to Improve Transparency and Lower Costs

This time of year all the experts, thought leaders and prognosticators are making their predictions about 2020 and beyond. And Cost, Transparency, and Consumer Experience are frequently referenced items on those lists. The following are some of the more detailed predictions, strategies, and tactics to address the growth of medical and pharmaceutical costs and improve transparency and access.

  • Simplify explanation of benefits communications and simplify terminology
  • Provide members and patients with data that is understandable and usable in a secure and private manner
  • Making data available for review by independent 3rd parties
  • Merge clinical, financial, and operational data with CRM insights to enable greater transparency and enhance customer experience
  • Deploy and support ‘Local Market Relationship Liaisons
  • Develop a culture of transparency to more openly share information on the following:
    • Medical and pharmaceutical pricing
    • Payments and incentives offered to physicians for prescribing drugs
    • Results of clinical trials

All of the above demands the convergence of digital health technology with human needs and wants in a trust-based, member/patient-centered model supporting and balancing person-to-person engagement.

RELATED: “People Hate Shopping for Health Insurance”

Consumer Experience: Balancing Person-to-Person Engagement with Technology

Over the past five years, Consumer Experience has ranked in the #2 spot on HCEG’s Top 10 list four times. HCEG defines Consumer Experience as “Understanding, addressing and assuring that all consumer interactions and outcomes are easy, convenient, timely, streamlined, and cohesive so that health fits naturally into the ‘life flow’ of every individual’s, family’s and community’s daily activities.

As with ‘Costs & Transparency,” many of the lists of predictions and trends for 2020 and beyond include Consumer Experience as a prominently ranked item. The following are some ideas, strategies, and tactics healthcare organizations may consider to improve the healthcare consumer experience:2019 AHIP Consumer Experience & Digital Health Forum. Healthcare Consumer Experience. 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare executives in 2020. health plans, health systems, providers. Healthcare Predictions & Trends for 2020. HCEG. HealthCare Executive Group.

  • Offer personalized mobile apps to leverage user-centric relevant notifications
  • Utilize blockchain technology to create a transparent and tamper-proof ledger of all member/patient transactions
  • Invest in member enrollment and patient recruitment programs
  • Service members and patients where they are outside the four walls of your office, hospital or practice
  • Chatbots for self-service and scaling member/patient interactions
  • Virtual reality providing an immersive experience for members and patients. A virtual tour of a health facility, demonstrating an example procedure and helping patients cope with pain are some examples

RELATED: Did CMS Just Declare 2021 ‘The Year of the Consumer?’

Offering a personal experience when it comes to healthcare is vital and today’s healthcare organizations must focus on utilizing digital health technologies to enhance and advance the experience of the healthcare consumer. Given the entry and disruption from non-traditional players like Amazon who’ve set the standard for consumer expectations, not doing so will surely result in extinction.

More on Costs, Transparency, and Healthcare Consumer Experience

Next week HCEG members and select sponsor partners will be presenting at the 2019 AHIP Consumer Experience & Digital Health Forum in Chicago. HCEG Executive Director Ferris Taylor and Ian Gordon, Former Sr VP & COO 2019 AHIP Consumer Experience & Digital Health Forum. Costs & Transparency. Healthcare Consumer Experience. 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare executives in 2020. health plans, health systems, providers. Healthcare Predictions & Trends for 2020. HCEG. HealthCare Executive Group.of Regence, will be presenting What Should Be Keeping Health Care Executives up at Night? They’ll share more ideas, strategies, and tactics healthcare organizations can use to improve the healthcare consumer experience. Learn more here.

HCEG member Sheri Johnson, AVP of Member Enrollment and Billing at UCare will present Creating Impactful Member Enrollment Correspondence on December 10th at 3:15 pm. Learn more here.

And Mark Nathan, CEO & Founder of HCEG sponsor partner Zipari, Inc. will present Revolutionizing Consumer Experience With a Single Platform Built for Health Insurance on December 10th at 4:10 pm. Learn more here.

Join senior healthcare leaders and line-of-business executives and leave Chicago with guidance for managing the implications that reducing costs, improving transparency, and enhancing consumer experience portends for your IT investment priorities and implementation strategies.