Four Pillars Successful Core-System Replacement Project. Healthcare Executive Group. Change Healthcare. digital transformation. Framework. Implementation Readiness. Governance. Business Transformation. Execution Framework

The Four Pillars of a Successful Core-System Replacement Project

By | Annual Forum, Sponsor, Webinar Series, Project Management | No Comments

Completing a successful core-system replacement project at a health plan or health system organization is a major undertaking. And successfully delivering a multi-million dollar digital transformation project is significantly enhanced by establishing a framework based on proven principles.

Framework for Successful Core-System Replacement Project

Last week, our sponsor partner Change Healthcare shared valuable insight in a webinar titled ‘The Four Pillars of a Successful Core-System Replacement Project.’  Jeanne Noe PMP, Director of Consulting Services and Mauricio ‘MJ’ Jimenez, Sr Manager of Consulting Services at Change Healthcare, shared information, insight and practical ideas on how to establish a framework for successful core-system implementation. This framework for a successful core-system replacement project is based on four pillars: 1-Implementation Readiness, 2-Governance, 3-Business Transformation and 4-Execution Framework.

This blog post recaps highlights and detailed content from the ‘Core-System Replacement Project’ webinar presented by Change Healthcare on August 2nd, 2018. Included is a recording of the webinar, the presentation slide deck, and additional information on establishing a framework for successful core system implementation. You can also check out this Twitter Moment summarizing live Tweets shared during the webinar.

Information, Insight & Actionable Ideas for Successful Core-System Implementation

After introductions by HCEG Executive Director Ferris Taylor, Jeanne Noe kicked off the webinar by sharing that the most important indicator of success in a Core-System Replacement project is a strong project foundation. Jeanne emphasized the importance of building a foundation on the Four Pillars of Success before the project progresses – not as you go along.

Why, How, What, Who & When of a Successful Core-System Replacement Project

The presentation from Change Healthcare was packed with information, actionable ideas and insight collected over the course of performing dozens of core-systems replacement projects for major healthcare payers and other risk-bearing entities.

Four Pillars Successful Core-System Replacement Project. Healthcare Executive Group. Change Healthcare. digital transformation. Framework. Implementation Readiness. Governance. Business Transformation. Execution Framework

Starting with the Taxonomy of Why, the importance of clearly defining – and widely sharing – the Strategic Vision, Business Goals, and Objectives were shared. Jeanne noted that explaining why a legacy system is being replaced is a key way to help all project team members achieve project objectives. Yet few healthcare organizations widely communicate the reasons for major initiatives like a core-system replacement project.

Jeanne went on to provide more details and commentary on the How, What, Who & When of a core-system replacement project. Since there’s simply too much information to share about the how, what, who and when in this recap, see the slides listed in the presentation deck for more. Better yet, watch the recording of The Four Pillars of a Successful Core-System Replacement Project here.

Roles Matters – Clearly Defined & Accountable

One of the most valuable bits of insight shared by Change Healthcare’s Jeanne Noe was that too many healthcare organizations make the very common mistake of not clearly defining roles, responsibilities and decision-making authority. Before the project starts – and periodically throughout the projects as objectives change and project resources come and go.

Clearly defining roles, responsibilities and decision-making authority seems obvious but is simply often not addressed.

Key Governance Components of a Successful Core-System Replacement Project

Change Healthcare presented two important actions healthcare executives sponsoring core-systems replacement projects MUST address at the start:

  1. Establish a single point of accountability and expertise
  2. Clearly identify decision makers and specialists for issue resolution

Risks, Actions, Issues, and Decisions – It’s a RAID!

Risks, Actions, Issues, Decisions (RAID) is a framework to report, track, resolve document project

Somewhat similar to the widely known RACI (Responsible-Accountable-Consulted-Informed) approach for managing large projects like core-systems replacement projects, Change Healthcare’s Core-System Implementation Framework uses the RAID framework to report, track, resolve and document project items.

As opposed to the somewhat passive activities defined via the popular RACI approach, Change Healthcare’s RAID approach to governing major projects emphasizes the importance of actions and rapid decision making within a framework of issue identification and risk management.

Business Transformation & Core-Systems Replacement Projects

Mauricio ‘MJ’ Jimenez, Sr Manager of Consulting Services at Change Healthcare continued the second half of the webinar by sharing information, insight, ideas, and tips on the 3rd and 4th Pillars of a Successful Core-System Replacement Project: Business Transformation and Execution Framework.

Business Transformation

MJ emphasized that replacing your core-system is a business transformation, not an IT project or initiative. MJ offered the following as some key considerations to effect a true business transformation:

  • Assign senior resources to serve as ambassador to the rest of the organization.
  • Neglecting employees affected by the transformation will guarantee resistance to change.
  • Relevant content is key and its delivery is enabled through Role-Based Training
  • When meetings grow in number of participants, it is often a reflection of poor communication.

Execution Framework – The Most Critical of the Four Pillars

Four Pillars Successful Core-System Replacement Project. Healthcare Executive Group. Change Healthcare. digital transformation. Framework. Implementation Readiness. Governance. Business Transformation. Execution Framework

Core-system and other major projects undertaken by healthcare organizations will be for naught without a well-designed Execution Framework. Change Healthcare’s MJ Jimenez shared some key experiences, insights, and ideas on how to establish an effective Execution Framework. And offered ideas for executing brilliantly.

The key components of the Execution Framework described include the following:

  • Flexibility
  • Maintains Focus
  • People First
  • Requirements Management
  • Defect Management
  • Systems Integration Plan

Summarizing the Webinar

Jeanne Noe shared the following slide at the end of the webinar.Four Pillars Successful Core-System Replacement Project. Digital transformation. Framework. Implementation Readiness. Governance. Business Transformation. Execution Framework. Requirements Management. Defect Management. Systems Integration Plan. Trizetto FACETS. QNXT, HealthEdge.As noted before, the information, insight, and ideas presented by Change Healthcare are too numerous to recap here. To learn more about what was shared during the webinar, check out the recording of the webinar, the presentation slide deck, and additional information on establishing a framework for successful core system implementation.  Also, check out this Twitter Moment summarizing live Tweets from the webinar.

More Insight & Opportunity for HealthCare Executives

The information shared by the HealthCare Executive Group in its Webinar Series events are one example of services we’re pleased to offer our members and associates. In addition to connecting with us on TwitterFacebookLinkedIn and subscribing to our eNewsletter, consider joining other healthcare executives and industry thought leaders at the HealthCare Executive Group’s 2018 Annual Forum on September 12-14th, 2018 in Minneapolis, MN. We’ll be celebrating our 30th Anniversary helping healthcare leaders navigate the strategic and tactical issues facing their organizations.

Check out this page for more information on our 2018 Annual Forum.HealthCare Executive Group Annual Forum. Executive leadership. 2018 Conference event forum roundtable

Connect with HealthCare Executive Group at the AHIP Institute & Expo

By | AHIP, Annual Forum, HCEG Top 10, Executive Leadership Roundtable, Sponsor, Conferences, HLTH, HIMSS, Webinar Series | No Comments

health care conference, Conference, Health Care, Hospital, Health System, Health Insurance, Health Plan, Benefits, Affordable Care Act, Policy, CMS, Health Care Reform, compliance, pharmaceutical, health IT, network, contracting,health plans,health systems,leadership, medicaid & policy, pophealth analytics, behavioral health,network contracting, employer direct contracting, self-insured, Population Health Analytics, PopHealth, Social Determinants of Health, healthcare, healthcare conference,HealthCare Executive Group convenes and supports healthcare executives and thought leaders by providing a platform supporting the creation, curation and sharing of information and insight on current opportunities, challenges and issues in the healthcare industry.

It’s our 30th Anniversary and the HealthCare Executive Group has been in overdrive during the first half of 2018. We held an Executive Leadership Roundtable at the recent HLTH Future of Healthcare Forum, we worked with our sponsor partners to share insight via our ongoing HCEG Webinar Series, we’ve attended a handful of major healthcare industry conferences in support of our members and sponsor partners, and we continue to leverage our social channels to help address the issues, challenges and opportunities facing today’s healthcare executive leader.

We’ve also been preparing for our 2018 Annual Forum taking place September 12th through the 14th in Minneapolis, MN – recruiting industry thought leaders and fleshing out an agenda that promises to share valuable information, insight and networking opportunities.  Finally, we’re wrapping up the first half of our 30th Anniversary year by attending the 2018 AHIP Institute & Expo where we’ll support our members and sponsor partners – and gather additional insight to make our 2018 Annual Forum all the more valuable.

Major Healthcare Conferences of 2018

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HCEG members and sponsor partners participated in many of the major healthcare conferences taking place in the first part of the year including the:

2018 HIMSS Conference & Exhibition in March

15th Annual World Healthcare Conference in April

Inaugural HLTH Future of Healthcare Forum in May

Check out a recap of our roundtable event held as part of the Association Day at the inaugural HLTH Future of Healthcare Forum here.

WEDI Spring Conference in May

WEDI conference organizers have made complete conference information including sessions handouts available here.

2018 AHIP Institute & Expo next week June 20 – 22

HCEG members and sponsor partners will be participating in more conferences as the year continues, including, our course, hosting the 2018 HCEG Annual Forum celebrating our 30th Year convening and supporting healthcare executives and thought leaders.

Read on for more about HCEG Members and Sponsor Partners at the AHIP Institute.

HCEG’s Executive Leadership Roundtable

In May, we partnered with the International Association of Innovation Professionals, the Center for Healthcare Innovation, and the Workgroup for Electronic Data Interchange and held a unique ELR titled ‘Leadership, Trust & Skills in Overcoming Obstacles to Radical Innovation in Healthcare.’

Check out a recap of the roundtable event held in conjunction with the inaugural HLTH Future of Healthcare Forum here.

The Next Executive Leadership Roundtable – Nashville, TN

We’re planning another Executive Leadership Roundtable to coincide with the AHIP Consumer Experience & Digital Health Forum on December 11 – 13, 2018 in Nashville, TN. Members and sponsors interested in helping shape the theme of this roundtable are urged to contact us at [email protected].

HCEG Webinars Offer an Opportunity to Learn from Sponsor Partners

In the first few months of 2018, HCEG and our sponsor partners produced webinars addressing a variety of topics such as Value-based Payment, Post-Acute Care in Medicare Advantage and a deeper dive into the 2018 HCEG Top 10. For more information on these webinars including a recap and recording, check out the following:

Recapping ‘The 2018 HCEG Top 10 Healthcare Opportunities, Challenges & Issues’ Webinar – Part 1

Recapping ‘The 2018 HCEG Top 10 Healthcare Opportunities, Challenges & Issues’ Webinar – Part 2

Recapping Value-Based Payment – Getting from Here to There…

The Financial Impact of Post-Acute Care in Medicare Advantage

The HealthCare Executive Group Webinar Series Continues

In August, “The Four Pillars of a Successful Core-System Replacement Project” will be presented by sponsor partner Change Healthcare on August 2nd, 2018 at 2:00PM ET. Reserve your seat for this webinar today!

HCEG is also working with other sponsor partners on additional webinars planned for the 4th quarter of 2018 after the Annual Forum.

Consider subscribing to our eNewsletter to be kept abreast of these webinars and other information and events of value to healthcare executives and thought leaders.

Preliminary Agenda and Keynote Speakers for HCEG’s 30th Anniversary Annual Forum

We’re pleased to share the preliminary agenda and announce that Andy Slavitt, former Acting CMS Administrator and current leader of Town Hall Ventures, and Dan Buettner, National Geographic Fellow, NY Times bestselling author and principle at the Blue Zones Project will be providing keynote addresses at our 2018 Annual Forum in Minneapolis, MN on September 12 – 14, 2018.

The following represents the current agenda which is being fleshed out and evolving on a weekly basis. We’re also identifying and recruiting more speakers and panelists, and planning enjoyable networking events intended to make our 2018 Annual Forum our best forum ever. If you or someone you know would like to be considered to speak or serve as a panelist at our forum, please use this form.

hceh annual forum healthcare executive group annual forum conference

To learn more and to get an idea about what the HCEG Annual Forum is all about…

… Check out these pictures from last year’s HCEG Annual Forum

… See who’s among the previous attendees of HCEG Annual Forum’s

If you would like to register to attend HCEG’s Annual Forum, you can register here. And if you are unsure as to whether you should attend, check out these Nine Reasons to Attend the 2018 HCEG Annual Forum.

HCEG Members and Sponsor Partners at AHIP Institute & Expo

The 2018 AHIP Institute & Expo takes place next week, June 20th through the 22nd in San Diego, CA and HCEG members and sponsor partners will be participating, speaking and exhibiting.

If you’re attending the AHIP Institute, be sure to meet our sponsor partners. Some of our sponsor partners are exhibiting, some are presenting, and some are attending. ALL of our sponsor partners can help your healthcare organization transform itself in today’s rapidly evolving healthcare environment.

Also not to be missed are sponsor partners CareCentrix and Change Healthcare offering refreshments and a Lunch & Learn session.

Date & TimeSponsor PartnerEvent
June 20: 8:00am – 11:00amCareCentrixWelcome Refreshments
June 20: 11:00am – 12:15pmChange HealthcareLunch & Learn

Value-Based Care Market Research: Inside Successful Programs

June 20: 3:45 pm – 4:30 pmCareCentrixThe Future of Care at Home: New Strategies for Post-Acute Care
June 21: 9:30 am – 10:15 amCareCentrixCoffee Break in the Exhibit Hall

Stay Connected and Learn More About HealthCare Opportunities, Challenges & Issues

Check out the following for more information about the HealthCare Executive Group:

Becoming a Member of the HealthCare Executive Group

Attending our 2018 Annual Forum

Subscribe to our eNewsletter

Limited Sponsorship Opportunities

The HealthCare Executive Group has limited general sponsorship opportunities available to companies interested in supporting our members on a consultative, partnership basis. For more information, contact Juliana Ruiz.

HCEG Attends the 2017 Healthcare Summit & CMA Celebration in Nashville

By | AHIP, Annual Forum, Executive Leadership Roundtable | No Comments

Source: emids

After helping host the 29th Annual Forum of the HealthCare Executive Group held last September in Nashville, our board chair Ferris Taylor returned to Nashville last week to attend emids 2017 Healthcare Summit & CMA Celebration. And if those two trips to Nashville weren’t enough, HCEG will be returning to Nashville to host one of our Executive Leadership Roundtable events on Thursday, December 7th – immediately following AHIP’s 2017 Consumer Experience & Digital Health Forum. Nashville really does live up to its moniker of “The Healthcare Management Capital of the United States.”

More About the 2017 Healthcare Summit & CMA Celebration

The 4th Annual Healthcare Summit & CMA Celebration sponsored by emids was an invitation-only event that brought together CEOs and leading executives from the healthcare industry to discuss how they are balancing provider, payer and patient accountability to provide more value and better outcomes for the future healthcare consumer. In this post, we’ll share a short recap of the summit proceedings and set the stage for a following post where we’ll share specific information, ideas and opinions from four panels moderated by industry leaders Justin Roth of TripleTree Investments, Russ Thomas of Availity, Dr Emad Rizk of Verscend and Glen Tullman of Livongo.

Dominant Themes at the Summit

Summit keynotes and sessions addressed opportunities, challenges and issues that healthcare executives and industry leaders must individually and collectively address during this period of uncertain reform and digital transformation of the healthcare industry. These included:

Impact and Continued Entrance of “Outsiders”

There are a whole bunch of companies outside of healthcare looking at the industry and saying, “We can do it better!”  Tomorrow’s healthcare innovations may very well come from outside of the industry… not just Amazon, Google, Lyft, Nike, Apple, etc.… but even other firms likely germinating in someone’s garage or one of the seeming 100’s of accelerators, incubators, or co-working spaces.

Importance of Data Liquidity and Exchange

Click for more info

Data and strategies for using data to drive new modes of thinking for the entire ecosystem of healthcare were a common point of discussion. Advances in artificial intelligence and machine-learning algorithms that tap into unstructured data were a promising area widely discussed.

Engaging Healthcare Consumers & Patients

Just as successful innovations for providers need to fit into their existing “workflow,” consumer solutions need to fit into the consumer’s “Life Flow.”  Consumers don’t want to be more engaged with their chronic conditions – they want to address their chronic conditions and get more engaged in living their lives.

Trust Among All Healthcare Constituents

All healthcare stakeholders – health plan members, patients, providers, and payers must work toward addressing the “trust” issue.  Consumers don’t necessarily care about how much you know as much as how much you care.

Source: emids

Come Back for More – And Going Back to Nashville

Be sure to check back for our next post where we’ll share information gleaned from the four panels presenting at the summit. And more about HCEG’s return to Nashville in December for our Executive Leadership Roundtable and how you can join other healthcare leaders after the AHIP Consumer Experience & Digital Health Forum on Thursday, December 7th.

In the meantime, consider connecting with us on our social channels: Twitter, LinkedIn and Facebook. And subscribe to our eNewsletter so we can push worthwhile information to you on a regular basis.

Announcing the 2018 Industry Pulse Research Survey

By | Annual Forum, HCEG Top 10, The Industry Pulse, Healthcare Policy | No Comments

HealthCare Executive Group Announces 2018 Top 10 Industry Issues List Industry PulseMany people familiar with the HealthCare Executive Group (HCEG) know that the HCEG Top 10 list has been a keystone of the HealthCare Executive Group for over a decade – 13 years to be exact. The HCEG Top 10 identifies the current opportunities, challenges and issues that HCEG members and their healthcare organizations face during this era of healthcare reform and transformation. The items on the yearly HCEG Top 10 serve to encourage continuous and evolving dialog and drives HCEG’s programming, webinars, blogs, whitepapers, research and discussion throughout the coming year.

HCEG Top 10 as Basis for the Industry Pulse

The HCEG Top 10 also serves as the framework for the Industry Pulse – an annual research survey conducted jointly by HCEG and Change Healthcare. The Industry Pulse research survey collects additional insight, experiences and opinion on specific items of the HCEG Top 10 list. Healthcare executives, thought leaders and other industry participants serving all areas of healthcare may participate. The results of the Industry Pulse can provide valuable, relevant data-driven advice and end-to-end industry insights to help healthcare leaders navigate the complexities of our rapidly evolving healthcare system.

Share your Insight Today!

HCEG and Change Healthcare would like to invite healthcare leaders from across the nation to participate in the 2018 Industry Pulse research survey and to backdrop and contrast their own perspectives against the 2018 HCEG Top 10.Please consider sharing your insight, experiences and opinion as your perspective will help define the issues facing healthcare, and reveal how the industry is responding.

Everyone who completes the 8th Annual Industry Pulse Survey will be among the first to receive survey results as well as exclusive access to future webinars, content and events that will be delivered over the new year; expounding on survey results and providing additional insight and value to all healthcare constituents.

Healthcare Executive Group Supports National Health IT Week – October 2-6, 2017

By | Annual Forum, HCEG Top 10, Healthcare Policy | No Comments

NHITWeek National Health IT Week HealthIT healthtech HIMSS HCEGToday marks the start of National Health IT Week (#NHITWeek,) a collaborative and partner-driven event whose purpose is to promote the awareness and demonstrate the use of information technology in:

  • Supporting Healthcare Transformation: The many ways in which health IT is driving transformation in healthcare delivery including improvements in quality and safety, interoperability, advances in innovation, and patient and consumer activation and engagement.
  • Expanding Access to High Quality Healthcare: Use of innovative technologies including telehealth and remote patient monitoring to improve healthcare access, coordination and outcomes.
  • Increasing Economic Opportunity: Highlighting the importance of a robust, diverse health IT workforce and health IT’s role in supporting economic growth.
  • Making Communities Healthier: The fundamental role health IT plays in supporting population and public health

As a group of executives, thought leaders and advisory partners serving health plans, health systems and provider organizations throughout the United States, the Healthcare Executive Group (HCEG) is proud to partner with and to support National Health IT Week and the above points of engagement – this week of October 2 – 6, 2017 and throughout the year. You can learn more about #NHITWeek and related events here.

The 2018 HCEG Top 10

To kick of National Health IT Week, the Healthcare Executive Group is pleased to announce the formal release of the 2018 HCEG Top 10 list of opportunities, challenges and issues facing executives of health plans, health systems and provider organizations in the United States.

The HCEG Top 10 has been a keystone of the Healthcare Executive Group for over 13 years and provides insight into the most current, pressing priorities facing their industry. Based on HCEG member input and sponsor partner research, the HCEG Top 10 serves as a framework for continuous and evolving dialog among healthcare executive members on the critical opportunities, challenges and issues facing their organizations. Educational programming including periodic Executive Leadership Round Tables, research initiatives, monthly webinars, whitepapers, blog posts and ongoing member discussion are all driven by the HCEG Top 10.

For more information on the 2018 HCEG Top 10, see today’s press release and visit our web site.

Help Spread the Word About National Health IT Week

Never before has the digital transformation of healthcare been so pervasive and rapid. Health information technology is key to advancing the imperative points of engagement emphasized during National Health IT Week. Please join the conversation on social media by using the #NHITWeek hash tag. Share how you and/or your organization is using health information technology to transform points of healthcare and health outcomes.

HCEG will be participating in NHIT Week by sharing content via its social channels, member LinkedIn pages, and via this blog. For more information, insight, ideas and commentary about National Health IT Week, healthcare, healthcare information technology and the digital transformation of healthcare, consider following us on Twitter, LinkedIn and Facebook – and subscribe to our eNewsletter.

Healthcare Executive Group’s 2017 Annual Forum – Social Media Highlights

By | Annual Forum, HCEG Top 10, Executive Leadership Roundtable, The Industry Pulse, Healthcare Policy | No Comments

healthcare executive group hceg digital transformation annual forumThe 29th Annual Forum of the Healthcare Executive Group held in Nashville last week included nine sessions lead by healthcare industry leaders. These industry veterans and thought leading panel members provided forum participants with a wealth of information and insight into key areas of healthcare reform, innovation and digital transformation.  As might be expected, insight, ideas, opinions and concerns surrounding the areas of Consumer Engagement, Transparency, Population Health, Health Plan-Provider Data Exchange, and Merger & Acquisition activity within the digital healthcare space were common across nearly each of the nine sessions presented at the forum.

As noted in this previous post, content from these sessions will be shared over the coming days and weeks.  In this post, highlights from each of the above referenced areas shared by forum participants via social media are presented. Special thanks to all those who shared via their social channels. To receive other information shared during our 2017 Annual Forum, consider subscribing to our newsletter and following us on our social channels: Twitter, LinkedIn and Facebook.

Consumer & Patient Engagement

“Doctors working at the ‘Top of their license’ will address most of the provider shortage.” – Mark Stryker @themarkstryker of @Leverage_Health quoting Dr. Karen DeSalvo @KBDesalvo

“We’re working w/ our retail pharmacy partners to help them to better help consumers.” – Jim Sheninger of @GoodRx

“Engagement starts w/ developing culturally sensitive trust of providers treating patients.” – Hugh Lytle @equalityceo of @EqualityHealth1

“Need time to develop trust w/ others; it typically takes 30 days of near daily engagement.” – Rich Rakowski of Medically Home

“Coins term ‘Co-vider’ where healthcare consumer serves as 1st provider identifying (diagnosing?) medical condition.” – Steve Sisko @ShimCode quoting David Vinson of @DHXGroup

“We’re trying to put the pharmacist in front of the counter – to more easily interact with consumers.” – William Resnick of  EmpiRx Health

“Many health plans have lost sight that they’re essentially a community of people that must be regularly engaged.” – Torben Nielsen @TorbenSNielsen of Premera

“Near unanimous consensus by participants that technology is not the problem; rather policy, inertia & politics.” – Steve Sisko

Population Health

“What’s your one ‘dashboardable metric?” Rich Rakowski: “A 30-50% savings for the payer for patient condition.” – Ben Leedle of Blue Zones, LLC asking  “What was Missed in Two Decades of Population Health – Today’s Opportunities for Disruptive Innovation” panel

“Cognitive behavioral therapy is becoming first line treatment for insomnia; not drugs.” – Joe Jennings, CEO at BeHealth Solutions @behealthsolns

HCEG Annual forum healthcare executive group healthtechSocial Determinants of Health

“Katrina lesson: sensitive extreme collaboration. Social determinants become real.” – Chuck Martel @cmartel on Dr. Karen DeSalvo keynote

“Our zip code affects our health more than our genetic code.” – Richard Lungen @rlungen of @Leverage_Health quoting Dr. Karen DeSalvo

“Healthcare spend and trend is crowding out other essential social investments. Agree?” – Mark Stryker on Dr. Karen DeSalvo keynote

Accountable Care Organizations

“First step to ACO success: providers and payers agree to ‘put down their weapons’ with data.” – Chuck Martel quoting John Poelman @JHPoelman of Leavitt Partners @leavittpartners

“Panelists note there is no clear correlation between #ACO financial results and quality measurement outcomes.” – Steve Sisko quoting panelist in “Value-Based Reimbursement/Relationships” session

Digital Health

“Data is the single most important element we’re just beginning to exploit.” – Chuck Martel quoting Torben Nielsen in “Healthcare & Consumers Going Digital – Is HIT a Disruption or Opportunity?” session

“The unabated proliferation of healthcare apps is “Appageddon.’” – Steve Sisko quoting David Vinson

“I work in healthcare during the day. And then I go home to the 21st century.” – Torben Nielsen

“Technology and Technology companies’ are re-creating what health looks like.” – Mark Stryker paraphrasing Dr. Karen DeSalvo keynote

Transparency of Price & Quality

“Need to differentiate between price transparency & transparency of clinical efficacy & potential interactions.” – Blake Slansky of Walgreens

“Are we going to try to compete w/ Amazon on cost? Or quality of service? How will we protect our position?” – Forum Attendee asks panel addressing “Pharmacy Costs / PBM and Rx Transparency”

“Only two countries allow Direct to Consumer marketing of prescription drugs: United States & New Zealand.” – Nichole (Nikki) White of Medica

Mergers & Acquisitions in Healthcare

“What are some of the things that are going well or not so well in healthcare M&A?” – Justin Roth of Triple Tree Investments @TripleTreeLLC asks “Technology Innovation and M&A Market Trends” panel

“Need to move cultural due diligence upstream in the M&A process.” – Tom McEnery of Change Healthcare @Change_HC

“Having a designated liaison for each functional area. And be sensitive to culture of each area.” – Paul Wallace of Heritage Group USA

hceg annual forum digital health annual forumPlan Provider Data Mgmt

“Providers view data updates as a misplaced burden & something that disrupts patient care.” – Charlie Falcone of Aperture Credentialing during “Payer Provider Operations – CMS Mandates & Provider Data Management Initiatives” panel

“The proliferation of networks – especially ACO’s – has exacerbated provider directory data accuracy issues.” – Ian Gordon of Regence/Cambia Health Solutions @Cambia

“Working w/ data originators to co-develop data exchange processes vs. dictating requirements can improve data.” – Ian Gordon

“Differing state regulations & mandates hamper ability to develop shared plan-provider data mgmt processes.” – Steve Sisko paraphrases Charlie Falcone

“Provider data management is not a strategic act but an ongoing tactical & operational activity.” – Russ Thomas of @Availity

“Plan-provider data management is not a technology problem; it’s an engagement challenge.” – Ian Gordon

“Health plans generally don’t view provider data management as an area where they need to compete.” – Russ Thomas

“Panel members all agree that #ACA should have mandated plan-provider data requirements, standards & update processes.” – Steve Sisko paraphrases “Payer Provider Operations – CMS Mandates & Provider Data Management Initiatives” panelists

Innovation

“Innovation without integration will not yield sustainable results.” – Donato Tramuto @DonatoTramuto of Tivity Health @TivityHealth

“Fail to succeed…glean something from every mishap and mistake.” – Donato Tramuto (Via @Tivityhealth)

“Core competencies are transferrable. Don’t confuse what people do with what they are good at.” -Tom McEnery

There’s More Coming!

We’re just getting started with sharing content from last week’s 29th Annual Forum of the Healthcare Executive Group. We’ll be sharing recaps from individual sessions, participant interviews, pictures from the forum and more.  So stay connected and in the loop by subscribing to our newsletter and following us on our social channels. Better yet, consider becoming a member today!

A Unique Event and Exclusive Group for Healthcare Executives

By | Annual Forum, HCEG Top 10, Executive Leadership Roundtable, Sponsor, The Industry Pulse, Member Benefits | No Comments

Our 2017 Annual Forum came to a close at noon this past Wednesday. Over 110 healthcare executives, nationally known healthcare speakers and industry thought leaders gathered in Nashville, TN – Music City and the Healthcare Capital of the United States – to share their insight, ideas and concerns about healthcare reform and digital transformation during these rapidly evolving, uncertain times in healthcare.

The 29th Annual Forum featured three keynote speakers, nine sessions covering the latest topics of interest to executives leading health plans and health systems and three nighttime events structured to support networking between forum participants. All in all, the two and half days of our 2017 Annual Forum added up to one incredible opportunity for those leading the digital transformation of healthcare reform in the United States to come together on an intimate basis , to share and learn with each other collaboratively.

The 2018 HCEG Top 10 List

As has taken place during each of the last seven HCEG Annual Forum events, participants selected and voted on the Top 10 Opportunities, Challenges and Issues facing health plan and health system executives over the coming months and year. This new 2018 HCEG Top 10 list will drive the focus of Executive Leadership Round Tables, webinars, content development and other collaborative opportunities throughout the remainder of 2017 and the coming new year.

What We’ll Be Sharing From Our 2017 Annual Forum

Over the next few weeks, insight, ideas, opinions and concerns generated during the forum will be shared with members and the public at large. We’ll recap forum speaker and participant insight and opinion into how healthcare in the United States will be impacted by healthcare policy reform, digital transformation initiatives and both national and state-level actions. Readers of this blog, our friends on social media, attendees of our webinars and round tables and subscribers to our newsletter can look forward to how speakers, panelists and participants at our 2017 Annual Forum shared insight on the following:

  • How Clinical and Data Analytics leverage clinical evidence to segment populations, manage health and drive decisions
  • How the emergence of Population Health Services Organizations are operationalizing population health strategy, chronic care management, driving clinical integration, and integrating social determinants of health
  • How Value-Based Payments are being used to target specific medical conditions to manage cost and quality of care
  • How Cost Transparency is inevitable due to growing legislation and consumer demand
  • And more certain topics that can help healthcare leaders address transformation during these uncertain healthcare times

How We’ll Share

The Healthcare Executive Group will share the following via its web site, blog, social channels – including Twitter, LinkedIn an Facebook, and via other channels including member LinkedIn accounts, sponsor partner media and healthcare industry media. Look for the following:

  • Quotes from Keynote Speakers & Panelists
  • Session recaps including Presentation Materials
  • Thoughts from Forum Participants including social media shares
  • Audio Soundbites
  • Pictures and more

How to Stay Connected

To have this valuable information pushed to you, subscribe to our newsletter, follow the Healthcare Executive Group on LinkedIn, Twitter and Facebook; and consider becoming a member of our unique organization of Healthcare Executives. Learn more about the Healthcare Executive Group here.

Healthcare Leaders Identify Top 10 Opportunities, Challenges & Issues at HCEG Annual Forum in Nashville

By | Annual Forum, HCEG Top 10, Executive Leadership Roundtable, The Industry Pulse | No Comments

Certain healthcare organizations at the forefront of healthcare research and thought leadership have an information product they’re known for:

Gartner has its Magic Quadrant and Hype Cycle rankings

KLAS Research has its Best in KLAS reports

Forrester has its Forrester Wave

Chilmark Research has its Market Trends Reports.

And the Healthcare Executive Group has the HCEG Top 10 List.

To be sure, the Healthcare Executive Group (HCEG) isn’t on the same plane as these healthcare research firms listed above. The Healthcare Executive Group doesn’t have sales people balancing objective analysis with the need to generate revenue to keep the doors open. HCEG is a relatively small (by design), membership-based organization of mid-market healthcare executives in a national network who gather together physically and virtually throughout the year to learn from each other as they navigate the strategic and tactical issues facing they face as health plan and health system leaders. The concept is really quite simple and powerful:

HCEG’s mission is to promote healthcare innovation, to provide innovative knowledge support and to help sustain the development of life-long relationships through real-life and virtual relationships.

For almost 30 years, the Healthcare Executive Group has served as a channel for the open exchange of ideas, providing content, channels and opportunities for collaboration, and ongoing support for transformational dialogue among its members. The HCEG Top 10 List helps focus and drive this content development, member dialogue and knowledge exchange.

What’s the HCEG Top 10 List?

While each HCEG member and the healthcare organizations they represent are unique, all face common opportunities, issues and challenges. Technology, healthcare reform initiatives and innovation opportunities are moving quickly. The longevity of our member companies and our members own livelihood depends on their ability to identify and sufficiently address opportunities, issues and challenges; as they are presented; and as quickly as possible.

The HCEG Top 10 represents the top 10 opportunities, issues and challenges that HCEG members – health plan and health system executives at the forefront of healthcare reform – collectively identify as the most important and urgent to address over the following year. Our members consider the Top 10 items as having significant and lasting impact in the way health plan members, healthcare consumers and patients all become engaged, digital consumers and responsible healthcare stakeholders.

How is the HCEG Top 10 List Developed?

About two months in advance of HCEG’s Annual Forum, an initial list of approximately 25-30 opportunities, challenges and issues are identified by HCEG members via a survey process.

Then a set of questions intended to refine and clarify each of the 25 – 30 items are defined. These questions are intended to help members better understand each item and encourage well-measured responses. To the greatest degree possible, the questions for each topic are designed to elicit discrete, standardized responses; common industry terminology and pick lists of potential responses are used wherever possible.

These topics and their supporting questions are then entered into a survey tool and shared with all HCEG members. At the HCEG Annual Forum, members review and discuss each topic and associated questions. A series of rankings take place to winnow the list down to the Top 10 items. Members have the opportunity to question each item, each other and to rank each item publically or privately. At the end of the second day of the Annual Forum, the new Top 10 List is formally defined and shared with all forum participants and other HCEG members who may not be in attendance at the Annual Forum.

How is the HCEG Top 10 List used?

The HCEG Top 10 List is used for two general purposes, each of which are intended to address the so-called Triple Aim of Healthcare.

1. Content Development & Programming

The HCEG Top 10 list serves as the basis for HCEG’s ongoing content development and educational programming opportunities throughout the year. Each of the Top 10 items is explored at various levels of depth and breadth throughout the year and delivered to HCEG members via various mechanisms and channels including:

2. Development of The Industry Pulse

In addition to guiding the overall thought-leadership, content development, and knowledge exchange initiatives throughout the year, HCEG’s Top 10 Priorities, Issues & Challenges list serves as the basis for The Industry Pulse– a national, industry-wide survey where healthcare leaders across the nation are invited to participate in additional research to backdrop and contrast their perspectives against the items on the Top 10 list.

The Industry Pulse research survey is designed to gather additional insight on priorities and challenges facing healthcare industry constituents across the country and provide stakeholders across the healthcare spectrum real-world, actionable insight into near term obstacles and opportunities. Combined, the HCEG Top 10 list and The Industry Pulse encourage continuous and evolving dialog on the main issues and concerns facing member organizations.

The 2018 HCEG Top 10 List

Our 2017 Annual Forum will be held on September 18 – 20th in Nashville, TN at the Thompson Hotel and the 2018 HCEG Top 10 list will be developed during this three day forum. Developing the latest HCEG Top 10 List is an exciting part of our Annual Forum and we expect lively and thought-provoking discussion experienced in previous forums.

For more information on the Annual Forum including how to register and be a part of defining the 2018 HCEG Top 10 List, see this page.

For more information on HCEG and to learn what ends up on the 2018 HCEG Top 10 list, be sure to subscribe to our newsletter and follow us on our social channels: Twitter, LinkedIn and Facebook.

Related Posts

Previous HCEG Top 10 lists 

Collections of Information on HCEG’s 2017 Top 10 List

Opportunities, Priorities & Challenges Facing Healthcare in 2017

The HCEG Top 10 List – Innovating and Transforming the Healthcare Industry

How Predictions About Healthcare in 2017 Compare to HCEG Top 10 List

Change Healthcare and The HealthCare Executive Group Announce Results from 7th Annual Healthcare Industry Pulse Research

“Specialty Networks and Risk Sharing at Scale” – A Session at HCEG’s Annual Forum

By | Next Generation Payment Models, Annual Forum, Value-Based Payment/Care | No Comments

“Specialty Networks and Risk Sharing at Scale” – Monday, September 18th at 3:15PM – 4:30PM

At this year’s 29th Annual Forum in Nashville, TN, Dr. Richard Popiel, EVP & Chief Medical Officer at Cambia Health Solutions, moderates a panel presenting and discussing the current needs, opportunities, and challenges associated with improving the appropriateness, outcomes and affordability of specialty care services; specifically the clinical decision support mechanisms and other solutions that risk-sharing, value-based environments need to simplify, encode and utilize complex clinical content into a standardized, repeatable, evidence-based system for making decisions supporting an organization’s clinical programs.

Dr. Popiel and other healthcare industry experts will present how we as a healthcare system can improve healthcare outcomes and reduce costs by shifting to value and risk sharing arrangements. Insight into how disruptive analytics and analytical approaches to cost trend monitoring and containment will be shared and interactive opportunities to engage will be available.

Healthcare Thought Leaders Share Valuable Insight at HCEG Annual Forum

Panel Moderator – Richard Popiel MD MBA 

Dr. Richard Popiel, Cambia Health Solutions

Richard Popiel, M.D., MBA, Executive Vice President, Healthcare Services & Chief Medical Officer, Cambia Health Solutions & Regence Health Insurance Company

Dr. Richard Popiel leads medical strategy for Regence health insurance plans and provides executive leadership on care initiatives and cost management activities across the corporation. He came to Regence from Horizon Healthcare Innovations, where he was president and chief operating officer. Dr. Popiel earned a B.S. in biology and his M.D. at The George Washington University in Washington, D.C. He also holds an M.B.A. from Northwestern University Kellogg School of Management. He is board-certified in internal medicine.

Panelists include: (Additional panelists are pending confirmation)

Brandon Cady

Brandon Cady – President/CEO at AIM Specialty Health

Brandon Cady is the President and Chief Executive Officer of AIM Specialty Health® (AIM). Brandon joined AIM in 2002 and executed top line growth initiatives that expanded the business into one of the largest and most successful specialty benefits management companies in the United States.

Brandon has held a variety of leadership positions within hospital systems, health plans, and emerging technology companies. Brandon earned his master’s degree in Health Services Administration from the University of Michigan in Ann Arbor and a Bachelor of Business Management from the University of Iowa.

Dunston Almeida

Dunston Almeida – Executive VP of M&A Strategy and Business Development at Evicore

Dunston Almeida serves as an Executive Vice President of M&A Strategy and Business Development at eviCore healthcare, LLC. Dunston focuses on new strategic initiatives and partnerships, driving inorganic growth via mergers and acquisitions (M&A) and working with the Board and Executive Team on the company’s Strategy Council. He also supports the formulation of eviCore’s public policy and regulatory efforts. He has more than 20 years of experience in technology.

 

The 2017 HCEG Annual Forum

The HCEG Annual Forum provides the setting and platform for senior level executives from across the healthcare spectrum to come together for 2-3 days each year to discuss the continuous innovation, evolution and transformation of the industry. Attendees are granted direct access to approximately 100 peers, thought-leaders and solutions providers from around the country; all facing similar obstacles and providing opportunities, while engaging in real, relevant and productive dialog.

This year’s 29th Annual Forum takes place in Nashville, TN on September 18th -20th. For more information on this years annual forum, see this page.

2017 HCEG Annual Forum Speaker & Agenda Information

By | Member Posts, Annual Forum, HCEG Top 10, Sponsor | No Comments

Thompson Hotel Nashville (Image Thompson Hotels)

To succeed in today’s uncertain and tumultuous healthcare environment, health plans, health systems and provider organizations must develop a clear strategic identity supported by a distinctive portfolio of platforms, products, and services that transform their chosen strategy into a winning business model. Change, Innovation and Growth are imperative to survive in today’s healthcare environment.

This September 18th though the 20th, the 29th Annual Forum Healthcare Executive Forum takes place in Nashville, TN at the Thompson Hotel Nashville. Leading experts in health care policy, operations, reimbursement and digital health will examine the opportunities, challenges and issues healthcare executives must face in 2017 and beyond. This blog post provides some details on the speakers and presenters, more detail on the opportunities, challenges and issues that will be discussed, and more on what participants in our 2017 Annual Forum can expect to enjoy.

Keynote Speakers at 2017 Annual Forum

Karen DeSalvo Opening with Interactive Q & A

A great line-up of keynote speakers, moderators and panelists are on tap for the Annual Forum.  On Monday the 18th, Karen DeSalvo, Assistant Secretary for Health at U.S. Department of Health and Human Services, will provide the opening keynote address which will be immediately followed by an interactive Q & A session as lunch is served. The interactive Q & A format offers forum participants a unique opportunity to interact among themselves and with a leading healthcare policy executive.

Open discussion on important topics with a diverse set of peers all actively working to address healthcare outcomes and costs in the United States is a distinctive feature of all HCEG events – particularly the Annual Forum.

Donato Tramato, CEO of Tivity Health, Life’s Bulldozer Moments

During breakfast on Tuesday, Donato Tramato, CEO of Tivity Health (formerly Healthways), will provide a motivational keynote address: “Life’s Bulldozer Moments:”How Adversity Leads to Success in Life and Business.” Donato will recount business and life lessons learned and show that adversity can lead to success – how anyone bulldozed by life can pull themselves out of the rubble, dust themselves off and find meaning and purpose.

Later on Tuesday, another Nationally and Internationally recognized healthcare executive speaker will address forum participants as dinner is served.

As with all HCEG forums and executive leadership events, participants will be able to interact with speakers and other forum participants – asking questions and sharing viewpoints, with the objective to develop actionable strategies to each of their organizations.

Unparalleled Mix of Moderators & Panelists

In addition to the keynote speakers, a select group of healthcare industry leaders which includes some HCEG members will serve as moderators and panelists sharing their unique insight and perspective on a number of carefully selected topics.  Some of these individuals include:

A complete list of these moderators and panelists can be found here.

Certain Strategies for Uncertain Healthcare Times

The following are a sample of the sessions planned for the Annual Forum:

Payer Provider Operations – CMS Mandates & Provider Data Management Initiatives

Recent CMS call letters, proposed mandates and new state and federal level regulations regarding provider networks underscores the value and importance of addressing data quality via effective communication and collaboration between health plan payers and providers. Hear from panel members on approaches for ensuring network adequacy, complying with real-time provider directory updates and related impact of No Surprise Bill legislation sweeping the country.

Leading Edge Technology / Disease Management / Population Health

Disease management and Population Health has struggled in the past and now is giving way from identifying and matching people living longer with multiple chronic conditions to providing cost-effective, scalable mitigation and support services/products needed by this rapidly changing population. Panelists will discuss opportunities, challenges, and issues for improving clinical and costs via services and technologies addressing access to care, supporting interaction among constituents, and reducing costs via analytics, artificial intelligence and alternative/virtual reality services.

Pharmacy Costs / PBM and Rx Transparency

Prescription drugs are a fast-growing part of most large employers’ total medical spend and the increasing prevalence of high-deductible health plans have put on spotlight on the importance of Rx price transparency, benefit design and pharmacy benefit management practices. This panel will examine opportunities for managing the financial and non-financial/clinical aspects of prescription drugs, working in revolutionary ways with PBM’s, while ensuring optimal outcomes and member/patient satisfaction.

Specialty Networks and Risk Sharing at Scale

Value-based care programs and risk-sharing in accountable care organizations are core components for delivering and paying for care more effectively and efficiently. This panel will discuss and explore how opportunities and issues with specialty networks and support for risk-sharing at scale.

Precision Medicine and Behavioral Health Aspects of Substance Abuse/Opioids

As the use and abuse of opioids skyrockets, precision medicine technology that successfully stratifies patient risk by analyzing genetic and non-genetic (environmental & lifestyle) risk factors to accurately predict prescription opioid abuse show promise of helping physicians choose more effective treatments and reduce addiction risk while lowering cost. This panel will explore how health plans and providers can utilize precision medicine to achieve a new standard in healthcare delivery based on evidence-based insights and predictive analytics.

Digital Health & Consumer Engagement

Certain digital health technologies are rapidly becoming an integral way of connecting to and engaging with the healthcare consumer. Though still being decided, this panel will explore the digital technologies most likely to gain consumer acceptance, engagement and lead to real improvements in overall well-being, outcomes and cost-reductions.

Technology Innovation and Healthcare M & A Market Trends

Achieving scale via M & A deals and through dedicated ‘innovation programs” have been a popular way for health plans and health systems to create “quick-win” value.  And health plan/health system leaders must employ a smarter, more sophisticated scale equation to derive the most value from these approaches. This panel will review current trends in healthcare innovation and M & A activity and discuss risks and benefits of various value creation strategies.

Additional Forum Events and Opportunities

In addition to a knowledgeable group of healthcare visionaries and thought-leaders exchanging information, ideas and opinions with forum participants, participants at the 29th Annual Forum will enjoy other critical networking and perspective sharing events and opportunities including:

  • Meet and Greet at Thompson Hotel – Sunday night
  • Off-Site Reception with great Nashville music on Monday the 18th
  • Catered breakfasts, lunches and dinners each day of the forum
  • Nashville Late Night Party – Tuesday the 19th
  • Participate in identifying and selecting the 2017 HCEG Top 10*
  • Networking and open discussion with all speakers, moderators, panelists and forum attendees

For more information on the 2017 Annual Forum of the Healthcare Executive Group including registration, visit this page.