Healthcare Price Transparency Price Transparency Regulations & Compliance, Policies, Programs, & Tools, Data Standards & Operational Considerations

Healthcare Price Transparency – Leaders Share Insight – Part 1

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Healthcare price transparency has a lot of attention and focus right now, especially in the mandate-driven space. But addressing price transparency via compliance with regulations is just a portion of what health plans and healthcare provider organizations should be focusing on to help make healthcare better and more cost-effective for their members and patients.

In our first Focus Area Roundtable on Costs & Transparency held April 5, 2021, a group of HCEG members working for health plans, healthcare providers, and healthcare-related technology/service organizations gathered to discuss some of the challenges, issues, and opportunities associated with addressing price transparency.

Challenges, Issues, & Opportunities Beyond Price Transparency Regulations

Andy Hoffman and Matt Parker, two thought leaders with our Focus Area Partner HealthSparq, shared a timeline overview of the Transparency in Coverage Mandate and the No Surprises Act and facilitated the following questions:

  • How are you thinking about price transparency within a rather heavily regulated space?
  • What do you see as key issues and risks in the price transparency space? What’s the role of the 80/20 rule?Healthcare Price Transparency Regulations & Compliance, Policies, Programs, & Tools, Data Standards & Operational Considerations
  • How can we really focus on what health plan members and provider patients need to make good health care decisions, knowing that members and patients often have to navigate in antagonistic payer-provider environments?
  • How can we balance supporting patient needs and operate as an ongoing business while also informing people what things are going to cost before they have to spend unlimited amounts of money?
  • What unique challenges or strategies are you thinking about with respect to price transparency? And what opportunities are you looking to take advantage of regarding price transparency?

This post shares insight and information shared by roundtable participants on the above questions pertaining to the following categories:

  1. Regulations and compliance including their importance and value to various stakeholders
  2. Price transparency policies, programs, and tools
  3. Data standards and operational considerations to advance price transparency

A second post highlighting participant responses pertaining to the following categories will be shared shortly:

  1. Increasing adoption and the importance of end-user education and support
  2. Payer-provider relationships to support access to price transparency information
  3. Advancing healthcare price transparency and next steps

RELATED: Healthcare Leaders Focus on Healthcare Policy & ACA

Thoughts on Price Transparency Regulations & Compliance

As a payer and provider, I can look at other hospitals across the state and they’re not even using our latest pricing. They’re just putting something out there to meet the requirement. So, if there’s not consistency in the data, it doesn’t actually help anybody. It just creates profound confusion. (Health Plan/Provider)

Some of the things that I hear my peers talk about is: Are we just solving certain regulatory requirements or are we solving something members think they want but won’t actually be able to use in an effective way?  Or are we on a road to something that will be of value to all the parties involved? (Health Plan)

So, what are the different things people are putting out there? How do we then know this is the best? This is what we should be doing versus this is what we are doing. Because I think everybody is just trying to meet the intent of the law or the letter of the law, but a lot of people don’t know how. And so, I think that’s one of the things that we’ve got to [consider] if there’s anything we can do. (Technology/Service Provider)

These are people who are sick and injured and hurt and need health care. And we’ve got to do our part to help them out and we can do that in a way that drives our overall business priorities. This sets the floor. We talk about these mandates being a floor and you build an experience on top of that that supports your member needs and supports your patient’s needs. (Technology/Service Provider)

So, I think it’s a good thing that the conversation has started. But I think that the end product is going to be significantly different from what it is that we’re looking at this point. (Health Plan)

I feel like the price transparency is just a way to get our prices out there – for the most part as individuals [procedures]. Unless it’s very comparative in descriptions, information is really hard to compare apples to apples between hospitals. (Provider)

Healthcare Price Transparency Policies, Programs & Tools

Whenever I used to roll out tools and or guidance, probably two decades ago and in more than one state, you have to understand the nature of what it is that your end goal is. And sort of work backward from that. But just sort of putting some things out there, you end up getting exactly what you put into it. (Health Plan/Provider)

For a lot of these hospitals, putting out their prices shows major vulnerabilities for them when it comes to inappropriate pricing, when it comes to the contracts that they’re having. It does highlight the contracts that they have with their different vendors. (Technology/Service Provider)

I think some plans are in sort of this game of chicken to some extent because the No Surprises Act isn’t finalized yet. (Technology/Service Provider)

And how can we give voice to that as part of the overall conversation with the administration because I think they’re trying but they’re sort of missing the point. So, I think it’s incumbent upon us as an industry to start to respond back on all of those fronts as to how best to rethink how to do that since it started out previously and it’s been through lots of different iterations. But that lack of standards or consistency is just…(Health Plan)

Price Transparency Data Standards & Operational Considerations

From the payer or provider perspective, without somewhat more explicit data structure guidance across the board, it’s [price transparency mandate] not helpful. (Health Plan/Provider)

We need a standardization so that everybody can follow that. (Provider)

I don’t think you can do comparisons. It’s not the latest data. It’s not even the same from hospital to hospital. It’s kind of all over the place. (Health Plan/Provider)

So as an industry, I think whether that’s vendor-specific or provider, payer, or even consumer, I think I’d like to see a conversation around how do we drive to those data standards? (Health Plan/Provider)

I would agree that the majority of people and hospitals are doing that [trying to comply in good faith.] They don’t collect the data internally in ways that’s terribly helpful. So, to publish it [price transparency information] requires an infrastructure that frankly many of them don’t have in a way that makes it useful as say maybe a payer would. (Health Plan/Provider)

Healthcare is local, that’s very much true. So that’ll impact the dynamics and the impact of what price transparency brings to the table. (Thought Leader)

There are operational challenges that we have to address and plan to address to be compliant with the new regulations that the question becomes: How will this look and feel to the consumer because pricing can vary so significantly? (Health Plan)

One of the challenges that we see when we engage with plans is: Who are the folks and entities within the organization that are trying to solve this problem? We’ve got to get fee schedules from your contracting folks, and you need member eligibility and claims verification. You had to pull all these different systems together and that’s been one of the things we’ve seen as a big challenge – especially with bigger payers, these big vast entities that have to solve these problems with groups that really hardly ever talk to each other. (Technology/Service Provider)

Join a Focus Area Roundtable – Connect with Healthcare Peers

Additional Focus Area Roundtables on Costs & Transparency – and other 2021 HCEG Top 10+ focus areas such as Healthcare Policy & ACA, Interoperability, and M & A /Joint Ventures, among others – will take place throughout 2021. If you are interested in participating, reach out to us via email or complete this short form to indicate your interests.

To receive recaps of our Focus Area Roundtables and other information of potential use for leaders of health plans, health systems, and healthcare provider organizations, join our newsletter.

Healthcare System Interoperability – The Key To The Care We All Strive For

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What does it feel like to be a patient, provider, pharmacist, and payer in a world where interoperability is not always a reality? What improvements can be expected by healthcare stakeholders in a world where interoperability is vast?

In our October Webinar Series event – The Care We All Strive For: The Impact of Interoperability – our sponsor Surescripts helped to address the two above questions via a short two-act skit. Four fictional healthcare stakeholders – a patient, a provider, a pharmacist, and a health plan executive – each shared their experiences with how interoperability helps to address the Quadruple Aim: enriching the patient experience, improving outcomes, addressing costs, and maintaining provider well-being.Surescripts. The Care We All Strive For – Navigating an Interoperable Healthcare System. HCEG Webinar Series October 2020. Specialty Pharmacy. Interoperability. Prior Authorizations. Quadruple Aim Triple Aim.This blog post recaps a portion of this two-act skit and presents some highlights.

Access the entire recording here.

Two-Acts: Healthcare System Interoperability – Before & After

In Act I of the skit, each of the actors shared their experience in a world where interoperability is not a widespread reality – a world that most healthcare stakeholders experience today. In Act II, they shared how enhanced interoperability can improve the experience and well-being of not only patients and but also providers while reducing administrative and financial burdens and enhancing clinical outcomes – the four goals of the Quadruple Aim.

Highlights of Act I – Navigating Today’s Processes (Before)

Each stakeholder shared their experience living and working in a healthcare environment where interoperability is lacking:

Patient Carlos Garcia expressed his experience and concerns about alternative medication availability and cost:

  1. Need to repeat medical and medication history with each new provider
  2. Difficulty obtaining info on more cost-effective medication alternatives
  3. Lapses in medication adherence due to cost and/or delays at the pharmacySurescripts. The Care We All Strive For – Navigating an Interoperable Healthcare System. HCEG Webinar Series October 2020. Specialty Pharmacy. Interoperability. Prior Authorizations. Quadruple Aim Triple Aim.

Physician Dr. Natalie Pinter, Carlos Garcia’s PCP, noted difficult prior authorization processes and lack of access to benefits information:

  1. Administrative processes take time away from patient interaction
  2. Lack of benefits information makes identifying cheaper therapeutic alternatives more difficult
  3. Cumbersome prior authorization processes – particularly for specialty medications

Pharmacist Keisha Wright also expressed concerns about over-reliance on faxes and administrative burdens:

  1. Challenges with incomplete patient information
  2. Delays in filling prescriptions – particularly specialty medications – due to unwieldy prior authorization processes

VP of Pharmacy at Carlos’s health plan, Oscar Gustafsson, noted impacts his health plan pharmacy operations:

  1. Involve a heavy, over-reliance on faxes to communicate with physicians and pharmacists
  2. Challenges assisting with member medication adherence and addressing gaps
  3. Difficulty assisting members with optimizing the use of their health plan benefits

Navigating Today’s Healthcare Process is a Challenge for Everyone

After Act I, the emcee of the performance – Melissa Warnke, Director PBM-Pharmacy, Health Plan Segment Marketing of Surescripts – shared some recent statistics supporting how insufficient interoperability impacts patients, providers, pharmacists, and health plan payers.Surescripts. The Care We All Strive For – Navigating an Interoperable Healthcare System. HCEG Webinar Series October 2020. Specialty Pharmacy. Interoperability. Prior Authorizations. Quadruple Aim Triple Aim.

Access the entire recording here.

Highlights of Act II – The Care We All Strive For (After)

In the 2nd act, the healthcare stakeholders shared how broad healthcare system interoperability would change stakeholder experience:

Health plan VP of Pharmacy Oscar noted improvements and efficiencies gained in health plan operations:

  1. Allows for timely delivery of medication adherence gaps directly into the workflow of physicians
  2. Ability to share member-specific benefit information to physicians at the point of care
  3. Faster, “faxless” processing and turnaround of prior authorizations

Patient Carlos noted positive impacts on his physician office visit, cost of his medications, and obtaining his medications:

  1. Ability to provide patient medical and medication history to new physicians and pharmacists
  2. Faster, less administratively intense prescriptions – particularly specialty medications – and refills of existing prescriptions
  3. Opportunity to save money with therapeutic alternatives

Physician Dr. Natalie revealed improved ability patient information, reduced administrative work, & more time with her patient:

  1. Patient medical info, medication history, and adherence gaps available electronically in advance of a patient encounter
  2. Electronically accessible benefit plan information facilitates identification and prescription of more cost-effective medication and treatment alternatives
  3. Submitting prior authorizations electronically without faxing
  4. Submitting prescriptions for specialty medications electronically to the pharmacy

Pharmacist Keisha Wright noted reduced patient data collection and streamlined medication processing:

  1. Complete patient and prior authorization info received electronically
  2. More timely processing – especially with specialty medications – allows for more time counseling patients

The Care We All Strive For – The Vast Reality of Improved Healthcare System Interoperability

At the conclusion of Act II, Surescripts Melissa Warnke shared an overview of the vast impact that improved interoperability can have on increasing the transactions that help address the Quadruple Aim. Melissa also shared some additional statistics showing the growing pervasiveness of interoperability. Click images to expand.

Surescripts. The Care We All Strive For – Navigating an Interoperable Healthcare System. HCEG Webinar Series October 2020. Specialty Pharmacy. Interoperability. Prior Authorizations. Quadruple Aim Triple Aim. Surescripts. The Care We All Strive For – Navigating an Interoperable Healthcare System. HCEG Webinar Series October 2020. Specialty Pharmacy. Interoperability is a Reality. Prior Authorizations. Quadruple Aim Triple Aim.

A Faxless Future: Dare We Dream?

After Melissa recapped Act II, a short, light-hearted video was played showing how fax machines might be re-purposed for a useful life after they retire from their long-running service to the healthcare industry. The following are a few examples of how fax machines might serve a new role.  See the short video “A Faxless Future: Dare We Dream.”

Surescripts. The Faxless Future. Artifax. The Care We All Strive For – Navigating an Interoperable Healthcare System. Specialty Pharmacy. Interoperability is a Reality. Surescripts. The Faxless Future. Artifax. The Care We All Strive For – Navigating an Interoperable Healthcare System. Specialty Pharmacy. Interoperability is a Reality. Surescripts. The Faxless Future. Artifax. The Care We All Strive For – Navigating an Interoperable Healthcare System. Specialty Pharmacy. Interoperability is a Reality.

Questions from the Audience on Healthcare System Interoperability

After the video was played, emcee Melissa Warnke fielded some questions submitted by attendees. Here are a few of the questions and their responses:

  1. What have you seen as the best practices for driving the kind of behavior change from providers, pharmacists, and others that obtaining maximum value from increased interoperability takes?

Answer: 32:03 to 34:50

  1. Without a sales pitch, what are the new tools that the provider and pharmacist actors are alluding to that to speed the implementation and adoption of interoperability?

Answer: 37:08 to 40:07

  1. How has COVID-19 impacted the transaction counts (real-time benefit inquiries, medication history transmittals, clinical direct messages) you presented after Act II?

Answer: 41:45 to 45:16

  1. Can pharmacists see the same real-time prescription benefit info as providers?

Answer: 45:39 to 47:33

Connect & Interact w/ Our Sponsor Surescripts & HealthCare Executive Group

Our Webinar Series events are one example of how the HealthCare Executive Group helps to share information and promote collaboration between healthcare leaders, change-makers, and other stakeholders serving the healthcare industry.

For more information on the topics presented by Surescripts in our October Webinar Series:

Learn more about the HealthCare Executive Group and to stay abreast of challenges, issues, and opportunities facing the healthcare industry in 2021 and beyond:

Webinar: The Care We All Strive For: The Impact of Interoperability

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Has 2020 given you webinar fatigue? The seemingly endless run of virtual events and webinars would certainly justify it. And while moving everything to the digital world has its challenges, society is embracing technology and making the most of the situation. Healthcare is no exception. With the expanded use of technology, healthcare has been reminded of the importance of being able to communicate with each other quickly, efficiently, and easily.

In our October Webinar Series event, The Care We All Strive For: The Impact of Interoperability, we will help fight that webinar fatigue by taking a break from the traditional webinar structure and take time to revisit our shared purpose – to make healthcare run better for everyone.

Please join us on Wednesday, October 28th at 11:00 am PT / 2:00 pm ET to hear the story of what it feels like to be a patient, provider, pharmacist, and payer in a world where interoperability is a reality.

Our sponsor Surescripts will be joined by four healthcare stakeholders who will share their take on the difference interoperability makes on the experience of a patient, provider, pharmacist, and payer. The panelists will examine how sharing information across stakeholders can reduce administrative burden and improve member experience.*:

Carlos Garcia Dr. Natalie Pinter Keisha Wright, RPh Oscar Gustafsson
Patient with Rheumatoid Arthritis & Hypertension Provider Pharmacist, Specialty Pharmacy Vice President of Pharmacy, Payer

Over the next four weeks leading up to the live webinar on October 28th, we’ll be sharing more information on how patients, providers, pharmacists, and payers all benefit from enhanced interoperability of data and systems. In the meantime, learn more about how Surescripts addresses healthcare interoperability challenges here.

* These are imaginary personas whose role in this webinar will be performed by employees of our sponsor Surescripts.

Recapping: Towards Next-Generation Care: The Digital Musculoskeletal (MSK) Clinic

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Currently, people with back and joint pain experience a fragmented approach to care. Whether it’s an acute injury, chronic pain, or surgery, members must contend with multiple providers and handoffs between those involved with providing a ‘whole person approach’ to care. From the individuals’ perspective, it feels like no one is looking at their health holistically or acting as their healthcare champion. And with many people increasingly working from home due to the coronavirus pandemic, challenges related to musculoskeletal conditions – increasing back pain and joint pain – are likely to increase.

Our September Webinar Series event was presented by Hinge Health’s CEO Dan Perez and addressed the following:

  • Key MSK Challenges & Trends in 2020 and Beyond
  • Fractured State of MSK Care
  • Towards Next-Generation Care
  • World’s Largest Digital MSK Cohort Clinical Study

This post is a recap of the webinar. Contact Hinge Health for access to the webinar recording

For more information on how a digital musculoskeletal clinic – covering the full continuum of care from prevention to post-surgery – can provide a one-stop-shop for health plans, employer groups, and provider organizations, reach out to Hinge Health.

Highlights from Towards Next-Generation Care: The Digital Musculoskeletal (MSK) Clinic

HCEG’s Executive Director Ferris Taylor kicked off the webinar noting how Hinge Health addresses 4 of the 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare leaders.HInge Health MSK Issues Musculoskeletal conditions

Dan Perez provided an overview of how musculoskeletal conditions continue to be the top health care cost driver and how MSK care will have the highest growth rate of any virtual care services over the next few years – and likely beyond. Dan went on to provide an overview of The Hinge Health Digital MSK Clinic, details on the four distinct Digital Care Pathways across the care continuum, and shared information on evidence-based care guidelines from the CDC and American College of Physicians.

RELATED: Spotlight on Musculoskeletal (MSK) Programs – Hinge Health

Chronic MSK Pain is Both Physical & Mental

Dan shared information, statistics, and Hinge Health insight on the Gold Standard for Addressing Chronic MSK Pain: a biopsychosocial approach that addresses three key components:

Biological Influence

How exercise therapy can help reduce chronic pain by up to 60%

Psychological Influence

How a belief in oneself often leads to lower pain levels – even 1 to 2 years after the initial intervention

Social Influence

How education and 3rd-party support can empower people to overcome chronic pain

Clinical Care Model Surrounding an Individual

The presentation continued with Dan sharing an overview of the clinical care model upon which Hinge Health’s care model is based. He shared a 1-minute video with webinar participants offering a real-world application of the Hinge Health solution.

The World’s Largest Digital MSK Cohort Study

Details on clinical outcomes from a study of 10,264 participants – validated by researchers at Stanford, Vanderbilt, and top consultants addressing key business questions – were shared:

  • 4 out of 5 participants had meaningful improvement in pain reduction
  • More exercise therapy and coaching resulted in more pain reduction
  • 58% Reduction in depression and anxiety scores
  • More than 2 out of 3 surgeries avoided in Year-1

The presentation concluded with key takeaways on how health plans, employer groups, provider organizations, and other healthcare stakeholders can help their members and patients.

Learn How Hinge Health Can Help Address Costly MSK Issues

To access the webinar recording and for more information on how a digital musculoskeletal clinic – covering the full continuum of care from prevention to post-surgery – can provide a one-stop-shop for members and health plans reach out to Hinge Health.

Our Webinar Series events are one example of how the HealthCare Executive Group helps to share information and promote collaboration between healthcare leaders, change-makers, and stakeholders. Consider joining our newsletter to stay abreast of challenges, issues, and opportunities of importance.

Physician Perspectives on COVID-19 Impact to Fall Season

Webinar: Physician Perspectives on COVID-19 Impact to Fall Season

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In early September, the HealthCare Executive Group hosted an informal discussion with three physician executives. Long-time HCEG board member Dr. David Diloreto, MD, a board-certified ophthalmologist, ophthalmic plastic surgeon, currently a principal at Vizient/Sg2 and prior senior vice-president at GE Healthcare Camden was joined by Dr. Johanna Vidal-Phelan, MD Senior Medical Director in Pediatrics at the University of Pittsburgh Medical Center Health Plan and a practicing pediatrician at Hamilton Health Center, an FQHC in Harrisburg, PA.and Dr. Jason Woo, MD, a practicing board-certified obstetrician/gynecologist and a veteran with 31 years in the Commissioned Corps of the U.S. Public Health Service and consultant at the Arbinger Institute.

The discussion was centered on COVID-19’s impact over the past months, what’s changed, what’s remained the same, and what they’ve each observed and learned over the past months – particularly from a clinical and public health role. The following topics were discussed:

Impact Factors Affecting Utilization of Services The Change to Telehealth: New Opportunities for Providers to Connect with Patients
Balancing Treatment to Avoid Ongoing Destruction of Demand for Non-COVID Services Rethinking the Healthcare Supply-Chain – PPE as a Matter of Trust
Returning to School & Addressing Disadvantaged Populations Lessons Learned and Lessons to Be Learned
A Pediatric Physician on Sending Kids – Including Her Own – Back to School Experiences from Southern Hemisphere – Seasonal Viruses at All-Time Lows
Impacts on Minorities & Underserved Populations Value of Encouraging Use of Masks
Uncertainty in Testing and Understanding Prevalence ‘Long Haulers’ – The Unknown, Long-Term Impact of COVID-19
How Long Will We Be Dealing with COVID-19? Financial Impact on Providers, Employer Groups, & Payers
COVID-10 Vaccines & Importance of Fall Flu Shots Employers Forced into New Reimbursement Models
Avoiding Other Illnesses or a Different Pandemic – Maintain Immunizations Delayed Demand for Non-COVID Services
Vaccinations for Underserved Populations – Messaging is Key

The information, insight, ideas, and predictions from this informal discussion are presented in a 3-part blog series and you can read Part 1, Part 2, and Part 3.

Live, Interactive Chat and Q & A – Physician Perspectives on COVID-19

Join this special October event, interact with and ask questions of these physicians Tuesday, October 13, 2020, at 11:00 am PT/2:00 pm ET. Questions and requests for additional information shared by registrants prior to and/or during the live chat will be fielded by the panelists.

Reserve your seat and submit your questions and comments today!

Webinar: Towards Next-Generation Care: The Digital Musculoskeletal (MSK) Clinic

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Currently, health plan members with back and joint pain experience a fragmented approach to care. Whether it’s an acute injury, chronic pain, or surgery, members must contend with multiple providers and handoffs between those involved with providing a ‘whole-person approach’ to care. From the members’ perspective, it feels like no one is looking at their health holistically or acting as their healthcare champion.

Join us and other healthcare leaders for our September Webinar Series Event: Towards Next-Generation Care: The Digital Musculoskeletal (MSK) Clinic on Thursday, September 17, 2020 at 11:00 am PT / 2:00 pm ET.

In this webinar, Hinge Health’s CEO Dan Perez will discuss how a digital musculoskeletal clinic covering the full continuum of care from prevention to post-surgery can provide a one-stop shop for members and health plans. Register today and learn how to improve outcomes, engage your members and lower costs!

Webinar Discussion Topics

  1. Current MSK Challenges
  2. Fragmented Continuum of Care
  3. The Digital MSK Clinic
  4. Deep Dive: Chronic MSK Digital Pathway
  5. Insights from the World’s Largest Digital MSK Cohort Clinical Study
Healthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

To learn more, read about Overcoming Chronic Pain: The Hinge Health Clinical Model of Care.

Presenters

Dan Perez is CEO and Co-Founder of Hinge Health
Dan Perez Ferris Taylor <Announced Soon>
CEO and Co-Founder of Hinge Health Executive Director, HealthCare Executive Group Hinge Health Customer

More About Hinge Health & The Digital Clinical Model of Care

Read this recent Sponsor Spotlight on Musculoskeletal (MSK) Programs to learn more about Hinge Health and how failures in the continuum of MSK care are addressed with a patient-centered Digital Clinic for back & joint pain.Spotlight on Musculoskeletal (MSK) Programs – Hinge Health Contact Hinge Health here

 

Visit Hinge Health’s Website

Connect with Hinge Health on LinkedIn, Twitter, and Facebook

 

HIMSS20 & Other Conferences Go Virtual – Insight & Information

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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

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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 Learning 4-Data & Analytics
Biomedical Informatics or Healthcare Informatics 6-Holistic Individual Health
Consumerization and Patient Experience 2-Consumer Experience
Cybersecurity, Privacy, or Security 10-Privacy & Security
Data and Analytics 4-Data & Analytics
Health Information Exchange or Interoperability 5-Interoperability/Consumer Data Access
Healthcare Applications & Technologies ** All HCEG Top 10 items **
Innovation, Entrepreneurship or Venture Investment 3-Delivery System Transformation
Leadership, Governance, or Strategy 9-Healthcare Policy
Organizational Change Management
Personalized Health or Genomics 6-Holistic Individual Health
Population Health or Public Health 4-Data & Analytics
Professional & Workforce Development
Quality Improvement Model Practices
Telehealth 8-Accessible Points of Care
User Experience (UX), Usability, or User-Centered Design 2-Consumer Experience
Value-Based Care Models 7-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 Categories HCEG Sponsor
Analytics Change Healthcare, Zipari
Artificial Intelligence Change Healthcare
Blockchain Change Healthcare
Business Continuity and Disaster Recovery Change Healthcare
Clinical Decision Support Change Healthcare
Consulting Change Healthcare
Consumer/Connected Health Solutions Surescripts, Zipari
Content Providers Surescripts
Enterprise Image Management Change Healthcare
Financial Management Change Healthcare
Health Information Management Surescripts
Interoperability/HIE/Integration Tools Change Healthcare, Surescripts
Network Solutions Surescripts
Payers/Health Plans Surescripts, Zipari
Privacy & Security Change Healthcare
Revenue Cycle Management Change 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.

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 | 2 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.

Dates Event
06/17 – 06/18 2020 AHIP Institute & Expo: Miami, FL
10/11 – 10/14 HLTH Forum: Las Vegas, NV
TBD AHIP 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:

Dates Event HCEG Participation
01/26 – 01/28 AAPAN Forum: Amelia Island, FL Presenting
03/08 – 03/13 HIMSS Conference & Exhibition: Orlando, FL Hosting Leadership Breakfast Meeting
03/15 – 03/17 RISE: Nashville, TN Supporting Sponsor Partners
03/23 – 03/26 HPA Spring Leadership Forum: Dallas, TX Supporting Sponsor Partners
03/29 – 04/01 17th Annual World Health Care Congress: Washington, DC Moderating two sessions
05/04 – 05/07 WEDI Spring Conference: La Jolla, CA Presenting
November Massachusetts Association of Health Plans: Boston, MA Presenting
December WEDI Winter Conference: Washington, DC Presenting

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:

Month Theme
January 2019 Recap & 2020 Preview
February 2020 HCEG Top 10 List
March 2020 HIMSS Conference

10th Annual Industry Pulse Results

April 2020 World Health Care Congress
May 32nd HCEG Annual Forum Agenda
June AHIP Institute & Expo 2020
July HCEG Top 10 Mid-Year Review
August 32nd HCEG Annual Forum
September 2020 HLTH Forum
October 2021 HCEG Top 10
November 11th Annual Industry Pulse Survey Opens
December 2020 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.