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

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

By | HCEG Content, Research | No Comments

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

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

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

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

Consumer Experience + Value-Based Care = Consumer Centricity

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

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

Consumer-Centric Strategy Varies Between Payers & Providers

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

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

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

Disagreement on Current State of Healthcare Consumer Centricity

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

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

RELATED: 2020 Industry Pulse Report: Alignments and AsymmetriesPhysicians Practice

Who’s Best Positioned to Support Consumer Healthcare Journey?

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

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

Financial Improvements to Positively Impact Consumer Satisfaction

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

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

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

Additional Areas of Insight – 2020 Industry Pulse Report

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

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

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

Get Your Copy of the 2020 Industry Pulse Report

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

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

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

More Insight for Healthcare Leaders and Change Makers

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

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

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

Announcing Individual Membership in HealthCare Executive Group

By | HCEG Content | One Comment

The HealthCare Executive Group (HCEG) is a professional association chartered to convene and support executive leaders of health plans, health systems, and provider organizations. Since the HealthCare Executive Group’s inception over 30 years ago, HCEG has offered membership to organizations providing direct insurance benefits and/or direct health services to groups or individuals, either as stand-alone entities or as subsidiaries under a commercial entity. Anoffid starting today, we’re announcing two new individual membership options for healthcare executives and leaders: Individual Membership and Alumni Membership. HCEG is retaining the existing Organizational Membership option for healthcare organizations preferring that option.

New Membership Options in HealthCare Executive Group

These two new membership options provide a pathway for more people to become part of the HealthCare Executive Group on a cost-efficient basis.

Individual Membership

Alumni Membership

Candidates are executives from Payer/Provider Membership eligible organizations.Past HCEG members who are unaffiliated with vendor organizations. Vendors provide products and services to HCEG member candidate organizations to better serve individuals.

For a very reasonable investment, healthcare executives and others leading the transformation of the healthcare industry can obtain benefits that can provide outsized returns on that small investment – only $99 dollars for a limited time!

Why Healthcare Leaders Should Join the HealthCare Executive Group

Individual Membership and Alumni Membership offer a variety of benefits all year round: Professional Networking & Relationships, In-Person/Live Events, Professional Development Opportunities, Resources, Research & News, and discounts to popular healthcare conferences.

Throughout the year, members can leverage HCEG’s platform, content, events, professional development, and networking opportunities to help them optimize their time, stay up to date on industry issues, enhance leadership skills, and obtain valuable resources to share with their staff and help transform their healthcare organization.

Professional Networking & Relationships for Healthcare Executives2018 HealthCare Executive Group Annual Forum. 30th-anniversary. Hewing Hotel Minneapolis, MN. Healthcare Industry Executive Leaders

Our members have unparalleled, year-round networking opportunities centered upon a calendar of events and content identified and defined by HCEG members and updated throughout the year via input and research from members and sponsor partners. Our mission and focus are to provide the platform, channels, content and on-going support for convening and connecting our members with their peers, industry thought leaders, and other resources critical to the transformation of the healthcare industry.

In-Person/Live Events for Healthcare Leaders Transforming Healthcare

HCEG offers its members various opportunities to connect with peers and other industry leaders in live, face-to-face venues throughout the year. These events are typically free to HCEG members or are discounted based on HCEG membership.

Executive Leadership Roundtables

Our quarterly Executive Leadership Roundtables (ELR) are bundled with popular healthcare conferences like the AHIP Institute and HLTH Forum. These ELR’s are intimate, participatory opportunities to learn from prominent industry thought-leaders, share ideas and obtain advice and real-world experience from others.HCEG: HealthCare Executive Group. Membership for leadership. Digital health transformation.

HCEG Annual Forum

As an Individual Member or Alumni Member, you’ll receive discounted registration to our Annual Forum held in September of each year. Our Annual Forum is our marquee event and includes not only prominent keynote speakers but also unique extracurricular networking opportunities. Check out this recap of the 2018 Annual Forum celebrating HCEG’s 30-Year Anniversary.

Individual & Alumni Member Discount to 2019 Annual Forum

After registering as an Individual Member or an Alumni Member and paying the membership fee, new members receive a discount code (via pop-up window and email) to HCEG’s 2019 Annual Forum. This code can be used immediately or at a future date.

Also, and you’re hearing this for the first time here, HCEG members attending our 2019 Annual Forum in Boston, MA on September 9th through 11th will enjoy a very unique, uncommon extracurricular networking event. For more information on what this event includes, contact us.

HCEG: HealthCare Executive Group. Membership for leadership. Digital health transformation. Annual Forum. HIMSS, AHIP, WHCC, MGMA, CHIME, WEDI, HLTH

Partner Events

HCEG members are offered preferential, discounted access to leading healthcare gatherings like the World Health Care Congress, the HLTH.co Forum, WEDI Conferences, and other industry events. Just one of these discounts alone is worth more than the cost of HCEG’s individual membership.

RELATED: What’s In Store for HealthCare Executive Group Members in 2019?

Thought-Leadership & Professional Development Opportunities for Healthcare Executives

In addition to quarterly ELR’s, our Annual Forum, and partner events, HCEG also offers our members various opportunities for participating in webinars, research surveys, blog posts, and other knowledge sharing channels.

Webinars & Online Discussion Group Opportunities for Healthcare Executives

In addition to attending HCEG’s monthly Webinar-Series events, HCEG members have the opportunity to help define webinars and serve as panelists.  In addition, HCEG hosts period online discussions and encourages member participation as an important way for members to demonstrate their thought leadership and grow their network.

Research Surveys for Healthcare Executives & Thought-Leaders

HCEG Top 10 List

Members participate in defining and ranking the HCEG Top 10 List of Challenges, Issues, & Opportunities during HCEG’s Annual Forum. HCEG members, staff and partners then expound on this list and it serves as the basis for content programming going forward.

Industry PulseHealthCare Executive Group. Top 10. HCEGTop10. Industry Pulse. Leaders. Trends in Healthcare Digital Transformation. Annual Forum, Executive Leadership Roundtables. ELR, Professional Networking & Relationships, In-Person, Live Events, Professional Development Opportunities for Healthcare Executives, and Resources, Research & News

The Industry Pulse research survey is based on the HCEG Top 10 and administered in a partnership between HCEG and sponsor partner Change Healthcare. The 9th Annual Industry Pulse was just released last week and promises to be a source of many reviews, discussion, and elaboration over the coming months and year.

Knowledge Creation, Content Sharing & Promotion for Healthcare Executives

Our members enjoy the opportunity to share information, insight, and ideas with each other and the industry at large via various HCEG channels including our blog, bi-weekly eNewsletter, and social channels. In addition, HCEG promotes certain member insight and content to amplify member content on best practices, new ideas, breaking news, and key advancements.

Become a HealthCare Executive Group Member Today

HCEG: HealthCare Executive Group. Membership for leadership. Digital health transformation.

As uncertainty continues its grip on healthcare in the United States and new digital technologies advance digital transformation opportunities, it’s more important than ever for healthcare leaders to stay abreast of important industry trends, challenges, and opportunities.

Value Well Beyond Conferences, Webinars, & Content

Individual membership in the HealthCare Executive Group is a very cost-effective way for healthcare leaders to reduce uncertainty, stay up to date on changes within their field, and help to transform their organizations.

Special Discount on HCEG Individual Membership

As an additional incentive to join HCEG as an individual, we’re offering a $50 discount off the regular $149 per year rate for a limited time.  Use KickoffPromo to expand your knowledge and grow your professional network for only $99! HCEG: HealthCare Executive Group. Membership for leadership. Digital health transformation.