2019 AHIP Institute & Expo. HCEG. Healthcare Executive Group. Nashville, TN. David Cordani, Cigna Healthcare. Health Care Cost Institute (HCCI) Niall Brennan. CMS. National All Payer Claims Database (APCD) Public Data, Interactive Tools Related to Health Care Cost Utilization

Insight & Observations from the 2019 AHIP Institute & Expo

By | AHIP, Conferences, HCEG Top 10, Nashville, Social Determinants of Health | No Comments

The 2019 AHIP Institute & Expo took place in Nashville, TN earlier this month and our Executive Director Ferris Taylor was in attendance – along with many of our members and sponsor partners. This post shares just a bit of what Ferris observed. Also included are some recaps of the event shared by industry media and analysts.

Cigna CEO on Importance of Access, Affordability, and Eliminating Surprises

Wednesday’s afternoon keynote, A Blueprint for a More Sustainable Health Care System, was presented by David Cordani, President & CEO of Cigna Corporation. David’s introductory message emphasized the importance of access, affordability, and eliminating surprises. During his 45-minute session, David shared the following thoughts and ideas – among others:

Healthcare organizations – and the companies that support healthcare organizations – need to understand the needs of the people and companies they want to do business with and then earn the “right” to meet those needs.

In the quest for the digital transformation of their healthcare organizations, healthcare leaders should consider and address the “transactional going to transitional going to transformational”

Treat the whole person and be sure to do your best to connect individuals (plan members and patients) with providers. Drive this change through innovation

Some statistics shared by David Cordani

  • The United States is the only place in the world you want to be if you have a critical medical conditional.
  • In 1992, the healthcare industry resisted
  • In 2008, the healthcare industry collaborated
  • In 2020, will the healthcare industry choose to lead?

What is the Health Care Cost Institute (HCCI) and Why Should You Care?

2019 AHIP Institute & Expo. HCEG. Healthcare Executive Group. Nashville, TN. David Cordani, Cigna Healthcare. Health Care Cost Institute (HCCI) Niall Brennan. CMS. National All Payer Claims Database (APCD) Public Data, Interactive Tools Related to Health Care Cost Utilization

Ferris Taylor (left) & Niall Brennan

Niall Brennan, former Chief Data Officer at CMS and current president & CEO of HCCI, joined Melinda Buntin, PhD, Chair of the Department of Health Policy at Vanderbilt and Robert Town, PhD, HCCI board chair and professor of economics at University of Texas-Austin to share an overview of the Health Care Cost Institute.

For those who may not know, the Health Care Cost Institute (HCCI) is the first qualified entity recognized by CMS for quality, efficiency, and use of resources. The speakers shared an overview of the benefits of collaborating and sharing data with HCCI and how HCCI members have access to the following types of Healthcare Market Intelligence:

  • benchmarking enrollment, utilization, and payments
  • provider profiling (understanding and tiering networks)
  • care management (patient identified data)
  • custom analysis (utilization of care, alternative payment methods, Rx, etc.)
Niall Brennan will be presenting the breakfast keynote at HCEG’s 2019 Annual Forum on Tuesday, September 10, 2019. For more information about our Annual Forum, click here.

Niall also shared some information on the National All Payer Claims Database (APCD) and emphasized that without data, states without APCD’s are flying blind with little or no ability to assess cost or quality. The group urged all attendees with the power to do so, to submit their data to HCCI and then focus on using the information and data HCCI generates in return to for quality and improvement programs.

Additionally, a general consensus among the speakers was their surprise that employers are not outraged over the variation in healthcare prices and even more with the fact that, while demand for some services is declining, in many cases prices are still going up.

For more information about HCCI including how to become a partner, click here.

RELATED: HCCI Research, Public Data, and Interactive Tools Related to Health Care Cost and Utilization

AHIP President & CEO Matt Eyles – Speaker at HCEG’s 2019 Annual Forum

At the AHIP event, Matt Eyles, AHIP’s CEO & President, shared his take on “What the Industry needs to do to address Health Care’s Challenges.” Matt will also be speaking at HCEG’s 2019 Annual Forum on Tuesday, September 10, 2019. For more information about our Annual Forum, click here.

Social Determinants of Health at AHIP Institute & Expo

Unsurprisingly, social determinants of health – ranked #3 on the 2019 HCEG Top 10 list – was a popular topic at the AHIP Institute & Expo. Check out these articles and resources on this hot topic impacting health plans, health systems, and provider organizations.SDOH. Social Determinants of Health. Total Population Health. HCEGTop10. HCEG. Healthcare Executive Group. Population Health Services: Operationalizing community-based health strategy, chronic care management, driving clinical integration, and addressing barriers to health such as social determinants.

AHIP Launches Project Link to Address Social Determinants

AHIP Institute Takeaways

At AHIP 2019, Health Plan Leaders Parse the Challenges and Opportunities of SDOH

Insurers to work together on social barriers to health

At the AHIP 2019 Conference, Former Surgeon General Murthy Speaks of Social Isolation and Its Impact

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“Healthcare Organizations Focus on Data & Analytics for Digital Transformation”

“Release of the 9th Annual Industry Pulse Survey Results”

Healthcare Executive Group. HCEG. Consumerism, Digital Health. Executive Leadership Roundtable. 2019 HCEG Top 10 List. 9th Annual Industry Pulse. Executive MindXchange. HIMSS.

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

By | Annual Forum, Conferences, Executive Leadership Roundtable, HCEG Top 10, Nashville, The Digital Healthcare Organization | No Comments

As January nears to a close and nearly all of us have already abandoned our New Year’s resolutions, we want to share what’s been going on in the last month or so with the HealthCare Executive Group (HCEG); and share about what’s in-store for HCEG members and associates over the next month.

Read on for more about the following:

  • Recap of Our Executive Leadership Roundtable at AHIP’s CX & Digital Health Forum
  • 2019 HCEG Top 10 List in the News
  • The 9th Annual Industry Pulse Research Survey
  • Executive MindXchange – The Payor & Provider Ecosystem Evolution
  • 2019 Annual Form of American Association of Payers, Administrators and Networks
  • 2019 HIMSS Conference & Exhibition

Recap of Our Executive Leadership Roundtable at AHIP’s CX & Digital Health Forum

In December, we hosted an Executive Leadership Roundtable (ELR), Immediately after AHIP’s 2018 Consumer Experience & Digital Health Forum (AHIP CDF) adjourned in Nashville, TN. Brian Lobley, President, Commercial and Consumer Markets at Independence Blue Cross and Stuart Hanson, Managing Director, Head of Healthcare Payments at JPMorgan Chase & Co chaired the ELR with HCEG’s Executive Director Ferris Taylor moderating.

The roundtable leaders and about 30 participants shared insight on Consumer Experience & Digital Health – the theme of AHIP’s forum – on an intimate basis over the course of 2+ hours.

Read our blog post – Leaders Share Insight on Healthcare Consumerism & Digitally Enabled Organizations – to learn about the following topics discussed at our roundtable:

  • Democratizing Healthcare Decision-Making and Control to Consumers and Patients
  • How to Simplify Consumer Healthcare Decisions
  • Tipping Points to a Truly Consumer Driven Healthcare Industry
  • Integrating Services into Physician Workflow and Patient
  • How Increases in Home-based Care are Opening Opportunities for Non-Traditional Providers
  • What ELR Participants Think Might Be the ‘Next Kodak’ in the Healthcare Industry
  • The Four Constituents of Well-Being

2019 HCEG Top 10 List in the News

HCEG’s 2019 Top 10 list – defined by participants of our 2018 Annual Forum held in Minneapolis last September – has received quite a bit of attention and is driving our educational and event programming in 2019. Check out the following articles shared this month – and see more on our website.

HCEG Top 10. Industry Pulse Survey. Challenges, issues, opportunities healthcare industry. Data & Analytics, Total Consumer Health, Population Health Services, Value-based Payments, The Digital Healthcare Organization, Rising Pharmacy Costs, External Market Disruption, Operational Effectiveness, Opioid Management

Looking Ahead: 2019 Health Care Trends(CVS Health)
A Tour of 2019 Healthcare Predictions(MCOL)
2019 Healthcare Management Trends CNOs Should Watch(Shift Wizard)
Artificial Intelligence: Molecule to Market(PharmaVoice)
Why 2019 Is the Time for Hospitals to Invest in Technology(Amplion Alert)

By the way, you can access additional information about HCEG’s 2018 Annual Forum including session materials, participant roster, and more here.

The 9th Annual Industry Pulse Research Survey

The results of the 9th Annual Industry Pulse – a research survey co-sponsored by HCEG and our sponsor partner Change Healthcare – will be released in the next month or so. This important healthcare industry survey is based on the 2019 HCEG Top 10 List and offers a deeper dive into the top challenges, issues, and opportunities facing healthcare leadership. Here’s last year’s 2018 Industry Pulse report.

Be sure to review the results of this in-depth research survey to stay abreast of industry trends, current leadership insight and the what others think are the opportunities, issues and challenges facing leaders in the American healthcare industry. Share your email here and we’ll be sure to send you a copy.

Executive MindXchange – Explore the Payor & Provider Ecosystem Evolution

In alignment with HCEG’s mission to support and advance the exchange of information between healthcare executives, industry thought leaders and others leading the transformation of healthcare, HCEG is pleased to be an Association Partner with Frost & Sullivan on their latest Executive MindXchange event: Explore the Payor & Provider Ecosystem Evolution.Healthcare Executive Group. HCEG. Consumerism, Digital Health. Executive Leadership Roundtable. 2019 HCEG Top 10 List. 9th Annual Industry Pulse. Executive MindXchange. HIMSS.

Starting Sunday, January 27th, payers, providers and healthcare technology executives will collaborate for three days in San Diego, CA to discuss and advance a shared vision of the changing world within the healthcare ecosystem. Check out this page for more information and save $250 by using the “HCEG” discount code when you register.

Insight from the MindXchange event will be shared on Twitter using the #FrostHCI hashtag. If you’re unable to attend, follow @HCExecGroup and @FSEvents on Twitter.

2019 Annual Form of American Association of Payers, Administrators and Networks

At the same time as healthcare leaders are ‘Exploring the Payor & Provider Ecosystem Evolution’ in San Diego, the  American Association of Payers, Administrators and Networks (AAPAN) 2019 Annual Forum is similarly bringing together leaders from health plans, provider networks, 3rd party administrators and care management organizations to collaborate on ideas that surely won’t stay in Vegas long.

2019 HIMSS Conference & Exhibition

Many HCEG members, sponsors, partners, and associates will be attending the granddaddy of all healthcare conferences – the 2019 HIMSS Conference & Exhibition – in Orlando, FL next month. We’ll be sharing information in an upcoming blog post including a list of who’s attending, speaking and exhibiting.

Stay tuned for more about the 2019 HIMSS Conference in the next two weeks.

Stay Connected to Your HealthCare Executive Peers

Whether you’ve already abandoned our New Year’s resolutions or not, don’t abandon the opportunity to connect with, share and learn about the challenges, issues, and opportunities facing healthcare leadership in 2019 and beyond. As the article on resolutions listed, don’t let Procrastination, not having a game plan, and/or ‘doing it alone’ prevent you from being ‘in the know’ during these uncertain times in healthcare.

Follow us on Twitter, join us on LinkedIn and consider becoming a member of the HealthCare Executive Group today.


Population Health, Value-Based Care, & The Engaged Digital Consumer – An Executive Leadership RoundTable

By | AHIP, analytics, Executive Leadership Roundtable, HCEG Top 10, Nashville, Population Health, Social Determinants of Health, Value-Based Care, Value-Based Payment | No Comments

On the 2018 HCEG Top 10 list, Clinical and Data Analytics, Value-based Payments and The Engaged Digital Consumer were ranked #1, #3 and #10 respectively by health plan, health system and healthcare provider executives who participated in identifying and ranking the 2018 HCEG Top 10. It seems fair to say that these three topics are front and center on the mind of executives and thought leaders in the healthcare industry.

Leverage Your AHIP Event & Nashville Connection

If you’re attending AHIP’s 2017 Consumer Experience & Digital Health Forum in Nashville or if you’re a healthcare leader in Nashville the afternoon of Thursday, December 7th, consider joining other healthcare executives and thought leaders at our Executive Leadership Roundtable. A panel of prominent healthcare leaders will meet at Nashville’s Center for Medical Interoperability at 1:00pm CT to accelerate the seamless exchange of information to improve healthcare for all by exploring emerging and high-priority healthcare opportunities at the intersection of population health, value based care, and the engaged digital consumer.

Join Healthcare Leaders & Forum Attendees in a Boardroom-like Setting

HCEG Executive Leadership Roundtable events are held in an intimate, informal and free-flowing setting where the free exchange of ideas, questions and comments are encouraged. This roundtable event will be moderated by Dr. David Diloreto with three distinguished panelists sharing their unique perspective and insight:

Dr. David DiloretoBen LeedleFerris TaylorDavid Gallegos
Senior VP of Healthcare-Population Health at General ElectricPresident & CEO at Blue Zones and former President & CEO of HealthwaysHCEG Board Chair and COO/Consultant at Arches Health PlanSenior VP of Consulting Services at Change Healthcare

Timely Topics for Healthcare Leaders

A timely and valuable set of topics – with a special focus on Social Determinants and Clinical Data Impacting Population Health – are planned for panelists and attendees:

  • Innovative strategies health plans, health systems and provider organizations are using to reduce downstream spending while improving overall health outcomes by addressing social determinants of health.
  • How state-of-the-art data and technologies and opening new opportunities to move consumer health forward.
  • Opportunities to work with community leaders to identify the factors having the most influence on individual health and quality of life.
  • Considerations for tailoring specific approaches and investment to address the needs of health plan members and healthcare patients in their communities.
  • How ground-level community stakeholders can guide health plans and health systems to where funding creates the most effective SDOH improvements.

Extend the Value of Your AHIP Consumer Experience & Digital Health Forum Attendance

In addition to the value described above, this Executive Leadership Roundtable event will include a tour of the Center for Medical Interoperability, lunch and the opportunity for professional networking with roundtable panelists and participants. The Center for Medical Interoperability is a ten-minute ride from the AHIP Consumer Experience & Digital Health Forum being held at the Music City Center in Nashville, TN.

Reserve Your Seat Today!

Attendance at the roundtable is free for current and former HCEG members, attendees of the AHIP Consumer Experience & Digital Health Forum and local healthcare executives.  If you have any questions, please contact us.

Healthcare Executive Leadership Forum at Guidewell Innovation Center