The Collective Voice of Health IT – Inaugural Podcast. HCEG Healthcare Executive Group, podcast

The Collective Voice in Health IT – Inaugural Podcast

By | Partners, Resources | No Comments

The Collective Voice in Health IT is a new podcast series launched by our partner WEDI – the Workgroup for Electronic Data Interchange. The intent of this new podcast series is to offer engaging and intimate discussions with prominent healthcare thought leaders on both current and emerging themes and topics in healthcare: market trends, information technology, and regulations and policies. These important topics are examined from many different angles including the intersection of strategy, operations, marketing, big data, and clinical programs – among other important areas and viewpoints.

In the inaugural episode, Matthew Albright, Communication Committee Chair for WEDI and Chief Legislative Affairs Officer for Zelis Payments and Ferris Taylor, HCEG’s Executive Director, discuss how challenges, issues, and opportunities identified by the 2020 HCEG Top 10 list have exposed inequities and inadequacies in our healthcare system. Matt and Ferris explore priorities top of mind less than six months ago;  where those priorities were then and where they are now. To wit, they compare topics ‘Before Coronavirus’ (BC) to where they stand now.

Also included is a discussion about the 2020 Industry Pulse and the recently completed COVID-19 Flash Update survey measuring how priorities identified when the 2020 Industry Pulse was released in February of this year to where healthcare leaders and change-makers think those priorities lie now. The following are some highlights of the inaugural episode of The Collective Voice in Health IT. Listen to the complete podcast here and access a transcript of the entire podcast here. And look for future episodes here.

Subscribe to the HCEG eNewsletter here.

Connect, Collaborate & Create – The Collective Voice in Health IT

Matt Albright asked Ferris Taylor: How do we deal with the costs of specialty pharmaceuticals and continue going forward with respect to vaccines and testing and everything else is coming with COVID-19? But even more importantly, right behind that fundamental change of Costs & Transparency was: What’s happening with the consumer and the consumer experience?

Ferris responded:

“The transition (to the healthcare consumer and the consumer experience) has been slow to develop in healthcare. It was gaining more understanding from both the payers and the providers and all the stakeholders in healthcare of what it really means to be consumer-centric. We know what that means with Amazon or what it means with Alexa, but healthcare was far away from that in terms of consumer centricity and, of course, delivery system transformation, which could include how we make this transition from fee-for-service to value-based reimbursement.

But prior to the coronavirus pandemic, it (the transformation of healthcare) was already deep into digital health and personalized medicine, and holistic healthcare at the personal level.

Now obviously things have changed in the last few months. We couldn’t be more positive that the consumer healthcare experience in the last few months has been less than par. And, of course, one of the biggest and more obvious changes in healthcare has been around the HCEG Top 10 item labeled as Accessible Points of Care. Telehealth has exploded, driven by the absolute necessity for consumers to shelter in place. But the fact they (consumers) still needed access to care and also by providers recognizing that it wasn’t desirable to have patients come into their offices. So that blip in the concerns and issues that were being addressed in coronavirus has certainly impacted the Top 10. And we’ll see statistically how that has changed with the COVID flash survey that we’re just completing right now during the end of July.”

Social Determinants of Health – Aka. Barriers to Entry

Ferris shared his insight on how the coronavirus pandemic has drawn focus to the impact of social determinants of health and the importance of addressing the ‘barriers to health care.”HCEG Top 10. Social Determinants of Health. Barriers to Health

“I guess the other change, a couple of changes, are to Healthcare Policy, number nine on the HCEG Top 10 for 2020, most certainly has moved up. It seems like regulations change every day. And I’m seeing more discussion around Population Health that has been there (on the HCEG Top 10) for many years. It was starting to get described in the term that we most commonly use: Social Determinants of Health. I personally prefer Barriers to Health but for some reason healthcare has historically and narrowly defined healthcare as medical intervention and has excluded the barriers to health. COVID-19 has certainly challenged that thinking and changed the way that we are thinking about healthcare.”

Matt added:

“I think what’s interesting is when you talk about the priorities coming into 2020 absolutely things have changed. Absolutely its flipped – everything’s been flipped on its head. But the issues themselves or, if you will, the categories of issues haven’t changed, right?

So you talk about Digital Health which we see expressed through Telehealth. You talk about Consumer-Based or Consumer-Centric healthcare. And you talk about how, in the last six months, we’ve seen how that’s kind of failed on a certain level. And certainly, Social Determinants of Health has played itself out in the inequities in the races and the genders and the status of the people who have been ended up hospitalized and actually dying of this disease.  

So actually, it seems to me in 2019 the priorities and what came out of your Top 10 had it right? It’s just that now it’s been put under a pressure test. All of those issues have kind of sped up. And the other thing, which I think is interesting and maybe it’s tied somehow to how it’s affected consumer-based health, is that everybody’s talking about it. Right?

I had no idea that at the beginning of this year that I would know so much about viruses and how they were spread and so much about how vaccines were pursued.”

Healthcare Reform – Needs a Grass Roots Movement?

[31:09 – 32:40]

Matt Albright: “I think healthcare has suddenly become a dining room table conversation, a backyard barbecue topic – with social distancing, of course. A conversation where people are talking about the priorities of their group or a group in a specific industry – and looking to their own industry. Suddenly, this industry (healthcare) is everybody’s concern and suddenly every aspect of what you just talked about: telehealth, digital health, inequalities, all of those issues are suddenly being discussed by the people.

Matt queried Ferris with two questions about the ongoing pace and longevity of processes and approaches wrought by the pandemic.

  1. Do you think that, because everybody’s talking about it, there will be a grassroots push to see these things sped up? Virtual health, telehealth, the exchange, data interchange, interoperability of health IT, and transparency issues. Or do you think we’re going to be so exhausted as a healthcare industry after this pandemic, especially at the provider and hospital levels, are kind of economically bereft that we won’t be able to move forward very fast?
  2. How do you think the last six months adds to what’s going to happen next once we conquer this thing?

Never Let a Good Crisis Go to Waste

[32:50-34:40]

Ferris shared how the coronavirus crisis has accelerated the transformation of the healthcare system:

“One of our board members, a past COO at a large payer in the Pacific Northwest, said: ‘Don’t waste a crisis but take advantage of it.’ And in some ways, that old and trite saying that: ‘necessity is the mother of invention’ – is really coming into play here. Healthcare was already moving from analog to digital. We can come back to fax machines at some other point.”

Inequities & Inadequacies Exposed

[35:30 – 37:38]

“The COVID crisis has exposed a lot of inequities and inadequacies in our healthcare system. Lack of preparation. Safety concerns. We were disregarding a lot of public health issues that are now very much top of mind. And underneath all of that is as I listen to our members and the discussions back and forth, going back to this 2019 HCEG Top 10 priority number one Data & Analytics, it’s now moved to much more of a foundational function across Costs & Transparency, Consumerism, and Digital Transformation.

At the heart of these priorities are the challenges have also been exposed around electronic data aggregation, how we exchange data, how we get the right data at the right time about the right person in the hands of the right decision-maker in a near real-time environment to function as a healthcare system. And so platforms, technology infrastructure, interoperability, as you mentioned, have become significantly more important in terms of supporting healthcare and moving us from a transactional type of consumer experience to a much more continuous interactive, personalized, holistic consumer experience in health.”

“There isn’t a single person in the United States that is not much more cognizant of their personal health, how they feel, and how they’re protecting their health today than they were six months ago. It’s a different world.” – Ferris Taylor

When Will Consumer-Driven Healthcare Take Hold?

[42:47 – 44:48]

Matt Albright shared:

“And you know, I’m an impatient American. So my next question to you is going to be: When? I think we’ve legislatively done things out of emergency and some of the states and certainly CMS is kind of pushing to keep certainly some of the waivers that are in telehealth to keep them permanent. So we’re starting to see that already but on the same token the interoperability rule enforcement has been delayed because the hospitals just don’t have the bandwidth to make that lift right now. And the transparency rules are being argued in court.

So I guess, I don’t think we have the question here, but when are we going to see this consumer-driven healthcare take place? And when are we going to see, McKinsey says 20% of our healthcare visits will be virtual – our healthcare payouts – be in just a year or two? When do you think we’re going to see that? Is that going to have to wait for Congress to have lots of discussions about it and three or four years later we have regulations? What do you think?

Ferris responded:

“Well, and you know, there’s an interesting connection between Congress and the healthcare consumer. And that is, Congress exists because of voters. And voters are consumers of healthcare and consumers have experienced a very different healthcare environment in the last six months than they had experienced over the last number of years or even decades.

So part of the answer around when (consumer-driven health becomes widespread) shows up in the emergency orders, the state initiatives, governors’ responses, and even at the federal level some of the initiatives and emergency orders that President Trump and others, agencies have issued and put out there.”

RELATED: Surviving Coronavirus Pandemic & Thriving on the Other Side: Rapid Innovation & Telehealth

Healthcare System Survival Mode – Uncertain Recovery Timeline

[44:49 – 46:57]

Ferris shared an analogy and his take on when the healthcare system may recover.

“Obviously, along with when is how, how do we finance it? And how do all of those pieces come together? Right today, it’s hard right today to give a specific answer to your question. I kind of feel, I don’t know about you, but I feel hunkered down in the foxhole in the middle of a war with bullets flying. Flying over my head. I’m sheltering in place. I haven’t been on a plane since I think the last time I saw you in Jacksonville. And that was my last trip and I had a whole bunch of them planned but life has changed. But when you’re in that foxhole, it’s not the time to stand up and get up on a Podium and say let’s do this. Let’s do that.

I think we’re in a survival mode right now in healthcare. We’re still dealing with a surge. But as we start to flatten the curve and as we get back into the Healthcare System, the benefit designs to deal with a pandemic like COVID and the incorporation (of new services) into those designs and into the pricing for 2021. Or it might even be that it takes 2022 to get all of the financial part of this back in place so we have a stable healthcare system.

I have no doubt that we will get back to this new reality of consumerism, transparency, interoperability and the incorporation of 21st Century Technologies: artificial intelligence, machine learning, interoperability and real-time data exchange.”

Inveterate (Chronic) Innovation – Table Stakes for Survival

[47:03 -47:27]

“So, I think the answer to your question is: this too will pass, and we will get through COVID-19. I don’t know exactly when that will be. But on the other side in my 30 years in healthcare, I continue to just be very impressed with the inveterate innovation that has come into healthcare.

[49:27 – 51:41]

Innovation is here to stay. It’ll have to get priced out. It will have to get built into the financial models that make healthcare work. Hospitals, some hospitals are doing fine financially. Some, especially rural hospitals, are under extreme pressure. Different specialties in healthcare are experiencing different results. Health plans are concerned about all of the delayed, non-essential healthcare comes back. Is that going to hit them financially and with premium increases?

We’re a very state of the art, world-renowned healthcare industry and we’ll figure this out. I think that stability on the other side of the bridge will be consumer-centric. It’ll be transparent – whether it’s from costs or delivery processes or anything else. The delivery system will be much more virtual and if you push me, I’m going to say some time in 2021 – for sure 2022 – we’ll be back on track.”

Matt Albright added:

“Good. Ferris, I think you bring a great perspective. There’s no longer looking forward to Innovation. Innovation has already happened and we’re not calling it innovation anymore. We’re calling what we do on a day-to-day basis now with healthcare as innovation. I think that’s a terrific point. And I think there’s a lot to be said for how quickly our healthcare system reacted and proactively moved to take care of this pandemic.

And frankly, I’d probably have to say the same for our political systems. They came out very quickly. The governors came out very quickly with emergency orders that freed the providers to do what they needed to do. And even Congress, there’s a criticism to be had there, but they turned things around very quickly to get things moving. So, I think that’s a great point, things are already happening. Things are already here. Maybe there’s nothing that we need to wait for?”

2020 Industry Pulse Flash Update

[51:42 – 52:28]

Matt concluded the inaugural episode of The Collective Voice in Health IT podcast series with a question as to when the results and analysis of the COVID-19 Industry Pulse Flash Update survey will be available.

Ferris shared:

“I looked at the initial results of the flash survey on Tuesday, so just two days ago. We’ll have something ready to publish in two to three weeks. And I think Michael (McNutt – WEDI  Director of Education & Events) and Charles (Stellar – WEDI CEO) and you and I have talked about coming back here in August with a WEDI-specific webinar. We can have questions coming in and be able to respond to those in an interactive way. So three to four weeks and we’ll be back on the air. Thank you, Matt, Michael, and Charles, for a great discussion.”

RELATED: Connecting the Dots: COVID-19, HCEG Top 10, & Industry PulseHCEG Top 10 Industry Pulse Research

Connect, Collaborate & Create Solutions – The Collective Voice in Health IT

Matt closed the initial episode of The Collective Voice in Health IT with a call for the health information technology community to connect, collaborate, and create solutions for a Better Health System. If you’d like to participate in identifying, creating, and sharing information, ideas, and opinions on areas of interest to healthcare leaders and change-makers, reach out to us here.

Subscribe to the HCEG Newsletter here.

Surviving Coronavirus Pandemic. Rapid Innovation & Virtual Telehealth Visits. health plans, health systems, provider organizations and health information exchanges. Workgroup for Electronic Data Interchange (WEDI). WEDI 2020 Virtual event. World Health Care Congress. WHCC. HCEG Webinar Series.

Surviving Coronavirus Pandemic & Thriving on the Other Side: Rapid Innovation & Telehealth

By | Partners | 3 Comments

In just a couple of months’ time, the coronavirus pandemic has impacted healthcare delivery across the world in ways that most health plans, health systems, provider organizations, health information exchanges, government and non-governmental standards & research organizations were simply not prepared for. While resuscitating their organizations by offering telehealth is certainly appropriate at this time, to thrive beyond the pandemic requires rapid innovation, accelerating digital transformation initiatives, and expanding the capabilities and scale of virtual, telehealth services.

As we pass the midpoint of May, HCEG and its sponsor partners have presented content aimed at not only helping leaders resuscitate their organizations to survive these tough times but also thrive on the other side of the COVID-19 pandemic.

Highlights of May’s Virtual Sessions Presented by HCEG Partners

The Workgroup for Electronic Data Interchange (WEDI) kicked off HCEG’s Sponsor Partner Virtual Events for the month of May 2020 with its WEDI 2020 Virtual Conference. This digital event took place for a couple hours over each of three days.  Healthcare executives, thought leaders, and change-makers from public and private organizations on the frontline of the COVID-19 pandemic shared information about the following:

In addition, timely and information-rich content on Fast Healthcare Interoperability Resource (FHIR) use cases – including the Da Vinci Project Level Set and Implementation Guides – were presented by Steve Posnack, Deputy National Coordinator, ONC and Alexandra Mugge, Deputy Chief Health Informatics, CMS.WEDI 2020 Virtual data exchange-related roadblocks, practical aspects of new ONC interoperability rules, and Federal Telehealth Policy Actions in Response to COVID19

Recordings, Content & Insight Supporting Healthcare Innovation

The information shared in the multi-day WEDI 2020 Virtual event underscored that effective health information exchange has never been greater. The content is one example of the value WEDI offers its members and we’re pleased to share select portions of that content here in partnership with WEDI.

See Recordings, Content & Insight Shared at WEDI 2020 Virtual Conference and visit www.wedi.org for more information and insight to help you and your organization survive and thrive across the coronavirus pandemic.

RELATED: WEDI’s Summer Forum – August 4th – 5th, 2020

“Necessity is the Mother of Invention”

On Cinco de Mayo, HCEG’s Executive Director Ferris Taylor opened up moderation of “The Silver Lining of COVID-19: Accelerate Innovation on the Road to Transformation” with an English-language proverb: “Necessity is the mother of invention” – roughly meaning: the primary driving force for most new inventions is a need.

In response to Ferris’s quote, Peter Kung, VP & Chief Innovation Officer, at SCL Health noted: “COVID19 has changed, overnight, how people will interact with the healthcare system.”

WHCC World Health Care Congress Webinar

This webinar, presented by our partner World Health Care Congress, shared additional insight from Peter Kung and leaders of other large healthcare systems on how their organizations have been changing their innovation programs over the last couple of months; and how specific actions they are taking now will position them to not only survive the pandemic but thrive afterward.

See a recording of this webinar here.

Huge Growth in Virtual Visits – Telehealth’s Breakthrough Moment?

Michelle Stansbury of Houston Methodist Hospital related how before the COVID19 pandemic, her organization provides about 2000 virtual encounters per month.  Now, telehealth consultations are being performed at a 101k per month run rate and climbing. Michelle shared how her organization transformed their “Innovation Center” into a “Telehealth Training Center” and suggested people check out this story on how that was accomplished. Michelle also offered a personal tour to interested parties.

Michelle also shared how the ‘Clinic of the Future’ will be supported by “ambient listening” with smart speakers installed in patient rooms to allow patients to self-serve: play music, communicate with loved ones, interact with the internet, etc.

Sustainability of Telehealth After the Pandemic

Ferris Taylor asked panelists:  How are payers keeping up financially with the new rules on payment for telehealth services? Is this ‘sustainable’ or will reimbursement return to pre-pandemic models?

Daniel J Durand of LifeBridge Health suggested that it will be up to “people, patients, and voters to demand and clamor for more telehealth services and value-based care arrangements; otherwise progress made due to COVID19 may be lost.”

Emma Fauss of Medical Informatics, a vendor of patient monitoring and real-time predictive analytics, shared that “it’s a bit of fallacy that many people think that telehealth services and its many variations are all a direct, 1-to-1 use case replacement for traditional office visits and other procedures.” Emma went on to propose that combinations of traditional physical and rapidly emerging virtual encounters will augment each other and should be integrated into your workflows.

SCL Health’s Peter Kung offered that “Economic pressure on Medicare and other government programs dictate a march toward value-based care and continued use of virtual services.”

Key Takeaways on “The Silver Lining of COVID-19

Ferris wrapped up the webinar by asking panelists to share 1 or 2 takeaways for leaders’ intent on ensuring that their healthcare organization not only survives the pandemic but thrives afterward – however the ‘new normal’ turns out to be. Here are their replies:

“Doing something new well requires that you not be afraid to ask people who know more about a subject than you do. Figure out the perspectives of others who have come before you.” – Daniel J Durand

“Dynamic pressures are forcing people and companies to be innovative. You don’t get extra points for originality. Start somewhere, iterate, and expect to pivot as you learn more.” – Peter Kung

“If you don’t know where to start, reach out to others. Avoid the pitfalls others have made.” – Michelle Stansbury

“It’s all about execution. With the new normal, MANY small innovations – changes, shifts, and pivots – will be the norm to build a new path forward.” – Emma Fauss

Innovations in Managing Healthcare Consumer Goals & Messaging

Our next virtual event intended to assist health plans and risk-bearing health systems with surviving the coronavirus pandemic – and thriving post-pandemic takes place on Thursday, May 21st, 2020 at 11:00 am PT / 2:00 pm ET. Our sponsor Zipari presents Breaking Through the Barriers to Better Consumer Experience.HCEG May 2020 Webinar Series event presented by our sponsor partner Zipari

A Consumer Experience (CX) framework built upon consumer experience technology that healthcare organizations can use to prioritize and manage consumer goals and messaging during COVID-19 will be presented. Actionable information and ideas on streamlining outreach to specific individuals prioritized across-departmental objectives will be shared.

Register for this Complimentary Webinar Here

“The Silver Lining of COVID-19: Accelerate Innovation on the Road to Transformation”

A Silver Lining to COVID-19? Join Our Partners’ Virtual Events

By | Partners | No Comments

As we have all heard many times, “necessity is the mother of invention.“ Healthcare is facing what may be the crisis of the century and suddenly our slow-to-change industry is seeing radical change, some forced and others invented, never imagined even just a few months ago.

Many healthcare changemakers are aware that:

  • The use of telehealth and virtual care has exploded in the last month
  • Patient-specific risk scores and analytics are being used to bolster and guide virtual outreach, ventilation management, and patient care
  • Remote technologies can protect consumers, providers and health care workers from exposure and limit personal protection equipment (PPE) utilization

Could this forced acceleration of innovation be the “silver lining of COVID-19?”

Don’t Just Survive – Plan to Thrive on the Other Side of COVID-19

If you’ve just been trying to survive the surge in your ICU or across your health system, join us on Tuesday, May 5th at 2:00 pm ET for “The Silver Lining of COVID-19: Accelerate Innovation on the Road to Transformation.” This webinar hosted by our partner World Health Care Congress and sponsored by Medical Informatics Corp will be moderated by our Executive Director Ferris Taylor.

Bring your questions to this online, interactive online event and hear advice from experts as to specific actions you can take to survive these fast-changing times and what healthcare might look like on the other side of COVID-19.  Helpful insights for everyone in healthcare will be shared.

Learn More and Register for this Complimentary Webinar HereWHCC World Health Care Congress Webinar

Learn from Government & Private ChangeMakers on the Front Line

Everyone paying attention to news reports and the unfortunate statistics conveying COVID-19’s impact can imagine the importance that governmental policy, interoperability rules, practical information exchange capabilities between payers, providers, and patient can have on defining, implementing, strengthening, and sustaining all stakeholders through the COVID-19 pandemic – equitably, reasonably and sustainably.

WEDI 2020 Virtual

The importance of effective health information exchange has never been greater. To learn more from public and private leaders and changemakers on the frontline about the above topics, consider attending WEDI’s 2020 Virtual Forum on Monday 5/4, Wednesday 5/6, & Thursday 5/7 of this week.

Sessions on current data exchange-related roadblocks, practical aspects of the new ONC interoperability rules, and Federal Telehealth Policy Actions in Response to COVID-19, among other timely topics, will be presented.

See the Agenda and Register HereWEDI 2020 Virtual data exchange-related roadblocks, practical aspects of new ONC interoperability rules, and Federal Telehealth Policy Actions in Response to COVID19

RELATED: COVID-19 Resources for Health Plans, Health Systems, & Medical Service Providers

Bringing It All Together to Focus on the Individual Healthcare Consumer

Equally important to learning how public and private organizations are addressing COVID-19 imperatives, it’s important that healthcare organizations use a flexible, scalable approach to messaging consumers and employers.

Messages and communications need to be relevant and delivered quickly so that individuals – and managed groups – stay informed; and more likely to take the most appropriate actions.  As the COVID-19 pandemic drives more individuals to become more engaged in their health and the care they may need – or want, innovative healthcare organizations have an opportunity to differentiate their brands and build trust by delivering customer experiences that exceed everyone’s expectations, even during a crisis.

RELATED: Connecting the Dots: COVID-19, HCEG Top 10, & Industry Pulse

Breaking Through the Barriers to Better Consumer ExperienceHCEG May 2020 Webinar Series event presented by our sponsor partner Zipari

Join the HCEG May 2020 Webinar Series event presented by our sponsor partner Zipari on Thursday, May 21st, 2020 11:00 am PT / 2:00 pm ET

This webinar will present a Consumer Experience (CX) framework for healthcare organizations to prioritize and manage consumer goals and messaging during COVID-19 via consumer experience technology. Actionable information and ideas on streamlining outreach to specific individuals prioritized across-departmental objectives will be presented.

Learn More and Register for this Complimentary Webinar Here

HIMSS20 & Other Conferences Go Virtual – Insight & Information

By | Events, Partners | No Comments

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

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

HIMSS 20 Cancellation – Collaborating Virtually

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

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

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

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

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

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

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

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

HCEG Sponsor Partners – Conferences Go Virtual

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

Change Healthcare:

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

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

Surescripts:

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

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

Other HIMSS20 Participants – Go Virtual

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

Decision Insights Emerging Patterns 2018-2020

Compliance Trends and Frameworks for the Healthcare Industry

Virtual HIMSS – Consumerism & Patient Engagement Pavilion

The Near Future of Virtual & Intimate In-Person Events

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

Here are a few considerations:

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

Here are some ideas for ‘Going Virtual:’

10 steps for scrappy marketers to survive the #HIMSS20 cancellation

Amid Coronavirus Fears, Startups Rethink the Virtual Conference

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

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

What it takes to run a great virtual meeting

Connect with HealthCare Executive Group All Year-Round

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

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

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

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

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

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

31st HCEG Annual Forum

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

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

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

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

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

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

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

Webinars & Blog Posts Advancing Healthcare Innovation & Transformation

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

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

Looking Forward to HCEG Events & Content in 2020

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

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

32nd HCEG Annual Forum

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

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

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

HCEG Presentations at Partner Events

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

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

10th Annual Industry Pulse Survey

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

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

Monthly Themes for HCEG Content in 2020

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

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

10th Annual Industry Pulse Results

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

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

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

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

Highlights of 2019 AHIP Consumer Experience & Digital Health Forum

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

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

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

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

What Should Be Keeping Health Care Executives up at Night?

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

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

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

How Technology Innovation Will Play a Critical Role in Prevention

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

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

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

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

Creating Impactful Member Enrollment Correspondence

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Using Technology & Data to Understand Social Determinants of Health

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

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

Listen to more of Rajeev’s response here.

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

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

Listen to other responses to this question here.

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

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

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

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

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

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

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

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

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

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

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

Can Technology Address 50% of Preventive Health Measures?

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

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

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

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

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

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

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

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

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

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

What Should Be Keeping Health Care Executives up at Night?

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

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

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

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

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

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

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

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

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

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

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

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

Health plans need to ask:

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

New Generations Demand New Levels of Engagement & Value

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

By | AHIP, Conferences, Consumer Experience | No Comments

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

Rising Costs & Increasing Patient Responsibility for Payment Drive Focus

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

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

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

Strategies to Improve Transparency and Lower Costs

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

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

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

RELATED: “People Hate Shopping for Health Insurance”

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

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

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

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

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

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

More on Costs, Transparency, and Healthcare Consumer Experience

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

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

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

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

HCEG Healthcare Executive group Thanksgiving

Special Thanks to HealthCare Executive Group’s 2019 Sponsor Partners

By | Partners, Sponsor, Trust | No Comments

As America celebrates Thanksgiving, the HealthCare Executive Group (HCEG) is honored to have the support of our sponsor partners and acknowledge the contribution these leading healthcare companies have provided and continue to provide to our healthcare executive members, industry advisors, and associates throughout the year. Through the support of the companies highlighted below, HCEG is able to provide a comprehensive package of information, events, and networking opportunities throughout the year.

The HealthCare Executive Group offers our sincere thanks to these leading vendors of products and services that help improve health outcomes and lower costs.

HealthCare Executive Group – Gold Sponsors

HCEG Healthcare Executive Group. Appian. Enterprise low-code. industry-leading intelligent automation. Digital Transformation Patient, member, and provider data. healthcare payers and providers innovation, consumers, healthEQ Health Solutions HCEG Healthcare Executive GroupHCEG Healthcare Executive Group. Softheon. cloud-based solutions. retail-like, user-friendly experience. personalized communication. Real-time support member engagement. enrollment, member billing, ACA. Direct Enrollment
Appian provides a low-code development platform that accelerates the creation of high-impact business applications. Many of the world’s largest organizations use Appian applications to improve customer experience, achieve operational excellence, and simplify global risk management and compliance. For more information, visit www.appian.com.For 30 years, eQHealth Solutions has been improving healthcare quality and reducing costs through innovative technology, population health management solutions and medical management services. Our expansive offerings include eQSuite®, a cloud-based, SaaS technology coupled with eQCare®, a community-based services portfolio. This combination of technology (high-tech) and community-based services (high-touch) covers all your population health management, care coordination, and utilization management needs.Softheon delivers cloud-based solutions that create a retail-like, user-friendly experience and provide personalized communication and real-time support to boost member engagement. Cost effective, and configurable software that supports health plans and states with enrollment, member billing, and reporting for over 3.2M Americans.
WebsiteWebsiteWebsite
BlogBlogBlog
LinkedInLinkedInLinkedIn
Twitter – @AppianTwitter – @eQHealthTwitter – @Softheon
FacebookContactFacebook
ContactContact
Virtual Health HCEG Healthcare Executive Groupsurescripts CHEG sponsor healthcare executive groupHCEG Healthcare Executive Group. Network partners preventing and managing chronic disease. Health plans, payers securely efficiently network of community-based digital health solutions.
Care management belongs at the center of healthcare, powering every element in its ecosystem. HELIOS is the first solution capable of seamlessly connecting all data points in the care continuum, and leveraging the workflows and analytics to make a significant impact. HELIOS provides the digital connective tissue between payers, providers, and members.Built to Transform Interactions between Clinicians, Pharmacists, and Patients

 

The Surescripts Network Alliance unites virtually all electronic health records (EHR) vendors, pharmacy benefit managers (PBMs), pharmacies and clinicians, plus an increasing number of health plans, long-term and post-acute care organizations, specialty hubs and specialty pharmacy organizations.

Solera connects patients, payers, and physicians to a network of partners who are preventing and managing chronic disease.

Working with Solera, health plans and other payers securely and efficiently leverage a network of community-based and digital health solutions.

Solera helps employers identify and engage those in their workforce with the greatest opportunity for obesity-related chronic disease prevention.

WebsiteWebsiteWebsite
BlogBlog
LinkedInLinkedInLinkedIn
Twitter – @virtualhealth_Twitter – @surescriptsTwitter – @soleranetwork
FacebookFacebookContact
ContactContact
zipari hceg healthcare executive group
The First and Only Consumer Experience Platform Built Specifically for Health Insurance

Zipari is the only consumer experience technology company to exclusively specialize in health insurance and offer native understanding of the industry, which means we instinctively understand our clients’ goals.

Website
Blog
LinkedIn
Twitter – @ziparico
Facebook
Contact

HealthCare Executive Group – Silver Sponsors

HCEG Healthcare Executive Group. Change Healthcare consulting. value-based healthcare system. healthcare technology company. software, analytics, network solutions, and technology-enabled services.HCEG Healthcare Executive Group. InstaMed healthcare payments experience. Consumers, providers and payers. payment transaction. private cloud-based technology electronic transactionsHCEG Healthcare Executive Group Health insurers, new offerings. member populations. government program, commercial or individual product, or dental or TPA offering,
Change Healthcare consulting is a catalyst for your value-based healthcare system. Change Healthcare is a healthcare technology company that offers software, analytics, network solutions, and technology-enabled services to help create a stronger, more collaborative healthcare system. Change Healthcare helps deliver measurable value not only at the point of care, but also before, after, and in between care episodes.InstaMed powers a better healthcare payments experience on one platform that connects consumers, providers, and payers for every healthcare payment transaction. InstaMed’s patented, private cloud-based technology securely transforms healthcare payments by driving electronic transactions, moving money and healthcare data seamlessly and improving consumer satisfaction.Health insurers must act quickly to launch new offerings targeted at member populations in specific market segments. Whether a government program, commercial or individual product, or dental or TPA offering, HealthEdge works with transformative health plans to create and maintain a competitive advantage.
WebsiteWebsiteWebsite
BlogBlogBlog
LinkedInLinkedInLinkedIn
Twitter – @Change_HCTwitter – @InstaMedTwitter – @HealthEdge
FacebookFacebookFacebook
ContactContactContact
HCEG Healthcare Executive Group. RedCard health plans TPAs secure data communication members providers.
RedCard helps health plans and TPAs use the power of secure data to build stronger, more effective communication with your members and providers.
Website
Contact
For more information on the benefits of becoming an HCEG Sponsor in 2020, check out our Sponsorship Prospectus.