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

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2017 Healthcare Predictions HCEG

It’s that time of year when everyone is sharing their thoughts on healthcare predictions and trends for 2017. And the Healthcare Executive Group wants to take this opportunity to share what it considered the Top 10 Priorities, Issues and Challenges facing healthcare supply-side constituents: health plans, payers, providers and health systems.

History of HCEG Top 10 List

The HCEG Top 10 list of Healthcare Priorities, Issues and Challenges has been a pillar of the Healthcare Executive Group for the last 12 years. The list is developed each year during HCEG’s annual forum and reflects what HCEG healthcare executive members think will be their primary focus for the following year.

The HCEG Top 10 list for 2017 includes the following items:

  1. Value-based Payments: targeting specific medical conditions to manage cost and quality of care
  2. Total Consumer Health: improving member’s overall well-being – medical, social, financial, and environmental
  3. Clinical and Data Analytics: leveraging big data with clinical evidence to segment populations, manage health and drive decisions
  4. Cybersecurity: protecting the privacy and security of consumer information
  5. Cost Transparency: growing legislation and consumer demand
  6. Harnessing Mobile Health Technology: improving disease management, member engagement, and data collection/distribution
  7. Addressing Pharmacy Costs: implementing strategies to address growth of pharma costs versus benefits to quality of care and total medical costs
  8. Care Redesign: leveraging team-based care models, focusing on behavioral health and social needs
  9. Accessible Points of Care: telehealth, retail clinics and micro-hospitals vs. large, integrated systems
  10. Next Generation ACOs: additional programs in bundled payment, episodes of care-shared savings, and growing participant base

To be sure, the items on the HCEG Top 10 list may not be considered predictions as much as they are ‘important areas for those on healthcare’s supply side to be aware of in 2017.’

“It’s tough to make predictions, especially about the future” – Yogi Berra

And it’s not just HCEG members who compile lists of predictions and trends for the healthcare industry. In the waning weeks of the year, industry professionals, health plan and hospital system CEO’s, leading consulting firms like PWC and Accenture, research firms like Gartner, media reporters, and a host of others all share their take on what they consider to be important trends and predictions for the upcoming year. Here’s a list of some of those sharing their 2017 Healthcare Predictions.

Given the ubiquity of “predictions for healthcare in 2017” and the fact that healthcare was a primary issue in the U.S. presidential election, it seemed that comparing HCEG ‘s Top 10 list to the summarized results of 2017 healthcare predictions made by others would confirm HCEG’s list and/or call out differences. The fact that the HCEG Top 10 list was compiled BEFORE the presidential election and all of the comparison lists were created AFTER the election is envisioned to, at least somewhat, account for any impact the election may have had on people’s interpretation of priority and value.

Collection of Predictions about Healthcare & Healthcare Technology in 2017

To establish a baseline list of predictions and trends for healthcare in 2017, the lists contained in this blog post were reviewed with categorized based on their primary and secondary categories with the results compared to the items on the HCEG Top 10 list. A few facts and observations about this baseline list:

  1. 36 lists containing a total of 179 “predictions” were curated
    HCEG 2017 Predictions - Major Categories

    HCEG 2017 Predictions – Major Categories

  2. Only predictions that were clearly understood and of sufficient granularity were included
  3. Each prediction was coded with one of the following 19 primary categories
  4. Where possible, a secondary category was assigned

Analysis of 2017 Predictions

Most Frequently Referenced Categories

In terms of most frequently referenced predictions (regardless as too rank) found among the 30 lists reviewed, Emerging Technologies, Reform/Regulations, Analytics & Big Data, Value-based Reimbursement, Access, and Consumerism were among the most frequently cited areas of focus in 2017.

CategoryCountCorresponding HCEG Top 10 Item(s)
Emerging Technologies296-Harnessing Mobile Technology
Reform/Regulations248-Care Redesign (loose correlation)
Analytics & Big Data193-Clinical and Data Analytics
Value-Based Reimbursement161-Value-based Payments

5-Cost Transparency

Access139-Accessible Points of Care
Consumerism112-Total Consumer Health
Interoperability9
Finance/Reimbursement91-Value-based Payments

5-Cost Transparency

7-Addressing Pharmacy Costs

Cybersecurity84-Cybersecurity
Mobile Health66-Harnessing Mobile Technology
Processing Efficiency6
Digital Transformation56-Harnessing Mobile Technology
Collaboration510-Next Generation ACOs
Mergers & Acquisitions4
Health Literacy42-Total Consumer Health

5-Cost Transparency

Pharmacy37-Addressing Pharmacy Costs
Resources3
Precision Medicine28-Care Redesign
Wearables26-Harnessing Mobile Technology
Patient Experience12-Total Consumer Health

9-Accessible Points of Care

Categories by Top 3 Rankings

In an attempt to present the data in a more generalized fashion, the following table reflects the ranking of the categories based on the sum of the top three rankings for each item.

CategoryCountTop 3 CountTop 3 % of CountCorresponding HCEG Top 10 Item(s)
Reform/Regulations241563%8-Care Redesign (loose correlation)
Emerging Technologies291448%6-Harnessing Mobile Technology
Analytics/Big Data191263%3-Clinical and Data Analytics
Consumerism11873%2-Total Consumer Health

5-Cost Transparency

Access13754%9-Accessible Points of Care
Value-based Care16744%1-Value-based Payments

5-Cost Transparency

Cybersecurity8675%4-Cybersecurity
Finance/Reimbursement9667%1-Value-based Payments

5-Cost Transparency

7-Addressing Pharmacy Costs

Mobile Health66100%6-Harnessing Mobile Technology
Collaboration55100%10-Next Generation ACOs
Digital Transformation55100%6-Harnessing Mobile Technology
Interoperability9556%
Processing Efficiency6583%
Health Literacy4375%2-Total Consumer Health
Mergers & Acquisitions4375%
Pharmacy33100%7-Addressing Pharmacy Costs
Resources33100%

Insights on How HCEG List Compares to General 2017 Predictions

While certainly subject to some interpretation and discussion, the following four areas listed by many of those sharing their 2017 Predictions were NOT directly matched to any of the items on HCEG’s Top 10 list.

CategoryPrediction from Article
Interoperability
  • Acceleration of Interoperability
  • EHR access
  • Financially stable, regional IDNs are spending big dollars toward extended connectivity while rest of the pack looks on
  • Integrated systems
  • Integration of medical & social determinants of health
  • Interoperability: Continuing progress
  • More progress and collaboration around interoperability
  • Organizations choosing platforms vs. application silos will only accelerate
Processing Efficiency
  • $1 of innovation will need $7 of core execution
  • Adoption of auto-adjudication will accelerate
  • Auto-adjudication will drive providers to interact with EHRs, revenue cycle management and practice management vendors.
  • Complex claims outsourcing market grows
  • Cost reduction pressures require balance with compliance demands
  • Focus on front end and middle office business office functions & RCM outsourcing intensifies.
M&A
  • Consolidation of activities to Top 7 Digital Giants
  • Continued growth of merger and acquisitions as the reimbursement mechanisms favor organized groups of providers.
  • Many more insurers will drop out of the marketplaces.
  • Maturation of digital health startups and increasing merger and acquisition activity
Resources
  • Human resources shortage
  • Skilled hospital tech staff recruitment is even more challenging.
  • The rise of non-CIO executives in technology decisions: Not quite yet

Note: Items in above table were culled from various articles listing 2017 Predictions. 

Overall Rankings of 2017 Predictions

The following major categories of 2017 Healthcare Predictions are based on the rank assignments as noted by the author of each of the individual articles/posts.

#1 Ranking36% of Ttl#4 Ranking22% of Ttl
Reform/Regulations719%Value-Based Care523%
Emerging Technologies411%Analytics/Big Data418%
Value-Based Care411%Reform/Regulations314%
Cybersecurity411%Interoperability29%
Finance/Reimbursement38%Access29%
Analytics/Big Data38%
Consumerism38%#5 Ranking17% of Ttl
Emerging Technologies424%
#2 Ranking34% of TtlValue-Based Care212%
Analytics/Big Data618%Processing Efficiency212%
Emerging Technologies515%
Reform/Regulations515%#6 Ranking12% of Ttl
Digital Transformation39%Access217%
Consumerism26%Emerging Technologies217%
Finance/Reimbursement26%Reform/Regulations217%
Processing Efficiency26%
Mobile Health26%#7 Ranking11% of Ttl
Emerging Technologies327%
#3 Ranking31% of TtlReform/Regulations218%
Emerging Technologies516%Analytics/Big Data19%
Access516%
Mobile Health310%#8 Ranking6% of Ttl
Analytics/Big Data310%Emerging Technologies350%
Consumerism310%Resources117%
Reform/Regulations310%Consumerism117%

Note: Some lists didn’t explicitly rank their predictions as #1, #2, #3, etc. In those cases, rank was assigned based on the precedence of the prediction in the article. I.e. if a specific prediction was listed before another prediction , it was assumed that prediction ranked higher.

Other Insights

The Most Frequently Referenced Categories, Categories by Top 3 Rankings and Overall Rankings of 2017 Predictions Results listed above provide a few instances of correlation with and diversion from the 2017 HCEG’s Top 10 list.

Note: The contents of the tables below were were culled from the various articles listing 2017 Predictions. 

Emerging Technologies

On area of divergence between the HCEG Top 10 list and 2017 Healthcare Predictions Baseline is that Emerging Technologies were not clearly identified by HCEG as of primary focus in 2017. In general, “emerging technologies” are identified as things like 3D printing, AI/machine learning, augmented reality, Blockchain, cloud, drones, Internet of Things, medical devices and robotics. One may argue that, given HCEG’s membership is skewed toward health plans/payers, that  these emerging technologies are not part and parcel of a healthplan/payer-based focus. Given their dominance and potential value, perhaps they should be?

Some Predictions on Emerging Technologies

Adoption of technologies within realm of AI, including RPA and machine learning, will move very fast and take over in many different ways.
Blockchain will move from theory to practice, as pilots and production-ready applications become a reality.
Hype around the Cloud quiets down as it becomes the primary way to build enterprise architecture.
60% of healthcare applications will collect real-time location data and clinical IoT device data and embed cognitive capabilities to discover patterns
Gadgets will continue to be commoditized and competition will grow
IoT will save $1 Trillion a year in maintenance, services & consumables
50% increase in the use of robots to deliver medications, supplies, and food throughout the hospital

Health Reform/Regulations

Given the largely unexpected results of the presidential election, it’s not a surprise that the uncertainty of healthcare reform and regulations jumped to the top position for impacts to healthcare in 2017. Elections have consequences. No doubt as one prognosticator stated “The Trump Presidency Will Rock the Healthcare Boat.”

Some Predictions on Health Reform/Regulations

Massive confusion on status of the ACA
President-elect Donald Trump will likely not fulfill his promise to completely repeal the ACA
The Trump Presidency Will Rock the Healthcare Boat
Regulation drives demand for advanced data and analytics capabilities
Movement by employers away from defined benefit plans to defined contribution plans and increased participation in private exchanges. –
Expand the use of health savings accounts for consumers.
Medicaid expansion costs will be incorporated in the Medicaid block grants
Republicans will attempt to “modernize” Medicare through vouchers or tax credits
There will be continued movement to narrow network products in an attempt to hold down costs.
Federal insurance license changes allowing for competition and selling over state lines
Healthcare startups: Make nice with regulators in 2017

Analytics & Big Data

Predictions about the importance of healthcare analytics made by HCEG members was one area that matched the general baseline as ranking #3.

Some Predictions on Analytics & Big Data

AI (artificial intelligence) or machine learning to translate big data into actionable insights
Convo on healthcare becoming one of most interesting “Big Data” petri dishes society has to offer begins.
Evidence-based decision making (expanded use of data and analytics) to eliminate unnecessary utilization and increase patient safety
Contextualization algorithms will advance exponentially
Advancing data governance
Combining structured and unstructured data
Consortiums of data: genomic, social, EMR, complaint and prescription data, emerge that will create insights never before possible
Mastery of unstructured data will deliver customer insight
Moving to metadata
Taking advantage of real-time data
Startups in analytics space begin to challenge  large, incumbent players and healthcare organizations will begin to actively engage with these new players.

Value-based Reimbursement

Value-based care and reimbursement were highly ranked on both the HCEG Top 10 list and the 2017 Healthcare Predictions Baseline. Given the importance of value-based reimbursement and general bi-partisan support for value-based initiatives like MACRA, VBR should largely survive drastic alteration under the new administration.

Some Predictions on Value-based Reimbursement 

Value-based care will drive adoption of tools for chronic disease management
Easing the training wheels off value-based payment
2017 will be a year for learning about the alternative reimbursement methodologies and planning for the compliance program requirements of the future.
Preparing medical students for work in a value-based world
More performance-based measures beyond cost to quality and satisfaction
Renewed and upgraded Enterprise Resource Planning Systems (ERP) swings back into importance, now for Value Based Care Costing.

Access

HCEG members ranked ‘access’ topics lower than the general baseline.

Some Predictions on Access

The rise of decentralized healthcare and the decline of hospitals.
Significant rise in voluntary services/ healthcare for the wealthy
Self-select virtual care – for convenience
Telehealth will no longer be on the outskirts, pushed into the mainstream with expanded reimbursement policies, usage and outreach programs

Additional Insight Can Be Obtained Here

HCEG Top 10 Info

Collection of 2017 Healthcare Predictions

Raw Data – here is the raw data collected from the various articles on 2017 Healthcare Predictions

Following is a List of Articles used for this analysis – See more info here.

#Title
1“3 Mega Trends for Healthcare Marketers to Leverage in 2017”
2“5 healthcare technology trends taking center stage in 2017”
3“7 Bold Predictions for Healthcare in 2017”
4“Healthcare CFOs weigh in on 2017 challenges, trends in latest surveys”
5“Healthcare Industry Trends to Watch”
6“Healthcare Predictions for 2017”
7“Healthcare Technology Trends for 2017”
8“How Consolidation Will Impact Hospitals and Health Systems in 2017”
9“List Top 10 predictions for IT in 2017 and beyond”
10“5 healthcare technology predictions for 2017 from Connexica” 
11“Retail Trumps Healthcare in 2017: Health/Care Forecast for the New Year”  
13“These Trends Could Reshape Healthcare Tech in the Very Near Future”
14“Top health industry issues of 2017: A year of uncertainty and opportunity”
16“Upcoming Trends and Innovations in Healthcare IT 2017”
17“What to Watch: Health Care Trends for 2017”
18“10 Predictions for How the Healthcare Industry Will Change in 2017”  
19“2017 Predictions: Big Data, Digital, and Virtual Care Key to Engage Healthcare’s Empowered Consumer”
21“4 Business Trends to Watch in the Insurance Industry for 2017”
22“5 Digital Health Predictions for 2017”
23“5 Healthcare IT Trends to Watch In 2017” 
24“7 (plus 1) predictions for healthcare IT in 2017” 
25“8 Health Tech Challenges and Opportunities in 2017” 
26“9 Healthcare Tech Trends in “The New Year of Uncertainty” 
27“Coming Soon to Your Hospital: IoT, Cognitive Computing, Robots and More Ransomware”  
28“Healthcare Predictions 2017: Accelerated Adoption of Alternative Payment Models”   
30“How market changes will influence data priorities in healthcare”
31“Post-Election Predictions for the Healthcare Industry”  
32“7 digital health predictions for 2017” 
33“Tom Main and Welltok’s Jeff Margolis Make Their 2017 Predictions” 
35“2017 Healthcare Trends Forecast: Spok Leaders Weigh In” 
36“2017 Predictions from Healthcare Leaders Across the Country” 
37“Trends in health IT for 2017: Ransomware, RPA, blockchain predictions”  
38“8 technologies that will transform healthcare in 2017 and beyond”  
39“Five Health IT Trends I’m Looking Forward to in 2017” 
40“The election is over: 3 health care predictions”  
41“2017 Predictions: Medicare, Drug Costs, Cybersecurity and More” 

 

Using Incentives to Drive Health Care Shopping Behavior – Recap, Recording & Research

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On Tuesday, December 13th, HCEG sponsor HealthSparq presented a webinar on “Using Incentives to Drive Healthcare Shopping Behaviors.” Over 100 individuals and companies registered for the webinar presented by John Surie of M Health and were presented with information from a study commissioned by HealthSparq to explore how how incentives can impact health care shopping behavior.  The graphic-laden presentation offered insight into information that could influence how incentives programs are rolled out by health plans, employers and health systems.

Healthcare Cost Quality Transparency Consumer Shopping Behaviors

Research Survey on Use of Incentives to Drive Healthcare Consumer Shopping Behaviors – M Health/HealthSparq

Some Survey Highlights Include

  • Examples of popular “incentives” include lower premiums, reduced co-pays, cash, gift cards, movie tickets, etc.
  • Cash incentives are most effective but smaller amounts are almost as effective as larger amounts
  • Providing an incentive of some sort has a marked increase (20+%) in encouraging the use of telehealth services
  • Incentives have a strong positive impact on encouraging the viewing of healthcare-related videos Increasing the amount of an incentive had strongest effect in driving choice of a surgical center
  • Cash incentives have a stronger influence on choice of lab & imaging than on choice of physician, which entails a more personal decision.
  • Heavy ‘users of incentives’ were not any more likely to achieve positive outcomes vs. light users
  • Strong correlation btw those who use ‘rewards programs’ outside of healthcare (airlines, grocery, etc.) and reward programs in healthcare

The Recording, The Research and More Insight from HealthSparq

In addition to making a recording of the webinar available here on YouTube, HealthSparq created a summary of the webinar via this blog post. Moreover, HealthSparq is willing to provide speaker John Surie’s complete research paper on the topic presented in the webinar. You can request that research paper here.

If you have any questions about using incentives to drive healthcare shopping behaviors or would like to obtain additional information , please reach out to HealthSparq at 855-SPARQ-IT (855-772-7748) or via their web site. You can also follow @HealthSparq on Twitter.

More for HCEG Members

For the 2017 membership year, HCEG has many additional opportunities for learning, sharing and networking with other healthcare industry executives, opinion leaders, and decision makers. If you’re not a HCEG member and would like more information on becoming a member, please see https://hceg.org/membership/ or contact Juliana Ruiz at [email protected].