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

Insight & Observations from the 2019 AHIP Institute & Expo

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

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

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

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

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

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

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

Some statistics shared by David Cordani

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

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

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

Ferris Taylor (left) & Niall Brennan

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

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

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

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

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

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

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

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

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

Social Determinants of Health at AHIP Institute & Expo

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

AHIP Launches Project Link to Address Social Determinants

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

Insurers to work together on social barriers to health

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

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

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Artificial Intelligence. Predictive Analytics. Bigdata. Machine Learning. HealthCare Executive Group. Benefits Costs. Patient Outcomes. Quality Standards. STAR ratings. Profit Margins. Improving Efficiencies. EQ Health Solutions. Solving the Rubik’s Cube of Payer Data. Health Plans. Payer market. evaluating healthcare analytics vendor. Data Security. Tools and Technologies.

Insight on Solving the Rubik’s Cube of Payer Data

By | analytics, HCEG Top 10, payer, Sponsor, Webinar Series | No Comments

Healthcare payers are sitting on a lot of data, from eligibility data, to claims data, to data obtained from 3rd parties, to data derived from analytics. It’s no surprise that over the last decade “Data & Analytics” has been a consistent entry on the HealthCare Executive Group’s Top 10 list of challenges, issues, and opportunities facing healthcare executives. And currently ranked #1 on the 2019 HCEG Top 10 list. To help share insight, ideas, and actionable information supporting data and analytics, our sponsor partner EQ Health Solutions presented our June Webinar Series event: Solving the Rubik’s Cube of Payer Data.

Chief Strategy & Growth Officer Mayur Yermaneni and Marina Brown, RN BSN, Vice President of Clinical Programs, from eQHealth Solutions shared information and insight on the following four topics:

  • The current state of the payer market and future considerations
  • The Rubik’s Cube of Payer Data – the Present Debacle
  • What tools and technologies will lead to continued payer success?
  • Top six things to consider when evaluating your healthcare analytics vendor

Highlights from Solving the Rubik’s Cube of Payer Data

This blog post presents some highlights from the webinar and provides access to additional information from the webinar. You can also check out this Twitter Moment summarizing live Tweets from the webinar.  The complete recording of the webinar can be found here. To jump to the specific place in the recording, click on the timestamp range [HH:MM] that accompanies each transcripted section below.

HealthCare Executive Group Top 10 list. EQ Health Solutions. Solving the Rubik’s Cube of Payer Data. Health Plans. Payer market. evaluating healthcare analytics vendor. Data Security. Tools and Technologies.

For more information on how EQ Health Solutions can advance your organization’s data and analytics initiatives and programs, contact EQ Health Solutions.

Current State of the Payer Market and Future Considerations

Mayur Yermaneni shared some insight into current data and analytics capabilities of healthcare payers: [7:16]

Some payers are firmly in an average spectrum of recognizing current trends and some and some payers are still in the infancy stages of recognizing the impact of these trends. So, I’m trying to generalize some of these themes so that everybody can actually benefit from it.

Margins are Decreasing

So, across the board, one of the key things, and I guess this is not unique to the payer market itself, is that margins are decreasing. With new regulations coming on board there are more and more cost burden associated with the payer market. Some payers are becoming a financial institution from that standpoint [of increasing regulatory burden.]

Mega Mergers

You see this a lot more in the bigger payer, payers like Aetna’s acquisitions, United’s acquisitions, WellCare and all these acquisitions that are happening is [intended] to counter their decrease in margins by creating economies of scale that they could benefit by actually saying: “If I can actually acquire another of these entities, then I can create a cross burden rate across these common units and hopefully benefit from the margins play game.”

Data Security

Nobody wants to show up and in tomorrow’s Wall Street Journal. In the current day and age, there’s an entire team dedicated just so that that payer’s name doesn’t show up on tomorrow’s newspaper. Primarily because with the PHI (Protected Health Information), the abundance of PHI information from all different sources. It’s extremely important to say: “Well how do we protect our data?” Payers have a lot more data than anybody else outside of providers.

And there are two different spectrums of the data set – and both are equally critical from the standpoint of ensuring that data security is a key aspect in your space because today, a 100 record, 500 records, or anything above that threshold you’re going to have to report it. So, data security becomes actual strategy nowadays. How do you make sure that your data security is actually playing to your advantage? And your customers have to be able to trust that and that Trust is what’s going to actually give you – even though that has nothing to do with the actual health plan itself, or the benefits members are receiving, or the card that they are receiving. But they still have to be able to trust that their data is secure. 

Showing Value Vital in Provider/Hospital Negotiations [10:17]

Finally, when it comes to providing the value of data, the data set that payers are actually having to wrestle with: how are we showing the value that we are providing to the hospital segment, the provider segment, and the member segment? 

But if you look at it, you still have to deal with all the other aspects before you get to the value component: administrative setup, data security, operating margins, and everything.Contract negotiations. HealthCare Executive Group. Benefits Costs. Patient Outcomes. Quality Standards. STAR ratings. Profit Margins. Improving Efficiencies. EQ Health Solutions. Solving the Rubik’s Cube of Payer Data. Health Plans. Payer market. evaluating healthcare analytics vendor. Data Security. Tools and Technologies.Well, how is that actually happening? Big data. Well, I’m not going to bore everybody with the definition of what big data is but, in a nutshell, in today’s world of Instagram, Facebook and Snapchat it’s all about the volume and speed and the frequency of the data that you’re receiving. And in the payer market, it’s a lot of data. It used to be a monthly fee [to obtain/access data]. Now it’s an API call to an HL7 message which is instantaneous. And the amount of frequency that you’re having to deal with is a lot more than what you had before. And the number of types of data that the payer market is actually having to deal with is a lot more. And even in there, the data can be segregated into a couple of different ways: 

  • The data that’s the primary data sources
  • The derived data sources that you’re generating as a result of your operation or as a result of some of the analysis that you’re doing on top of it. 

So now that’s another big trend that the payer market is having to actually wrestle with.

Social Determinants of Health Data are Increasingly Important

Ferris Taylor [HCEG’s Executive Director] indicated that this [Data & Analytics] was the top topic and social determinants of health were one of the key aspects to it. And that hasn’t changed. What has changed is how that’s being viewed. Instead of being a peripheral data source to actually being a central component to how your operations need to be done from social terms of health standpoint.

Marina Brown, EQHealth’s Vice President of Clinical Programs added:

I was just going to say that I do think that this is really a big one for the industry. Social determinants of health are definitely going to help change the way that we deliver health care. And that’s a very important distinguishment. It’s not going to change the way that we do health care because we treat a diabetic the same but it will change the way that we deliver care simply by helping to better guide the interventions that we’re utilizing to create more meaningful behavior change over time.

Tools and Technologies to Solve the Rubik’s Cube of Payer Data

Marina and Mayur shared an overview of the tools and technologies that healthcare payers are using to identify trends, root causes of patient and population-level issues, and transforming healthcare payer’s data and analytics infrastructure.

Another key aspect is artificial intelligence. Now again I don’t want to get into the definitions of artificial intelligence, but the key aspect is, with the advent of big data with the advent of the amount of data you’re having to deal with. It’s not humanly possible for a supervisor or a manager or a management team to be able to simulate all the data and actually say: What am I making use of this data? And how am I going to make use of this data? And what decisions am I making?

So artificial intelligence – or machine learning – and they’re not necessarily synonymous but in some in some aspect they’re synonymous in terms of combining the wealth of data that you’re getting and actually seeing what insights can be derived based on all those data sets; at a much more faster pace and a more timely manner compared to what we would have had to do if we were doing it manually. And there is an element of: how do we use the machine learning algorithms or artificial intelligence approaches to say: Can I do a better prognosis?

Everybody’s aware of [IBM] Watson’s cancer cure approaches to it and Watson has evolved a lot of other stuff. But predominantly in the mainstream the payer market, this hasn’t yet taken off into a full-fledged problem because we’re dealing with not necessarily a literature research but more in the realm of operational research and operational analytics.

Hear more from Mayur and Marina about tools and technologies at [13:09] and [24:53] in the recording.Artificial Intelligence. Predictive Analytics. Bigdata. Machine Learning. HealthCare Executive Group. Benefits Costs. Patient Outcomes. Quality Standards. STAR ratings. Profit Margins. Improving Efficiencies. EQ Health Solutions. Solving the Rubik’s Cube of Payer Data.

How can we employ artificial intelligence or machine learning concepts into the operational realm of the payer operation? [14:40]

There are some positive trends. There’s a huge growth of Medicare Advantage (MA) plans. Their margins continue to increase because it’s a catch-22 situation for MA plans because of the risks. And now MA plans are able to accurately reflect their risk scores. And as a result, their premiums are being reflected the right way – which actually helped them from their margin standpoint because their operations were still on the same aspects of it because in the previous era they were not reporting their risk the right way because they didn’t have all the data gathering up opportunities. But now that they’re able to gather their [data analysis] opportunities, they can predict their risk a lot more accurately, so their premiums are going up. As a result, the margins are getting better and also the operations have stayed the same.

Government Plans Off-Loading Operational Functions to Health Plans

And in the Medicaid managed care space what you’re seeing is a lot more growth in that space for, predominantly, what we could say s for one single reason: most of the state administrative entities are actually trying to off-load the burden onto the plans so that risk is being passed on to the managed care plans and the state entities become the administrative agency. Of course, with that, they’re also holding performance measures as an accountability which is not just about the financial side of it but also the quality side of it because they don’t want to sacrifice the quality of care being rendered to their beneficiaries. But as a result, you’re seeing a lot of growth in the managed care space Medicaid managed care well

What does this mean to me or my organization as a payer? [16:29]

If I actually eliminate all the big terminology, fundamentally there are two simple concepts:

  1. Is our plan performing better than what it was before from a cost standpoint? And with the qualifier added, is the plan performing to a level where the plan can afford too? Because one of which you’re collecting to your risk is what you’re paying out. That’s one of the key foundations. That’s a simple question that you’re going to answer.

And the second aspect of it is:

  1. Are we improving the quality of our plan? And quality can be defined in multiple ways. I think the STAR rating, the HEDIS measures, and all that stuff. But at the end of the day it’s really are you improving quality in terms of outcomes for the members?

And the second point is actually impacting the first point from a long-term standpoint. So, if you’re impacting the quality aspects of it, then you’re able to impact the cost aspect of it as well. But it doesn’t happen every year, it happens over as a strategic view. You have to put that as a strategic view long term view so that on the short run your cost structure might have variances but over a long run, you’re actually improving the trends of that one.Rubik’s Cube of Payer Data. Artificial Intelligence. Predictive Analytics. Bigdata. Machine Learning. HealthCare Executive Group. Benefits Costs. Patient Outcomes. Quality Standards. STAR ratings. Profit Margins. Improving Efficiencies. EQ Health Solutions. Solving the Rubik’s Cube of Payer Data. Health Plans. Payer market. evaluating healthcare analytics vendor. Data Security. Tools and Technologies.

Operational Simplicity and the Health of Your Health Plan [17:54]

But what does that mean in terms of a payer when you think about how you have to think about it?

It comes down to two things: operational efficiency and health of your health plan. How do we make a difference in looking at all the data that we have and actually answer these two business questions; and then tie them back to the simple questions of ‘Am I performing better in terms of cost?’ And ‘Am I improving the cost?’

Marina added: [18:38]

I think that operationally looking at the data is really going to, as a program administrator, is going to give me insight into things like the following:

  • What care management programs or medical management programs are most needed for my population?
  • What programs that I’m currently utilizing are really the most effective ones?

Taking that a step farther as you look into those specific programs that are most effective, you’ll also then be able to look at things like: What are the interventions that are most effective in this population. From a utilization review perspective?

Is my UR working only as a gatekeeper for my health plan or are we actually effectively managing acute episodes and beyond that acute episodes? And then really helping us determine all of this ultimately helps us determine what care intervention strategies do we need to tweak? Which ones do we need to add to our programs to create that meaningful behavior change that increases the health of our membership, increases the quality of the care that’s being provided to that membership, and ultimately reduces the cost?

The Rubik’s Cube of Payer Data – the Present Debacle

Mayur shared some insight into the struggle that many payers have regarding reporting and analytics: [20:03]

In a lot of ways, payers are struggling between: Am I doing reporting or am I doing an analysis? And how am I looking at it? Am I doing the analysis for the sake of reporting or am I doing analysis for the sake of improving or answering the two questions that we started out with?

  1. Is our plan performing better than what it was before from a cost standpoint?
  2. Are we improving the quality of our plan?

HealthCare Executive Group. Benefits Costs. Patient Outcomes. Quality Standards. STAR ratings. Profit Margins. Improving Efficiencies. EQ Health Solutions. Solving the Rubik’s Cube of Payer Data. Health Plans. Payer market. evaluating healthcare analytics vendor. Data Security. Tools and Technologies.And those could be the patient member outcomes, quality standards, STAR ratings, keeping benefits cost down, maintaining the profit margin, improving efficiencies. All of these are questions that every payer is asking.

And the list goes on and on and you guys are actually dealing with a lot more in today’s world. I’m sure every organization has a ton more questions to add to it but, fundamentally, why and how to do it is where the biggest question comes into play because often everybody goes down the path of: ‘Okay, I need to solve this reporting problem so I need to have this kind of technology in place. I need to solve my data analysis problem from a predictive modeling standpoint, so I need to have this technology base.

And as a result, you’re creating more and more silos within the analytic space and not necessarily taking advantage of the full spectrum of the data that you have or creating in its entirety in a holistic view. Because at the end of the day, if the technology analytics is being used for the reporting purposes then you only solve 30% of your problems because the majority of your problems are deriving insights from your data and actually saying how can we make a difference in our operations? How can we make a difference in our outcomes?

Payers have multiple data sources and everything is often viewed as a silo. [23:30]

Healthcare organizations are maturing but fundamentally they’re still struggling with the aspects of:

  • Am I doing quality analysis?
  • Am I doing financial analysis?
  • Am I doing operational analysis?
  • Or am I doing just reporting for the regulatory agencies?

Payers need to design their operational strategy to leverage all quadrants of dimensions: Quality, Financials, Operations, and Predictive Analytics.

Marrying Clinical Expertise with Data Analytic Capabilities [25:04]

HealthCare Executive Group Top 10 list. EQ Health Solutions. Solving the Rubik’s Cube of Payer Data. Health Plans. Payer market. evaluating healthcare analytics vendor. Data Security. Tools and Technologies.

I want to talk briefly about the key components that are going to make a difference. Often what happens is an analyst is asked a question and they actually come back and that data set is then presented to clinical leadership. And then clinical leadership asks a follow-up question and then makes some decisions on top of it. But in reality, what if you change that and involve that clinician up front during the analysis itself, along with the data scientist? So, what we view in the industry is that there’s a lot more benefit if you actually pair the clinicians and the data scientists together up front in the design and analysis phase.

So that 1) you can cut down your cycle crime and 2) you’re asking the questions up front and how to think about your operations. And that’s going to help frame your reporting and analytics problem in a way where you’re getting to a solution much faster.

Marina added:

I think that’s a really important point that you’re making. I think bringing these two teams of people together helps to bring about that important balance and maximize your outputs because your data scientists are experts at identifying the trends and the data. And when that information is presented to the clinicians, they can then help interpret those trends. That’s going to ultimately formulate your adjustments to your operations, your program design, etc. I think that’s a great point.

Pairing Clinicians with Data Scientists Frees Up Time for Patient Engagement

Mayur continued:

And another aspect to it is, when you’re thinking for clinicians, you’re actually taking away their valuable time working with a member. If you’re asking them to understand what’s happening with the data and go into the exercise and then making the decision to it. But if you pair them up front, you’ve solved the problem and then you’re giving them time to have their team’s focus more on the members then they are focusing on the data itself.

Marina added:

Right. Care teams are so busy trying to make that outreach to the members that having that technology available to them, to be able to guide them to identify trends or issues with that particular member, is going to save time. And it ensures too that all of the important or pertinent trends for that particular member, for that particular population, are being identified. Because at the end of the day, clinicians are just that, clinicians. They’re not data analysts.

Developing a Multi-Dimensional, 360-Degree View of Your Data

Marina and Mayur presented some insight and ideas on how to create a decision-making framework providing a multi-dimensional, 360-degree view for your clinical, operational, administrative, and financial teams.

See [28:15] for more information, insight, and ideas on creating a multi-dimensional, 360-degree view of your clinical, operational, administrative, and financial data.

Top Six Things to Consider When Evaluating Healthcare Analytics Vendors

Here are top six things that you should consider when you think about analytics or in the majority of organization’s how you want to get there.

  1. Data Security
  2. In-House Experts
  3. Intuitive Easy-To-Use Platform
  4. Actionable Real-Time Data Visualization
  5. Data Accuracy
  6. Acceptance of Data in Any Format

For details on the importance of each of the above considerations for evaluating healthcare analytics vendors, listen in starting at [36:04].

Questions from Webinar Series Attendees

Our organization currently executes minimal analytical formalities, processes, etc and we are at an immature analytical state. Would investing and working with an analytics vendor refute all [our efforts] at this stage in our organization? [44:37]

Mayur: No. You can view it from the standpoint of: if you’re in the early stages of maturity then that would be the perfect time to assess how you want to design your system and what kind of systems you want to have in place. And you may not have to go through the same evolution steps that the entities started out early on. You may actually leapfrog by taking in all that stuff up front itself. So absolutely, even if you don’t have all the data organized in a unified view that’s fine too because you do have data sets. The first steps very well could be how do you get them into the unified view. So I wouldn’t hesitate working with and investing in analytics if you’re in the early stages of maturity because this very well could be an opportunity where you don’t have to redo the some of the things that you might have done if you’re already in further stages.Artificial Intelligence. Predictive Analytics. Bigdata. Machine Learning. HealthCare Executive Group. Benefits Costs. Patient Outcomes. Quality Standards. STAR ratings. Profit Margins. Improving Efficiencies. EQ Health Solutions. Solving the Rubik’s Cube of Payer Data. Health Plans. Payer market. evaluating healthcare analytics vendor. Data Security. Tools and Technologies.

Our organization prides itself on taking the best care of our patients. Can you give us examples of how using an analytics vendor can improve our patient outcomes vs. just us monitoring it internally? [46:03]

Marina responded to this question with an interesting story about how EQ health identified and assisted high-utilization, low literacy, diabetic patients in the Mississippi Delta.  Listen at [46:22] as to how EQHealth made life easier for patients and improved their health, all while reducing emergency room visits and inpatient admissions.

My team is discussing the decision to build an analytics platform internally or buy and outsource it with a vendor. Do you have any insight into what is more successful and pros and cons? [50:50]

Mayur: I don’t think there is a right answer or wrong answer. It really centers on your strategy. Are you trying to make that as your core competency or are you wanting to retain your core competency to manage plan operations but want to have the benefit of the analytics and the analytics platform; then at that point you should outsource. But if you’re wanting to make analytics your core competency, then you need to have that in-house. But when you do decide to make it in-house, you still need to… hear the rest of Mayur’s answer at [51:08]

Listen to more questions and answers from Solving the Rubik’s Cube of Payer Data here.

More Insight for Healthcare Leaders

Our Webinar Series events are one example of how the HealthCare Executive Group helps to share information and promote collaboration between our members, associates and sponsor partners. Our next Webinar Series event will be ‘Using People, Process & Technology to Grow Your Business’ and will be presented by our sponsor partner HealthEdge on July 25th, 2019 at 2:00 pm ET.HCEG. HealthCare Executive Group Webinar Series: ‘Using People, Process & Technology to Grow Your Business’ HealthEdge.

HCEG’s 2019 Annual Forum

Save The Date HCEG Annual Forum

In addition to connecting with us on Twitter and LinkedIn and subscribing to our eNewsletter, consider joining other healthcare executives and industry thought leaders at our 2019 Annual Forum in Boston, MA on September 9-11, 2019. In addition to the always insightful, information-packed sessions and networking opportunities our annual forum offers, we’re including two special networking events on Monday, September 9th:

  • Tour of the IBM Watson Research Facility in the morning
  • Red Sox vs. Yankees Baseball Game at Fenway Park in the evening

For more information, click here and/or contact us at [email protected].

HCEG. Healthcare Executive group. WHCC. World Health Care Congress. CIO & CTO Strategy Track.

Recapping 16th Annual World Health Care Congress & CIO/CTO Strategy Track

By | HCEG Top 10, Partners, Social Determinants of Health, Value-Based Payment, WHCC | One Comment

Last week a lot of planning, coordination and content development by the HealthCare Executive Group came together at the 16th Annual World Health Care Congress in Washington, DC. For this year’s congress, HCEG partnered with World Congress Events to present the CIO & CTO Strategy Track. This post recaps a few highlights of the 2019 World Health Care Congress, shares some insight from the healthcare leaders and champions presenting at the event and in our the CIO & CTO Strategy Track, and provides some select presentation materials, recordings and other content from the event.

HCEG Top 10-Related Highlights From 2019 World Health Care Congress

As expected, many of the sessions and keynotes at the WHCC event addressed items on the 2019 HCEG Top 10 list with “social determinants of health” (#3 on the 2019 HCEG Top 10) and “value-based payment” (#4 on the 2019 HCEG Top 10) being pervasive themes throughout the keynotes, sessions and exhibit hall.

Value-Based Care – It’s More Than Just Adding An Alternative Payment Model

One of the sessions in the Provider Transformation track, ‘Do Medicare Changes Enhance or Hinder Clinical and Payment Transformation‘ emphasized the role of the primary care doctor in the shift from the dominant fee-for-service reimbursement model to new value-based-payment methods. Panelists also called out that to truly transform our health care system, change must not just focus on payment models but also deliver scalable clinical and operational methods. And HCEG members acknowledge this as “Operational Effectiveness” is ranked #8 on the 2019 HCEG Top 10 list.

Defining, Measuring, and Communicating Quality Measures are Key for Leveraging Social Determinants of Health

Another session titled “SDoH Business Strategy: Quantify and Communicate the ROI and VOI of SDoH Initiatives” shared the following key points and considerations for healthcare organizations looking to address social determinants of health as barriers to care:

  1. Quality measures that incorporate social determinants of health must be developed and understood BEFORE starting programs and initiatives.
  2. Readily available public data is not granular enough to capture SDoH factors needed appropriate quality measures.
  3. Conducting clinical trials on proposed quality measures can help to understand and quantify the benefits of SDoH initiatives.
  4. Incorporate patient/member personalization into a standardized, common infrastructure that enables economies of scale.
  5. Predictive analytics – a perennially high-ranking item on HCEG’s Top 10 lists – is THE critical component of SDoH programs.
  6. Combining clinical data from EHR’s with claims and other administrative/demographic data records allows health plans/health systems opportunities never before easily attainable.
  7. Health plans, health systems, and providers must clearly understand and communicate the benefit that addressing social determinants of health can have for their members and patients.
  8. Organizations should strive to assign a financial measure assigned to each quality measure.

CIO & CTO Strategy Track at World Health Care Congress

HCEG. Healthcare Executive group. WHCC. World Health Care Congress. CIO & CTO Strategy Track.

HCEG board chair Kim Sinclair, CIO at BMC HealthNet Plan and board member Alan Abramson, Sr VP of IT & CIO at HealthPartners and Co-Chair of the Minnesota eHealth Advisory Committee, shared some real-world examples of how they and their organizations are addressing some of the items on the 2019 HCEG Top 10 list.

Alan Abramson shared four areas of focus for HealthPartners:

  1. Formally chartering projects to deploy technology-based approaches to largely manual processes
  2. Carving out and focusing on efforts to improve patient experience
  3. Address inefficiencies in technology ecosystems, business policy, and processes
  4. Establishing R & D projects to assess opportunities and benefits of new, emerging technologies

Increasing Operational Effectiveness in Health Plans & Health Systems

Alan went on to share that the #1 initiative his healthcare organization has been focusing on last year, in 2019 and will continue to focus on in 2020, is increasing Operational Effectiveness (#8 on the 2019 HCEG Top 10). Alan provided some examples as to how HealthPartners is achieving greater operational effectiveness including:

  1. Utilizing Lawson Financials to consolidate multiple disparate functions
  2. Rehosting and re-platforming administration systems such as employer group setup, utilization management reporting, new member enrollment, and patient admission, discharge and transfer.
  3. Positioning systems, policies, and procedures to accommodate increases in individual health plan coverage
  4. Consolidating four different laboratory systems into one system
  5. Using Robotic Process Automation (RPA) to automate user administration and security
  6. Using AI-powered bots to automate 27,000 software QA tests that took three weeks to complete and that now take 17 hours.
  7. Alan noted that achieving success via ‘standardization’ in one area often leads to end users demanding improvement via standardization in other areas.HCEG. Healthcare Executive Group. WHCC. World Health Care Congress. CIO & CTO Strategy Track. Top 10. Industry Pulse

Payer-Provider Data Sharing and Interoperability Critical in Risk-Sharing Relationships

Kim Sinclair’s healthcare organization serves approximately 400,000 members and patients via its health plan, hospital, and medical centers – 80% of whom are Medicaid beneficiaries and represent 15% of the state’s Medicaid population.

Like other integrated healthcare delivery systems – especially those entering the nascent world of ‘accountable care,’ Kim noted that investments in provider network management and payer-provider interoperability have often lagged that of other initiatives. Moreover, a competitive market with many small medical practices lacking sufficient IT systems and a tendency to ‘throw bodies at a problem’ has increased the challenges her organization faces.

Kim also shared some examples of how her organization is addressing their challenges, issues, and opportunities:

  1. Integrating various systems with a focus on creating an industry-leading accountable care organization (ACO).
  2. Formal projects to identify and stratify members and patients with complex care management needs.
  3. Revising policies, procedures, teams, and systems to effect a truly integrated system.
  4. Reducing pended claims and time to pay – particularly important where both payer and provider are sharing risk.
  5. Focusing on change management and investing in payer-provider interoperability and support.

RELATED: Executives, Policymakers & Thought Leaders Address Healthcare Innovation and Disruption

Cybersecurity – Think Beyond Enterprise and Employee Training

In this CIO & CTO Strategy Track session, panelists discussed cybersecurity at the end-user level. They emphasized the importance of leadership having a strong grasp on the ‘foundational’ components of cybersecurity (patch management, identity/access management, perimeter security, etc.) And also encouraged the audience to pay attention to data assets outside their own four walls. For instance, the use of Software as a Services (SaaS) and 3rd parties they contract with (outsourced vendors) who possess their organization’s sensitive data.Cybersecurity. WHCC and HCEG HealthCare Executive Group, Tim Thull Medica Health Plan. CIO & CTO Strategy Track

HCEG board member Eric Decker and SVP of IT & CIO at Independent Health spoke about how his mid-sized health plan has evolved beyond the core technical cybersecurity team as the ‘first line of defense’ by chartering a Risk Office responsible for creating and testing their cybersecurity framework. His organization also has an Internal Audit team that regularly audits core controls as well as the cybersecurity framework.

Jothi Dugar, Chief Information Security Officer in the Office of the Director at the NIH Center for Information Technology shared what seems like an obvious approach to thinking about cybersecurity but may not, in fact, be so common:

Think holistically – consider the psychology of cybersecurity and how to optimize your workforce against threats.

Tim Thull, SVP of IT & CIO at Medica Health Plan spoke about how it is important to have strong oversight, governance, and controls framework around information risk management from your board of directors to individual staff. Medica has implemented HITRUST as common security framework with an information risk program which provides sound technology solutions and controls. Robust training and awareness remain a critical component in ensuring everyone is an active participant in strong cybersecurity defenses.

Optimize Information Sharing to Generate Real Value from Data

Latecia Engram, MSPH from the ReImagine HHS Data Insights Initiative/ACF Office on Trafficking in Persons at Health & Human Services presented the “Optimize Information Sharing to Generate Real Value from Data” session in the CIO & CTO Strategy track.

Latecia spoke about the importance of viewing data as a strategic asset, explained that “the ‘Why’ we share information matters”  and offered some lessons learned during the Opioid Symposium and Code-a-Thon sponsored by HHS.

  1. Data are in silos
  2. Data sharing is inefficient
  3. Analytics capacity is uneven
  4. Data sharing is costly

Video Interviews by Mabel Jong at 2019 World Health Care Congress

One of the interesting and informative parts of the WHCC event was their WHCC TV feature where Mabel Jong – professional on-camera interviewer and panel moderator specializing in healthcare – does short interviews with keynote speakers, session panelists, and other healthcare leaders and champions participating in the Congress.

WHCC19.Healthcare Executive Group. HCEG. Video Interviews by Mabel Jong. Ferris Taylor, Chief Operating Officer of Arches Health Plan and HCEG’s executive director. HCEG Top 10. Annual Forum.

Mabel interviewed Ferris Taylor, recent Chief Operating Officer of Arches Health Plan and HCEG’s executive director. More about this interview will be shared as the recordings are released. In the meantime, you can find many of the interviews performed by Mabel Jong on the World Congress Events YouTube Channel.

HCEG Member Feedback on 16th Annual World Health Care Congress

HCEG Board members Cate McConnell, Healthcare Payer Industry Practice Lead at Appian Corporation and Eric J. Decker, SVP of IT & CIO at Independent Health shared their insight on the 16th Annual World Health Care Congress:“Keynotes at the 2019 World Health Care Congress went right to the heart of issues impacting healthcare today: transparency, value-based payments, social barriers, member engagement, and affordability

What was unique about the WHCC event?

Eric: The keynotes went right to the heart of the issues impacting our industry today (transparency, value-based payments, social barriers, member engagement, and affordability).  Likewise, the breakout sessions were plentiful and offered a diverse array of topics to choose from.

Cate: WHCC, being in Washington DC, includes policymakers in greater numbers than most conferences. It was good to hear some of the interesting ideas shared by the policymakers. I would have liked to have more people from the current HHS/CMS administration who are shaping healthcare policy speak at WHCC.

How did WHCC’s event differ from what HCEG presents with its Annual Forum? 

Eric: Many healthcare conferences – WHCC included – include limited time for questions and answers, not only in the keynotes but also the breakout sessions. The event had nowhere near the time that HCEG’s forum includes for questions (and even debate).

Cate: WHCC is much bigger than HCEG’s annual forum which leads to fewer and less intense opportunities for networking and discussion. The large exhibit hall/show floor can sometimes be a distraction.

What didn’t you see or what could have been better about WHCC?

Cate: Pricing transparency is ‘critical’ in healthcare – in terms of procedures, tests, and drugs – but there weren’t any discussions of how to do this, and what this means to provider compensation. The free market disruptors will likely force this on the industry, which appears unwilling/unready to address it themselves. A speaker made the point that of the two industries that don’t have price transparency – college education and healthcare – prices increase many times greater than inflation because there are no incentives to become more efficient.

What were some things you felt were ‘most important’ for WHCC attendees to absorb?

Cate: Many speakers acknowledged that disruption is coming and that Amazon, Google, and Apple are the prime disruptors. Yet most executives shrugged off this threat with “they will learn healthcare is complex.” This seems to be an “innovator’s dilemma” situation where current industry players are unable to disrupt themselves due to entrenched business models. But what will happen to healthcare if Amazon drives sweeping disruption as it did in retail? Are we ready for widespread bankruptcies?

“External Market Disruption” is ranked #7 on the 2019 HCEG Top 10 list.

Other Recaps & Insight from 2019 World Health Care Congress

Here’s a bit about what others are sharing from the 2019 HCEG Top 10 list at the 16th Annual World Health Care Congress:

5 Things to Know From World Health Care Congress 2019 – Via AJMC

Unlocking Innovation in Value-Based Care – Via FierceHealthcare

How to speed up the shift from volume to value? – Via FierceHealthcare

How Bright Health is changing the payer-provider dynamic – Via FierceHealthcare

Trump likely to target Medicare in quest for lower drug prices – Via FierceHealthcare

Importance of Process Measures When Determining Value of SDOH Initiatives – Via AJMC

Gottlieb talks about lessons from opioid crisis in first speech since leaving FDA – Via FierceHealthcare

RELATED: Top Tweets from 16th Annual World Health Care Congress – #WHCC19

A Unique Opportunity for Healthcare Executives, Leaders & Champions

The 16th Annual World Health Care Congress was a great opportunity for those working to transform the healthcare industry during these uncertain times. And the HealthCare Executive Group was honored to have partnered with World Congress Events to host the new CIO & CTO Strategy Track.HCEG. Healthcare Executive Group. Annual Forum. Conferences for executives leadership. Events. Eventprofs.

For another opportunity to learn about new strategies and approaches to addressing the challenges, issues, and opportunities facing healthcare leaders – and to establish new relationships to facilitate your organization’s digital transformation – consider joining other healthcare executives, leaders, and champions at our 2019 Annual Forum in Boston on September 9th through the 11th. The year’s agenda is centered around the following major themes supported by the 2019 HCEG Top 10:

  • Technology & Its Role in Transformational Industry Change
  • Digital Health: Consumer & Organizational
  • Pharmacy Costs and Opioid Management

In addition, all participants in our 31st Annual Forum will be treated to a special networking event between the Boston Red Sox and the New York Yankees at Fenway Park on September 9th – at no additional charge.

Check out some photos, program guide and presentation materials from last year’s Annual Forum celebrating our 30th anniversary. And visit this page for more information and to register.

Leveraging Low-code Development Platforms to Increase Member Engagement. low-code tools, patient engagement, operational effectiveness, healthcare consumerism, customer centricity, Appian, healthcare executive group, HCEG

Using Low-Code Development Platforms to Boost Patient and Member Engagement

By | HCEG Top 10, Operational Efficiency, Sponsor, Tools, Total Consumer Health | No Comments

Health plan members and health system patients have become more vocal in their demands for clarity and measurable value from their healthcare services. Members see ever-increasing costs and continued transfer of those costs from employers to their employees. New direct to consumer entrants are changing the interaction paradigm. All of these factors are driving healthcare payers toward new ways of engaging with their members and providers.

HIMSS President and CEO Hal Wolf states, “Consumer pressure is driving a disruptive technology-enabled shift in healthcare today.” Accordingly, healthcare organizations and the companies supporting them are looking for ways to deliver their promise of value. This requires a better understanding of individual consumer preferences, better care coordinating, and better delivery across a broad health ecosystem.

New Generations of Healthcare Consumers are Demanding New Healthcare Services & Delivery Channels

In addition, digital generations—Millennials and Gen Z —are increasingly unsatisfied with how they obtain their healthcare services. Recent Accenture research1 found that one-third of millennials and almost half of Gen Z say they don’t have a primary care physician—compared to just 16% of baby boomers.  Millennials are shifting the historical relationship between physician and patient to virtual, retail clinics and digital self-service.

Enabling Total Consumer Health and Improving Operational Effectiveness

The HealthCare Executive Group Top 10 list of challenges, issues, and opportunities facing healthcare leaders in 2019 and healthcare executive group, HCEG Top 10, Challenges, Issues, Opportunities facing healthcare leadership. Innovation and disruption. Data & Analytics, Total Consumer Health, Population Health Services, Value-based Payments, The Digital Healthcare Organization, Rising Pharmacy Costs, External Market Disruption, Operational Effectiveness, Opioid Management, Cybersecuritybeyond reflects the importance of engaging health plan members and health system patients. Total consumer health—defined as improving members’ overall medical, social, financial, and environmental well-being—was ranked second on HCEG’s 2019 Top 10 list. And operational effectiveness—implementing lean quality programs, process efficiency, robotics automation, revenue cycle management, real-time/near-time point of sales transactions, and beyond—was ranked eighth.

It’s clear that healthcare organizations must rapidly develop services and products that engage healthcare consumers and help their organizations stay one step ahead of these major shifts in healthcare consumer preferences.

Address Changing Needs with Low-Code Application Development Platforms

Leadership charged with delivering healthcare products and services must address the changing needs of healthcare consumers in an agile, cost-effective way. Forward-thinking healthcare organizations are using low-code development platforms to digitally transform their organizations and efficiently respond to patient engagement opportunities.

What is a Low-Code Development Platform?

A low-code development platform2 allows you to build enterprise software applications using graphical user interfaces, drag and drop assembly and configuration. With low-code tools, you don’t write the application in traditional software code—you draw it like a flow chart. This greatly accelerates application development by orders of magnitude for both professional programmers and non-technical “citizen developers.”

Low-Code Platforms Enable Innovation, Accelerate Delivery and Improve Agility

Low-code platforms can help build applications that consolidate data, automate key processes, and enable mobile innovation. Instead of changing business operations to match the way commercial off-the-shelf (COTS) software works, companies can use to align their software systems with their business needs.

Leveraging Low-code Development Platforms to Increase Member Engagement. low-code tools, patient engagement, operational effectiveness, healthcare consumerism, customer centricity, Appian, healthcare executive group, HCEG

Low-Code Platforms Offer a Range of Benefits

  • Usability beyond software developers, easing the burden on IT
  • Extended existing applications and data across new channels and devices
  • Reduced IT sprawl, minimizing maintenance and related expenses
  • Flexibility to build new solutions using technology already owned
  • A fast and simple way to create powerful software

Key Features of High-Quality Low-Code Tools

While considering how your healthcare organization might speed up its digital transformation initiatives, keep in mind the key features of high-quality low-code tools include:

  • A single interface that ties together disparate systems so you can work no matter where data is stored
  • Enhanced security through a HIPAA compliant cloud
  • An API to allow drag-and-drop design to build your app once, then easily deploy to any device
  • Easy automation across people, robots, and machines

Areas Where Low-Code Platforms Can Quickly Add Value

No single commercial-off-the-shelf (COTS) software system can address all the member- and patient-related engagement opportunities that healthcare organizations face—at least not without high expenses and potentially long wait times for vendors to add functionality to their product. In addition, many COTS systems don’t integrate with other COTS and the myriad custom-developed systems healthcare organizations typically have installed.

Low-code development platforms can address many member- and patient-related business and functional needs. Capabilities include:

  • Integrating clinical data from providers with financial data from payers
  • Maintaining accurate and complete provider directories
  • Aggregating data to better coordinate patient services
  • Creating member- and patient-facing apps for scheduling services and accessing financial and clinical records
  • Providing real-time support for admissions and discharges
  • Handling complaints, appeals, and grievances automation
  • Managing simple, automated utilization and prior authorizations to ensure members understand what’s covered under their plans
  • Understanding out-of-pocket costs prior to obtaining services to help increase member satisfaction

More About Leveraging Low-Code Development Platforms

There are a number of good resources and references on low-code development platforms:

The Best Low-Code Development Platforms for 2019

Low-code platforms: A cheat sheetLeveraging Low-code Development Platforms to Increase Member Engagement. low-code tools, patient engagement, operational effectiveness, healthcare consumerism, customer centricity, Appian, healthcare executive group, HCEG

What Really Is Low-Code/No-Code Development?

The Forrester Wave™: Low-Code Development Platforms

And some use cases and case studies on using low-code development tools to enhance member and patient engagement:

Member Services, Enrollment, & Relationship Management

Intelligent Contact Center for Healthcare Organizations

Member Engagement & Wellness for Healthcare Payers

Transform Member & Patient Engagement Using Low-Code Application Development Platforms

The future of healthcare depends upon the ability to quickly adapt and provide quality and convenience for providers, payers, and most importantly, health plan members and health system patients. It takes speed and power to deliver transformational healthcare solutions. Low-code application development platforms provide both – enabling organizations to build web and mobile apps faster, run them on a HIPAA-compliant cloud, and manage complex processes, end-to-end, without limitations.

For more information on how to address opportunities, challenges, and issues in today’s rapidly transforming healthcare environment, consider subscribing to our eNewsletter and checking out the products and services offered by our sponsor partners – including Appian, a leading provider of low-code application development platforms.

Healthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

Executives, Policymakers & Thought Leaders Address Healthcare Innovation and Disruption

By | Conferences, HCEG Top 10, Partner Events, The Industry Pulse | One Comment

The HealthCare Executive Group (HCEG) has been convening and supporting leaders of health plans, health systems, and provider organizations for over three decades. Similarly, and for nearly two decades, the World Health Care Congress has been connecting leaders from all parts of the health care ecosystem to catalyze and support relationships that ultimately transform the delivery, affordability, and quality of health care. And next month starting April 28th, the 16th Annual World Health Care Congress (WHCC) convenes in Washington, DC with over 1,500 of the industry’s best and brightest minds gathering to learn from peers, form new relationships, share insights and strategies, and discuss policy, innovation, and disruption impacting individual organizations and the healthcare industry as a whole.

Special discount to 16th Annual World Health Care Congress when registering with HCEG2019

HCEG Partners with WHCC on CIO & CTO Strategy Track

In this year’s 2019 World Health Care Congress, the HealthCare Executive Group is pleased to partner with WHCC to provide and moderate the CIO & CTO Strategy Track – a series of sessions designed to bring together policymakers, technology leaders, and health plan and health system professionals supporting enterprise decisions around information technology. The sessions presented in this track will be based on select items on the 2019 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare leaders.Healthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

This post provides some insight into CIO & CTO Strategy Track sessions, the healthcare champions who will be presenting and participating in the various sessions, and presents a unique discount offer for HCEG members and associates considering attending this high-profile healthcare event.

Digital Technology – The Foundation of Healthcare Innovation and DisruptionHealthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

While most of the sessions at the WHCC are focused on strategy, leadership, business transformation, and policy, the sessions in the CIO & CTO Strategy track will share insight, ideas, and actionable information on digital technology-related topics identified by HCEG members and associates in the 2019 HCEG Top 10 list – specifically:

  • Data Analytics (Top 10 Item #1)
  • Importance of Useable Technology (Top 10 Item #5)
  • Pharmacy Costs and Transparency (Top 10 Item #6)
  • External Market Disruptors (Top 10 Item #7)
  • Cybersecurity (Top 10 Item #10)

In addition, HCEG’s board chair Kim Sinclair, executive director Ferris Taylor, and board member Alan Abramson will share insights on the 2019 HCEG Top 10 list of primary challenges, issues, and opportunities.

Technology-Focused Sessions Supporting Healthcare Innovation and Disruption

There are eighteen different tracks at the 16th Annual World Health Care Congress – something for everyone that can be mixed and matched to meet specific areas of interest and need. Use HCEG2019 when you register here to receive a discount not generally available to everyone.Healthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

Here are the sessions in the CIO & CTo Strategy Track that HCEG has partnered with the World Health Care Congress to present:

Optimize Information Sharing to Generate Real Value from Data (HCEG Top 10 Item #1)

Tues, April 30th at 11:25 am

Latecia Engram, Lead of the ReImagine Data Insights Initiative at HHS’s Office of the Chief Technology Officer will share a first-hand overview of how HHS assessed its information sharing processes and developed a roadmap for greater efficiency and effectiveness. Latecia will also share insight into the foundational work that must happen before any organization can truly use data as an asset.Healthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

How Do You Value a Life Saved? – Pharmacy Costs and Transparency (HCEG Top 10 Item #6)

Tues, April 30th at 1:35 pm

Lynn Hanessian, Board Member at the Center for Healthcare Innovation (CHI) will moderate a discussion with Nichole White, VP of Health Services at Medica and David A. DiLoreto, MD, HCEG board member and Principal at Sg2. They’ll discuss how outcomes and costs associated using technology to increase transparency and value in the fastest growing segment of healthcare costs – pharmacy.Healthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

Useable Tech: Develop and Deploy Solutions that Fit into Your Member’s or Patient’s Life (HCEG Top 10 Item #5)

Mon, April 29th at 1:40 pm

Brett Trusko, Founder of the International Association of Innovation Professionals (IAOIP) and Editor-in-Chief of the International Journal of Innovation Science and Kevin Pereau, Founder and CEO of Transcend IT Health will discuss technology’s role in addressing member and patient needs.

Insight and examples of why using technology for technology’s sake simply do not work will be shared along with a discussion of machine language and artificial intelligence’s promise in flagging fraudulent activity more quickly; alleviating waste and abuse.Healthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

Cybersecurity – Think Beyond Enterprise and Employee Training (HCEG Top 10 Item #10)

Mon, April 29th at 2:30 pm

Jothi Dugar, Chief Information Security Officer in the Office of the Director at the NIH Center for Information Technology will join HCEG board member Eric Decker, Sr VP of IT & CIO at Independent Health, and HCEG Secretary Tim Thull, Sr VP & CIO at Medica to discussion cybersecurity – ranked #10 on the 2019 HCEG Top 10.

Discussion topics include:

    • Addressing cybersecurity at the end-user level by considering the psychology of cybersecurity and how to optimize your workforce against threats
    • What’s holding health care back from sophisticated approaches to providing private, secure PHIHealthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

Healthcare Innovation and Disruption Highlighted in HCEG Top 10 List & Industry Pulse

On Tuesday, April 30th at 2:25 pm, HCEG board chair Kim Sinclair, CIO at BMC HealthNet Plan, executive director Ferris Taylor, and board member Alan Abramson, Sr VP of IT & CIO at HealthPartners and Co-Chair of the Minnesota eHealth Advisory Committee will present ‘The HCEG Reveal: What CIOs and CTOs Care about Most in 2019 (and Why You Should Too).’ In this session, an overview and their insight on the 2019 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare executives in 2019 will be shared including an overview of the impact the HCEG Top 10 can have on members, patients, providers, and others in our increasingly digital world.

The 9th Annual Industry Pulse Survey – Perspectives on Healthcare Innovation and Disruption9th Annual Industry Pulse survey. 2019 HCEG Top 10 List. Top challenges, issues and opportunities facing healthcare leadership.

Attendees of ‘The HCEG Reveal’ session will also enjoy insight and commentary on the 2019 Industry Pulse research survey – an annual survey based on the 2019 HCEG Top 10 and scheduled for release in the weeks before the World Health Care Congress event. This 9th instance of the Industry Pulse looks not only at the marketplace challenges, trends, opportunities, and investments reported by industry leaders but also compares and contrasts those findings with what was uncovered in past Industry Pulse surveys.

RELATED: The 2019 HCEG Top 10 List of Healthcare Challenges, Issues & Opportunities

More Details on 16th Annual World Health Care Congress and CIO & CTO Strategy Track

Here’s additional information on the 16th Annual World Health Care Congress. Feel free to reach out to us or contact WHCC if you have any questions regarding registration for this world-class healthcare event.

Conference WebsiteConference BrochureAgendaAgenda Snapshot
SpeakersEvent Hashtag: #WHCC19Twitter: @WHCCEventsContact WHCC

Special Discount for HCEG Members & Associates

HCEG is pleased to offer its members and associates a special discount to this year’s 16th Annual World Health Care Congress. Use HCEG2019 when you register here to receive a discount not generally available to everyone.Healthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

Connect w/ HealthCare Innovators and Disruptors at 16th Annual World Health Care Congress

As uncertainty retains its grip on the healthcare sector, healthcare leaders now – more than ever – need to stay on top of the policies, regulations, technologies, and trends shaping the market. Consider joining your peers at the 16th Annual World Health Care Congress on April 28th in Washington, DC and register today!

Healthcare Innovation and Disruption, HealthCare Executive Group, HCEG, 16th Annual World Health Care Congress (WHCC), CIO & CTO Strategy Track, innovation, disruption. healthcare champions, Data Analytics, Pharmacy Costs and Transparency, Importance of Useable Technology, Cybersecurity, HCEG Top 10, Center for Healthcare Innovation (CHI), International Association of Innovation Professionals,

Stay Connected with HealthCare Innovators and Disruptors

Healthcare leaders and those championing the transformation of healthcare can subscribe to our eNewsletter to stay abreast of information, events, and networking opportunities in 2019 and beyond.

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

Healthcare Executive Group HCEG. HIMSS19. 2019 HIMSS Conference. Champions of Health. Leading conferences and events for healthcare executives and thought leaders. 2019 Annual Forum. Digital Health. Transformation.

Insight from Champions of Health at 2019 HIMSS Global Conference & Exhibition

By | Conferences, HCEG Top 10, HIMSS19, Sponsor | No Comments

The 2019 HIMSS Global Conference & Exhibition adjourned on Friday, February 15th with 45,000+ professionals from 90+ countries, 1300+ exhibitors, 300+ education sessions spanning 24 topics and 100’s of special programs and networking events taking place over the nearly weeklong event. And HealthCare Executive Group (HCEG) members, sponsor partners, and other Champions of Health were in attendance.

Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19.

HCEG Executive Director Ferris Taylor – A Champion of Health

This post presents a few highlights and resources from the conference including:

  • HHS/CMS Regulators Challenge Private Sector Participants
  • What Others Are Saying About the 2019 HIMSS Conference
  • Resources from 2019 HIMSS Conference & Exhibition
  • Session Presentations/Slide Decks
  • Collection of Live-Streamed Interviews & Sessions
  • Conference News & Announcements

See HealthCare Executive Group & Sponsor Partners at the 2019 HIMSS Conference

HHS/CMS Regulators Challenge Private Sector Participants at 2019 HIMSS Global Conference

On Tuesday, HIMSS CEO Hal Wolf chaired a fireside chat with a handful of individuals holding or who have held senior positions with the federal government.Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19. Seema Verma, Michael Leavitt, Dr. Karen DeSalvo, Aneesh Chopra Interoperability, Information Blocking and open API’s based on the Fast Healthcare Interoperability Resources (FHIR)

  • Seema Verma – Current Centers for Medicare & Medicaid Services (CMS) Administrator
  • Michael Leavitt – Former Health & Human Services (HHS) Secretary
  • Dr. Karen DeSalvo – Former Office of the National Coordinator for Health Information Technology (ONC)
  • Aneesh Chopra – First Chief Technology Officer of the United States

All of these Champions of Health discussed what was expected to be major HIMSS conference themes: Data Interoperability, Information Blocking and open API’s based on the Fast Healthcare Interoperability Resources (FHIR) standard. All of which got a boost on the opening day of the HIMSS conference with the CMS and ONC release of new rules intended to make data more accessible.

Among other things, the proposal mandates that FHIR will be the standard now for health plans, hospitals, vendors and others for sharing healthcare data sets. Here’s a Summary of the New ONC and CMS Notices of Proposed Rulemaking for Health IT. And the entire 742-page document. This post here by Fierce Healthcare provides additional details on the proposed rules.

See also HIMSS19 keynoters challenge private sector to keep pace with FHIR, open APIs’ for more.

Champions of Health Discuss Interoperability and Value-Based Care Delivery

On Wednesday evening, another Champion of Health, CMS’s Deputy Administrator and Director of the Center for Medicare and Medicaid Innovation (CMMI) Adam Boehler joined John Doerr, Chairman of Venture capital firm Kleiner Perkins and Aneesh Chopra for an interesting and occasionally provocative discussion on The Intersection Between Interoperability and Value-Based Care Delivery.

As the session title indicates, the discussion centered around the topics of liberating healthcare data and addressing incentives to change payment from fee-for-service to value-based payments. This was an interesting discussion in that none of these three individuals are clinicians but rather brought what was clearly a business focus to the discussion.

Four Key Considerations for Revising Healthcare Incentives

Adam Boehler noted four key considerations for healthcare leaders to address in their quest to revise incentives and effect true change in the healthcare ecosystem

  1. Treat patients as consumers
  2. Help providers become more accountable for outcomes
  3. Adjust incentives to reward more preventive services
  4. Improve how payment policies are aligned to outcomes

Interesting Comments from Champions of Health at 2019 HIMSS Conference

A few interesting comments were made during the chat.

Aneesh Chopra, John Doerr, & Adam Boehler (R)

From John Doerr:

“There is not currently any business case for a large health system to replace their installed EHR system”

“What I believe is missing is a platform to make value-based care more successful and accelerated. We need to blow up fee-for-service to make these platforms happen”

“Artificial intelligence has been overhyped and is now underappreciated”

“On the current trajectory, the United States won’t win the artificial intelligence race”

From Adam Boehler:

“CMMI is a real treasure trove of information [regarding payment model innovations and programs] that is not being taken advantage as much as it should be by healthcare industry participants“

Learn more about the Center for Medicare and Medicaid Innovation and its resources here.

North Carolina as a Hotbed for Healthcare Innovation

Additionally, the group discussed some of the organizations, programs and individuals working on innovative and other potentially transformational changes in various areas around the country. In particular, North Carolina was noted by all as leading the way in the area of value-based care, reimbursement, and improving outcomes.

Seemingly every speaker positively acknowledged that North Carolina is a hotbed of healthcare innovation with John Doerr stating “If what’s happening in North Carolina won’t work, we’re hosed.

More About Value-Based Care & Delivery – 2019 HCEG Top 10 Item #4Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19. HCEG Top 10 list of challenges, issues, and opportunities. Digital health. Leadership.

The discussion between Adam Boehler, Aneesh Chopra, and John Doerr in the Orange County Convention Centers Chapin Theater was an insightful, entertaining, comfortable, and welcome break at the end of the 3rd day of the HIMSS conference. Sitting in those comfortable seats at the end of three days of walking, standing and talking made the information, opinion and occasional levity shared among these three healthcare leaders all the more enjoyable.

For every year since the HCEG Top 10 list of challenges, issues, and opportunities have been created by HCEG members, value-based payments have been included on the list. In 2018, value-based payment was ranked as #3 on the list – this year it’s ranked #4. One of HCEG’s members will be writing a guest post covering more of the discussion that ensued during The Intersection Between Interoperability and Value-Based Care Delivery.

Subscribe to our eNewsletter for more on this specific session and other topics of interest to healthcare executives and thought leaders.

Inspirational Stories from Champions of Health at 2019 HIMSS Conference

Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19. Champions of Health. Digital Health. Transformation.

Not everything in Orlando was just about technology, policy and the business of transforming healthcare. There were sessions featuring inspiring, true-life stories of courage in dealing with the clinical, administrative and financial aspects of the American healthcare system.

Cris Ross, CIO of the Mayo Clinic, shared about his personal struggle with dealing with the very healthcare ecosystem in which he had a role in creating. See this account of some of the challenges Cris Ross faced.

Another story shared how HIMSS helps to support and Celebrate the Next Generation of Healthcare Leaders by providing scholarships for undergraduate and post-graduates to low-income individuals. See MSHMI Student Earns Exclusive Industry Scholarship

Resources from 2019 HIMSS Conference & Exhibition

Session Presentations/Slide Decks

HIMSSTV. Digital Health Content. Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19. Interoperability, Information Blocking and open API’s. educational sessions

Above the scene view of HIMSS TV crew – Monday, 2/11/19

Whether you attended the HIMSS conference or not, you can access many of the presentation decks shared in the 300+ educational sessions. For information on how to access presentations from HIMSS sessions, see this easy 3-step process here.

What are Others Saying About the 2019 HIMSS Conference?

Thankfully, there’s no shortage of recaps, summaries, post-conference analyses and opinion pieces that can serve to help cut through a lot of the hype and chaff that’s unavoidable in a large conference like the annual HIMSS conference. Here are a few summary recaps that may be of interest.

Organizations Supporting HealthCare Executive Group at 2019 HIMSS Global Conference

As noted in this earlier post HealthCare Executive Group & Sponsor Partners at the 2019 HIMSS Conference, nearly all of our 2019 sponsor partners were represented at the 2019 HIMSS Global Conference & Exhibition. In addition to exhibiting at the conference, our sponsor partners served as Champions of Health by participating in general sessions, educational sessions, and various formal and informal networking events.

In addition, our sponsor partners shared via HIMSS formal, live-streamed sessions, hosted luncheon session for attendees to share their experiences with blockchain technologies, offered complimentary smoothies throughout each day, and in general helped attendees to get the most out of their HIMSS conference experience.

Healthcare Executive Group HCEG at HIMSS Conference. Recapping HIMSS19. HCEG Top 10 list of challenges, issues, and opportunities. Digital health. Leadership. Appian, Change Healthcare, Instamed, Surescripts, Zipari,More Opportunities for Champions of Health to Convene, Share, & Network

Events like the 2019 HIMSS Global Conference & Exhibition are great opportunities to get a feel for and gain a better appreciation for what’s going on across the entire healthcare ecosystem. There are so many challenges, issues, opportunities, and uncertainties that must be triaged on a daily basis. To many people, meeting and interacting with other individuals, communities, groups, vendor companies and other organizations in a meaningful – however brief – moment is what these conferences are all about.

To continue our mission of convening and supporting Champions of Health, the HealthCare Executive Group offers the following opportunities to healthcare executives and other leaders:

16th Annual World Healthcare Congress – Washington, DC – April 28 – May 1, 2019

We’re partnering with the World Healthcare Congress to present the ‘CIO & CTO Strategy Track’ at this year’s 16th Annual World Healthcare Congress. Learn more about the agenda here – including a list of speakers in the CIO & CTO Strategy Track.

Use HCEG2019 for a special HCEG-only discount to this important annual event. Feel free to contact us for more information.Healthcare Executive Group HCEG at HIMSS Conference. WHCC. World Healthcare Congress. 'CIO & CTO Strategy Track' Digital Health. Transformation. 16th Annual World #Healthcare Congress: Apr 28- May 1

Our 2019 Annual Forum – Boston, MA – Sep 9-11, 2019

HCEG’s 2019 Annual Forum takes place in Boston, Massachusetts on September 9 – 11, 2019. Our planning of the agenda, speakers and special networking events continues and we are close to opening up registration.  To learn a bit about last year’s annual forum and see some pictures, check out this recap. And click here to be added to a list to receive the latest information on our 2019 Annual Forum as it becomes available.

Healthcare Executive Group HCEG. Leading conferences and events for healthcare executives and thought leaders. 2019 Annual Forum. Digital Health. Transformation.

HealthCare Executive Group & Sponsor Partners at the 2019 HIMSS Conference

By | Conferences, HCEG Top 10, HIMSS19, Social Determinants of Health | One Comment

The 2019 HIMSS Global Conference & Exhibition kicks off this coming Sunday in Orlando, FL and runs through Friday, February 15th. 45,000+ professionals from 90+ countries, 1300+ exhibitors, 300+ education sessions spanning 24 topics and 100’s of special programs and networking events will converge to offer comprehensive insight into the current state of the healthcare industry. In addition to many of our members and sponsor partners in attendance, board members of the HealthCare Executive Group (HCEG) and a couple support staff will be gathering content of interest to share, networking and supporting our sponsor partners.

Items on the 2019 HCEG’s Top 10 List Dominate

Not long after last year’s HIMSS Conference came to an end, industry thought leaders, prominent analysts, and media outfits covering the digital healthcare space started predicting the major themes and top trends expected to dominate this year’s HIMSS conference.  These themes and trends include…HCEG Top 10. Industry Pulse Survey. Challenges, issues, opportunities healthcare industry. Data & Analytics, Total Consumer Health, Population Health Services, Value-based Payments, The Digital Healthcare Organization, Rising Pharmacy Costs, External Market Disruption, Operational Effectiveness, Opioid Management

Not surprisingly, these major themes closely align with the challenges, issues, and opportunities ranked by HCEG’s members in the 2019 HCEG Top 10 list:

Learn more about themes and trends addressed at the HIMSS Conference in this 2019 Healthcare Trends Forecast.

HCEG Members & Sponsor Partners at the 2019 HIMSS Conference

If you’re at the HIMSS Conference, be sure to check out our sponsor partners exhibits, sessions and the special events they’re hosting. Here are those we know about at this time.

Appian

Visit Booth 6543 to learn about Appian’s leading platform for low-code enterprise development. Appian will be providing live demos of their platform 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, healthon Tuesday, February 12th at 11:30 am – addressing topics such as Clinical Trials Intake, Clinician Onboarding and Credentialing, Home Health Manager, Provider Payment Reconciliation, Utilization Management, and more!

Be sure to Refresh and Rejuvenate Yourself – and your phone – as Appian will be offering complimentary healthy smoothies throughout booth hours each day, along with a relaxing device charging station area for you to take a break. And while you’re at the Appian booth, be sure to have your badge scanned for a chance to win a Vitamix to create your own smoothies at home or an Apple Watch Nike Plus Series 4 to track your healthy habits.

For more information and to schedule a meeting with Appian at HIMSS, contact Appian

SurescriptsSurescripts. HCEG Healthcare Executive Group. Health plan health system payments pharmaceutical pharmacy member engagement

Visit Booth 6158 to learn about the offerings of our newest sponsor partner Surescripts. Surescripts will also be sharing information on their products and services in Booth’s 9100-44 and VHQ8659

On Wednesday, February 13th at 8:30-9: 30 am, Tom Skelton, Surescripts CEO will participate in an event titled “Transparency in Prescription Drug Costs to Help Patients Save Money.” Attendees can participate in this event in room W304A. It will also be one of this year’s live-streamed events.

Click here for more information on Surescripts at HIMSS – and click here to schedule a meeting with Surescripts at HIMSS.

Change Healthcare

Visit Booth 3679 to meet with Change Healthcare to learn about their wide range of products and services.HCEG Healthcare Executive Group. Change Healthcare consulting. value-based healthcare system. healthcare technology company. software, analytics, network solutions, and technology-enabled services.

On Wednesday, February 13th at 12:30-1:30pm, Change Healthcare hosts a Blockchain in Healthcare Luncheon where like-minded health information and technology professionals can better understand and share their experiences with blockchain technology. This event takes place in Room W110A and separate registration is required.

For more information, contact Change Healthcare

InstamedHCEG Healthcare Executive Group. InstaMed healthcare payments experience. Consumers, providers and payers. payment transaction. private cloud-based technology electronic transactions

Visit Booth 1987 to learn more about InstaMed’s healthcare payments products and services.

For more information, contact Instamed

ZipariZipari. HCEG Healthcare Executive Group. Health plan claims payment administration systems platforms. Digital health solutions. Customer Relationship Management CRM

Visit Booth 5483 to learn more about how Zipari’s has pioneered consumer experience technology exclusively for health carriers.

For more information, contact Zipari

Other HCEG Sponsors & Partners at 2019 HIMSS Conference

In addition to the above, our other sponsors and partners will be represented at the 2019 HIMSS Conference & Exhibition in some capacity. Check out their leading healthcare products/services and reach out to them for more information.

Solera Health Network. HCEG Healthcare Executive Group. Network partners preventing and managing chronic disease. Health plans, payers securely efficiently network of community-based digital health solutions. Diabetes.HealthEdge. HCEG Healthcare Executive Group. Health plan claims payment administration systems platforms. Digital health solutions.HCEG Healthcare Executive Group. RedCard health plans TPAs secure data communication members providers.
Contact SoleraContact HealthEdgeContact Redcard
HCEG Healthcare Executive Group. Softheon. cloud-based solutions. retail-like, user-friendly experience. personalized communication. Real-time support member engagement. enrollment, member billing, ACA. Direct EnrollmentEQ Health Solutions. HCEG Healthcare Executive Group. Health plan claims payment administration systems platforms. Digital health solutions. Customer Relationship Management CRM
Contact SoftheonContact EQHealth

Resources to Help Conquer the 2019 HIMSS Conference & Exhibition

Live-Streamed Sessions

This year, HIMSS will be live-streaming a number of sessions. Whether you’re attending or not, consider checking out these live-streamed sessions.

Vendor/Exhibitor Search

Learn more about the companies exhibiting at the conference here. Also, HIMSS has a comprehensive list of all the vendor/exhibitor categories and subcategories to help you refine your list of must-see vendors and exhibitors.

Popular Hashtags at the 2019 HIMSS Conference & Exhibition

Whether you’re attending the 2019 HIMSS Conference or not, you can stay connected with the popular themes and topics – and general HIMSS19 subject by using the following hashtags:

#HIMSS19 = The official hashtag for the 2019 HIMSS Conference

#Analytics, #BigData, #AI, #artificialintelligence#machinelearning

#PatientEngagement, #DigitalHealth, & #healthtech

#sdoh

HIMSS has also defined some HIMSS and conference-specific has tags in The Official #HIMSS19 Hashtag Guide

Special ‘HIMSS19-edition’ eNewsletter

Keep your eyes peeled for more information, insight, and ideas that HCEG members, sponsor partners, and advisors will be gathering from Orlando this coming week. A special ‘HIMSS19-edition’ eNewsletter will be shared later next week including major takeaways, insights from conference thought leaders and some pictures capturing HCEG member and sponsor partners experiences at the conference. If you aren’t already a subscriber to our newsletter, you can sign up here.

Save the Date – 2019 HCEG Annual Forum – Boston, MA

HCEG’s 2019 Annual Forum takes place in Boston, Massachusetts on September 9 – 11, 2019. We’re working on developing an interesting agenda and lining up some great speakers. To learn a bit about last year’s annual forum and see some pictures, check out this recap. And click here to be added to a list to receive the latest information on our 2019 Annual Forum as it becomes available.

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

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

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

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

Read on for more about the following:

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

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

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

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

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

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

2019 HCEG Top 10 List in the News

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

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

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

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

The 9th Annual Industry Pulse Research Survey

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

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

Executive MindXchange – Explore the Payor & Provider Ecosystem Evolution

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

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

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

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

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

2019 HIMSS Conference & Exhibition

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

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

Stay Connected to Your HealthCare Executive Peers

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

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

 

HCEG Top 10. 2018 AHIP Consumer Experience & Digital Health Forum. healthcare consumer experience and digital health. healthcare executives.

Healthcare Consumer Experience & The Digital Health Organization at the 2018 AHIP CDF

By | AHIP, Conferences, Executive Leadership Roundtable, HCEG Top 10, Total Consumer Health | No Comments

Next week, the 2018 AHIP Consumer Experience & Digital Health Forum (AHIP CDF) takes place in Nashville, TN – the Healthcare Capital of the United States. The 2018 AHIP CDF offers attendees about 40 sessions and presentations on the theme of healthcare consumer experience and digital health. And this healthcare forum is of particular interest to HCEG members, sponsor partners and associated because Total Consumer Health and The Digital Healthcare Organization are ranked #2 and #5 respectively on the 2019 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare executives. Moreover, these two items and their closely aligned variations have consistently ranked in the HCEG Top 10 for the last decade.

While it’s likely that most or all of the sessions and presentations at the AHIP CDF will be of value in one way or another, we’d like to share a short list of those that we’re looking forward to attending. And extend an invitation to all AHIP CDF attendees – and other healthcare industry participants in the Nashville area who may not be attending the AHIP CDF.

Healthcare Consumer Experience & Digital Health Sessions

Tuesday, December 11, 2018

TimeRoomSession Title
9:00 am101General Session:

The Hidden Cost of Healthcare System Complexity

1:55 pm105Finding Balance: Innovation. Technology. Engagement
2:50 pm102Stimulate Engagement and Long-term Loyalty through Innovative Benefit Design
3:45 pm103Empower Consumerism with an Informed Member Journey

This session is presented by our sponsor partner Change Healthcare

4:40 pm102An Insider’s View on Personalization

Wednesday, December 12, 2018

TimeRoomSession Title
9:00 am101General Session:

Innovation Spotlight: At the Intersection of Health Care and Innovation

1:30 pm103Creating a Customer-Focused Organization to Achieve Better Business Results
3:20 pm105The First Step to Reinventing Engagement: Recruitment

Thursday, December 13, 2018

TimeRoomSession Title
9:00 am105Building a Successful Customer Data Strategy
9:55 am103Behavioral Economic Nudges to Drive Diabetes Management Program Engagement
11:00 m101Closing Session:

The Power of Collaboration: How Non-Traditional and Traditional Players Are Transforming Health Care

 *Additional details on the above and other sessions and presentations can be found here.

But Wait! There’s More in Store Right After AHIP Adjourns!

Right after the Closing Session on Thursday the 13th, the HealthCare Executive Group is hosting an Executive Leadership Roundtable (ELR) starting at 1:00 pm in Room 102a at Music City Center.

Roundtable participants will enjoy the unique perspective of two distinguished panelists: Brian Lobley, President, Commercial and Consumer Markets at Independence Blue Cross and Stuart Hanson, Managing Director, Head of Healthcare Payments at JPMorgan Chase & Co.  HCEG’s Executive Director Ferris Taylor will moderate the roundtable.

Ferris will set the stage for Brian and Stuart to share their perspective on healthcare consumerism and digital health organizations, but our roundtable events are free-flowing with heavy attendee participation and the eventual direction of the roundtable event will be dictated by where attendee interaction takes us. Anyone who wants to share will have a chance to do that.

Healthcare Consumerism & Digital Health Organization Topics at the RoundtableHealthcare consumerism. The Digital Healthcare Organization. Member patient engagement. cost containment pressures, value-based programs, health entitlement reforms technological innovations. value-based relationships

And even better, a complimentary lunch is included. This is a great opportunity to recap and recharge after the AHIP CDF and network with others you may have missed during the previous few days. Attendees are free to depart on their own schedule.

This ELR is open to all AHIP CDF attendees and other local healthcare industry participants – whether registered for the AHIP CDF or not. For more information – and to be sure sufficient food and beverages are available, please RSVP here. Join us and extend the value of your attendance at the 2018 AHIP Consumer Experience & Digital Health Forum.Big Data/Analytics, Consumer Experience, Population Health Service Organizations,Payment Reform,Mobile/Digital Devices/Social,Administrative Expenses,Consumerism, Personal Health MonitoringRELATED: Leadership, Trust & Skills in Overcoming Obstacles to Radical Innovation in Healthcare

Become a Subscriber of our eNewsletter and Join 2500+ Other Healthcare Industry Participants

Whether you’re able to attend our Executive Leadership Roundtable at this years AHIP CDF or not, become a subscriber to our eNewsletter and receive information and opportunities of interest to healthcare executives and industry participants.

 

table HealthIT HIMSS NHITWeek

Total Consumer Health & The Digital Healthcare Organization in Nashville

By | 2-Total Consumer Health, AHIP, Annual Forum, Conferences, Executive Leadership Forum, HCEG Top 10, Total Consumer Health | One Comment

The trend toward healthcare consumerism and digital health is driving what health plans, health systems, and healthcare providers are offering – or in the process of offering – their plan sponsors, the members those plan sponsors serve and the individuals participating in the U.S. healthcare market. Indeed, Total Consumer Health and The Digital Healthcare Organization are ranked #2 and #5 respectively by health insurance, health system and healthcare providers on the 2019 HCEG Top 10. Moreover, these two items and their closely aligned variations have ranked in the HCEG Top 10 for the last decade.

It’s obvious that healthcare consumerism and digitally-enabled organizations are front and center on the mind of healthcare leaders. Digitally transforming their organizations with a focus on facilitating consumerism is critical for all healthcare leaders.

Join Digital Healthcare Leaders & Forum Attendees in Nashville

HCEG’s Executive Leadership Roundtable events are held in intimate, informal and free-flowing settings where the exchange of facts, ideas, and questions are encouraged between roundtable panelists and participants. Our roundtables provide a safe space where participants can find common ground, obtain insight to solve problems and achieve results for those with different needs and views. The fact that our ELR’s are complimentary, free of vendor-speak and offer food and beverages are an additional benefit.Healthcare Executive Leadership Forum at Guidewell Innovation CenterParticipants at our roundtable event immediately following the closing of the 2018 AHIP Consumer Experience & Digital Health Forum (AHIP CDF) will enjoy the unique perspective and long-running insight of two distinguished panelists: Brian Lobley, President, Commercial and Consumer Markets at Independence Blue Cross and Stuart Hanson, Managing Director, Head of Healthcare Payments at JPMorgan Chase & Co.  And HCEG’s Executive Director Ferris Taylor will moderate the roundtable.

Brian LobleyStuart HansonFerris Taylor
healthcare consumerism. Digital health. Health plans, health systems, and healthcare providers. Total Consumer Health and The Digital Healthcare Organization. 2019 HCEG Top 10stuart hanson healthcare payments JP Morgan Chase HCEG Healthcare Executive grouphealthcare consumerism. Digital health. Health plans, health systems, and healthcare providers. Total Consumer Health and The Digital Healthcare Organization. 2019 HCEG Top 10
President, Commercial & Consumer Markets at Independence Blue CrossManaging Director, Healthcare Payments at JPMorgan Chase & CoHCEG Board Chair & COO/Consultant at Arches Health Plan

Healthcare Consumerism & Digital Healthcare

Brian Lobley and Stuart Hanson will share their insight and engage ELR participants on expanding the overall theme of the AHIP’s Consumer Experience & Digital Health Forum. Tentative topics that will be discussed include:

  1. Insight into how healthcare organization can enhance member/patient engagement
  2. How competition from new entrants, cost containment pressures associated with value-based programs, health/entitlement reforms, and technological innovations may impact ‘healthcare consumerism’
  3. Approaches for turning passive health plan members and health system patients into active healthcare consumers
  4. Catalysts for healthcare consumerism change: employer groups demanding better value and trend of health plan members and individuals directly engaging with plans and providers
  5. How value-based relationships demand that healthcare organizations engage with their members and patients

To be sure, HCEG roundtables are free-flowing interactions with heavy attendee participation and they often take a direction of their own. There’s a good chance that the above pre-planned topics may take a turn toward what participants share with Brian, Stuart, and Ferris.

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

Your attendance at healthcare conferences can be a non-trivial expense. By taking just a few extra hours of your time at the AHIP CDF, you may extend the value of your AHIP registration, travel and lodging investment.  And if you’re not attending the AHIP CDF in Nashville but have a few hours to join other healthcare executives, industry leaders and AHIP CDF participants in an intimate venue at our Executive Leadership Roundtable. your also welcome to attend our Executive Leadership Roundtable – complimentary also.Healthcare Executive Leadership Forum at Guidewell Innovation CenterIf you have any questions about this Executive Leadership Roundtable event at the AHIP Consumer Experience & Digital Health Forum in Nashville, please contact us.

Note: Our ELR will end at approximately 3:00 pm CT to allow participants plenty of time to get to the Nashville Airport to board late afternoon flights. 

Get a Discount off Registration to AHIP’s CDF

HCEG’s luncheon roundtable taking place on Thursday, December 13th, the last day of the AHIP CDF, is complimentary. If you’re interested in attending AHIP’s forum on December 10th through mid-day on the 13th, you can use code ‘HCEG’ to receive a discount off your AHIP CDF registration here.

RELATED: Total Consumer Health & The Digital Healthcare Organization in 2019