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?
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, clickhere.
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.
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.
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:
Quality measures that incorporate social determinants of health must be developed and understood BEFORE starting programs and initiatives.
Readily available public data is not granular enough to capture SDoH factors needed appropriate quality measures.
Conducting clinical trials on proposed quality measures can help to understand and quantify the benefits of SDoH initiatives.
Incorporate patient/member personalization into a standardized, common infrastructure that enables economies of scale.
Predictive analytics – a perennially high-ranking item on HCEG’s Top 10 lists – is THE critical component of SDoH programs.
Combining clinical data from EHR’s with claims and other administrative/demographic data records allows health plans/health systems opportunities never before easily attainable.
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.
Organizations should strive to assign a financial measure assigned to each quality measure.
CIO & CTO Strategy Track at World Health Care Congress
Alan Abramson shared four areas of focus for HealthPartners:
Formally chartering projects to deploy technology-based approaches to largely manual processes
Carving out and focusing on efforts to improve patient experience
Address inefficiencies in technology ecosystems, business policy, and processes
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:
Utilizing Lawson Financials to consolidate multiple disparate functions
Rehosting and re-platforming administration systems such as employer group setup, utilization management reporting, new member enrollment, and patient admission, discharge and transfer.
Positioning systems, policies, and procedures to accommodate increases in individual health plan coverage
Consolidating four different laboratory systems into one system
Using Robotic Process Automation (RPA) to automate user administration and security
Using AI-powered bots to automate 27,000 software QA tests that took three weeks to complete and that now take 17 hours.
Alan noted that achieving success via ‘standardization’ in one area often leads to end users demanding improvement via standardization in other areas.
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:
Integrating various systems with a focus on creating an industry-leading accountable care organization (ACO).
Formal projects to identify and stratify members and patients with complex care management needs.
Revising policies, procedures, teams, and systems to effect a truly integrated system.
Reducing pended claims and time to pay – particularly important where both payer and provider are sharing risk.
Focusing on change management and investing in payer-provider interoperability and support.
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.
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.
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 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.
Data are in silos
Data sharing is inefficient
Analytics capacity is uneven
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.
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:
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:
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.
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.
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.
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 Disruption
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.
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)
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.
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 PHI
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 Disruption
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.
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.
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.
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!
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.
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
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 Roundtable
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.
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.
As America celebrates Thanksgiving, the HealthCare Executive Group (HCEG) is honored to thank our sponsor partners and acknowledge the support these leading healthcare companies have provided and continue to provide to our healthcare executive members, industry advisors, and associates throughout the year. Through the support of the companies highlighted below, HCEG is able to provide a comprehensive package of information, insight, and networking opportunities.
HealthCare Executive Group – Gold Sponsors
Appian delivers the speed of enterprise low-code and the power of industry-leading intelligent automation. It’s the secret weapon to put your Digital Transformation on the fast track.
Improve decision-making with real-time access to patient, member, and provider data. Appian helps healthcare payers and providers speed innovation, help consumers take control of their own health, and simplify the healthcare journey.
CareCentrix has developed purpose-built technology, analytics, and experience to guide care that keeps patients on the path to the ultimate site of care: home. To address the complexities of post-acute care, CareCentrix engages patients and caregivers, coordinate care transitions, improve clinical outcomes, and do all we can to help patients heal or age at home.
By finding new ways to break down the silos across the continuum of care, CareCentrix is able to identify and capture savings health plans can count on.
Solera connects patients, payers, and physicians to a network of partners who are preventing and managing chronic disease.
Working with Solera, health plans and other payers securely and efficiently leverage a network of community-based and digital health solutions.
Solera helps employers identify and engage those in their workforce with the greatest opportunity for obesity-related chronic disease prevention.
Change Healthcare consulting is a catalyst for your value-based healthcare system. Change Healthcare is a healthcare technology company that offers software, analytics, network solutions, and technology-enabled services to help create a stronger, more collaborative healthcare system. Change Healthcare helps deliver measurable value not only at the point of care, but also before, after, and in between care episodes.
Cumberland Consulting Group is a leading healthcare consulting firm providing strategic advisory, implementation, optimization and outsourcing services to some of the nation’s largest payer, provider, and life sciences organizations.
Health insurers must act quickly to launch new offerings targeted at member populations in specific market segments. Whether a government program, commercial or individual product, or dental or TPA offering, HealthEdge works with transformative health plans to create and maintain a competitive advantage.
HighPoint implements effective IT solutions for payers and providers. HighPoint Solutions tunes out the noise so you can focus on improving healthcare delivery.
InstaMed powers a better healthcare payments experience on one platform that connects consumers, providers, and payers for every healthcare payment transaction. InstaMed’s patented, private cloud-based technology securely transforms healthcare payments by driving electronic transactions, moving money and healthcare data seamlessly and improving consumer satisfaction.
RedCard helps health plans and TPAs use the power of secure data to build stronger, more effective communication with your members and providers.
Softheon delivers cloud-based solutions that create a retail-like, user-friendly experience and provide personalized communication and real-time support to boost member engagement. Cost effective, and configurable software that supports health plans and states with enrollment, member billing, and reporting for over 3.2M Americans.
Unlike what many organizations allow, our sponsor partners must check their sales and marketing interests at the door. HCEG sponsors participate as supportive thought leaders to HCEG members and associates. HCEG events and content exclude advertising and marketing-speak and participants at our events will never encounter vendor exhibits. Those reading our content and attending our webinars will not be bothered by sales pitches, pop-ups and banner ads.
For more information on the benefits of becoming an HCEG Sponsor in 2019, check out our Sponsorship Prospectus.
Join Digital Healthcare Leaders & AHIP Forum Attendees in Nashville
In addition to lunch and networking opportunities, participants 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. HCEG’s Executive Director Ferris Taylor will moderate the roundtable.
The trend toward Healthcare Consumerism & Digital Health products and services is driving what healthcare providers, health systems and health plans are offering – or are planning to offer – individuals participating in the U.S. healthcare market. Whether covered by employer-subsidized insurance, government programs like Medicaid or Medicare, the individual commercial market, any other type of coverage or even not covered and paying for your healthcare with cash, healthcare consumerism and leveraging digital health products and services to decrease costs and improve outcomes are two important movements that can’t be ignored.
‘Indeed, Total Consumer Health and The Digital Healthcare Organization are both ranked in the top five items on the 2019 HCEG Top 10 list of challenges, issues, and opportunities:
#2: Total Consumer Health: Improving members’ overall medical, social, financial, and environmental well-being.
#5: The Digital Healthcare Organization: Health Savings Accounts, member and provider portals, member and patient health literacy, cost transparency, digital payment capabilities, CRM, wearables and other patient-generated data, health monitoring, and omnichannel information distribution and transaction access.
“Healthcare Consumer-centric companies accounted for 60 percent of the funding in Q3 2018, raising $1.9 billion in 111 deals compared to $1.7 billion in 138 deals in Q2 2018”
The HCEG Top 10 Challenges, Issues & Opportunities Over the Years
Over the 10 year period in which the HCEG Top 10 list has been published, ‘Healthcare Consumerism’ or a closely aligned similar category has been ranked on the HCEG Top 10 list a total of eight times. And ‘Digital Health’ has also ranked among the HCEG Top 10 challenges, issues and opportunities eight times. Only ‘Payment Reform’ and ‘Big Data & Analytics’ have been listed on the annual HCEG Top 10 list more frequently.
It should be no surprise to most people that healthcare consumerism has long been a top challenge, issue, or opportunity for healthcare organizations of all types. The rise of several factors have been identified by industry experts and trade media as the primary reasons for the growth if consumerism in the healthcare industry:
High-Deductible Health Plans
Employers Shifting Costs from to Employees
Rapidly Increasing Healthcare Costs
And while traditionally a laggard in the adoption of digital technologies, healthcare organizations are not immune to the need to digitally transform themselves. Ignoring the need to adopt digital health technologies can only result in serious disruption, or even extinction, of healthcare organizations both large and small.
Comments on Healthcare Consumerism & Digital Health from HCEG Top 10 Survey Respondents
The executives and industry thought leaders participating in defining the 2019 HCEG Top 10 list at our recent 2018 Annual Forum in Minneapolis, MN included notes and commentary on the specific challenges, issues, and opportunities listed in the survey worksheet. The following are some of those comments related to healthcare consumerism and digital health:
“Data & Analytics (ranked #1) are table stakes to any consumer-focused products and services. And foundational to all Digital Health initiatives.”
“Population Health (ranked #3) could be considered ‘Total Consumer Health’”
Note: A number of participants expressed opinions that “Population Health” and “Total Consumer Health” could be considered the same thing. After some discussion, everyone agreed that Population Health should be considered as population-centric as opposed to person-centered.
“Social determinants of health have a huge impact on health outcome but as a health system we lack the ability to control/impact these barriers.”
“Connecting with our members on a frequent basis is very challenging. We struggle with identifying and delivering the right message at the right time.”
“Different departments have their own goals and objectives and these often create a disjointed member experience.”
“We must move from deploying largely unconnected tactical approaches to a more holistic, coordinated customer experience strategy.”
“It’s not always clear to us what matters to individual patients and how we can measure those things.”
How to Learn More About Healthcare Consumerism & Digital Health
The HCEG Top 10 list drives the content HCEG creates and delivers to its members and associates via blog posts like this, our Webinar Series Events and our Executive Leadership Forums. Accordingly, we’re pleased to share several complimentary opportunities to learn more about opportunities for healthcare organizations to meet the needs of increasingly educated and proactive healthcare consumers AND how specific digital health products and services are supporting the creation, delivery, and consumption of medical and non-medical services and products that improve health outcomes.
Webinar Series Event: The New Engaged Digital Consumer
What Digital Healthcare Organizations Must Do to Survive and Thrive
On Thursday, November 15th, 2018 at 2:00 pm ET, our sponsor partner HealthEdge will present a webinar that provides information from recent market studies and specific examples illustrating how engaged digital consumers regard the services provided by health insurers.
Attendees will learn:
The top organizational priorities health insurance executives are currently facing
Key challenges and solutions that enable health insurers to address these organizational priorities
The most important expectations that members have of their health insurer
How trust levels between members and health insurance organizations are being addressed by new disruptive entities entering healthcare
If you can’t make it, go ahead and register and we’ll send you the recording and slides after the event!
AHIP-ELR: Total Consumer Health & The Digital Healthcare Organization
On Thursday, December 13th, 2018 at 1:00 pm CT/2:00 pm ET, we’re hosting a special Executive Leadership Roundtable immediately after the 2018 AHIP Consumer Experience & Digital Health Forum convenes at the Music City Center in Nashville, TN. Lunch will be provided at no charge and the following topics will be presented and discussed by several healthcare industry leaders:
How competition from new entrants, cost containment pressures associated with value-based care programs, health/entitlement reforms, and technological innovations may impact ‘healthcare consumerism’
Approaches for turning passive health plan members and health system patients into active healthcare consumers
Catalysts for healthcare consumerism change: employer groups demanding better value and trend of health plan members and individuals directly engaging with plans and providers
How value-based relationships demand that healthcare organizations engage with their members and patients
Which tools and services healthcare organization can use to enhance member/patient engagement
Our executive leadership roundtable event is complimentary but registration is required (so we can make sure everyone gets lunch).
Also, you can receive a discount off registration to the 2018 AHIP Consumer Experience & Digital Health Forum by using “HCEG” when you register here.
Become an HCEG eNewsletter Subscriber
If you’re not already on our list, consider joining 2500+ other healthcare executives, industry thought leaders and other participants by subscribing to our eNewsletter. You’ll receive ongoing information on strategic and tactical challenges, issues, and opportunities facing the United States healthcare industry.
More Insight on the 2019 HCEG Top 10 Items Coming Soon!
As 2018 winds down and 2019 takes off, the HealthCare Executive Group will continue to create, curate and promote content and events addressing each of the items on our 2019 HCEG Top 10 list. We’ll be presenting numerous webinars, hosting Executive Leadership Roundtables in conjunction with popular healthcare conference events, and – of course – holding our popular Annual Forum. The 31st HCEG Annual Forum will take place in Boston, MA in September 2019. Stay tuned for more information!
Consider joining our unique organization of healthcare executives and thought leaders today. See this page for more information and/or reach out to us here.
The HealthCare Executive Group (HCEG) was honored to co-host a special Executive Leadership Roundtable May 9th at the recent HLTH Future of Healthcare Forum. HCEG partnered with the International Association of Innovation Professionals (IAOIP), the Center for Healthcare Innovation (CHI), the Workgroup for Electronic Data Interchange (WEDI) and special guest Dr. Sunnie Giles for the Boardroom-style event. The theme of the roundtable was Leadership, Trust and Skills in Overcoming Obstacles to Radical Innovation in Healthcare. Over a period of 3 hours, Charles Stellar, CEO of WEDI, moderated a panel of innovation and healthcare thought leaders as each shared their respective insight on the following topics:
Ferris Taylor, HCEG Executive Director, shared insights on innovation and technology gleaned from the HCEG member organizations, the HCEG Top 10 and 8th Annual Industry Pulse Survey
Brett Trusko, CEO of IAOIP, shared an International overview of Innovation Certification programs
Lynn Hanessian, Chief Strategist, Edelman Health representing CHI, shared info and highlights from the Edelmen Trust Barometer research, and
Dr. Sunnie Giles shared key findings from her research and recent book supporting “The New Science of Radical Innovation”
Insight into Obstacles to Radical Innovation in Healthcare
After each panelist concluded their presentations and key takeaways, an open Q & A period between panelists and attendees took place. This discussion evolved into an intimate engagement among Executive Leadership Roundtable attendees ensuing into a free-flowing, rather ‘un-conference-like’ approach. Interaction was so engaging that many session participants hung around AFTER the official end of the Executive Leadership roundtable to continue the discussion, network with each other and build professional relationships that are destined to accelerate more considerations in the future.
Insights on Radical Innovation in Healthcare – The HCEG Top 10 and 8th Annual Industry Pulse Research
Ferris Taylor connected the development of the annual issues to the common theme of innovation and technology and then shared five highlights of the 8th Annual Industry Pulse report – a survey of 2000 healthcare stakeholders jointly conducted by HCEG and its sponsor partner, Change Healthcare.
Social determinants of health have now transcended buzzword status
High-deductible health plans are not converting passive patients into active healthcare consumers
Mobile/digital health adoption is not just about functionality and interoperability, but is significantly impacted by privacy and security concerns – more about trust than technology
Industry attention is turning to blockchain, artificial intelligence, robotic process automation and other advanced technologies
Healthcare is transitioning from negative to positive incentives to influence consumer behavior faster than most expect
The Edelmen Trust Barometer
After Ferris Taylor set the context for key areas of need and innovation in healthcare, Lynn Hanessian shared a detailed overview of the Edelman Trust Barometer – a measure of people’s trust in business, government, NGOs and media. Lynn opened with a sobering chart showing a historical decline in trust over the period of 2017 to 2018 – with 14 of 15 sectors showing an overall decrease in trust.
Lynn also shared insight from the Edelman report showing the division of opinion as to the impact of Tech to the Cost of Healthcare: 23% of respondents believed that technology will make healthcare MORE expensive over the next 5 years and 16% believe technology will make healthcare LESS expensive.
Overview of International Innovation Certification Programs
Brett Trusko of the IAOIP shared an overview of how the IAOIP is on a mission to professionalize the practice of innovation around the world. Brett shared the following methods that the IAOPI believes will be critical to promote the IAOIP’s mission of advancing innovation:
Brett also shared an overview of the Current Body of Best Practices for Innovation, why ‘professionalization’ of innovation is important, his beliefs as to why Failure to Innovate is NOT an Option, He closed his presentation with What You Can Do Now to advance the professionalization of innovation.
The New Science of Radical innovation
Dr. Sunnie Giles rounded out the initial roundtable presentations by sharing some highlights from her new book “The New Science of Radical Innovation.” Sunnie shared:
A Definition of Radical Innovation
The Concept of VUCA (especially in healthcare): Volatility, Uncertainty, Complexity & Ambiguity
4 Factors That Make Radical Innovation Challenging for Leaders
How to Harness Volatility, Uncertainty, Complexity & Ambiguity to Increase Innovation in Healthcare
Open Discussion About Innovation at HLTH Future of Healthcare Forum
All in all, the Executive Leadership Roundtable at HLTH was an informative and engaging event. Of the 120+ registrants, over half participated in the roundtable with a number of walk-ins and with many of those individuals remaining afterwards to continue the discussion about the opportunities and challenges for innovation in healthcare. Given that the HLTH Association Day was the afternoon of the last day of the 4-day HLTH forum, all participants and presenters considered it a great success!
HCEG appreciates the collaboration with Brett Trusko from the Association of Innovation Professionals, Lynn Hanessian representing the Center for Healthcare Innovation and Dr. Sunnie Giles of the Quantum Leadership Group. HCEG would also like to extend a special thanks to Charles Stellar of WEDI for moderating the panel and representing WEDI’s role in innovation and technology so well.
Connect with Each Other and The HealthCare Executive Group
If you enjoyed the 2018 HLTH Future of Healthcare Forum, or would like to participated in a greatly scaled down yet equally valuable version of the forum, consider being part of the HealthCare Executive Group’s Annual Forum taking place in Minneapolis, MN on September 12 – 14th. We have a special event planned to celebrate our 30th year anniversary. Moreover, if you’re a healthcare executive who can benefit from collaborating with your C-suite peers, consider becoming a HCEG member.
The Annual Forum hosted by the Healthcare Executive Group (HCEG) is the Goldilocks of Healthcare Gatherings. It’s not too big like the HIMSS Conference and the AHIP Institute. It’s not too small and too narrowly focused like so many of the single topic, function-specific events taking place all over the United States on any given week of the year. HCEG’s Annual Forum is a well-crafted gathering covering an agenda presented by credible industry leaders to a manageable group of attendees in an intimate and comfortable setting. HCEG’s Annual Forum is Just Right.
The 2017 HCEG Annual Forum – It’s Just Right!
This year’s Annual Forum takes place in what’s arguably the Healthcare Capital of the United States: Nashville, TN! Healthcare executives and thought leaders representing health plans, health systems, provider organizations and physicians – along with a select set of healthcare vendors – will gather at the Thompson Hotel Nashville on September 18th through the 20th to participate in this Just Right event.
Here’s a sneak peek at the topics, speakers and valuable activities planned for the 2017 Annual Forum in Nashville. (*Sessions and Presenters Subject to Change)
Certain Topics in an Uncertain Healthcare Environment
Based on the HCEG Top 10 and recent survey’s completed by healthcare executives and others, HCEG board members have identified the following topics that will be addressed in various sessions during the forum:
Value-Based Relationships leading to Payer/Provider Integration
Precision Medicine and Behavioral Health Aspects of Substance Abuse/Opioids
Leading Edge Technology / Disease Management / Population Health
Technology Innovation and M&A Market Trends
Total Consumer Health
Harnessing Digital Health Technologies
A number of well known AND well qualified individuals will be presenting at the Annual Forum and participating in various panels. While speaker arrangements are still be finalized, attendees can expect the following roles and industry focus to be represented:
CEO of well known, nationwide health and wellness company
Chief Marketing Officer of a Fortune 50 technology company
Former executive director of national healthcare association
Former leading official from the Centers for Medicare & Medicaid Services
CEO of large multi-state healthplan
Chief Medical Officer of large BCBS licensee
President of national health care intelligence and policy consultancy
Besides the wonderful breakfasts and lunches catered each day of the forum, and the plentiful snacks and drinks available each day of the forum, a few other special events – all fueled with great food, drink and conversation – are part of the Annual Forum.
Sunday Evening: Meet and Greet at The Thompson Hotel