Insight from Healthcare Leaders & Change Makers – 2020 Industry Pulse. HCEG HealthCare Executive Group. Top 10. Digital Health. Health Tech. 2020 Industry Pulse Report Consumer-centric strategy. Sdoh. Value-based-care. In-Network vs. Out-of-Network Providers.

Insight from Healthcare Leaders & Change Makers – The 2020 Industry Pulse Report

By | The Industry Pulse | No Comments

We’re pleased to announce the release of the 2020 Industry Pulse Report! This annual survey commissioned by the HealthCare Executive Group and Change Healthcare takes the pulse of a broad spectrum of healthcare industry leaders representing payers, providers (hospitals, doctors offices, & integrated delivery networks) and other industry participants from across the nation.

The 2020 Industry Pulse Report is based on the 2020 HCEG Top 10 list of challenges, issues, and opportunities facing healthcare executives and change-makers. In its 10th year of production, the survey drew a record number of respondents (445), 80% of who held titles of director level or above shared their responses and comments on survey questions, 25% of those participants were from the C-Suite.

Results of the initial analysis of survey data were announced earlier this month and can be accessed here.  Look for the release of additional insight based on the 2020 Industry Pulse Report and the 2020 HCEG Top 10 including webinars, podcasts, conference presentations and additional article posts over the coming weeks and months leading up to HCEG’s Annual Forum in September.HCEG HealthCare Executive Group. Top 10. Digital Health. Health Tech. 2020 Industry Pulse Report

RELATED: 2020 HCEG Top 10 List – Preliminary Insight & Overview of What’s to Come

Consumer Experience + Value-Based Care = Consumer Centricity

The 2020 Industry Pulse Report provides deeper insight into the topics of healthcare cost and outcomes transparency, the healthcare consumer experience, and adopting next-generation payment models like value-based care. The information and analysis contained in the report help to understand current progress being made by providers and payers on the topics identified as most important by healthcare leaders. The survey was designed to elicit and share information on some of the methods being used, priorities, and areas of alignment and disagreement between the primary survey respondents: providers and payers.

See ‘Additional Areas of Insight’ below for other HCEG Top 10-related items addressed in the 2020 Industry Pulse Report.

Consumer-Centric Strategy Varies Between Payers & Providers

In terms of existence and maturity of a Consumer-Centric Strategy, there were areas of alignment – and disagreement – between the largest two groups of survey participants: providers and payers. These data are presented across a 4-point continuum of Consumer-Centric Strategy:HCEG HealthCare Executive Group. Top 10. Digital Health. Health Tech. 2020 Industry Pulse Report Consumer-centric strategy. Sdoh. Value-based-care.

  1. No Consumer-Centric Strategy
  2. Nascent Consumer-Centric Strategy:  single-point solutions, but no unifying organization-wide approach
  3. Intermediate Consumer-Centric Strategy: a consumer-centric approach, actively investing in technologies but no company-wide impact
  4. Full Consumer-Centric Strategy: fully implemented tools and technologies to achieve consumer-centric outcomes and able to effectively measure improvements

Areas of alignment – and disagreement – between the survey’s two largest respondent groups Providers (hospitals, doctors offices, & integrated delivery networks) and Payers (health plans) presented overall responses from these core survey participant groups across a 4-point continuum of Consumer-Centric Strategy.

Disagreement on Current State of Healthcare Consumer Centricity

It’s no surprise there’s disagreement regarding the responsibility, readiness, and challenges facing providers and payers in their transformation to address consumer-centricity. The report reveals both providers and payers are split in the area of value-based care – perhaps the most common Next Generation Payment Model:

  • Payers are much more likely to have robust consumer-centric strategies and providers are much more likely to have no consumer-centric strategy at all.
  • Payers and providers disagree on who’s best positioned to provide cost and quality data to consumers.
  • Payers are much more likely to have migrated to value-based care models while providers are still predominantly offering fee-for-service models.

RELATED: 2020 Industry Pulse Report: Alignments and AsymmetriesPhysicians Practice

Who’s Best Positioned to Support Consumer Healthcare Journey?

Regardless of role, most respondents think payers (31%) are best positioned to provide cost and quality data to healthcare consumers.  Some survey respondents noted others: “Health Information Networks”, “Insurance Agents”, and “Government Agencies.”

However, most respondents favor providers nearly 3 to 1 as being best positioned to support the consumer on their healthcare journey. Some respondents shared that “Retailers and innovators,” “Case Managers,” and “Friends and Family” are best positioned to support individuals on their healthcare journey.

Financial Improvements to Positively Impact Consumer Satisfaction

Survey participants ranked a series of financial or billing improvements based on how they perceived those improvements as improving customer satisfaction. Turns out, addressing the basics that consumers have come to expect are perceived as driving the most value.Surprise billing. HCEG HealthCare Executive Group. Top 10. Digital Health. Health Tech. 2020 Industry Pulse Report Consumer-centric strategy. Sdoh. Value-based-care. In-Network vs. Out-of-Network Providers.

  • Clear Identification of In-Network vs. Out-of-Network Providers
  • Consolidated Billing from Multiple Providers
  • Elimination of Surprise Billing
  • Online Payment Capabilities
  • Plain-Language EOBs and Simplified Invoicing
  • Real-Time Point-of-Service Billing
  • Simplified Benefit Explanations/Navigation
  • Simplified/Flexible Payment Options

Participants were also asked to rank other non-clinical improvements based on their potential to positively impact consumer satisfaction.

Additional Areas of Insight – 2020 Industry Pulse Report

Beyond the topics noted above, the 2020 Industry Pulse Report includes insight into the following challenges, issues, and opportunities facing healthcare organizations.

  • Barriers to Adopting Value-Based Care
    • Payers cite lack of or limited IT infrastructure as an impediment to value-based care while providers cite unclear or conflicting performance measures and regulatory changes/political uncertainty
  • How They’re Addressing Social Determinants of Health (SDOH)
    • Payers and providers differ on the type of sdoh-related data they are capturing
  • Effectiveness of Artificial Intelligence and Machine Learning
    • Providers are significantly more likely than payers to state Health System Efficiency has been positively impacted by AI and machine-learning
    • Payers are significantly more likely to say Reducing Costs has been positively impacted.
  • Drivers of Demand for Interoperability
    • Payers view Regulatory Changes as driving interoperability while Providers rank Physician-Driven Initiatives as a driver of the demand for interoperability
  • Top Reasons for Continued Cybersecurity Breaches
    • Across all C-Suite respondents, nearly 25% believe that Cybersecurity is not Recognized as a Priority at the Executive/Board Level.

Information on methods used, areas of alignment, respective priority, and disagreement between various supply-side stakeholders on the above areas can be of unique value to payers, hospitals, doctors’ offices, and integrated delivery networks.

Get Your Copy of the 2020 Industry Pulse Report

Download the 2020 Industry Pulse Report for more details on the above and other insights collected by the 2020 Industry Pulse Report. And look for more analysis and commentary on the Industry Pulse survey from HCEG, our sponsor partners and media covering the healthcare industry.

If you have any questions you have about the 2020 Industry Pulse Report, the 2020 HCEG Top 10, or the HealthCare Executive Group, please feel free to email us.

WEBINAR: “Industry Pulse Check: How Providers and Payers See 2020 Healthcare Trends

More Insight for Healthcare Leaders and Change Makers

The 2020 Industry Pulse Report and the HCEG Top 10 list of challenges, issues, and opportunities demand change and innovation from all stakeholders – particularly within the ongoing uncertainty of U. S. healthcare reform and an election year. Consider the following if you’d like to dive deeper into these topics and connect with other healthcare leaders and change-makers.

Please consider sharing your insight, experiences, and opinion as your perspective will help define the issues facing healthcare and reveal how key industry participants are acting to transform the healthcare delivery system.

Recent 3rd-Party Analysis and Coverage of the 2020 Industry Pulse Report

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

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

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

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

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

31st HCEG Annual Forum

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

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

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

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

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

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

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

Webinars & Blog Posts Advancing Healthcare Innovation & Transformation

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

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

Looking Forward to HCEG Events & Content in 2020

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

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

32nd HCEG Annual Forum

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

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

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

HCEG Presentations at Partner Events

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

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

10th Annual Industry Pulse Survey

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

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

Monthly Themes for HCEG Content in 2020

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

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

10th Annual Industry Pulse Results

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

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

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

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

By | Annual Forum, Conferences | One Comment

The 2019 Annual Forum of the HealthCare Executive Group (HCEG) took place on September 9th through the 11th at the Commonwealth Hotel in Boston, MA. In this 31st forum, healthcare leaders and other champions of healthcare system transformation had the opportunity to share their insight, ideas and information on key healthcare topics. Current investment trends, new business models needed to accommodate an increasingly consumer-focused marketplace, the imperative to decrease administrative costs, healthcare’s huge cost control problem, and other current challenges, issues, and opportunities of today’s uncertain healthcare environment were key themes.

Mabel Jong, principle at MJC Communications, LLC and professional on-camera interviewer, panel moderator and award-winning journalist with over two decades of experience specializing in healthcare and business news production interviewed a dozen healthcare leaders participating in HCEG’s Annual Forum. This blog post presents a number of these interviews.

For more information on HCEG’s 2019 Annual Forum including forum content, speaker presentations, and video interviews with forum speakers and attendees, visit this page.

Where Venture Capitalists are Focusing Their Healthcare Investments

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Ricardo Johnson, Senior Director – Healthworx, at CareFirst BCBS – shares insight on healthcare innovation and the types of investments corporate venture capital groups and private equity firms are making in health plans and risk-bearing payer/provider partnerships. Ricardo provides an overview of what he sees as key areas of focus for investment and where more investment is needed.

Differentiating Business Models to Serve High-Risk, Poly-Chronic Patients

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Ian Laird, National VP of Growth of DaVita Health Solutions, shares insight on value-based care, the unique needs of small patient populations that represent 40 to 50% of the total cost of care for a typical medical practice and the need for modern medical practices to accommodate differentiated business models.

Healthcare Innovation and the Importance of ‘Getting Out of Our Own Way’

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Dr. Jason Woo, MD, Founder of Learning Core Leadership Through Service, shares insight on the various mindsets that help or hinder healthcare executives as they transform their organizations. Dr. Woo notes that positive growth in healthcare has lagged that of most other industries and that healthcare still has the same problems now as it did 30 years ago.

RELATED: Healthcare Leaders Share Insight in Boston on September 9th

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Importance of Data & Analytics as Foundational Capabilities in Today’s Healthcare Organization

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Sara Stevens, VP of Healthcare Economics & Analytics Ops at Capital District Physicians’ Health Plan, shares her insight on the foundational nature of ‘Data & Analytics” – ranked #1 on the 2019 HCEG Top 10 list – in the highly regulated healthcare industry.

Taking Administrative Costs Out of the Healthcare Ecosystem

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David Querusio, CTO of Harvard Pilgrim Health Care shares insight on how recent hospital and provider group mergers may be taking administrative costs out of the system, the importance of developing and providing a ‘platform’, and strategic innovations taking place in the healthcare value chain on both the payer and provider side.

Healthcare’s Huge Cost Control Problem

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Niall Brennan of the Health Care Cost Institute (HCCI)  conveyed insight into HCCI’s cutting-edge research to help people understand why healthcare spending is the way it is, the geographic variation in how healthcare money gets spent nationally, and how the ongoing consolidation of healthcare markets can result in less competition and less flexibility for negotiations between providers, payers and employer groups.

Extracting Waste in Healthcare: An Imperative for Today’s Healthcare Leaders
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Bruce Jones, CIO of Excellus BCBS, shares his take on the need for healthcare leaders to look at every single process and figure out what the waste is in those processes and the need to take out that waste with new technologies like robotics process automation and artificial intelligence. Bruce also talks about the need for the healthcare industry to adopt more quality processes like Lean Six Sigma.

Remaining Focused in Disrupted Healthcare Environment

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Mariya Filipova, VP Innovation at Anthem, relates how to remain focused while dealing with all of the changes rapidly transforming healthcare. And how creative collaborations between formerly competitive organizations are coming together to improve outcomes and reduce costs. Mariaya also shares insight on the process of managing patient consent and provider credentialing as examples.

Transportation as a Key Benefit for Medicaid & Medicare BeneficiariesLeadership, Healthcare, social determinants of health, sdoh, Transportation, NEMT, Chronic Care, Medicare, Medicaid, HealthCare Executive Group

Megan Callahan, VP Healthcare at Lyft, shares her take on Lyft’s experience providing non-emergency medical transportation to Medicaid and Medicare beneficiaries; how NEMT saves time and improves outcomes but also increases independence and happiness of those who utilize this increasingly common non-medical benefit.

Healthcare leaders. Healthcare Executive Group. HCEG Annual Forum. Venture Capitalists. High-Risk, Poly-Chronic Patients. Data & Analytics. Innovation. Transportation. Medicaid & Medicare Beneficiaries.RELATED: A Conference for Healthcare Executives Unlike Any Other

Impressions of HealthCare Executive Group’s 31st Annual Forum

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Sheri Johnson, AVP of Member Enrollment & Billing at UCare, an independent, non-profit health plan providing coverage and services across Minnesota and western Wisconsin on the importance of always striving to ensure the best member and patient experience, leveraging readily available member/patient data, and being open to creating or entering partnerships with others whose mission is complimentary toward improving healthcare outcomes and lower costs while sustaining longevity.

The HealthCare Executive Group and Its Evolution Over the Years

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Richard Lungen, Managing Member of Leverage Health and HCEG board member shares his take on what makes the HealthCare Executive Group and its long-running annual forum different than other healthcare conferences, how it’s participants have changed over the years to include not only health plans but health systems, various types of providers, investors and other diverse organization.

Healthcare Leaders Leverage the HealthCare Executive Group

In addition to our Annual Forum, the HealthCare Executive Group offers periodic Executive Leadership Roundtables, live presentations, webinars, regular blog posts, and other original and curated content to support the information and networking needs of today’s healthcare leaders. Our next events include the following:

Executive Leadership Roundtable at 2019 HLTH Forum

On Wednesday, October 30th, 2019 at 12:00PM to 3:00PM ET, the HealthCare Executive Group , in collaboration with the Center for Healthcare Innovation (CHI), International Association of Innovation Professionals (IAOIP), and Workgroup Electronic Data Interchange (WEDI) will present “Flying the Plane While Building the Plane: Do You Have What It Takes to Pilot the Transformation of Healthcare?

Learn more about and register for this free event – with lunch included – today!

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HCEG’s Executive Leadership Roundtable at 2018 HLTH Forum

Session at 2019 AHIP Consumer Experience & Digital Health Forum

HCEG will be presenting a session at the upcoming AHIP Consumer Experience & Digital Health Forum in Chicago on December 10-11, 2019, at the Swissotel. The session titled “Outlook 2020: Top 10 Challenges, Issues, and Opportunities as Identified by Healthcare Executives” will expound on the 2020 HCEG Top 10 and related information shared by participants of HCEG’s recent 2019 Annual Forum.

Subscribe to our eNewsletter for additional information on these events and other information of potential value to healthcare executives and thought leaders.

Part 2: Recapping ‘The 2018 HCEG Top 10 Healthcare Opportunities, Challenges & Issues’ Webinar

By | HCEG Top 10, Executive Leadership Roundtable, Webinar Series, Pharmacy, Privacy & Security | One Comment

The theme of last month’s HCEG Webinar Series event was The 2018 HCEG Top 10 – Healthcare Opportunities, Challenges & Issues. In a previous post, highlights of the following two topics that were discussed by moderator Kim Sinclair, HCEG board chair and CIO at Boston Medical Center Health Plan, and panelists Ferris Taylor, HCEG’s Executive Director and Consultant to Arches Health Plan and David Gallegos, Sr VP of Consulting Services at Change Healthcare, were reviewed:

  • Which three items on the 2018 HCEG Top Ten list three areas were of most interest?
  • What’s the state of healthcare consumerism and what’s being seen in the industry?

This second post recaps highlights from the second half of the webinar where the topics of Cybersecurity (Ranked #6 on the 2018 HCEG Top 10) and Addressing Pharmacy Costs (Ranked #9) were discussed. The webinar presentation materials and a recording of webinar can be found here.

Cybersecurity – 2018 HCEG Top Ten Item #6

Topic #3: How are you seeing cyber security and cyber threats impact healthcare organizations beyond the tactical day-to-day prevention activities?

HCEG Healthcare Executive Group Webinar-Top-10 Trends Cybersecurity

Ferris Taylor: “I think it’s (cybersecurity) fundamental that we need to innovate and improve cybersecurity in all of our healthcare processes. That really means giving people a confidence that their personal information won’t be used in ways that a person doesn’t want it to be used. So, it ties back to consumerism.

Real World Impact of Medical Identity Theft

“Here in Utah, about three years ago, there was a baby born in the hospital that was heroin addicted. And of course, the Department of Social Services immediately went to the home and removed the three other children from that home. The fundamental problem was that the mother of that heroin baby was not the mother in that home. And it took that mother three months to get her children back. It was a case of medical identity theft where the baby was born. The real mother checked out.  We can understand the personal impact that that lack of security around medical information caused for that family.”

David Gallegos: “The world has gotten a lot smaller and technology a lot more complex over the past decade. And clearly cyber terrorism is a big part and a growing concern that every organization needs to take seriously. But you need to keep in mind that the safest computer is one that’s turned off and unplugged. And clearly that’s not very useful.

“We need to balance both security and usability and the sharing of clinical information. It’s going to be critical to our care model redesigns and our clinical collaboration. This data is also going to be important for us to leverage artificial intelligence and, to help us determine optimal courses of treatment. In some cases, this information is even going to be needed to help really define how whole populations are treated.”

Addressing Pharmacy Costs – 2018 HCEG Top Ten Item #9

Kim Sinclair shared that pharmacy costs continue to rise and is a topic constantly in the news, noting that non-profit hospitals have stated intent of joining together to form their own pharmacy organizations.

Topic #4: What are your thoughts about what healthcare leaders can do about rising pharmacy costs?

Ferris Taylor: “I saw some statistics on pharmacy costs that struck me to the heart. It was from the Health Care Cost Institute over the last four years. It was actually 2012 to 2016 and the cost of prescriptions in the marketplace had gone up by 25%. But the utilization of prescriptions had only gone up by 1.8%. And it wasn’t just pharmacy costs. Emergency Room prices have gone up by 30% and visits went up by 2%.”

Free-Market Economy and Governance

“So, I think, once again, we haven’t transitioned from the buyer being the employer to the consumer becoming more and more important in that purchasing decision. As we discuss pharmacy costs, the other thing that I think we need to recognize is that we have a free-market economy. But industries have responsibilities to govern themselves. And I know some of the bad players in the pharmacy industry are outside of the Pharmacy Association. So, it’s hard to regulate them. But I use those key issues as the things to help us start to address the pharmacy costs”

David Gallegos on the State We’re in with Pharmacy Costs

pharmacy costs increases hceg healthcare executive group

“What I look at the state we’re in with pharmacy costs. To me it’s entirely self-made. We’ve created these regulations that allow schemes like pay to delay, or evergreening – that’s really pushed generics out further in terms of their development. We create, in a sense, quasi monopolies.”

“We criminalize the ability to negotiate for larger population blocks. I mean it seems ridiculous to me, actually, that drugs that were invented and manufactured here in the United States can often be purchased cheaper outside of our country.”

“Clearly drugs are very important. They reduce admissions that would use other high cost care. And some of them are miracles. They can literally cure diseases – cure the incurable. So, I understand this is not a simple problem. But if a drug cost a million dollars and the person can’t afford it, is it really a miracle?”

“And in any other market, if there was a product that nobody could afford, the supplier would price it differently. And that’s what we have in our market.”

Previous Webinar: Strategies to Address Rising Pharmacy Costs

For more about pharmacy costs, see this recap of last December’s webinar titled “Strategies to Address Rising Pharmacy Costs” presented by our sponsor partner Cumberland Consulting Group.

Check out the Webinar Recording for More

For more insight on 2018 HCEG Top 10 and the perspective of healthcare executives, check the webinar recording and subscribe to our eNewsletter where we’ll be sharing more information, insight, opinions and ideas of value to healthcare executives and thought leaders. Our newsletter will also share information on future webinars and events like our Executive Leadership Roundtable in Las Vegas this coming May 9th.

A Unique Event and Exclusive Group for Healthcare Executives

By | Annual Forum, HCEG Top 10, Executive Leadership Roundtable, Sponsor, The Industry Pulse, Member Benefits | No Comments

Our 2017 Annual Forum came to a close at noon this past Wednesday. Over 110 healthcare executives, nationally known healthcare speakers and industry thought leaders gathered in Nashville, TN – Music City and the Healthcare Capital of the United States – to share their insight, ideas and concerns about healthcare reform and digital transformation during these rapidly evolving, uncertain times in healthcare.

The 29th Annual Forum featured three keynote speakers, nine sessions covering the latest topics of interest to executives leading health plans and health systems and three nighttime events structured to support networking between forum participants. All in all, the two and half days of our 2017 Annual Forum added up to one incredible opportunity for those leading the digital transformation of healthcare reform in the United States to come together on an intimate basis , to share and learn with each other collaboratively.

The 2018 HCEG Top 10 List

As has taken place during each of the last seven HCEG Annual Forum events, participants selected and voted on the Top 10 Opportunities, Challenges and Issues facing health plan and health system executives over the coming months and year. This new 2018 HCEG Top 10 list will drive the focus of Executive Leadership Round Tables, webinars, content development and other collaborative opportunities throughout the remainder of 2017 and the coming new year.

What We’ll Be Sharing From Our 2017 Annual Forum

Over the next few weeks, insight, ideas, opinions and concerns generated during the forum will be shared with members and the public at large. We’ll recap forum speaker and participant insight and opinion into how healthcare in the United States will be impacted by healthcare policy reform, digital transformation initiatives and both national and state-level actions. Readers of this blog, our friends on social media, attendees of our webinars and round tables and subscribers to our newsletter can look forward to how speakers, panelists and participants at our 2017 Annual Forum shared insight on the following:

  • How Clinical and Data Analytics leverage clinical evidence to segment populations, manage health and drive decisions
  • How the emergence of Population Health Services Organizations are operationalizing population health strategy, chronic care management, driving clinical integration, and integrating social determinants of health
  • How Value-Based Payments are being used to target specific medical conditions to manage cost and quality of care
  • How Cost Transparency is inevitable due to growing legislation and consumer demand
  • And more certain topics that can help healthcare leaders address transformation during these uncertain healthcare times

How We’ll Share

The Healthcare Executive Group will share the following via its web site, blog, social channels – including Twitter, LinkedIn an Facebook, and via other channels including member LinkedIn accounts, sponsor partner media and healthcare industry media. Look for the following:

  • Quotes from Keynote Speakers & Panelists
  • Session recaps including Presentation Materials
  • Thoughts from Forum Participants including social media shares
  • Audio Soundbites
  • Pictures and more

How to Stay Connected

To have this valuable information pushed to you, subscribe to our newsletter, follow the Healthcare Executive Group on LinkedIn, Twitter and Facebook; and consider becoming a member of our unique organization of Healthcare Executives. Learn more about the Healthcare Executive Group here.