The 10th Annual Industry Pulse research survey opens today!
And healthcare industry leaders are encouraged to share their take on the challenges, issues, and opportunities they’re facing in 2020 and beyond. Based on the 2020 HCEG Top 10 list and conducted jointly by the HealthCare Executive Group and Change Healthcare, the survey is intended to flesh out and explore what leaders of healthcare organizations may be facing in the immediate future. Everyone reading this post are encouraged to complete the survey and share it with their co-workers and associates. Just taking this survey will provide respondents with thought-provoking questions and offer ideas they may otherwise not be aware of.
2020 HCEG Top 10 as Basis for 10th Annual Industry Pulse Survey
This 10th annual instance of the Industry Pulse collects additional insight, experiences, and opinions on specific items of the 2020 HCEG Top 10 list developed in September 2019 at HCEG’s 31st Annual Forum. The questions, possible responses, and results of the Industry Pulse can provide valuable, relevant data-driven advice and end-to-end industry insights to help healthcare leaders navigate the complexities of our rapidly evolving healthcare system.
Share your Insight Today!
HCEG and Change Healthcare would like to invite healthcare leaders from across the nation to participate in this year’s Industry Pulse research survey and to compare and contrast their own perspectives against the 2020 HCEG Top 10.Please consider sharing your insight, experiences, and opinion as your perspective will help define the issues facing healthcare, and reveal how the industry is responding. Everyone who completes the 10th Annual Industry Pulse Survey will be among the first to receive survey results as well as exclusive access to future webinars, content, and events that will be delivered over the new year; expounding on survey results and providing additional insight and value to all healthcare constituents.
Many people familiar with the HealthCare Executive Group (HCEG) know that the HCEG Top 10 list has been a keystone of the HealthCare Executive Group for over a decade – 13 years to be exact. The HCEG Top 10 identifies the current opportunities, challenges and issues that HCEG members and their healthcare organizations face during this era of healthcare reform and transformation. The items on the yearly HCEG Top 10 serve to encourage continuous and evolving dialog and drives HCEG’s programming, webinars, blogs, whitepapers, research and discussion throughout the coming year.
HCEG Top 10 as Basis for the Industry Pulse
The HCEG Top 10 also serves as the framework for the Industry Pulse – an annual research survey conducted jointly by HCEG and Change Healthcare. The Industry Pulse research survey collects additional insight, experiences and opinion on specific items of the HCEG Top 10 list. Healthcare executives, thought leaders and other industry participants serving all areas of healthcare may participate. The results of the Industry Pulse can provide valuable, relevant data-driven advice and end-to-end industry insights to help healthcare leaders navigate the complexities of our rapidly evolving healthcare system.
Share your Insight Today!
HCEG and Change Healthcare would like to invite healthcare leaders from across the nation to participate in the 2018 Industry Pulse research survey and to backdrop and contrast their own perspectives against the 2018 HCEG Top 10.Please consider sharing your insight, experiences and opinion as your perspective will help define the issues facing healthcare, and reveal how the industry is responding.
Everyone who completes the 8th Annual Industry Pulse Survey will be among the first to receive survey results as well as exclusive access to future webinars, content and events that will be delivered over the new year; expounding on survey results and providing additional insight and value to all healthcare constituents.
Today marks the start of National Health IT Week (#NHITWeek,) a collaborative and partner-driven event whose purpose is to promote the awareness and demonstrate the use of information technology in:
Supporting Healthcare Transformation: The many ways in which health IT is driving transformation in healthcare delivery including improvements in quality and safety, interoperability, advances in innovation, and patient and consumer activation and engagement.
Expanding Access to High Quality Healthcare: Use of innovative technologies including telehealth and remote patient monitoring to improve healthcare access, coordination and outcomes.
Increasing Economic Opportunity: Highlighting the importance of a robust, diverse health IT workforce and health IT’s role in supporting economic growth.
Making Communities Healthier: The fundamental role health IT plays in supporting population and public health
As a group of executives, thought leaders and advisory partners serving health plans, health systems and provider organizations throughout the United States, the Healthcare Executive Group (HCEG) is proud to partner with and to support National Health IT Week and the above points of engagement – this week of October 2 – 6, 2017 and throughout the year. You can learn more about #NHITWeek and related events here.
The 2018 HCEG Top 10
To kick of National Health IT Week, the Healthcare Executive Group is pleased to announce the formal release of the 2018 HCEG Top 10 list of opportunities, challenges and issues facing executives of health plans, health systems and provider organizations in the United States.
The HCEG Top 10 has been a keystone of the Healthcare Executive Group for over 13 years and provides insight into the most current, pressing priorities facing their industry. Based on HCEG member input and sponsor partner research, the HCEG Top 10 serves as a framework for continuous and evolving dialog among healthcare executive members on the critical opportunities, challenges and issues facing their organizations. Educational programming including periodic Executive Leadership Round Tables, research initiatives, monthly webinars, whitepapers, blog posts and ongoing member discussion are all driven by the HCEG Top 10.
Help Spread the Word About National Health IT Week
Never before has the digital transformation of healthcare been so pervasive and rapid. Health information technology is key to advancing the imperative points of engagement emphasized during National Health IT Week. Please join the conversation on social media by using the #NHITWeekhash tag. Share how you and/or your organization is using health information technology to transform points of healthcare and health outcomes.
HCEG will be participating in NHIT Week by sharing content via its social channels, member LinkedIn pages, and via this blog. For more information, insight, ideas and commentary about National Health IT Week, healthcare, healthcare information technology and the digital transformation of healthcare, consider following us on Twitter, LinkedIn and Facebook – and subscribe to our eNewsletter.
The 29th Annual Forum of the Healthcare Executive Group held in Nashville last week included nine sessions lead by healthcare industry leaders. These industry veterans and thought leading panel members provided forum participants with a wealth of information and insight into key areas of healthcare reform, innovation and digital transformation. As might be expected, insight, ideas, opinions and concerns surrounding the areas of Consumer Engagement, Transparency, Population Health, Health Plan-Provider Data Exchange, and Merger & Acquisition activity within the digital healthcare space were common across nearly each of the nine sessions presented at the forum.
As noted in this previous post, content from these sessions will be shared over the coming days and weeks. In this post, highlights from each of the above referenced areas shared by forum participants via social media are presented. Special thanks to all those who shared via their social channels. To receive other information shared during our 2017 Annual Forum, consider subscribing to our newsletterand following us on our social channels: Twitter, LinkedIn and Facebook.
“Need time to develop trust w/ others; it typically takes 30 days of near daily engagement.” – Rich Rakowski of Medically Home
“Coins term ‘Co-vider’ where healthcare consumer serves as 1st provider identifying (diagnosing?) medical condition.” – Steve Sisko @ShimCode quoting David Vinson of @DHXGroup
“We’re trying to put the pharmacist in front of the counter – to more easily interact with consumers.” – William Resnick of EmpiRx Health
“Many health plans have lost sight that they’re essentially a community of people that must be regularly engaged.” – Torben Nielsen @TorbenSNielsen of Premera
“Near unanimous consensus by participants that technology is not the problem; rather policy, inertia & politics.” – Steve Sisko
“What’s your one ‘dashboardable metric?” Rich Rakowski: “A 30-50% savings for the payer for patient condition.” – Ben Leedle of Blue Zones, LLC asking “What was Missed in Two Decades of Population Health – Today’s Opportunities for Disruptive Innovation” panel
“Cognitive behavioral therapy is becoming first line treatment for insomnia; not drugs.” – Joe Jennings, CEO at BeHealth Solutions @behealthsolns
Social Determinants of Health
“Katrina lesson: sensitive extreme collaboration. Social determinants become real.” – Chuck Martel @cmartel on Dr. Karen DeSalvo keynote
“Our zip code affects our health more than our genetic code.” – Richard Lungen @rlungen of @Leverage_Health quoting Dr. Karen DeSalvo
“Healthcare spend and trend is crowding out other essential social investments. Agree?” – Mark Stryker on Dr. Karen DeSalvo keynote
Accountable Care Organizations
“First step to ACO success: providers and payers agree to ‘put down their weapons’ with data.” – Chuck Martel quoting John Poelman @JHPoelman of Leavitt Partners @leavittpartners
“Panelists note there is no clear correlation between #ACO financial results and quality measurement outcomes.” – Steve Sisko quoting panelist in “Value-Based Reimbursement/Relationships” session
“Data is the single most important element we’re just beginning to exploit.” – Chuck Martel quoting Torben Nielsen in “Healthcare & Consumers Going Digital – Is HIT a Disruption or Opportunity?” session
“The unabated proliferation of healthcare apps is “Appageddon.’” – Steve Sisko quoting David Vinson
“I work in healthcare during the day. And then I go home to the 21st century.” – Torben Nielsen
“Technology and Technology companies’ are re-creating what health looks like.” – Mark Stryker paraphrasing Dr. Karen DeSalvo keynote
Transparency of Price & Quality
“Need to differentiate between price transparency & transparency of clinical efficacy & potential interactions.” – Blake Slansky of Walgreens
“Are we going to try to compete w/ Amazon on cost? Or quality of service? How will we protect our position?” – Forum Attendee asks panel addressing “Pharmacy Costs / PBM and Rx Transparency”
“Only two countries allow Direct to Consumer marketing of prescription drugs: United States & New Zealand.” – Nichole (Nikki) White of Medica
Mergers & Acquisitions in Healthcare
“What are some of the things that are going well or not so well in healthcare M&A?” – Justin Roth of Triple Tree Investments @TripleTreeLLC asks “Technology Innovation and M&A Market Trends” panel
“Need to move cultural due diligence upstream in the M&A process.” – Tom McEnery of Change Healthcare @Change_HC
“Having a designated liaison for each functional area. And be sensitive to culture of each area.” – Paul Wallace of Heritage Group USA
Plan Provider Data Mgmt
“Providers view data updates as a misplaced burden & something that disrupts patient care.” – Charlie Falcone of Aperture Credentialing during “Payer Provider Operations – CMS Mandates & Provider Data Management Initiatives” panel
“The proliferation of networks – especially ACO’s – has exacerbated provider directory data accuracy issues.” – Ian Gordon of Regence/Cambia Health Solutions @Cambia
“Working w/ data originators to co-develop data exchange processes vs. dictating requirements can improve data.” – Ian Gordon
“Differing state regulations & mandates hamper ability to develop shared plan-provider data mgmt processes.” – Steve Sisko paraphrases Charlie Falcone
“Provider data management is not a strategic act but an ongoing tactical & operational activity.” – Russ Thomas of @Availity
“Plan-provider data management is not a technology problem; it’s an engagement challenge.” – Ian Gordon
“Health plans generally don’t view provider data management as an area where they need to compete.” – Russ Thomas
“Panel members all agree that #ACA should have mandated plan-provider data requirements, standards & update processes.” – Steve Sisko paraphrases “Payer Provider Operations – CMS Mandates & Provider Data Management Initiatives” panelists
“Fail to succeed…glean something from every mishap and mistake.” – Donato Tramuto (Via @Tivityhealth)
“Core competencies are transferrable. Don’t confuse what people do with what they are good at.” -Tom McEnery
There’s More Coming!
We’re just getting started with sharing content from last week’s 29th Annual Forum of the Healthcare Executive Group. We’ll be sharing recaps from individual sessions, participant interviews, pictures from the forum and more. So stay connected and in the loop bysubscribing to our newsletterand following us on our social channels. Better yet, consider becoming a membertoday!
To be sure, the Healthcare Executive Group (HCEG) isn’t on the same plane as these healthcare research firms listed above. The Healthcare Executive Group doesn’t have sales people balancing objective analysis with the need to generate revenue to keep the doors open. HCEG is a relatively small (by design), membership-based organization of mid-market healthcare executives in a national network who gather together physically and virtually throughout the year to learn from each other as they navigate the strategic and tactical issues facing they face as health plan and health system leaders. The concept is really quite simple and powerful:
HCEG’s mission is to promote healthcare innovation, to provide innovative knowledge support and to help sustain the development of life-long relationships through real-life and virtual relationships.
For almost 30 years, the Healthcare Executive Group has served as a channel for the open exchange of ideas, providing content, channels and opportunities for collaboration, and ongoing support for transformational dialogue among its members. The HCEG Top 10 List helps focus and drive this content development, member dialogue and knowledge exchange.
What’s the HCEG Top 10 List?
While each HCEG member and the healthcare organizations they represent are unique, all face common opportunities, issues and challenges. Technology, healthcare reform initiatives and innovation opportunities are moving quickly. The longevity of our member companies and our members own livelihood depends on their ability to identify and sufficiently address opportunities, issues and challenges; as they are presented; and as quickly as possible.
The HCEG Top 10 represents the top 10 opportunities, issues and challenges that HCEG members – health plan and health system executives at the forefront of healthcare reform – collectively identify as the most important and urgent to address over the following year. Our members consider the Top 10 items as having significant and lasting impact in the way health plan members, healthcare consumers and patients all become engaged, digital consumers and responsible healthcare stakeholders.
How is the HCEG Top 10 List Developed?
About two months in advance of HCEG’s Annual Forum, an initial list of approximately 25-30 opportunities, challenges and issues are identified by HCEG members via a survey process.
Then a set of questions intended to refine and clarify each of the 25 – 30 items are defined. These questions are intended to help members better understand each item and encourage well-measured responses. To the greatest degree possible, the questions for each topic are designed to elicit discrete, standardized responses; common industry terminology and pick lists of potential responses are used wherever possible.
These topics and their supporting questions are then entered into a survey tool and shared with all HCEG members. At the HCEG Annual Forum, members review and discuss each topic and associated questions. A series of rankings take place to winnow the list down to the Top 10 items. Members have the opportunity to question each item, each other and to rank each item publically or privately. At the end of the second day of the Annual Forum, the new Top 10 List is formally defined and shared with all forum participants and other HCEG members who may not be in attendance at the Annual Forum.
How is the HCEG Top 10 List used?
The HCEG Top 10 List is used for two general purposes, each of which are intended to address the so-called Triple Aim of Healthcare.
1. Content Development & Programming
The HCEG Top 10 list serves as the basis for HCEG’s ongoing content development and educational programming opportunities throughout the year. Each of the Top 10 items is explored at various levels of depth and breadth throughout the year and delivered to HCEG members via various mechanisms and channels including:
In addition to guiding the overall thought-leadership, content development, and knowledge exchange initiatives throughout the year, HCEG’s Top 10 Priorities, Issues & Challenges list serves as the basis for The Industry Pulse– a national, industry-wide survey where healthcare leaders across the nation are invited to participate in additional research to backdrop and contrast their perspectives against the items on the Top 10 list.
The Industry Pulse research survey is designed to gather additional insight on priorities and challenges facing healthcare industry constituents across the country and provide stakeholders across the healthcare spectrum real-world, actionable insight into near term obstacles and opportunities. Combined, the HCEG Top 10 list and The Industry Pulse encourage continuous and evolving dialog on the main issues and concerns facing member organizations.
The 2018 HCEG Top 10 List
Our 2017 Annual Forum will be held on September 18 – 20th in Nashville, TN at the Thompson Hotel and the 2018 HCEG Top 10 list will be developed during this three day forum. Developing the latest HCEG Top 10 List is an exciting part of our Annual Forum and we expect lively and thought-provoking discussion experienced in previous forums.
For more information on the Annual Forum including how to register and be a part of defining the 2018 HCEG Top 10 List, see this page.
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
Our Executive Leadership Forum held at the GuideWell Innovation Center on Monday, May 8th was attended by 21 healthcare executives and solution provider thought leaders. The three-hour event – titled Operationalizing Before Analyzing: Healthcare’s Modern Journey Powered by Data – focused on some of the underlying challenges and issues regarding how healthcare data and analytics technologies impact consumers, providers and health plans.
The forum included lively discussion on real world use cases for healthcare data and analytics, a demonstration of live 3D interaction possibilities and a tour of the GuideWell Innovation Center. The forum was capped off by a happy hour for participants to network with each other and forum sponsors: MarkLogic and Intel.
In this post, highlights of the discussion between forum participants and key takeaways will be presented. In future posts, an overview of the 3D interaction demo and tour of the GuideWell Innovation Center will be shared.
HCEG Board Chair Ferris Taylor shared some information on the tour of the GuideWell Innovation Center and Live 3D Collaboration in this post on LinkedIn.
Demand for Real-time Data and Transactions
A lot discussion during the forum centered around current complexities and how demand for real-time data and transactions—across clinical, administrative and financial operations–is increasing exponentially every day and putting significant demands on service model / operations and legacy infrastructure, which are mostly batch / file transfer oriented. Several issues were identified as current concerns:
Many underlying data challenges
Lack of agility in quickly responding to opportunities
Inadequate data governance/provenance with ETL approaches in the legacy data pipeline
All audience members agreed they wanted faster time to market and better ability to respond to clients / market / regulations and be more agile when it comes to data. There was broad agreement that “data integration” is a journey that should follow a new data integration pathway instead of the legacy Extract-Transform-Load (ETL) approach:
Real World Use Cases
Over the course of the discussion there were a number of data capture and analytics use cases shared between forum participants. One use case described enrollment data submitted to the IRS on the 1095-B Health Coverage forms sent to individuals noting their qualified health coverage during each month in the year.
One participant described how the IRS had reported back to the health plan that 40% of the records submitted by the health plan to the IRS had errors in name, social security number and/or dependent status; basic required enrollment data elements that the plan was not able to validate or authenticate during the initial enrollment process and remained that way throughout the entire year. Garbage-In-Garbage-Out.
This “1095-B use case” elicited feedback from one forum participant having recent experience at the Census Bureau with the participant describing how government agencies often don’t have complete, accurate data. Just because CMS might have data of one quality level, they don’t always share that data with related agencies so the IRS or the SSA or state Medicaid administrators likely have different data.
Leverage All Data Types & 3rd Parties
Forum participants shared unique perspectives and a Q&A ensued on the example of how the Census Bureau uses associated data to significantly improve the timelines, accuracy and overall value of census data by editing it against 3rd party sources. This Census Bureau use case and another use case described by forum participants of a BCBS plan emphasized that 3rd party data sources and unstructured data are very important to service improvement, member/patient experience, innovation and growth-oriented project investments.
Primary Investment Areas: Data Improvement & Integration Projects
Forum members identified the following investment areas for data improvement and integration projects that healthcare executives may implement over the next 12-18 months to modernize healthcare data and applications:
Thought Leader Presentations
This Executive Leadership Forum was co-sponsored by MarkLogic and Intel. The information shared by these two sponsors are made available here:
At the end of the forum, participants unanimously agree on three basic tenets:
Complete and accurate data – especially basic demographic and social determinants – MUST begin with the first member/consumer/patient-provider interactions at the point of service
Data needs to be authenticated, validated, verified and ENRICHED against other sources – then normalized across other supportive partners and their ‘systems of record’
Today’s technology can support the capture, validation and use of healthcare data on a relatively inexpensive basis.
Join Other Healthcare Leaders
For more information on the Healthcare Executive Group and how you can become more ‘in the know’ and effective as a healthcare executive or thought leader, check out this information about becoming a member. You can also follow us on Twitter, friend us on FaceBook and follow us on LinkedIn.
Operationalizing data and analyzing data are not the same thing. Some healthcare organizations have made the painful and expensive mistake of focusing their innovation programs and growth investments on the “shiny ball” of analytics – the end stage of the data journey – instead of first improving the agility, speed and quality of the initial “operational” stages of the data journey: combining, enriching, indexing, searching, harmonizing, and alerting data. When it comes to operationalizing data and using information to help run the business, healthcare organizations must not fail to address numerous data silos, point-to-point integrations and other significant data-related challenges exacerbated by the lack of enterprise features such as security, transactional support, performance, and governance.
An Executive Leadership Forum Event
On Monday, 5/8/17 at 3:00 to 5:30 pm EDT, healthcare business and technology executives will meet at the GuideWell Innovation Center (Orlando, FL) to hear from healthcare business and technology leaders who’ve used “Next Gen” data concepts, strategy and technology platforms to fuel their industry innovation programs and digital transformation. This special healthcare executive leadership forum event is hosted by the Healthcare Executive Group (HCEG) and supported by HCEG’s sponsor MarkLogic and Intel. The event is open to all HCEG members and healthcare leaders, is free of charge and will be followed by a networking happy hour reception. Attendees of the 2017 Blue Cross Blue Shield National Summit may find this forum to be a great way to leverage their attendance at the Blues Summit.
Who Should Attend?
Any healthcare executive with mission critical projects that require improved data agility and faster time to delivery should consider attending this unique leadership event:
Business Executives (operations, administrative, clinical) responsible for business “digital” modernization & improving experience / satisfaction initiatives.
Technology Executives (integration, architecture, infrastructure, development, security) charged with implementing and supporting operational and analytical data integration platforms to achieve business goals.
What Business Executives Will Take Away
More insight into the competitive advantage and cost-savings a 360-degree view of Anything – member/patient, provider, etc. – can bring to a healthcare organization.
How creating profiles / preferences enhance engagement and experience while improving Net Promoter Scores (NPS).
Understanding of the business advantages and opportunities associated with ‘Next Gen’ data architecture and technology.
An understanding of use cases that increase business agility and improve time to market.
How continuous security, governance and sharing of data that’s usable and actionable is key to enabling growth and innovation.
What Technology Executives Will Take Away
An understanding of modern, multi-model “platform” approaches for integrating disparate data silos into a single operational and analytical infrastructure (secure, ACID compliant, etc.).
Awareness of the landscape of data technology vendors offering data platform solutions.
Why standalone, point solution “apps” or data “tools” present significant vendor lock-in risk.
How a metadata search approach supports rapid enterprise integration of structured and unstructured data.
Better understanding why top national healthcare organizations are implementing “Next Gen” data hub Centers of Excellence (CoE) to power their innovation programs and digital transformation.
Ferris W. Taylor, HealthCare Executive Group Office of the Chair and Past COO, Arches Health Plan presented “The Future of the State Exchanges: Post Election” at a special pre-conference event of the 2017 American Association of Payers, Administrators & Networks (AAPAN) Annual Forum in Tuscon, AZ on January 28th, 2017.
In his presentation – which can be found here – Ferris shared his real-world experience and perspective on state-based health insurance exchanges and how exchanges in particular and the ACA in general may be impacted in the coming months and years. Ferris admitted that he needed to look into his crystal ball for ‘assistance’ on a few of his thoughts. Some highlights from the presentation and ensuing discussions with forum attendees include:
The ‘Affordable Care Act’ could also have been titled the ‘Accessible Care Act’
Access alone is not enough. The Triple Aim dictates that Access, Cost and Quality must be simultaneously addressed in order for true healthcare reform to be achieved.
State-based Exchanges are better positioned than others
States that implemented their own exchanges are better positioned to respond to any reform approach ultimately decided by the Administration and Congress.
Confidence in the Public Exchange has been falling dramatically year over year
Ferris shared some preliminary results from The Industry Pulse, an annual research survey hosted by Change Healthcare that is based on HCEG’s yearly Top 10 list, and pointed out that the three exchange-related items that actually improved year over year were items within control of health plans:
Direct Sales (Web-based)
Single Payer Private Exchanges
Insurance Market Reform Options and Market Support Considerations
Ferris shared two information-packed slides outlining various health care reform options being floated by President Trump, HHS nominee Tom Price, Speaker Paul Ryan and others – including the ACA Replacement plan proposed by Bill Cassidy (R-LA) and Susan Collins (R-ME) which would largely give individual states the option to continue operating under existing ACA regulations.
Look closely…that’s a turtle under there!
Trigger Points & Timeline – and Things to Watch
Ferris and the attendees had a lively discussion surrounding key ‘trigger points’ related to healthcare reform and some ‘Things to Watch.’ See the presentation here for more information on these two presentation topics.
Additional Info on Potential Impact to ACA and Health Insurance Exchanges