As 2017 draws to a close, the recent CVS Health-Aetna merger continues to dominate the healthcare conversation. David Buchanan, president, Buchanan Strategies, weighed in on the non-traditional partnership during Trends Shaping the Healthcare Industry in 2018: A Strategic Planning Session, a December 2017 webinar now available for replay.
In this HealthSounds episode, Buchanan predicts the future of mega mergers in healthcare, the impact of the CVS-Aetna alliance on brand awareness, and the real ‘bonanza’ of the $69 billion partnership beyond bringing healthcare closer to home for many consumers.
During Trends Shaping the Healthcare Industry in 2018: A Strategic Planning Session, a December 2017 webinar now available for replay, David Buchanan and Brian Sanderson, managing principal, healthcare services, Crowe Horwath, provide a roadmap to the key issues, challenges and opportunities for healthcare organizations in 2018.
The webinar examined key trends impacting healthcare providers and payors for 2018—how industry consolidation and fragmentation is reshaping the healthcare landscape; the expanding role of technology in healthcare, including artificial intelligence and blockchain breakthroughs; expectations for the CSR reduction, health insurance exchange product changes and MACRA; cost reduction and cost efficiency improvement strategies; 2018 strategic opportunities for healthcare organizations, including consolidations, joint ventures, strategic partnerships, Medicaid managed care, Medicare Advantage, risk-based contracts and patient and health plan member advocacy models; and much more.
The future for health plans is not so much in plan design or call centers but in how they leverage their storehouses of healthcare data, advises Paul Keckley, managing director of Navigant. In this audio interview, Keckley talks about infomediation—the mining of membership data to determine factors influencing population health—and its influence on payor valuation, its role in shared risk arrangements, and why health plans’ ’embedded Intel’ uniquely positions them for success.
During a November 2015 webinar, Trends Shaping the Healthcare Industry in 2016: A Strategic Planning Session, now available for replay, Keckley and Laura Jacobs, executive vice president of GE Healthcare Camden Group, provided a roadmap to the key issues, challenges and opportunities for healthcare providers and payors in 2016.
The patient experience begins before an individual even thinks about going to the doctor or hospital, notes Laura Jacobs, executive vice president for GE Healthcare Camden Group, and patient satisfaction has moved beyond what is measured on surveys. As such, healthcare organizations should thoughtfully craft communications and care delivery strategies to meet rising consumer expectations and boost quality metrics. In this audio interview, Ms. Jacobs suggests how to better manage the consumer experience across the care spectrum and respond to the proliferation of consumer-generated healthcare data via apps and social media.
During a November 2015 webinar, Trends Shaping the Healthcare Industry in 2016: A Strategic Planning Session, now available for replay, Ms. Jacobs and Paul Keckley, managing director of Navigant, provided a roadmap to the key issues, challenges and opportunities for healthcare providers and payors in 2016.
From partnering with non-traditional providers like retail clinics to targeting larger physician practices to achieve savings and boost health outcomes, watch for health plans to continue to reshape primary care delivery over the coming year, predicts Catherine Sreckovich, managing director, healthcare, Navigant. Ms. Sreckovich outlines seven ways in which payors will influence primary care, advocates for big data for both payors and providers, and comments on the longevity of the bundled or episodic payment trend in this HealthSounds interview.
Catherine Sreckovich and Steven Valentine, president of The Camden Group, provided a roadmap to the key issues, challenges and opportunities for healthcare providers and payors in 2014 during an October 30, 2013 webinar, Healthcare Trends & Forecasts in 2014: A Strategic Planning Session.
In an atmosphere of increased state and federal oversight of health plan rates, healthcare organizations need a sound strategy for determining premium rate increases that meet regulatory approval. HealthScape Advisors managing directors Steve Young and John Steele describe the challenges of setting rates in this environment and the essential experience that can best prepare health plans for dealing with commercial plans.
Young and Steele shared how health plans can develop a sound policy for premium rate increases that will meet with regulatory approval during Health Plan Rate Setting: Balancing Premium Increases Against Regulatory Oversight, a 45-minute webinar on December 8, 2010.
What constitutes healthcare quality improvement? CMS’s definition of medical costs will likely coalesce around five key areas of quality improvement, say John Steele and Steve Young, managing directors for HealthScape Advisors. These CMS guidelines will impact health plans in January, when new medical loss ratio (MLR) regulations take effect. In this podcast, the advisors also describe the risk that insurers could incur on the rebate side if they don’t adequately prepare for the January changes and the impact the regulations could have on consumers’ medical care and choices.
Steele and Young provided an in-depth analysis of what health plans must do now to comply with the January deadline for MLRs and how this might impact health plans operationally and financially during Minimum Medical Loss Ratios: How Health Plans Should Prepare for the January Compliance Requirements, a 60-minute webinar on July 21, 2010.