Archive for the ‘Consumer-Driven Healthcare’ Category

Infographic: Shattering the Sick-Care Marketplace

May 11th, 2016 by Melanie Matthews

The emergence of an entirely new healthcare business design that ignores the boundaries and economic framework of the existing healthcare system is occurring in response to healthcare consumerism trends and is resulting in new consumer health, wellness, and better-living products and services.

A new infographic by Oliver Wyman describes the circumstances driving this transformation, the expected market of these products and services and essential product and service elements.

Population Health Framework: 27 Strategies to Drive Engagement, Access & Risk StratificationFaith-based integrated delivery system Adventist Health is on a mission to improve population health status with a wellness-based approach it estimates will eventually net $49 million in savings.

Population Health Framework: 27 Strategies to Drive Engagement, Access & Risk Stratification walks through the elements of Adventist's population health management program that engages individuals to modify behaviors and prevent illness in the future.

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Infographic: Trends in Employer-Sponsored Health Insurance

January 15th, 2016 by Melanie Matthews

Between 1999 and 2015, employer-sponsored health insurance premiums increased by 203 percent, outpacing both inflation and workers' earnings. However, growth of premiums for family coverage slowed toward the end of that time period, from an average of 11 percent a year between 1999 and 2005, to 5 percent between 2005 and 2015, according to a new Visualizing Health Policy infographic by the Henry J. Kaiser Family Foundation.

The infographic also looks at the average annual premium for family coverage and how employers are responding to high-cost health plans.

Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare IndustryFrom cost pressures, consumerism and consolidation to a proliferation of patient-centered, value-based delivery and payment models, the state of healthcare continues to challenge organizations in the industry.

Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare Industry, HIN's 12th annual business forecast, pins down the trends destined to impact the industry in the year to come and proposes tactics C-suite executives can employ to distinguish their operations in a dynamic marketplace.

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Infographic: The Three C’s of Digital Health

January 13th, 2016 by Melanie Matthews

An overwhelming majority, 73 percent, of health insurance executives are planning major, technology-driven transformation at their organizations, according to a new survey by HealthEdge.

The infographic looks at how the three C's of digital health—consumerism, cost reduction and care coordination—are driving this trend.

Despite reimbursement challenges, the healthcare industry is charged up about remote patient monitoring to manage chronic illness: two-thirds of respondents to HIN's 2015 Telehealth and Telemedicine survey monitor high-risk patients in this fashion. Encouraged by early success in coaching 23 patients to wellness at home via remote monitoring, CHRISTUS Health expanded its remote patient monitoring (RPM) enrollment to 170 high-risk, high-cost patients. At that scaling-up juncture, the challenge for CHRISTUS shifted to balancing its mission of keeping patients healthy and in their homes with maintaining revenue streams sufficient to keep its doors open in a largely fee-for-service environment.

Remote Patient Monitoring for Chronic Condition Management: Leveraging Technology in a Value-Based System chronicles the evolution of the CHRISTUS RPM pilot, which is framed around a Bluetooth®-enabled monitoring kit sent home with patients at hospital discharge.

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Infographic: Patient-Driven Healthcare Through Mobile Technology

November 30th, 2015 by Melanie Matthews

The traditional healthcare environment is changing to one where information is handled more efficiently and consumers are taking more control of healthcare decisions.

A new infographic by Samsung examines how the use of mobile devices is changing healthcare consumer and provider behaviors and the benefits of mobile health.

From home sensors that track daily motion and sleep abnormalities to video visits via teleconferencing, Humana's nine pilots of remote patient monitoring test technologies to keep the frail elderly at home as long as possible. When integrated with telephonic care management, remote monitoring has helped to avert medical emergencies and preventable hospitalizations among individuals with serious medical and functional challenges.

In Remote Patient Monitoring for Enhanced Care Coordination: Technology to Manage an Aging Population, Gail Miller, vice president of telephonic clinical operations in Humana's care management organization, Humana Cares/SeniorBridge, reviews Humana's expanded continuum of care aimed at improving health outcomes, increasing satisfaction and reducing overall healthcare costs with a more holistic approach.

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Healthcare Drivers for 2016: Cost Management, Consolidation, Consumerism

November 19th, 2015 by Patricia Donovan
Healthcare Trends 2016

Healthcare data, both system-generated and consumer-reported, will continue to transform the industry in the year ahead, according to HIN's twelfth annual strategic planning session.

As healthcare heads into a presidential election year, cost management remains a key focus, with infomediation—the growing practice of mining healthcare data about cost, quality, and services—a major tactic against price pressure.

These were just a few predictions by thought leaders during an annual industry strategic planning session sponsored by the Healthcare Intelligence Network.

"The North Star now for healthcare, for all players in the system, is sustainable cost," said Paul Keckley, managing director of Navigant, during Trends Shaping the Healthcare Industry in 2016: A Strategic Planning Session, now available for replay. Multiple forecasts indicate U.S. health costs will increase between 5.6 and 6 percent a year over the next decade, he noted, with the nation's economy only recovering to about a 3 percent growth rate.

"Not to be missed is the pressure on price and therefore, the pressure on reducing operating costs and reducing the cost per episode of care," agreed Laura Jacobs, executive vice president of GE Healthcare Camden Group. "Where you're going to be in that cost value equation is a key strategic question and should be part of your board discussions about where you want to be on that spectrum."

To become leaner and more efficient, healthcare organizations are closing ranks in increasing numbers. Ms. Jacobs predicted that this "dance of consolidation" would continue among all stakeholders in healthcare, with intense scrutiny by the FTC of those collaborations.

Some payors already are well ahead of hospitals, doctors and service providers in the degree of consolidation, added Mr. Keckley. "These super regional systems of care are evolving as a result of this transition of volume to value."

At the moment, health plans are better positioned to profit from healthcare's pay for value formulas and the proliferation of shared risk arrangements, he continued, largely because of the huge data repositories they have constructed. "A very strong meta-analysis of [health plan] data becomes the anchor for shared risk arrangements," Keckley said, referring to the phenomenon known as infomediation. "The strongest asset health plans have is their data." Manipulation of this data to influence population health trends is fast becoming central to health plan operations, he said.

Another type of data the healthcare industry should be cognizant of is consumer-generated healthcare data, in the form of provider reviews on social media or within apps. "Consumer reporting on their experience with providers is not something that providers love," Ms. Jacobs said. "But just as we've experienced with other parts of consumerism, the impact of these kinds of venues will continue."

The panelists also shared thoughts on opportunities in the Medicare Advantage market, the blurring of lines between payor and provider, early returns from provider-sponsored health plans, and the anticipated evolution of primary care as the "epicenter" of healthcare.

Click here to listen to more predictions from Laura Jacobs.

Infographic: Meet Today’s Healthcare Consumer

October 30th, 2015 by Melanie Matthews

Consumer engagement is increasing in three important areas—provider partnerships, online health information searches and technology use, according to findings from Deloitte's 2015 Survey of U.S. Health Care Consumers.

A new infographic by Deloitte looks at how these trends are impacting today's healthcare consumer.

Meet Today's Healthcare Consumer

Skyrocketing private exchange participation rates—industry estimates predict more than 40 million people may be enrolled in private insurance exchanges within three years—carry implications for health insurers in terms of how the various market segments are succeeding or failing to attract business.

Private Insurance Exchanges: Adapting Insurer Strategies to the New Marketplaces details the radical transformation underway in how employers and consumers offer and shop for coverage. It discusses the current status of private exchanges, reviews the inventory in existence today, and shares thoughts from market consultants and insurance executives on how new business strategies will be influenced by new entrants to the private exchange space and the participation of insurers and brokers.

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Infographic: Patient Demands Drive Health IT Transformation

October 21st, 2015 by Melanie Matthews

Today's healthcare consumer demands are driving IT transformation, according to a new infographic by CDW Healthcare.

The infographic examines how patients want to communicate with their physician and new routes of patient education and access to care.

Patient Demands Drive Health IT Transformation

As the healthcare industry's understanding of the importance of an empowered, engaged patient has increased, Intermountain Healthcare changed its mission statement to reflect the critical role of patients in a value-based healthcare system. "Helping people live the healthiest lives possible" embodies the new environment of shared accountability between patients and providers that is fostered at Intermountain Healthcare.

During A Patient Engagement Framework: Intermountain Healthcare's Approach for a Value-Based System, a 45-minute webinar, on October 28th at 1:30 p.m., Tammy Richards, corporate director of patient and clinical engagement at Intermountain Healthcare, will share the key tenets of Intermountain's patient engagement strategy.

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Infographic: Digital Health and the Physician-Patient Relationship

August 14th, 2015 by Melanie Matthews

Without question technology is having a profound impact on the practice of medicine with the availability of health information on the internet, according to a new infographic by Vigyanix.

The infographic looks at how digital health is impacting the physician-patient relationship, popular health apps available to consumers and how the availability of information changes patient decisions.

2015 Healthcare Benchmarks: Telehealth & TelemedicineThe world of digitally enabled care is exploding: the number of patients using telehealth services will rise to 7 million in 2018, according to IHS Technology; healthcare apps and 'wearables' are trending in technology circles and healthcare providers' offices; and CMS's new 'Next Generation ACO' model is expected to favor expanded telehealth coverage.

2015 Healthcare Benchmarks: Telehealth & Telemedicine delivers actionable new telehealth metrics on technologies, program components, successes and ROI from 115 healthcare organizations. This 60-page report, now in its fourth year, documents benchmarks on current and planned telehealth and telemedicine initiatives, with historical perspective from 2009 to present.

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Infographic: Improving the Patient Experience

July 29th, 2015 by Melanie Matthews

Some 67 percent of healthcare executives agree that the role of customer service will change more in the next two years than in the last 10, according to a new infographic by Aspect.

The infographic compares the healthcare industry's focus on the consumer experience with other industries and the percent of healthcare organizations that offer technology-enabled customer service applications.

11 Profitable Value-Based Reimbursement Models: Lessons from Early AdoptersCMS's ambitious agenda for moving Medicare into alternative payment models is driving the U.S. healthcare system toward greater value-based purchasing at a furious rate. Private payors also have pledged to continue to shift payments away from fee for service and into alternative payment models such as accountable care organizations (ACOs). Fortunately, many healthcare organizations are already exploring value-based payments—often a single innovation at a time—testing models that reward providers for meeting Triple Aim goals of improving patient experience and population health while reducing healthcare's per capita cost.

11 Profitable Value-Based Reimbursement Models: Lessons from Early Adopters encapsulates nearly a dozen such approaches, from Bon Secours' building of a business case for its multidisciplinary care team to the John C. Lincoln ACO's deep dive into data analytics to identify and manage the care of high-risk, high-cost 'VIP' patients to 'beat the benchmark' to WellPoint's engagement of specialists in care coordination.

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Infographic: Consumer Healthcare Payment Trends

June 12th, 2015 by Melanie Matthews

Consumer payments to healthcare providers increased by 193 percent in 2014, according to a new infographic by Instamed.

The infographic also examines other healthcare consumer payment trends.

Data Sources for Rate-Setting in ACOs, Exchanges and Narrow NetworksGreater cost transparency and consumer engagement are front-and-center in the health insurance revolution that is underway, and the use of data is driving these monumental changes.

Data Sources for Rate-Setting in ACOs, Exchanges and Narrow Networks examines the various ways claims data can be used in the new health insurance marketplace. In addition to helping support the adjudication of out-of-network claims, claims data can provide the building blocks for ACO development, as well as the foundation for pursuing a narrow-network strategy, developing consumer-oriented tools to promote effective plan selection and plan management, and building internal dashboards for strategic decision making.

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