Healthcare Trends & Forecasts in 2015: Performance Expectations for the Healthcare Industry

From collaboration and consolidation to the inevitable acceptance of
a value-based system, the state of healthcare continues to stimulate
health plans,  providers and employers.

“Healthcare Trends & Forecasts in 2015: Performance Expectations for
the  Healthcare Industry,” HIN’s eleventh annual industry forecast,
examines the  factors challenging healthcare players and suggests
strategies for organizations  to distinguish themselves in the steadily
evolving marketplace.

For more information or to reserve your copy today please click on
this link: “Healthcare Trends And Forecasts in 2015”

In this yearly strategy playbook, Steven T. Valentine, president of
The Camden  Group, returns to give the industry outlook for healthcare
providers. Beginning  with his “pyramid of success” for population health
management, Valentine  outlines key impacts for physicians and
hospitals, including increasing  transparency in quality and pricing data;
emerging business roles for  physicians; shifting locus of care; and the
empowered and tech-savvy  healthcare consumer.

Offering the payor perspective is Dorothy Moller, managing director,
Navigant, who outlines industry “winds of change” and “seeds of
transformation” impacting health plans in the form of new roles for
existing stakeholders, mobile health and technology, and new players
on the healthcare field.

Now in its eleventh year of providing healthcare executives with a look
ahead to help shape strategic plans, “Healthcare Trends & Forecasts in
2015: Performance Expectations for the Healthcare Industry” covers
the following:

* Snapshot of provider trends, including inpatient utilization, pricing
and  quality transparency, and population health management;

* Provider milestones along the road to fee for value, including
accountable care and clinical integration;

* Report card on accountable care organization (ACO) performance;

* 15 key ACO infrastructure elements;

* Expectations for the patient-centered primary care delivery model;

* Impact of Medicare Chronic Care Management reimbursement in 2015;

* 16 factors in health system transition to a value-based reimbursement
system, including time frame, delivery systems and payment models;

* Responding to changes in locus of care, telehealth, retail health,
and direct primary care;

* Five payor strategies mirroring provider initiatives;

* 15 transformative payor challenges signaling a fundamental change
in the industry;

* Five questions payors must answer before negotiating the path to
value-based care;

* A dozen companies to watch that are introducing new technologies,
care delivery vehicles, care payment structures and consumer
engagement models;

* Eight payor survival strategies for weathering the ‘disruptive winds’
in the industry; and much more.

Reserve your copy today and please click here now: Healthcare Trends
And Forecasts in 2015

Focus On Data in Era of Value-Based Models of Reimbursement

“Despite the continued prevalence of the traditional fee for service reimbursement models as the primary method of payment, over time healthcare’s reimbursement will give way to value-based models of reimbursement.”

That prediction made by longtime friend and consultant Russell Foster surrounding the need for accurate data as value-based models of reimbursement continue to emerge has come true.

You know that valued-based reimbursement today is a significant focus. Payer reimbursement strategies are tipping in favor of providers who can deliver the clinical and financial goods. In the mix are bundled payments, shared savings, pay for performance and bonuses.

Payment Bundling, PHO Shared Savings, and Pay for Performance are all in the mix of emerging models of episode-based payments, physician-hospital organizations and physician bonus structures.

One major health payer’s 6,300 enrolled primary care physicians can earn bonus payments across six measure sets — a broad spectrum of measures from clinical and quality measures to prescribing Continue reading