Posted in As prescription drug prices skyrocket, and pharmaceutical companies and politicians continue to debate who should pay, a new bipartisan bill appears to offer at least some of the answers. Shubham Singhal, “Pharma spending growth: Making the most of our dollars,” May 2017, healthcare.mckinsey.com. How do prescription drug prices impact a health system and its patients? Practical resources to help leaders navigate to the next normal: guides, tools, checklists, interviews and more. Figure 4. Banned access to the insurance exchange for those with illegal immigration status (which is under court review). Unlike the House’s titled the Elijah E. Cummings Lower Drug Costs Now Act, the Senate Bill does not give the Department of Health and Human Services (HHS), the government body with jurisdiction over public health, the ability to negotiate drug prices or target private insurance. We are seeing this across industries with many of our clients, and healthcare is no different. The healthcare marketing trends … Rather than simple horizontal or vertical consolidation, programmatic M&A will be used to develop new business models and refine existing ones. As innovators and incumbents settle into this next decade, those that can achieve productivity gains will create competitive advantages through growth and margin. Additionally, many organizations are taking a closer look at their employer-sponsored health benefits with increased sensitivity to employee affordability. Technology giants are locked in a trillion-dollar battle to win share in the public cloud and to retain consumer mindshare and engagement. Where a patient resides, employment, family situation, etc. Price transparency is a trending concept in today’s healthcare landscape. Medical cost trend in the midst of the COVID-19 pandemic Because of the drop in employer healthcare spending in the first half of 2020 and the uncertainty around spending in the second half of the year, HRI is projecting 2021 medical cost trend relative to 2020 estimated healthcare costs… HC Community is only available to Health Catalyst clients and staff with valid accounts. 2 The infrastructure to avoid technological errors. Learn about tab, Travel, Logistics & Transport Infrastructure, McKinsey Institute for Black Economic Mobility. Medicaid expansion allowed people in remote communities, such as throughout the Mountain West, to access care that was previously unavailable. In October 2018, the U.S. … Health systems should adjust to the changes and also prepare for 2020 by considering key questions: The time to prepare for change in healthcare legislation, healthcare access and delivery, and payment methods is now—health systems need a clear goal and a strategic plan, based on their current knowledge, that will help them get there. While there will be uncertainties, stakeholders can navigate them by … all affect an individual’s health and clinicians should include this information throughout the care process. Shubham Singhal, a senior partner in the Detroit office, is the global leader of McKinsey’s Healthcare Practice. And we saw the effects in 2017. As healthcare and politics are deeply intertwined, we know that any changes in our political landscape have a direct impact on healthcare. Of course, no change will be enacted until 2020 when the Supreme Court hears the case. McKinsey Insights - Get our latest thinking on your iPhone, iPad, or Android device. While Congress … Rabah Kamal, Cynthia Cox, and Daniel McDermott, “What are the recent and forecasted trends in prescription drug spending?” Peterson-KFF Health System Tracker, February 2019, healthsystemtracker.org. Expands the use of opioid-focused telehealth services. Changing business models, policy changes and technological innovation— bolstered by a wave of coming-of-age millennials taking a self-actualized approach to healthcare—are all influencing a dynamic shift in the way brands need to approach their audiences. Here are some articles we suggest: Join our growing community of healthcare leaders and stay informed with the latest news and updates from Health Catalyst. Our flagship business publication has been defining and informing the senior-management agenda since 1964. As the fight to combat , so does the legislation to overcome it—the Substance Use Disorder (SUD) Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act was passed in 2018. The data clinics, health plans, and hospitals are collecting today is far richer than it used to be  and can highlight inequality. For example, both companies now offer virtual clinical and home visits for their employees. Healthcare leaders will need to focus on how to drive this practical innovation and scale it even beyond what they’ve done in prior years. Leaders will innovate to integrate behavioral and physical health as well as address access to social care. Pamela L Owens et al., “Inpatient stays involving mental and substance use disorders, 2016,” Statistical Brief #249, Healthcare Cost and Utilization Project, March 2019, Agency for Healthcare Research and Quality, hcup-us.ahrq.gov. We take your privacy very seriously. Healthcare Mergers, Acquisitions, and Partnerships, Elijah E. Cummings Lower Drug Costs Now Act, Mercy Medical Center joining Cleveland Clinic, Substance Use Disorder (SUD) Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act, Healthcare Quality Improvement: A Foundational Business Strategy, Today’s Top Five Healthcare Payer Financial Opportunities, Removing Barriers to Clinician Engagement: Partnerships in Improvement Work, Healthcare Analytics for Payers: How to Thrive Through Shifting Financial Risk, I am a Health Catalyst client who needs an account in HC Community. Another aspect of the new consumerism approach to healthcare is mergers and acquisitions. Health systems have opportunities to improve like never before; new types of organizations are entering the healthcare industry with new ideas, technology is changing the method of delivery, and patients are demanding price transparency. Although Medicaid expansion legislation was passed in 2018 and took effect in 2019, referendums and legislation are still pending in many places throughout the United States: The Medicaid expansion legislation intensely affects healthcare organizations and patients because Medicaid expansion means more people have access to healthcare than before. Reasons that range from Turning data into action, Improvement of Patient health, Promotion of Preventive Care, Enhancement of Patient Engagement and Satisfaction, and Advan… Health systems need to be prepared to care for this new influx of patients without compromising quality and also ensuring they meet CMS standards of care in order to receive reimbursements. Healthcare organizations will expand their aperture to take a holistic view of the well-being of patients and consumers. “Behavioral health care is high-value care,” American Hospital Association, May 2019, aha.org. One thing is for certain—marketers are now more accountable for revenue than ever before, and the ability to drive engagement is essential. In North America, U.S. held the largest market share in 2019 attributed to shifting trends towards in-home healthcare from the nursing homes, technological advancement, and presence of advanced medical infrastructure. Digital upends old models. We use cookies essential for this site to function well. Today, 9 out of 10 prescriptions are filled with generic drugs. But now, eligible physicians are starting to feel the penalty phase of CMSs quality reporting and Meaningful Use initiatives. 6 Health systems have more opportunity than ever before to leverage data and technology to deliver the best care to all patients, no matter where they live. The percentage of patients with a usual source of care ranges from 75 to 87, depending on ethnicity. The healthcare industry is consolidating rapidly as it moves toward value-based care. As the business of providing healthcare becomes more complex, so does the process of treating individual patients. Three major characteristics will separate these winners from the rest: they will secure their balance sheets ahead of the downturn and shore up performance; they will move faster to drive a step-change improvement in operating costs, particularly through automation and analytics, before the downturn, and investment in growth during the downturn; and they will purposefully shape their portfolios by divesting before the downturn and acquiring afterward, as appropriate. There are a number of reasons why mHealth technologiesneeds IoT advancement in the industry. Collaboration between hospitals and clinics and other health systems to create contracts that address payment, liability, and transportation if a provider is traveling to provide care. As we reflect on the many revolutions that changed the healthcare climate, it’s time to look forward. 3. For example, small hospitals throughout southern Utah, southeast Idaho, and southern Wyoming with University of Utah Health and Intermountain Healthcare to provide specialty care to patients within their communities. In addition, high patient awareness levels coupled with increasing healthcare expenditure and the implementation of the streamlined regulatory framework are also driving the market in the regio… hereLearn more about cookies, Opens in new Healthcare is an essential, dynamic, and opportunity-rich industry. As companies from both the private and public sector join forces to solve health care’s biggest problems, health systems should ask themselves if they are ready to compete in this new landscape. Something went wrong. 3 Health systems have more opportunity than ever before to leverage data and technology to deliver the best care to all patients, no matter where they live. our use of cookies, and Are health systems ready for, and practicing, price transparency? North America dominated the home healthcare market with a share of around 42% in 2019. Flip the odds. 2020 Enough providers with the scheduling capacity to care for patients via telehealth. Google is hiring physicians from and to develop new healthcare solutions that could possibly threaten current healthcare organizations by taking patients away from traditional hospitals and clinics. Prediction 3: There will be a continued emphasis on process improvement in healthcare. The healthcare IT market is highly competitive and consists of several major players. Leading players will need a clear view of their intended role in these ecosystems of the future; investigate partnerships, alliances, and acquisitions; and find how they want to organize their programmatic M&A and innovation capabilities. For example, payers reimagining the next generation managed care model with meaningful engagement in care delivery, which includes the integration of a patient’s care journey, are seeing superior returns. It’s no secret that the healthcare industry … Anywhere from 10 percent to 22 percent, depending on race and ethnicity, did not see a doctor because of the cost, and anywhere between 19 percent and 35 percent delayed needed medical care because of the cost (Figure 3). Kellie Wong. Figure 1. While all major healthcare regulatory reforms have happened in the aftermath of a recession, affordability issues felt directly by consumers through cost sharing raise the chances for real change. However, if the Supreme Court votes to repeal the ACA, the effects will be far-reaching for patients and health systems, as 21 million Americans will lose insurance coverage. In 2017, U.S. healthcare companies on average increased their marketing expenditure by $4.8 million. With increased information available to consumers, payers and providers are incentivized to improve quality and cost, driving down healthcare prices without compromising the level of care. Speed of execution will become a major source of advantage fueling this shift. Digital will be a major disruptor to the market in the future and companies such as Amazon and Microsoft are already leveraging these technologies to improve care and the patient experience. They also cause major disparities in health and healthcare. We'll email you when new articles are published on this topic. Another key trend in healthcare is real-time digital interactions. Eligible professionals may also see r… Authorizes CDC grants, states, and localities to improve their prescription drug monitoring programs. Unleash their potential. As we look ahead, we suggest keeping an eye on the following seven trends… People create and sustain change. December 4, 2019 Last Updated: January 21, 2020. As price transparency increases and consumers—and CMS—demand quality care for less, healthcare organizations need new ways to succeed within the VBC landscape. Legislation is still pending in Kansas, North Carolina, and Wyoming. We take pride in providing you with relevant, useful content. Value-based purchasing programs are solidly in place for hospitals. 2. Referendums for expansion are expected on the 2020 ballot in at least four states. collaboration with select social media and trusted analytics partners An agile operating model, mostly applied in IT/digital to date, will become de rigueur for all management process, from planning to execution. With global health care spending expected to rise at a CAGR of 5 percent in 2019-23, it will likely present many opportunities for the sector. Employers also had to deal with the new 1.9 million new beneficiaries added to Medicare Advantage in 2019, representing 34 percent of the total Medicare population. In addition to mergers and private sector activity, dramatic changes in healthcare costs occurred in 2019—an increase in family coverage plans, increases in overall insurance costs, worker/employer share, etc.—and those changes are likely to continue well into 2020 (Figure 2). 4. The Global Big Data in Healthcare Market Size is Projected to Reach USD 29710 million by 2026, from USD 15590 million in 2020, at a CAGR of 11.3% During 2021-2026. Further, the report … The 9 Biggest Technology Trends That Will Transform Medicine And Healthcare In 2020. Companies like Amazon and Sam’s Club are taking aggressive tactics to solve these complex healthcare challenges rather than relying on traditional methods. As a result, they are investing billions of R&D dollars into their platforms to create services easily usable across a range of customers and for a range of applications (for example, predictive analytics) that accelerate innovation. In 2019, the home health industry experienced a lot of uncertainty. Healthcare organizations should offer, or consider offering, easily-accessible healthcare consultations—like virtual healthcare and telehealth—that also emphasize quality care with convenience and easy scheduling. In terms of market share, few of the major players currently dominate the market. cookies. Combined, these digital advances create fertile ground for the development of consumer-centric personalized, intuitive, and integrated health and social care ecosystems. After a year full of change and many topics competing for the headlines in 2019, politics and reform, the Affordable Care Act (ACA), prescription drug access and pricing, and price transparency were major areas of focus politically. ET 5. Those who have seen a doctor in the past 12 months or had a healthcare visit in past 12 months ranges from 75 percent to 85 percent, again, depending on ethnicity. However, with technological advancements and product innovations, mid-size to smaller companies are increasing their market … tab. Real-Time Health Tracking as One of Healthcare Tech Trends. Reducing federal financial support for insurance exchanges. Adobe Stock. May we use cookies to track what you read? Data shows that healthcare providers are not currently meeting their consumers’ highest priorities (Figure 1). Telehealth allows people who live in hard-to-reach places to access the same opioid addiction recovery services that are offered in an urban area. Prices for branded drugs rose by 57 percent since 2014, while generic drug prices have dropped by 35 percent. Between 2000 and 2015, the percentage of workers whose health plans included three or more drug tiers rose from 27 percent to 81 percent. Our mission is to help leaders in multiple sectors develop a deeper understanding of the global economy. The only way for health systems to remain successful, and flexible, is to be willing to try new ways of healthcare delivery and to never lose sight of the reason the organization exists—to provide the care to each patient, when, where, and how they need it. The healthcare and pharmaceutical industries are already vouching for its efficiency by investing millions in this market. Press enter to select and open the results on a new page. These add more cost burdens for employers and healthcare organizations as they strive to provide care for this increasing population with limited financial resources. In 2020 healthcare apps functions boggle the mind on account of their options and variety. Enterprise Data Warehouse / Data Operating system, Leadership, Culture, Governance, Diversity and Inclusion, Patient Experience, Engagement, Satisfaction. While demand for services overall increased significantly, there were also major payment reform changes, a focus on … Regulators are pushing interoperability and freeing up data to be aggregated around the patient. In 2018, Definitive Healthcare tracked an astounding 803 mergers and acquisitions (M&As)and 858 affiliation and partnership announcements, which means that consolidations were taking place almost every single business day of the year. In large part payers, providers, and other service players who are operating successfully in Medicare Advantage will have an advantage in most future scenarios. To situations where patients is prevented from following medical advice due to cost 2010 and was one! Mountain West, to access care that was previously unavailable health as well address! Mergers and acquisitions by 35 percent hears the case where patients is prevented from following medical advice to. 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