TOP 2019 Top Ten TEN - HCEG · 2020-06-02 · 2019-HCEG-TopTen-Inforgraphic-Long-V8 Created Date:...
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www.hceg.org HealthCare Executive Group [email protected] 2019 TOP TEN 2019 Top Ten www.hceg.org/top-ten https://www.hipaajournal.com/2019-data-breach-barometer-report-shows-massive-increase-in-exposed-healthcare-records/ 2.5 Months to report Data Breach 8.5 Months to discover Data Breach 1 2 3 4 5 6 7 8 9 10 11 12 Months it Takes to Detect and Report a Data Breach 10 Cybersecurity Protecting the privacy and security of consumer information to maintain consumer trust in sharing data. https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis https://www.moveforwardpt.com/Resources/Detail/7-staggering-statistics-about-america-s-opioid-epi $78.5B Total economic burden of prescription opioid misuse in the U.S. 29% Percentage of patients misusing opioids prescribed for chronic pain 130 Number of people who die each day in the U.S. due to an opioid overdose 9 Opioid Management Developing strategies for identifying and supporting individuals and populations struggling with substance abuse/addiction or at risk of addiction. https://hceg.org/wp-content/uploads/Change_Healthcare_Industry_Pulse_2019_Digital.pdf https://www.healthcarefinancenews.com/news/health-insurers-say-automation-needed-operational-efficiency Percentage of executives ranking Data Analytics as extremely or very effective in improving operational effectiveness and efficiency 30% Percentage of executives ranking Analytics are extremely or very effective in empowering more productive providers 28% 53% Percentage of executives ranking their organization's as being very efficient What Healthcare Executives Say 8 Operational Effectiveness Implementing lean quality programs, process efficiency (with new core business models), robotics automation, revenue cycle management, real-time/near-time point of sales transactions, etc. Refinement of consumer experience 11.1 % Innovations in care delivery 13.3 % Changing existing business models 32.2 % Top 3 External Forces That Will Disrupt Healthcare 7 External Market Disruption New players like Amazon, Chase, Apple, Walmart, and Google. https://hceg.org/wp-content/uploads/Change_Healthcare_Industry_Pulse_2019_Digital.pdf https://www.drugchannels.net/2015/07/pharmas-bright-future-meet-top-10-drugs.html In 2020, 9 of the 10 best-selling drugs by revenue will be specialty drugs, compared with 3 out of 10 in 2010, and 7 out of 10 in 2014. 6 Rising Pharmacy Costs Implementing strategies to address growth of pharma costs along with benefits to quality of care and to total healthcare costs. https://hceg.org/wp-content/uploads/Change_Healthcare_Industry_Pulse_2019_Digital.pdf 15.2% 11.7% 73.1% Patient Portals 19.9% 29.2% 50.9% Machine Learning (AI) 5 The Digital Healthcare Organization HSAs, portals, patient literacy, cost transparency, digital payments, CRM, wearables and other patient-generated data, health monitoring, and omni-channel access/distribution. Will Not Deploy Plan to Deploy Currently Deployed https://hceg.org/wp-content/uploads/Change_Healthcare_Industry_Pulse_2019_Digital.pdf 3 - 5 years 5 or more years Never Less than 1 year 1 - 2 years 39.8% 17.5% 6.3% 9.7% 26.7% Value-Based Contracts Are Being Adopted Slowly 4 Value-based Payments Transitioning to and targeting specific medical conditions to manage cost and improve quality of care. Majority of healthcare organizations over-estimate involvement in risk-based agreements Primary Barriers to Pursuing Population Health Difficulty in Changing Culture Difficulty in Modeling Cost of Care Issues with Internal Systems Unsure of When to Make Transition Potential Threat of Financial Losses Resistance from Leadership http://info.nai-consulting.com/acton/attachment/5655/f-0033/1/-/-/-/-/Numerof%20Population%20Health%20Survey%20Report%20-%20April%202018.pdf The potential threat of financial loss is increasingly seen as a significant roadblock. 3 Population Health Services Operationalizing community-based health strategy, chronic care management, driving clinical integration, and addressing barriers to health such as social determinants. Only 14% of Americans aged 25 to 64 understand meaning of deductible, co-pay, co-insurance, and out-of-pocket cost. ♀♂♀♂♀♂♀♂ ♂♀ ♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂ ♂♀♂♀♂ ♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀ ♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀ ♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀ ♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂ ♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂ ♀♂♀♂♀♂♀♂♀♂♀♂ ♀♂♀ ♂♀♂ ♀♂ Understanding of Co-Pay, Co-Insurance, Deductible and Out-of-Pocket Cost http://www.consumerhealthalliance.org/25-health-care-facts-and-statistics/ 2 Total Consumer Health Improving members’ overall medical, social, financial, and environmental well-being. Growth of Electronic Health Records (EHR’s) enables unprecedented access to clinical data. 2008 9% 96% 2017 Hospital EHR Adoption https://dashboard.healthit.gov/evaluations/data-briefs/non-federal-acute-care-hospital-ehr-adoption-2008-2015.php 1 Data & Analytics Leveraging data (especially clinical) to manage health and drive individual, provider and payer decisions.
Transcript of TOP 2019 Top Ten TEN - HCEG · 2020-06-02 · 2019-HCEG-TopTen-Inforgraphic-Long-V8 Created Date:...
www.hceg.orgHealthCare Executive Group [email protected]
2019
TOPTEN 2019 Top Ten
www.hceg.org/top-ten
https://www.hipaajournal.com/2019-data-breach-barometer-report-shows-massive-increase-in-exposed-healthcare-records/
2.5 Monthsto reportData Breach
� � � � � � � � � � � �
8.5 Months to discover Data Breach
� � �1 2 3 4 5 6 7 8 9 10 11 12
Months it Takes to Detect and Report a Data Breach
10CybersecurityProtecting the privacy and security of consumer information to maintain consumer trust in sharing data.
https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisishttps://www.moveforwardpt.com/Resources/Detail/7-staggering-statistics-about-america-s-opioid-epi
�$78.5BTotal economic burdenof prescription opioid misuse in the U.S.
� 29%Percentage of patientsmisusing opioids prescribedfor chronic pain
�� 130Number of people whodie each day in the U.S. due to an opioid overdose
9 Opioid ManagementDeveloping strategies for identifying and supporting individuals and populations struggling with substanceabuse/addiction or at risk of addiction.
https://hceg.org/wp-content/uploads/Change_Healthcare_Industry_Pulse_2019_Digital.pdfhttps://www.healthcarefinancenews.com/news/health-insurers-say-automation-needed-operational-efficiency
Percentage of executives rankingData Analytics as extremelyor very effective in improving
operational effectiveness and efficiency
�30%Percentage of executives ranking
Analytics are extremely orvery effective in empoweringmore productive providers
28% 53%Percentage of executives
ranking their organization'sas being very efficient
What Healthcare Executives Say
8 Operational EffectivenessImplementing lean quality programs, process efficiency (with new core business models), robotics automation, revenue cycle management, real-time/near-time point of sales transactions, etc.
Refinement of consumer experience
11.1%
Innovations in care delivery
13.3%
Changing existingbusiness models
32.2%
Top 3 External Forces That Will Disrupt Healthcare
7 External Market DisruptionNew players like Amazon, Chase, Apple, Walmart, and Google.
https://hceg.org/wp-content/uploads/Change_Healthcare_Industry_Pulse_2019_Digital.pdf
https://www.drugchannels.net/2015/07/pharmas-bright-future-meet-top-10-drugs.html
� � � � � � � � � �
In 2020, 9 of the 10 best-selling drugs by revenuewill be specialty drugs, compared with 3 out of 10 in 2010, and 7 out of 10 in 2014.
6 Rising Pharmacy CostsImplementing strategies to address growth of pharma costs along with benefits to quality of care and to totalhealthcare costs.
https://hceg.org/wp-content/uploads/Change_Healthcare_Industry_Pulse_2019_Digital.pdf
15.2%
11.7%73.1%
Patient Portals
19.9% 29.2%
50.9%
Machine Learning (AI)
5 The Digital Healthcare OrganizationHSAs, portals, patient literacy, cost transparency, digital payments, CRM, wearables and other patient-generated data, health monitoring, and omni-channel access/distribution.
Will Not DeployPlan to DeployCurrently Deployed
https://hceg.org/wp-content/uploads/Change_Healthcare_Industry_Pulse_2019_Digital.pdf
3 - 5 years 5 or moreyears
NeverLess than 1year
1 - 2 years
39.8%
17.5%
6.3%9.7%
26.7%
Value-Based Contracts Are Being Adopted Slowly
4 Value-based PaymentsTransitioning to and targeting specific medical conditions to manage cost and improve quality of care.
Majority of healthcare organizations over-estimateinvolvement in risk-based agreements
Primary Barriers to Pursuing Population Health
Difficulty in Changing Culture�
Difficulty in Modeling Cost of Care�Issues with Internal Systems�
Unsure of When to Make Transition�Potential Threat of Financial Losses�
Resistance from Leadership�
http://info.nai-consulting.com/acton/attachment/5655/f-0033/1/-/-/-/-/Numerof%20Population%20Health%20Survey%20Report%20-%20April%202018.pdf
The potential threat of financial loss is increasingly seen as a significant roadblock.�
3 Population Health ServicesOperationalizing community-based health strategy, chronic care management, driving clinical integration, and addressing barriers to health such as social determinants.
Only 14% of Americans aged 25 to 64 understand meaningof deductible, co-pay,co-insurance, and out-of-pocket cost.
♀♂♀♂♀♂♀♂ ♂♀ ♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂ ♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀ ♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀ ♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂ ♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂♀♂ ♀♂♀♂♀♂♀♂♀♂♀♂ ♀♂♀ ♂♀♂ ♀♂
Understanding of Co-Pay, Co-Insurance, Deductible and Out-of-Pocket Cost
http://www.consumerhealthalliance.org/25-health-care-facts-and-statistics/
2 Total Consumer HealthImproving members’ overall medical, social, financial, and environmental well-being.
Growth of Electronic Health Records (EHR’s) enables unprecedented access to clinical data.2008
9% 96%2017
Hospital EHR Adoption
https://dashboard.healthit.gov/evaluations/data-briefs/non-federal-acute-care-hospital-ehr-adoption-2008-2015.php
1 Data & AnalyticsLeveraging data (especially clinical) to manage health and drive individual, provider and payer decisions.
