With the New Year approaching, it’s a great time to step back and review overall strategy. We’ve got the perfect tool to help you with that: Manatt Health Solutions’ “10 Megatrends Shaping Healthcare’s Next 10 Years.”
Manatt, a law firm with offices across the country, is predicting cultural, technological, and financial changes that merit consideration. How will these changes, assuming they materialize, affect your business in the next year or two?
1. Consumers take charge. As consumers gain access to better health information, the tools to monitor their behaviors and health status, and insurance marketplaces, Manatt predicts more awareness of costs, more engaged consumers, and fast growth in home-based self-care.
2. Doing more with less. As providers move from being paid for volume to being paid for outcomes, primary care will gain prominence (possibly leading to lower pricing for specialists), the role of non-physician providers will expand, and quality metrics will become all-important.
3. Healthcare everywhere. As healthcare moves from hospitals and clinics to homes and communities, we’ll see smartphones that can monitor vital signs, social media platforms designed to drive healthy behaviors, and patients opting for new places to receive care.
4. Mega health systems. Some hospitals merge to gain efficiency and improve quality. These mega-systems will generate significant demand for risk management and population health tools.
5. States as payers, public health agents, and innovators. Expect Medicaid to become a more proactive provider, closer alignment of Medicaid/Medicare with private insurers, a more integrated approach (medical, behavioral, public health, and social issues), and a movement toward managed care plans for the aged and disabled.
6. Value through data. Aggregated patient data (big data) will be leveraged in a multitude of ways, including outcomes-based reimbursement models, improved decision making, evaluation of drugs and medical devices, and facilitation of clinical trials.
7. Predict, prevent, personalize. Biomedical research (genomics, cytomics, proteomics) will lead to the development of new ways to develop drugs, diagnose diseases, and treat patients.
8. Employers recalibrate. As the ACA goes into full effect, employer-based health coverage will likely shift to new marketplaces, and we may see employers pooling their purchasing power to contract with select providers.
9. The new aging. Healthcare systems struggling to cope with a growing group of older Americans will focus on helping people stay in their homes longer and face the end of their lives with dignity.
10. Healthcare goes global. Medical tourism gives Americans more options, but they involve new types of risks. US pharmaceutical manufacturers may see opportunities in overseas populations willing to pay cash for specialty products.
Essentially, Manett sees our health system being entirely re-invented over the next decade. Medical billing ompanies that plan accordingly will thrive; the rest will likely become obsolete.
Last Updated on December 3, 2013