Archives

Healthcare Industry Trend

Total Cost of Care

Value-based business models have evolved over time from basic pay-for-performance arrangements to partial and full-risk. 2023 will be the year...

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Healthcare Industry Trend

Retail Healthcare

The emergence of the new “Big Four” in healthcare (i.e., Walmart, Amazon, Walgreens, and CVS), plus pilots by others (i.e.,...

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Healthcare Industry Trend

Vertical Integration

Vertical integration continues to blur the lines between payers and providers. Payers will use acquisitions to expand their services and...

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Healthcare Industry Trend

Omnichannel Healthcare

An increase in alternative site-based and virtual care has had a positive effect on patient outcomes and is more cost-efficient...

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Healthcare Industry Trend

Medicare Advantage

Medicare Advantage (MA) enrollment continues to grow rapidly. Despite MA plans being under scrutiny in 2022 due to overcharging and...

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Healthcare Industry Trend

Condition-Specific Solutions

As providers embrace data-driven results and are measured on their performance, patients will receive more appropriate interventions. Condition-specific reimbursements, including...

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Healthcare Industry Trend

Pharmacy & Drug Spending

New entrants (i.e., Mark Cuban Cost Plus Drugs), plus innovative models from disruptors (i.e., Amazon RxPass) will push continued reform...

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Healthcare Industry Trend

Price Transparency

Due to increased regulations for hospitals and Rx, there is an unprecedented level of availability of data around healthcare prices....

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Healthcare Industry Trend

Consumerism

Digitally savvy consumers have higher expectations of their healthcare experience and and will demand higher quality, convenient, personalized care. Consumerism...

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Healthcare Industry Trend

Convenience

As new solutions emerge, purchasers and individual healthcare consumers are given new choices in how they access and experience care....

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Healthcare Industry Trend

Affordability

The emergence of shared risk contracts between employers and providers to achieve short and long-term cost reduction combined with data...

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Healthcare Industry Trend

Employer Coalitions

As employers fight for industry transformation, coalitions are taking a more progressive role in shaping the future. National groups like...

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