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Healthcare Trends & Forecasts in 2014: Performance Expectations for the Healthcare Industry

November 2013 | 40 pages | ID: H5AB5D340A8EN
Healthcare Intelligence Network

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Note: If you order a hard copy of the report to be shipped out of the United States, you must pay USD 26.95 in addition to the report price.

From an early surge in Medicare accountable care collaborations to the problematic rollout of the nation's historic health insurance exchanges during a 16-day government shutdown, healthcare in 2013 has been nothing short of unpredictable.

Healthcare Trends & Forecasts in 2014: Performance Expectations for the Healthcare Industry, HIN's ninth annual industry forecast, provides both a handle on what's keeping healthcare CEOs up at night and a dream prescription for sounder program management in 2014.

In this eagerly awaited annual planning tool, Steven T. Valentine, president of The Camden Group, returns with his 'pyramid of success' to assess the industry landscape for healthcare providers. He covers the top-of-mind issues for physicians and hospitals, including the double-edged sword of dual eligible care management, an improvement plan for accountable care, best bets in shared savings and co-management and the 'new add' for medical homes in the year ahead.

To provide the payor perspective in a variable and volatile healthcare market, Valentine is joined by Catherine Sreckovich, managing director in the healthcare practice at Navigant, who describes the ways in which health plans will impact primary care in the year ahead and details the sector-by-sector impact of health insurance exchanges. With reimbursement foremost on the minds of those in integrated delivery systems, Ms. Sreckovich examines the growth and challenges of shared savings models and the role of data analytics in improving transparency in healthcare delivery and funding.

The advice in this 40-page resource is supplemented with data from HIN's tenth annual Healthcare Trends and Forecasts survey administered in October 2013. More than 130 responding healthcare organizations identify the top issues facing them today, predict the impact of 2014 ACA mandates on business, and share the best and worst business decisions of 2013 and lessons learned from both.

Healthcare Trends & Forecasts in 2014: Performance Expectations for the Healthcare Industry is a highly respected and anticipated resource highlighting the challenges that will continue to consume the healthcare executive in the year ahead.

Now in its ninth year of providing healthcare executives with a look ahead to help shape strategic plans, this year's resource covers:
  • The strategic importance of health insurance exchanges for health plans and providers even if they're not participating in the initial enrollment period;
  • The continued emphasis on the patient-centered medical home, accountable care organizations, bundled payments and care management and the need to hold organizations more accountable for costs and outcomes especially in light of the early results from CMS' Medicare Pioneer program;
  • The use of data analytics and the transparency of this data between health plans, providers and employers;
  • The changing dynamic of health plans' product portfolios and how tiered and narrow networks fit into the mix; and
  • Other key issues for plans and providers, including the trend toward provider-sponsored health plans, multi-payor collaboratives, the Medicaid expansion, managing the dual eligible population, tracking and reporting medical loss ratios, the growth in the post-acute market and consolidation in the industry.
2014 Healthcare Trends: Survey Results
Survey Highlights
A Sampling of Challenges and Solutions
Successful Programs and Services Launched in 2013
Best Business Decisions of 2013
Business Mistakes and Lessons Learned
Impact of ACA in 2013
About the Survey
Respondent Demographics
Entering a ‘New Era’ of Healthcare Delivery
Healthcare’s Pyramid of Success
Dual Eligibles: Opportunities and Cautions
Best Bets in Bundled Payments
Advice for Accountable Care Organizations
Physician-Hospital Co-Management Trends
Provider Predictions for 2014
Final Predictions
The New Payor Marketplaces and Continued Cost Pressures
Competition and Co-Ops
What Exchanges Mean for the Industry
Shared Savings Models
Rise of Big Data
Value-Based Purchasing
Q&A: Ask the Experts
What’s Keeping Healthcare CEOs Up at Night?
Investing in Value-Based Healthcare
Predictions for Healthcare Exchanges
Narrow Networks
Regional Trends for Commercially Insured
Provider-Run Health Plans
ACO Reimbursement Models
Growth of Future ACOs
From Medical Home to Medical Neighborhood
The Transformed Physician Practice in 2014
Specialists and Care Coordination
Collaborations to Improve Patient Handoffs
Big Data and Population Health Management
Payors’ Influence on Primary Care
Bundled Payments and Shared Savings
Glossary
For More Information
About the Contributors


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