Movement has started around the lengthy journey from traditional “fee for service” healthcare to some model that emphasizes value and quality. It has been going ahead for a while now, but we anticipate seeing real acceleration within the next 12-24 several weeks.
Astute observers in our health system have predicted this shift for a while, however the “market” is frequently slow to adjust to unfamiliar change.
Health reform and lots of related initiatives have converged to assist fully activate the 550d.
The NY Occasions lately reported about how new payment approaches are starting to positively impact provider and patient experience (see “Health Insurers Are Attempting New Payment Models, Study Shows” from This summer 9, 2014).
We have seen reports like these because the first waves from the seismic shift which will transform healthcare within this country. We begin to see the chance and responsibility for health intends to lead to greater patient-provider collaboration because they still evolve and equipment up for any more consumer-centric market.
Numerous trends are materializing that illustrate this ever-growing role for consumers in next-generation health plan models.
We are seeing a boost in healthcare consumerism, marked development in the person market, and elevated participation in HSA-qualified high deductible health plans.
Within their September 2012 report “Transforming Healthcare: From Volume to Value,” KPMG cites numerous trends that signal this developing reality.
Health plan executives surveyed for that report predicted significant alterations in the plan market next 5 years, with growth predicted for CDHPs (78% stated so), Individual (76%), State medicaid programs (76%) and Medicare Advantage (71%). Most felt that group medical health insurance would loss of that time period.
We are already seeing these predictions starting to engage in.
More lately, AHIP just released market research noting nowadays there are over 17 million active HSA-qualified insurance policy people, that is up almost 12% from 2013. Enrollment has elevated typically 15% each year since 2011. Still relatively small figures, but market conditions favor further expansion.
This evolving megatrend of “Volume to Value” will redefine the insurance market.
It’ll slowly move the industry from risk manager and claims adjudicator to collaborative partner and outcomes driver. The plan of tomorrow could be a true catalyst for healthcare change.
To understand this potential, health plans must be consumer-centric within their strategies, tactics, messages, tonality and repair choices. They have to deliver significant methods to providers and people which help drive collaboration between both of these constituent groups.
They may be truly instrumental in assisting to resolve a range of significant problems and open possibilities for greater reimbursement and outcomes.
