Navigation Links
Economy and New President Shape This Year's Top Ten Issues Facing Managed Care Executives
Date:3/24/2009

CLEVELAND, March 24 /PRNewswire/ -- Dealing with a difficult economy and a new administration in the White House are the overall themes of the Managed Care Executive Group's (MCEG) annual meeting held in Chandler, AZ last week. The themes shape the definitive Top Ten issues list the group produces each year. Despite economic challenges, this year's Top Ten list is hopeful of strategic positives funded by the federal stimulus package that could accelerate advances, such as solving the affordability issue and improving electronic collaboration.

This year's MCEG Top 10:

  1. The Role of State and Federal Government in Health Care: Government support, intervention and regulation are having increasing impact on payer's operations, costs and even marketplace strategies. The importance of electronic health information technology in reforming the U.S. healthcare system is evident in the President's health care plan. Funding of HIT will accelerate adoption but with funding will come increased regulation, oversight and compliance audits. This will impact IT budgets, operations and project planning.
  2. Affordability: Looking for ways to contain costs, and given that most operations have been pretty well optimized, plans will tend to look for more creative plan designs and provider risk sharing. Cost pressures will facilitate the continued trend toward consolidations of payers.
  3. The Stimulus Package and HIT: $20 billion or more directed to healthcare IT will establish a revised set of priorities for health plans and their IT leadership.
  4. Collaboration with Providers as a Business Partnership: Recently, partnership has been based on access, quality, safety, effectiveness and patient centeredness. P4P is holding providers accountable, stressing bridges to excellence. Now, partnership in innovation is taking such forms as retail clinics, primary care automation, medical imaging management and practice guideline development.
  5. Data analytics and informatics: Disease management, real-time decision support, case management, customer segmentation, and protocol development will continue to drive investment in analytics. Clinical information will be broad and deep, enabling caregivers to more precisely identify diagnoses and target treatment.
  6. Impact of Recession: Combined effects of economic recession, pressure on Federal and State budgets, and the perception of a healthcare "cost bubble" will force an end to decades of cost inflation. Health care insurance premiums will decline beginning in 2010.
  7. Providing transparency to health plan data and operations: The ability to allow providers and health plans to utilize shared data continues to expand. The need to improve patient outcomes and operational efficiency is leading to investments in quality measurement, peer-grouping, provider report cards and predictive modeling.
  8. Health Data Exchanges: RHIOs (Regional Health Information Organizations) and data exchanges are moving from concept to reality. Some basic issues in finding sustainable business models include: ownership, architecture, technology standards, patient privacy/security, and establishing trust.
  9. Consumers, the Web and Health 2.0: Self-service, personal health records, individual product fulfillment, coordination of care, transmission of home monitoring data, and telephone or even live video e-visits with caregivers are examples of new technologies needed to bring consumerism to healthcare.
  10. Business and IT Collaboration: In times of change, the importance of a strong business/IT partnership is heightened. Business and IT leaders are collaborating to re-engineer business processes, increase speed and improve customer experience.


'/>"/>
SOURCE Managed Care Executive Group
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Wai Wai choose conservation economy for traditional Amazon territory
2. Scotlands economy challenged by population trends
3. APHA Says Investing in Healthy People and Communities Can Help Create a Healthy Economy
4. States Promoted Broader Coverage for Children in 2007, But Report That a Declining Economy Coupled With Lack of SCHIP Reauthorization and New Federal Rules Now Compromise Efforts to Reduce the Number of Uninsured
5. Individual Healthcare Reform Necessity in New Business Economy
6. Women Believe Economy Is Top Issue in 2008 Election
7. Business Leaders, Policy Makers and Advocates Gather to Discuss Strategies for Securing the Nations Economy by Investing in Early Childhood
8. Reducing carbon emissions could help -- not harm -- US economy
9. Annual Economic Impact of Chronic Disease on Ohio Economy is $56.8 Billion
10. Academic Health Centers Major Force in Global Knowledge Economy
11. Journey Lite of Thousand Oaks Announces Special Spring Price Discount In Response to Effects of Softening Economy on Patients Pocketbooks
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/10/2016)... ... February 10, 2016 , ... 10 Best Water ... were three leading bottled water brand owners that topped the list as a result ... and optimize conversion. The premier brand was Tibet 5100, a top notch water company ...
(Date:2/10/2016)... (PRWEB) , ... February 10, 2016 , ... ... advisory organization, welcomes S.S. Nesbitt as the latest addition to its growing list ... seven other locations throughout the Southeast, from Orlando to Huntsville and in between. ...
(Date:2/10/2016)... ... February 10, 2016 , ... Pediatric therapists are ... patients. Research shows that the Goal Attainment Scale (GAS) captures 20% more change ... and learn more about the Goal Attainment Scale, Education Resources Inc. is offering ...
(Date:2/10/2016)... ... 10, 2016 , ... IDEX Health & Science, LLC announces ... (PLS) columns combine the strength of traditional stainless steel with the chemical inertness ... while operating at ultra-high pressures of 20,000 psi. The higher operating pressures allow ...
(Date:2/10/2016)... ... 10, 2016 , ... Anxiety of older Americans over steep cost increases of ... a decade ago, according to The Senior Citizens League (TSCL). Since ... coping with rapidly rising costs. “The implications are chilling, particularly for people with ...
Breaking Medicine News(10 mins):
(Date:2/10/2016)... ANGELES , Feb. 10, 2016  Oxis International ... cancer drug, OXS-1550, was described as a "clinical trial ... the drug went into complete cancer remission. ... University of Minnesota Masonic Cancer Center. --> ... University of Minnesota Masonic Cancer Center. --> ...
(Date:2/10/2016)... , Feb. 10, 2016  LexisNexis® Risk Solutions, ... today announced the launch of LexisNexis Provider ... that helps improve and optimize the quality and ... performance using severity-adjusted scores. By measuring provider performance ... solution to deliver better outcomes, improve the patient ...
(Date:2/10/2016)... Israel , February 10, 2016 /PRNewswire/ ... leader in the field of cartilage repair, announces the ... 5, 2016. The $15 million investment was led by ... pharmaceutical manufacturer, and was joined by existing Regentis investors ... and both the Technion Research & Development Foundation and ...
Breaking Medicine Technology: