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

ng such forms as retail clinics, primary care automation, medical imaging management and practice guideline development.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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,
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  • SOURCE Managed Care Executive Group
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