The Transformation of Health Care in 2014

Laptop And Stethoscope Health Care in 2014Did 2013 leave you wondering about health care in 2014? There’s no doubt about it: the health care industry is being transformed even as I type. While I don’t have a crystal ball, there are trends we can see – and much of what is happening is because of technology. Cornerstone Alliance exists to ensure that current and future residents in our Primary Service Area are able to receive health care locally, with good access, competence and affordability.

As we look forward to what lies ahead, we want to share some of the transformation in health care that we see unfolding before us.

The Transformation Consumers Will See

Mitch Rothschild, CEO of Vitals, shared in a recent blog post, “Over the past decade, the internet has transferred power from the buyer to the seller in several different consumer sectors. We’re helping shape that transition in health care. Other patients’ feedback on doctors has become a critical part of the process of selecting a doctor.” He outlined five key changes he predicts health care consumers will see in the coming year:

        1. Wait Times Will Go Up- Over a million new people enrolled in the health care system in 2013, and many millions more are estimated to begin participating in 2014
        2. Patients Will Continue to Love Their Doctors- Health care consumers are becoming more savvy about choosing a doctor with whom they can build a lasting relationship
        3. Urgent Care and Alternate Care Center Use Will Continue To Grow- Consumers have more options to choose from than just their primary care physician when they want or need to receive care
        4. More Online Appointments- In 2013, about 20 percent of practices allowed online appointment requests either through patient portals or online scheduling services
        5. Increase in the Power of Online Patient Reviews- In 2014, more will turn to online reviews for comparing doctors, just like we do for other purchase decisions

The Transformation Technology is Creating

Forbes magazine outlined 5 ways technology is transforming the health care industry to help keep people healthy. Because of this, venture capitalists are pouring funds into Health IT, simply because technology will enable health care to be more efficient and effective through:

        1. Crunching data to offer a better diagnosis and treatment
        2. Helping doctors communicate with patients
        3. Linking doctors with other doctors
        4. Connecting doctors and patients
        5. Helping patients stay healthy

The Transformation We Need to Know About

The transformation of health care has far-reaching effects. Because of this, insurance providers must stay on top of the changing health care landscape. Consumer needs and the opportunities offered by technology are transforming health care in a variety of ways, including these 6 outlined in a recent article by Mark Roberts:

        1. Guaranteed issue- In 2014, health insurance companies cannot deny health insurance coverage to an individual based on a pre-existing condition. They must give coverage to anyone who applies
        2. Taxation, with representation- The penalty is $95 per uninsured adult, in 2014 there’s a $325 cap for a family or 1 percent of taxable household income, whichever is greater
        3. Boomer sooner- The 50+ population is the fastest growing segment worldwide and predicted life expectancies are at a historical high
        4. Designer teeth and eyes- More people are retiring earlier than ever before, these men and women have been used to keeping up appearances and having access to aesthetic benefits like dental and vision
        5. Clinical review- Americans are seeking access to less expensive health care options including clinics and urgent care centers rather than going to typical private physician offices
        6. Doc talk- There’s a huge opportunity for mobile applications and customized, purpose-built devices. There are already roughly 100,000 health applications available in major app stores

What lies ahead for health care in 2014?

Cornerstone Alliance Lima OH Transformation of Health Care in 2014

New opportunities.

The transformation of health care in 2014 will bring new ways of providing access, competence, and affordability to support healthier communities. Contact us for more information about how Cornerstone Alliance can support your organization through our network of providers.

Healthcare Transformation and Value-Based Care

Harold Bischoff Healthcare Transformation Value-Added Care

From the desk of Harold Bischoff:

For each of us and all of us in the industry, healthcare transformation is top of mind and priority on our list. The goal: The delivery of value-based care. During the first week of November I had the pleasure to attend the Leadership Development Institute held by Catholic Health Partners (CHP) in Mason, OH.  At the session I got to hear presentations by the top leaders of CHP on how they are restructuring all the hospitals and organizations composing the entity.  The goals for CHP are to:

  • Develop clinically integrated networks in all markets served by the organization and to re-design the care delivery process;
  • Change the payment model from being paid for the volume of services to being paid for quality/outcomes/total costs;
  • Re-structure and align how support services within CHP, such as IT, legal services, HR, etc., are provided and attain cost efficiencies.

The message of the meeting was that we—whatever our role in the delivery process—have been called to transform with confidence, competence, and servant-hearts.  Over the next year each CHP employee will be able to make a promise to make lives better, to promise to be of service and to promise to make healthcare easier.

One week later I attended The Advisory Board Company’s  National Meeting in Washington, DC.  Over the course of two days I got to hear up-to-the-minute research on what leading-edge health delivery organizations are dealing with in healthcare transformation and doing to restructure their delivery systems.

These experiences have flooded my mind with all the changes that are happening in healthcare delivery and the financing of care.  While many believe that the Patient Protection and Accountable Care Act (the Health Reform Act) was the motivation for all the changes happening, I know that PPACA doesn’t deal directly with healthcare costs.  Many leaders within healthcare organizations have concluded that our society simply cannot afford to deliver healthcare in the manner that we have.  True leaders are attempting to change their delivery processes in order to ensure that they can continue to serve their communities.

Cornerstone Alliance Lima OHSt Ritas Medical Center Lima OHCornerstone Alliance, Inc. is working closely with St. Rita’s Medical Center in the structuring of a clinically integrated network to deliver value-based care.  Since I have been working on this effort since early 2007, I welcome the changes that are afoot within CHP and St. Rita’s and believe that our Cornerstone Member Physicians and Providers will benefit, as well as the population at large in the Lima community from this effort.

Stay with us in this adventure called healthcare transformation as we seek the best ways to deliver value-based care for the good of our people and our community.  I look forward to the journey ahead.

Harold L. Bischoff, FACHE
Executive Director
Cornerstone Alliance, Inc.