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HEALTHCARE:
TOP TRENDS
2022
SLIDESHARE DECK
RESEARCH
INSTITUTE
2
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
TOP HEALTHCARE INDUSTRY TRENDS 2022 – PRIORITY MATRIX
 Adoption priority refers to the urgency of adopting a particular trend to create maximize value in 2022. Ratings are based on identified trends for healthcare players operating in the current environment.
 Business impact represents the influence of an identified trend on a firm’s 2022 business, including impact on member experience, operational excellence, regulatory compliance, or profitability.
 This matrix represents the view of Capgemini analysts for a healthcare player working within the current operating environment.
• Remote healthcare delivery due to COVID-19
• Changing regulatory environment
• Technology advancements
The factors above will vary by healthcare providers depending on business priorities, geographic location, and several other factors. For specific requirements, contact insurance@capgemini.com.
• Highly-competitive environment and increased focus on patient-
centricity due to new-age players
• Emerging member preferences.
Top Trends in Healthcare Insurance for 2022 by Capgemini
Customer centricity
1
COVID-19 fast-tracked digital health for a seamless patient experience
across care journeys
2
Patient-centric, personalized care, and a shoppable experience will significantly
enhance patient engagement
3
Healthcare sector is now focused on integrated health via a whole-patient approach and
understanding of Social Determinants of Health (SDoH)
Intelligent enterprises
4
Real-time healthcare data and Internet of Medical Things (IOMT) are driving agility in the
medical management
5
Non-traditional players are introducing significant BigTech play
in healthcare ecosystem
6 Healthcare players are on a massive spree of modernization and cloud adoption
Business resilience
7
Prioritizing pricing transparency enables payers and providers to earn member trust and
enable shoppable healthcare
8
Healthcare ecosystem players are stepping up measures to combat privacy
and security risks
9
Margin pressures and the transformation of care delivery models
have triggered consolidation
Collaboration-at-scale
10 Interoperability continues to outpace innovations in the connected care space
Adoption
priority
(2022)
Business impact (2022)
Medium
High
Significant
Medium High Significant
3
8
5
1
4
10
9
2
7
6
Adoption
priority
(2022)
3
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
COVID-19 FAST-TRACKED DIGITAL HEALTH FOR A SEAMLESS
PATIENT EXPERIENCE ACROSS CARE JOURNEYS
The adoption of virtual healthcare has led to a data-driven view of patient health
Power of
choice for
patients
Personalized
patient
engagement
Better access
to healthcare
professionals
Data-driven
view of
patient health
Top Trends in Healthcare Insurance for 2022 by Capgemini
As we reimagine post-
pandemic business
practices, providers and
payers are adopting a digital-
first approach to integrated
healthcare experiences.
01
TREND
4
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
PATIENT-CENTRIC, PERSONALIZED CARE, AND A SHOPPABLE
EXPERIENCE WILL SIGNIFICANTLY ENHANCE PATIENT ENGAGEMENT
Patient-centric treatment delivers win-win benefits
Top Trends in Healthcare Insurance for 2022 by Capgemini
The Affordable Care
Act’s value-based
model transformed the
US healthcare system
from a B2C to a B2B
sector with consequent
patient experience and
engagement demands.
Improved
medical
adherence
Improved
patient
engagement
Better
health
outcomes
Enhanced
access to care
02
TREND
5
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
HEALTHCARE SECTOR IS NOW FOCUSED ON INTEGRATED HEALTH
VIA WHOLE-PATIENT APPROACH AND UNDERSTANDING SDOH
Why has whole patient healthcare taken center stage?
Social Determinants of
Health (SDoH)
significantly affect
well-being
Polychronic patient
trends are on the rise
The behavioral health
crisis is intensifying
Top Trends in Healthcare Insurance for 2022 by Capgemini
The care spectrum has shifted
from episodic to encounter-
based care. Now, interventions
consider the patient’s holistic
history, including past and
present encounters and social
determinants of health (SDoH).
03
TREND
6
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
REAL-TIME HEALTHCARE DATA AND INTERNET OF MEDICAL THINGS
(IOMT) ARE DRIVING AGILITY IN THE MEDICAL MANAGEMENT
Real-time healthcare data and predictive modeling yield a variety of benefits
Claim
predictions
Accurate
forecasts of
clinical, financial
and operational
requirements
Early
identification
of at-risk
patients
Tailor made
treatment
Efficient
resource
allocation
Precise
insights on
patient
health
Top Trends in Healthcare Insurance for 2022 by Capgemini
For real-time clinical decision-
making, AI-powered predictive
analytics and big data support real-
time medical alerts and flag
catastrophic health events.
04
TREND
7
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
NON-TRADITIONAL PLAYERS ARE INTRODUCING SIGNIFICANT
BIGTECH PLAY IN HEALTHCARE ECOSYSTEM
Why are BigTech firms a potential fit within the healthcare market?
Access to
broad
customer data
Ability to
deliver a
superior
patient
experience
Strong
technology
capabilities
Rising
consumerization
of healthcare
Top Trends in Healthcare Insurance for 2022 by Capgemini
Non-traditional players and
hyperscalers are transforming
healthcare services delivery. Tech-
driven companies have the
capabilities to launch consumer-
focused health plans that comply
with industry regulations.
05
TREND
8
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
HEALTHCARE PLAYERS ARE ON A MASSIVE SPREE OF
MODERNIZATION AND CLOUD ADOPTION
Benefits of technology adoption and modernization
Easy and quick
access to
Electronic Health
Records (EHR)
and real-time data
Streamline
administrative
processes and
yield operational
benefits
Seamless
collaboration
among
ecosystem
players
Top Trends in Healthcare Insurance for 2022 by Capgemini
Healthcare players are now
pushing digital health
boundaries and embracing
cloud, automation, and
artificial intelligence.
06
TREND
9
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
PRIORITIZING PRICING TRANSPARENCY ENABLES PAYERS AND
PROVIDERS TO EARN MEMBER TRUST AND ENABLE SHOPPABLE
HEALTHCARE
How will transparent pricing models benefit patients, payers and providers?
Informed patients have
more control over
healthcare choices
Bundled pricing is
possible; providers gain
clearer visibility to
competitive landscape
Health plan
engagement goes
up, payer-provider
collaboration
becomes seamless
Top Trends in Healthcare Insurance for 2022 by Capgemini
Transparent pricing strategies
and proactive cost disclosure for
bundled healthcare services put
consumers and clients first by
tailoring the cost and quality of
care to individual situations,
attitudes, and behaviors.
07
TREND
10
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
HEALTHCARE ECOSYSTEM PLAYERS ARE STEPPING UP
MEASURES TO COMBAT PRIVACY AND SECURITY RISKS
Data security has become a healthcare priority
Rise in
frequency and
severity of
cyber attacks
Sensitive
nature of
patient health
information
Data breaches
could impact
business
operations
Top Trends in Healthcare Insurance for 2022 by Capgemini
As the healthcare industry
leverages vast data to innovate
personalized patient solutions
and enhance operational
efficiency, it also faces concerns
from members and regulators
around data security, privacy, and
the ethical use of patient
information.
08
TREND
11
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
MARGIN PRESSURES AND THE TRANSFORMATION OF CARE
DELIVERY MODELS HAVE TRIGGERED CONSOLIDATION
Why are healthcare organizations consolidating?
Providers need
broader
capabilities and
service
portfolios
Rising number of competitors and
dilution of market share
To offset low
margins, cost
efficiencies
required
To centralize data and enable
healthcare interoperability
Top Trends in Healthcare Insurance for 2022 by Capgemini
As more and more providers deliver care
from alternative settings, horizontal and
vertical health system integration is
becoming commonplace.
09
TREND
12
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
INTEROPERABILITY CONTINUES TO OUTPACE INNOVATIONS
IN THE CONNECTED CARE SPACE
Interoperability standards improve patient/member experience across the care continuum
Ability to provide
coordinated care
Innovative new
solutions
facilitating
data exchange
Patients have
greater control
over their data
On-demand
access to
healthcare
information
Top Trends in Healthcare Insurance for 2022 by Capgemini
Fast Healthcare Interoperability
Resources (FHIR) interoperability
standards enable dissimilar
systems to connect, which can
improve patient access and
facilitate coordinated care
10
TREND
This presentation contains information that may be privileged or confidential and is
the property of the Capgemini Group.
Copyright © 2021 Capgemini. All rights reserved.
Capgemini is a global leader in partnering with companies to transform and manage their
business by harnessing the power of technology. The Group is guided everyday by its
purpose of unleashing human energy through technology for an inclusive and sustainable
future. It is a responsible and diverse organization of 270,000 team members in nearly 50
countries. With its strong 50 year heritage and deep industry expertise, Capgemini is
trusted by its clients to address the entire breadth of their business needs, from strategy
and design to operations, fuelled by the fast evolving and innovative world of cloud, data,
AI, connectivity, software, digital engineering and platforms. The Group reported in 2020
global revenues of €16 billion.
About Capgemini
Get the Future You Want | www.capgemini.com

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Top Healthcare Trends 2022

  • 2. 2 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 TOP HEALTHCARE INDUSTRY TRENDS 2022 – PRIORITY MATRIX  Adoption priority refers to the urgency of adopting a particular trend to create maximize value in 2022. Ratings are based on identified trends for healthcare players operating in the current environment.  Business impact represents the influence of an identified trend on a firm’s 2022 business, including impact on member experience, operational excellence, regulatory compliance, or profitability.  This matrix represents the view of Capgemini analysts for a healthcare player working within the current operating environment. • Remote healthcare delivery due to COVID-19 • Changing regulatory environment • Technology advancements The factors above will vary by healthcare providers depending on business priorities, geographic location, and several other factors. For specific requirements, contact insurance@capgemini.com. • Highly-competitive environment and increased focus on patient- centricity due to new-age players • Emerging member preferences. Top Trends in Healthcare Insurance for 2022 by Capgemini Customer centricity 1 COVID-19 fast-tracked digital health for a seamless patient experience across care journeys 2 Patient-centric, personalized care, and a shoppable experience will significantly enhance patient engagement 3 Healthcare sector is now focused on integrated health via a whole-patient approach and understanding of Social Determinants of Health (SDoH) Intelligent enterprises 4 Real-time healthcare data and Internet of Medical Things (IOMT) are driving agility in the medical management 5 Non-traditional players are introducing significant BigTech play in healthcare ecosystem 6 Healthcare players are on a massive spree of modernization and cloud adoption Business resilience 7 Prioritizing pricing transparency enables payers and providers to earn member trust and enable shoppable healthcare 8 Healthcare ecosystem players are stepping up measures to combat privacy and security risks 9 Margin pressures and the transformation of care delivery models have triggered consolidation Collaboration-at-scale 10 Interoperability continues to outpace innovations in the connected care space Adoption priority (2022) Business impact (2022) Medium High Significant Medium High Significant 3 8 5 1 4 10 9 2 7 6 Adoption priority (2022)
  • 3. 3 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 COVID-19 FAST-TRACKED DIGITAL HEALTH FOR A SEAMLESS PATIENT EXPERIENCE ACROSS CARE JOURNEYS The adoption of virtual healthcare has led to a data-driven view of patient health Power of choice for patients Personalized patient engagement Better access to healthcare professionals Data-driven view of patient health Top Trends in Healthcare Insurance for 2022 by Capgemini As we reimagine post- pandemic business practices, providers and payers are adopting a digital- first approach to integrated healthcare experiences. 01 TREND
  • 4. 4 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 PATIENT-CENTRIC, PERSONALIZED CARE, AND A SHOPPABLE EXPERIENCE WILL SIGNIFICANTLY ENHANCE PATIENT ENGAGEMENT Patient-centric treatment delivers win-win benefits Top Trends in Healthcare Insurance for 2022 by Capgemini The Affordable Care Act’s value-based model transformed the US healthcare system from a B2C to a B2B sector with consequent patient experience and engagement demands. Improved medical adherence Improved patient engagement Better health outcomes Enhanced access to care 02 TREND
  • 5. 5 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 HEALTHCARE SECTOR IS NOW FOCUSED ON INTEGRATED HEALTH VIA WHOLE-PATIENT APPROACH AND UNDERSTANDING SDOH Why has whole patient healthcare taken center stage? Social Determinants of Health (SDoH) significantly affect well-being Polychronic patient trends are on the rise The behavioral health crisis is intensifying Top Trends in Healthcare Insurance for 2022 by Capgemini The care spectrum has shifted from episodic to encounter- based care. Now, interventions consider the patient’s holistic history, including past and present encounters and social determinants of health (SDoH). 03 TREND
  • 6. 6 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 REAL-TIME HEALTHCARE DATA AND INTERNET OF MEDICAL THINGS (IOMT) ARE DRIVING AGILITY IN THE MEDICAL MANAGEMENT Real-time healthcare data and predictive modeling yield a variety of benefits Claim predictions Accurate forecasts of clinical, financial and operational requirements Early identification of at-risk patients Tailor made treatment Efficient resource allocation Precise insights on patient health Top Trends in Healthcare Insurance for 2022 by Capgemini For real-time clinical decision- making, AI-powered predictive analytics and big data support real- time medical alerts and flag catastrophic health events. 04 TREND
  • 7. 7 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 NON-TRADITIONAL PLAYERS ARE INTRODUCING SIGNIFICANT BIGTECH PLAY IN HEALTHCARE ECOSYSTEM Why are BigTech firms a potential fit within the healthcare market? Access to broad customer data Ability to deliver a superior patient experience Strong technology capabilities Rising consumerization of healthcare Top Trends in Healthcare Insurance for 2022 by Capgemini Non-traditional players and hyperscalers are transforming healthcare services delivery. Tech- driven companies have the capabilities to launch consumer- focused health plans that comply with industry regulations. 05 TREND
  • 8. 8 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 HEALTHCARE PLAYERS ARE ON A MASSIVE SPREE OF MODERNIZATION AND CLOUD ADOPTION Benefits of technology adoption and modernization Easy and quick access to Electronic Health Records (EHR) and real-time data Streamline administrative processes and yield operational benefits Seamless collaboration among ecosystem players Top Trends in Healthcare Insurance for 2022 by Capgemini Healthcare players are now pushing digital health boundaries and embracing cloud, automation, and artificial intelligence. 06 TREND
  • 9. 9 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 PRIORITIZING PRICING TRANSPARENCY ENABLES PAYERS AND PROVIDERS TO EARN MEMBER TRUST AND ENABLE SHOPPABLE HEALTHCARE How will transparent pricing models benefit patients, payers and providers? Informed patients have more control over healthcare choices Bundled pricing is possible; providers gain clearer visibility to competitive landscape Health plan engagement goes up, payer-provider collaboration becomes seamless Top Trends in Healthcare Insurance for 2022 by Capgemini Transparent pricing strategies and proactive cost disclosure for bundled healthcare services put consumers and clients first by tailoring the cost and quality of care to individual situations, attitudes, and behaviors. 07 TREND
  • 10. 10 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 HEALTHCARE ECOSYSTEM PLAYERS ARE STEPPING UP MEASURES TO COMBAT PRIVACY AND SECURITY RISKS Data security has become a healthcare priority Rise in frequency and severity of cyber attacks Sensitive nature of patient health information Data breaches could impact business operations Top Trends in Healthcare Insurance for 2022 by Capgemini As the healthcare industry leverages vast data to innovate personalized patient solutions and enhance operational efficiency, it also faces concerns from members and regulators around data security, privacy, and the ethical use of patient information. 08 TREND
  • 11. 11 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 MARGIN PRESSURES AND THE TRANSFORMATION OF CARE DELIVERY MODELS HAVE TRIGGERED CONSOLIDATION Why are healthcare organizations consolidating? Providers need broader capabilities and service portfolios Rising number of competitors and dilution of market share To offset low margins, cost efficiencies required To centralize data and enable healthcare interoperability Top Trends in Healthcare Insurance for 2022 by Capgemini As more and more providers deliver care from alternative settings, horizontal and vertical health system integration is becoming commonplace. 09 TREND
  • 12. 12 Public © Capgemini 2021. All rights reserved | Top-10 Trends in Healthcare Insurance 2022 INTEROPERABILITY CONTINUES TO OUTPACE INNOVATIONS IN THE CONNECTED CARE SPACE Interoperability standards improve patient/member experience across the care continuum Ability to provide coordinated care Innovative new solutions facilitating data exchange Patients have greater control over their data On-demand access to healthcare information Top Trends in Healthcare Insurance for 2022 by Capgemini Fast Healthcare Interoperability Resources (FHIR) interoperability standards enable dissimilar systems to connect, which can improve patient access and facilitate coordinated care 10 TREND
  • 13. This presentation contains information that may be privileged or confidential and is the property of the Capgemini Group. Copyright © 2021 Capgemini. All rights reserved. Capgemini is a global leader in partnering with companies to transform and manage their business by harnessing the power of technology. The Group is guided everyday by its purpose of unleashing human energy through technology for an inclusive and sustainable future. It is a responsible and diverse organization of 270,000 team members in nearly 50 countries. With its strong 50 year heritage and deep industry expertise, Capgemini is trusted by its clients to address the entire breadth of their business needs, from strategy and design to operations, fuelled by the fast evolving and innovative world of cloud, data, AI, connectivity, software, digital engineering and platforms. The Group reported in 2020 global revenues of €16 billion. About Capgemini Get the Future You Want | www.capgemini.com