This document discusses challenges consumers face in understanding and selecting health insurance plans and how decision support tools can help. It finds that while consumers understand basic concepts, many struggle to apply knowledge to out-of-pocket cost calculations. Younger, less educated consumers have even less understanding. The document also examines factors influencing plan selection and trade-offs consumers are willing to make for lower premiums. It presents examples of new digital tools like avatars, calculators, and mobile apps that provide targeted information to help consumers make optimal choices.
Understand what consumers value most when managing their health and how much additional responsibility they’re willing to take on to reduce the cost of their healthcare.
A consumer study prepared by PwC to investigate how behavioral, regulatory, and technological disruption are changing consumer's approaches to managing their health.
Primary care in the New Health Economy: Time for a makeover.PwC
According to PwC's Health Research Institute's report, “Primary care in the New Health Economy: Time for a makeover”, primary care is set to make a comeback in the New Health Economy -- with a newfangled twist. Technology, consumer-friendly new entrants and care teams that rely less on a single physician are leading the way to a reimagined primary care system, poised to deliver better value to today’s demanding purchasers and close the gap on projected physician shortages.
The Patient Experience and Its Impact on Your Health Practice and ProfitabilityBen Buchanan
In our most recent webinar in coordination with Availity, we covered the journey of the patient experience for health professionals. Here’s what we cover:
- Who is today’s patient? What are their expectations? What is patient satisfaction?
- Uncovering the cost difference between generating new patients versus retaining an existing one.
- 5 steps practices can implement to maximize the patient experience thus contributing to the overall profitability.
For more information on healthcare payment processing, learn more here: https://bit.ly/2O9mvDV
Imagine a future in which more consumers engage with the health care system – a future that holds the promise of more effective, efficient, and satisfying care experiences and better health outcomes for those individuals and the accountable care populations to which they belong. Findings from Deloitte’s 2015 Survey of US Health Care Consumers suggest we are moving closer to that future as consumer engagement increases in three important areas. Explore trends in consumers’ use of online resources and health technologies: http://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/health-care-consumer-engagement.html.
While hospitals have dealt with new regulations and declining payments, today’s CEOs face many unprecedented challenges. New survey findings from the Deloitte Center for Health Solutions reveal top of mind issues for health system CEOs regarding the current state of the industry and their expectations and plans as they look to the future. For more, please visit: www.deloitte.com/us/health-system-ceos.
As public and private insurers move away from traditional fee-for-service payments, healthcare organizations are struggling to make the leap. Market share, regional characteristics, financial health and an organization’s mission and culture are shaping the path as the flow of money shifts and the skills to manage and measure risk are being redirected in largely untested ways.
Understand what consumers value most when managing their health and how much additional responsibility they’re willing to take on to reduce the cost of their healthcare.
A consumer study prepared by PwC to investigate how behavioral, regulatory, and technological disruption are changing consumer's approaches to managing their health.
Primary care in the New Health Economy: Time for a makeover.PwC
According to PwC's Health Research Institute's report, “Primary care in the New Health Economy: Time for a makeover”, primary care is set to make a comeback in the New Health Economy -- with a newfangled twist. Technology, consumer-friendly new entrants and care teams that rely less on a single physician are leading the way to a reimagined primary care system, poised to deliver better value to today’s demanding purchasers and close the gap on projected physician shortages.
The Patient Experience and Its Impact on Your Health Practice and ProfitabilityBen Buchanan
In our most recent webinar in coordination with Availity, we covered the journey of the patient experience for health professionals. Here’s what we cover:
- Who is today’s patient? What are their expectations? What is patient satisfaction?
- Uncovering the cost difference between generating new patients versus retaining an existing one.
- 5 steps practices can implement to maximize the patient experience thus contributing to the overall profitability.
For more information on healthcare payment processing, learn more here: https://bit.ly/2O9mvDV
Imagine a future in which more consumers engage with the health care system – a future that holds the promise of more effective, efficient, and satisfying care experiences and better health outcomes for those individuals and the accountable care populations to which they belong. Findings from Deloitte’s 2015 Survey of US Health Care Consumers suggest we are moving closer to that future as consumer engagement increases in three important areas. Explore trends in consumers’ use of online resources and health technologies: http://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/health-care-consumer-engagement.html.
While hospitals have dealt with new regulations and declining payments, today’s CEOs face many unprecedented challenges. New survey findings from the Deloitte Center for Health Solutions reveal top of mind issues for health system CEOs regarding the current state of the industry and their expectations and plans as they look to the future. For more, please visit: www.deloitte.com/us/health-system-ceos.
As public and private insurers move away from traditional fee-for-service payments, healthcare organizations are struggling to make the leap. Market share, regional characteristics, financial health and an organization’s mission and culture are shaping the path as the flow of money shifts and the skills to manage and measure risk are being redirected in largely untested ways.
Government data shows rising OOP spending for consumers, but excludes some types of health-related items and services that can add significantly to the total amount and consumer share of spending. This infographic exposes these “hidden costs” that account for almost one-fifth of total health care spending.
For more information, visit
2016 Survey of US Physicians: Physician awareness, perspectives, and readines...Deloitte United States
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a Medicare payment law intended to drive health care payment and delivery system reform for clinicians, health systems, Medicare, and other government and commercial payers. Deloitte’s 2016 Survey of US Physicians sought to shed light on physicians’ awareness of MACRA, their perspectives on its implications, and their attitudes and readiness for change. The survey found that many physicians are unaware of MACRA. Regardless of their awareness level, most physicians surveyed would have to change aspects of their practice to meet the law’s requirements and to do well under its incentives. Many physicians surveyed recognize they will need to bear increased financial risk (under MACRA and in general) and need support and resources to develop the capabilities do so. http://www.deloitte.com/us/macra?id=us:2sm:3ss:macra:eng:lshc:071216
The public health insurance exchanges have been in operation for nearly three years now and may be opening the door for a new generation of engaged health care consumers. Deloitte’s 2016 Survey of US Health Care Consumers sought to understand their satisfaction with coverage, confidence in handling future health care costs, use of online services, knowledge of costs, and how they shop for coverage. http://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/health-care-consumers-health-insurance-exchanges.html
Findings reveal:
o Exchange consumers say they are satisfied with their coverage at the same rate as people with employer coverage
o More exchange consumers feel prepared to handle future costs and able to access affordable care than last year
o More than twice as many exchange consumers report using online information sources to shop for a policy than the average consumer, including those with employer coverage
o More exchange consumers say they understand their costs than consumers with employer coverage, and when they used their coverage, few had surprise out-of-pocket costs
o Exchange consumers shop around for coverage and evaluate the total costs before making decisions, and they continue to be willing to accept network tradeoffs for lower payments
Health Services Tax Conference May 18-19, 2015, Presentations included: Mega Trends and the Impact on Healthcare, The Healthcare Industry: A View from Washington and The New Health Economy.
Patient-Centered Medical Home: Navigating through Recognition and Rewardsathenahealth
Join athenahealth as we delve into Patient-Centered Medical Homes and the complications that come with navigating through the regulations to achieve level three recognition status.
Making happier, healthier patients
The link between happiness and health is well documented. More accurately referred to as subjective wellbeing, it’s been demonstrated that a positive outlook is
not only the result of good health, but the cause of it.
The Power and Promise of Unstructured Patient DataHealthline
Unstructured search capabilities, superior natural language processing, and healthcare ontology capabilities will help distinguish the leading products information and data-driven decision making.
Presentation from HIMSS17 shares introductory findings from Navicure's first Patient Payment Check-Up™. Conducted by HIMSS Analytics and fielded in January 2017, the national survey reveals key differences in attitudes and behavior between those billing for healthcare and those paying for it.
Government data shows rising OOP spending for consumers, but excludes some types of health-related items and services that can add significantly to the total amount and consumer share of spending. This infographic exposes these “hidden costs” that account for almost one-fifth of total health care spending.
For more information, visit
2016 Survey of US Physicians: Physician awareness, perspectives, and readines...Deloitte United States
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a Medicare payment law intended to drive health care payment and delivery system reform for clinicians, health systems, Medicare, and other government and commercial payers. Deloitte’s 2016 Survey of US Physicians sought to shed light on physicians’ awareness of MACRA, their perspectives on its implications, and their attitudes and readiness for change. The survey found that many physicians are unaware of MACRA. Regardless of their awareness level, most physicians surveyed would have to change aspects of their practice to meet the law’s requirements and to do well under its incentives. Many physicians surveyed recognize they will need to bear increased financial risk (under MACRA and in general) and need support and resources to develop the capabilities do so. http://www.deloitte.com/us/macra?id=us:2sm:3ss:macra:eng:lshc:071216
The public health insurance exchanges have been in operation for nearly three years now and may be opening the door for a new generation of engaged health care consumers. Deloitte’s 2016 Survey of US Health Care Consumers sought to understand their satisfaction with coverage, confidence in handling future health care costs, use of online services, knowledge of costs, and how they shop for coverage. http://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/health-care-consumers-health-insurance-exchanges.html
Findings reveal:
o Exchange consumers say they are satisfied with their coverage at the same rate as people with employer coverage
o More exchange consumers feel prepared to handle future costs and able to access affordable care than last year
o More than twice as many exchange consumers report using online information sources to shop for a policy than the average consumer, including those with employer coverage
o More exchange consumers say they understand their costs than consumers with employer coverage, and when they used their coverage, few had surprise out-of-pocket costs
o Exchange consumers shop around for coverage and evaluate the total costs before making decisions, and they continue to be willing to accept network tradeoffs for lower payments
Health Services Tax Conference May 18-19, 2015, Presentations included: Mega Trends and the Impact on Healthcare, The Healthcare Industry: A View from Washington and The New Health Economy.
Patient-Centered Medical Home: Navigating through Recognition and Rewardsathenahealth
Join athenahealth as we delve into Patient-Centered Medical Homes and the complications that come with navigating through the regulations to achieve level three recognition status.
Making happier, healthier patients
The link between happiness and health is well documented. More accurately referred to as subjective wellbeing, it’s been demonstrated that a positive outlook is
not only the result of good health, but the cause of it.
The Power and Promise of Unstructured Patient DataHealthline
Unstructured search capabilities, superior natural language processing, and healthcare ontology capabilities will help distinguish the leading products information and data-driven decision making.
Presentation from HIMSS17 shares introductory findings from Navicure's first Patient Payment Check-Up™. Conducted by HIMSS Analytics and fielded in January 2017, the national survey reveals key differences in attitudes and behavior between those billing for healthcare and those paying for it.
Meeting the Billing and Payment Needs of MillennialsFiserv
The millennial generation is coming of age, taking on more financial responsibility and beginning to flex their financial and social muscle. Billing organizations must know how to serve and satisfy millennials’ unique billing and payment practices and preferences.
Webinar Replay:
http://fisv.co/millennial-payments-webinar
Research Paper:
http://fisv.co/millennial-payments-research
As consumers face more choice, complexity, and financial exposure for their health care in an increasingly uncertain world, they are highly influenced by Age , Income and Education factors.
Using psychographic segmentation and digital communications to improve Revenue Cycle Management by motivating patients to pay current, overdue and delinquent healthcare bills. This presentation was delivered at the Healthcare Financial Management Association Tri-State (Ohio, Kentucky, Indiana) conference on September 12, 2019
Patient expectations are rising, and organizations are continuously being asked to do more with less.
Additionally, the convergence of several significant emerging market and policy trends, economic uncertainty, labor force shortages, and the end of the COVID-19 public health emergency has created a unique set of challenges for healthcare organizations.
Attend this timely webinar to learn about new trends and their impact on key healthcare issues, such as patient engagement, migration to value-based care, analytics adoption, the use of alternative care sites, and data governance and management challenges.
Health Insurance Literacy: Key Considerations for StakeholdersEnroll America
Webinar slides from October 20, 2014. Here at Enroll America we want consumers to get covered, and stay covered, and research shows that the more consumers know about the Affordable Care Act and health insurance, the more likely they are to keep their coverage. We know that helping consumers understand their options, select a plan that meets their need and budget, and learn how to use their coverage once enrolled is crucial, but incredibly challenging. Join Enroll America and Consumers Union to learn about the critical connection between health insurance literacy and retention and how to talk about some of the key health insurance concepts consumers struggle with. We also shared some useful resources to keep in your back pocket as these issues continue to come up in the months ahead. This webinar is appropriate for enrollment stakeholders interested in addressing gaps in knowledge about health insurance among consumers to make sure they get covered, and stay covered! You can watch the recording here: http://www.enrollamerica.org/resources/webinars/ready4oe2-effective-strategies-second-open-enrollment-period/.
Interactive Discussion led by Aaron Davis, MSHA, FACHE, CPXP, Vice President & Chief Experience Officer, UMC Health System, at the marcus evans National Healthcare CXO Summit in Boston MA October 16-18, 2022
The Affordable Care Act has brought changes that businesses can’t ignore.
Aflac surveyed 314 brokers, 5,209 American workers and 1,856 business decision-makers to determine the impact health care reform is having on brokers’ business models and employers’ benefit offerings.
The results show the growing importance of voluntary insurance benefits.
Consumers’ top reasons for delaying healthcare visits in the UAE include concerns around exposure to other people coupled with a lack of trust in facility safety.
Revenue at Risk: Understanding Financial Impacts of Quality ReportingBill Presley
Jodi Frei, Northwestern Medical Center Vermont, and I co-presented at the MUSE Executive Institute on Revenue at Risk: Understanding Financial Impacts of Quality Reporting. The Executive Institute featured many amazing CXO's discussing the changing landscape of revenue cycle management and how finance, quality, and IT departments are converging on revenue cycle.
Though pay for performance is the common theme, the logistics of programs including Value Based Purchasing (VBP), Inpatient Quality Reporting (IQR), Hospital Acquired Condition (HAC) Reduction Program, Readmission Reduction, MACRA, MIPS and APMs, are very different. In this session, the specifics of each Quality Program including reporting requirements, scoring methodologies, and associated incentives and penalties will be covered. In addition, tools to track performance and quantify financial risk will be shared.
Reimbursement in this era of health care reform is challenging. We all seek success under this new normal in health care. Optimizing revenue capture in a quality reimbursement model requires acquisition of new knowledge and the use of new tools and strategies. Join us in the conversation; share your strategies; learn from others.
What can industry stakeholders learn from the findings of Deloitte’s 2014 survey of young adults and health insurance to help increase enrollment of this population during special enrollment periods in 2014 and during the 2015 open enrollment season?
For more information, please visit https://www.deloitte.com/view/en_US/us/Insights/centers/center-for-health-solutions/755bca14ef416410VgnVCM1000003256f70aRCRD.htm
Explore how the Affordable Care Act and creation of state level and national exchanges has impacted member risk profiles and demand for small-group and individual health plans.
Health Services Tax Conference May 18-19, 2015, Presentations included: Mega Trends and the Impact on Healthcare, The Healthcare Industry: A View from Washington and The New Health Economy.
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