1.
The
healthcare industry tackles the opioid crisis:
Opioid overdoses are now the leading cause of
death for US adults younger than 50. This is a phenomenon too big to solve by only
one player – there is a role for everyone across the healthcare landscape, from prescribes, to payers, to the pharmaceutical industry, in order to reverse
this trend.
2. Social
determinants come to the forefront:
The US spends more on healthcare per capita
per year than any other nation, but lags in outcomes. To improve health while
saving money, the industry needs to expand the borders of healthcare.
3. Price
transparency moves to the statehouse
With no clear legislative path for
federal action on health reform, states are starting to take matters into their
own hands. Over 30 states are now considering legislation that would directly
control drug prices and shine a light on cost changes. It is important to watch
what happens at the state level, as past state healthcare reform efforts have
been brought to the national stage.
4. Natural
disasters create devastation that lasts long after the event passes
Natural disasters such as hurricanes and
wildfires can wreak havoc on health systems, manufacturing supply chains, and
financial operations both in the short and long-term. Health systems and
pharmaceutical companies who conduct proactive scenario planning can increase
the pace of recovery and avoid making premature decisions that could do harm in
the long-term.
5. Medicare
Advantage swells in 2018
Medicare Advantage is projected to cover
nearly 21 million people in 2018, a 5% increase over 2017, providing a new
competitive opportunity for health insurers. However, many eligible consumers
don’t know these plans exist, so insurers must work to raise awareness of
options, and tailor those options to best meet patient needs.
6.
Health reform isn’t over, it’s just more complicated
While the chance to repeal and replace
the Affordable Care Act (ACA) through a single piece of legislation may be
dead, the Republican party will likely continue to pursue health reform in 2018
through a more fragmented approach. 2018 will likely bring continued efforts to
reduce and cap federal Medicaid spending, expand access to lower-premium health
insurance, loosen ACA consumer protections, soften the employer and individual
mandates and repeal ACA taxes and fees.
7. Securing
the internet of things
Following a year marked by major,
industry wide cyber security breaches and a 525% increase in medical device cyber
security vulnerabilities reported by the government, hospitals must take quick,
decisive action to maintain data privacy, secure the thousands of connected
medical devices on their networks and protect patients. Companies should treat cyber
security incidents as a “non-natural” disaster, and invest more in planning,
defensive measures and personnel.
8. Patient
experience as a priority and not just a patient portal
Today’s consumer is used to sophisticated
shopping experiences, in which retailers harness consumer information to tailor
how they interact with customers. As the healthcare industry turns toward
paying more for value instead of volume, health companies will need to take
this same approach and make strategic investments to improve patient
experience.
9. Meet
your new coworker, artificial intelligence
Utilizing artificial intelligence
(AI) could help put the human touch back into health by reducing
bureaucracy and administrative duties that can take time away from personalized
care. Companies are bringing in AI to make administrative tasks a lot quicker,
such as screening drug candidates, streamlining finance processes, adverse
event reporting and more.
10. Healthcare’s
endangered middlemen
Under increased scrutiny, intermediaries
such as PBMs and wholesalers must prove value and success in creating
efficiencies or risk losing their place in the supply chain. To prove their
worth and prevent having their businesses disrupted by new entrants such as
Amazon, intermediaries must evolve to be more than just a pass-through serving
a contracting function, by increasing price transparency and taking
responsibility for more of the value chain.
11. Tax
reform moves forward
Changes such as a corporate tax rate
reduction and a shift to a territorial system will require new strategies from
health organizations, and may demand rethinking of business models and supply
chains.