But driving down the cost of care for consumers (and employers) will be waged in incremental policies in 2020—lowering healthcare costs is one of the few areas that has created consensus amongst policymakers. Helps stop illicit opioids from entering the country. Thirty-seven percent of executives surveyed in a PwC poll said they prefer drug pricing transparency policies over other drug pricing controls like Medicare-negotiated pricing or an international pricing index. PwC refers to the US member firm or one of its subsidiaries or affiliates, and may sometimes refer to the PwC network. While there have … © 2017 - 2020 PwC. Here are some articles we suggest: Join our growing community of healthcare leaders and stay informed with the latest news and updates from Health Catalyst. In all seriousness, here is how I see the dialog around our nation’s health care system evolving in 2020. Susan Kanvik and Karen Curtis, Industry Voices. The executive order calls for HHS to publish prices that “reflect what people actually pay” and requires healthcare providers and payers to disclose out-of-pocket costs. Medicaid expansion allowed people in remote communities, such as throughout the Mountain West, to access care that was previously unavailable. Select "Risk, regulation and policy" as your topic of interest, Stay up to date with the latest risk and regulatory insights. Medicare. The debate around universal healthcare will continue to dominate the narrative in 2020, with little movement on the legislative front. Start adding content to your list by clicking on the star icon included in each card. We have received your information. Expands the use of opioid-focused telehealth services. Another aspect of the new consumerism approach to healthcare is mergers and acquisitions. 25. Please see our privacy policy for details and any questions. Interoperability rules recently proposed by the Trump administration will likely lead to greater data sharing and will fuel development of these tools. Try not to get caught up in the back-and-forth of policymakers trying to win the nomination. The case reached the Fifth Circuit Court of Appeals, which heard oral arguments in July 2019. Health 2020 is the new European health policy framework. In 2020, the Affordable Care Act will turn 10 years old. Health Catalyst. 62% of respondents are “very actively” looking to shape healthcare policy. Nonelderly adults with usual source of care, health Care, and dental Care Graph. CMS has focused on several areas of reform, including the 340B drug pricing program, physician-administered drugs and hospitals’ efforts to buy up physician-owned clinics to access higher reimbursement rates. APHA works to improve access to care, bring about health equity and support public health infrastructure. Would you like to learn more about this topic? Medicare is front and center as we kick off 2020. This report is based on a 2019 webinar given by Stephen Grossbart, PhD, Senior Vice President and Chief Quality Officer, Health Catalyst, titled, “The Biggest Healthcare Trends of 2019 and What’s to Come in 2020.”. For example, small hospitals throughout southern Utah, southeast Idaho, and southern Wyoming with University of Utah Health and Intermountain Healthcare to provide specialty care to patients within their communities. Two bills cleared the House in October 2019 that would require drug companies to disclose more of the discounts they give to pharmacy benefit managers (PBMs). Average annual worker and employer contributions to premiums and total premiums for single coverage, 1999–2019. What will health organizations do if the ACA is repealed? Reducing federal financial support for insurance exchanges. How do prescription drug prices impact a health system and its patients? Do health organizations collaborate and work with community organizations to collect race, ethnicity, and language data to identify care disparities. Collaboration between hospitals and clinics and other health systems to create contracts that address payment, liability, and transportation if a provider is traveling to provide care. Patient Experience, Engagement, Satisfaction Legislation is still pending in Kansas, North Carolina, and Wyoming. Private sector companies are also playing a part in healthcare on an unprecedented level. Banned access to the insurance exchange for those with illegal immigration status (which is under court review). The White House endorsed the Senate’s bipartisan Prescription Drug Pricing Reduction Act, sponsored by Chuck Grassley (R-Iowa) and Ron Wyden (D-Ore), in November 2019. Companies like Amazon and Sam’s Club are taking aggressive tactics to solve these complex healthcare challenges rather than relying on traditional methods. Those who have seen a doctor in the past 12 months or had a healthcare visit in past 12 months ranges from 75 percent to 85 percent, again, depending on ethnicity. all affect an individual’s health and clinicians should include this information throughout the care process. Employers across industries are taking action, banding together to provide better, more efficient or more cost-effective care models. The aim of both bills is to obtain more data about how certain parties are contributing to high drug prices. Referendums for expansion are expected on the 2020 ballot in at least four states. Despite strong rhetoric on healthcare from campaigning politicians, the outcome of the 2020 election is unlikely to bring about profound, industry-shaking... PwC RegRanger is a software solution for regulated industries that gives users easy access to regulatory and compliance information. Stark Law. Health systems have more opportunity than ever before to leverage data and technology to deliver the best care to all patients, no matter where they live. The ACA was enacted in March 2010 and was still one of the top 2019 healthcare trends. A bill from Rep. Principal, Strategic Policy Leader, PwC US. For example, in December 2018, the Texas District Court ruled that the ACA was unconstitutional. What industry consultants are seeing as key trends as we wrap up 2019 and head into a new year . Unlike the House’s titled the Elijah E. Cummings Lower Drug Costs Now Act, the Senate Bill does not give the Department of Health and Human Services (HHS), the government body with jurisdiction over public health, the ability to negotiate drug prices or target private insurance. Regulation and guidance on pricing transparency and drug pricing reform will challenge business models of health industry players. By submitting your email address, you acknowledge that you have read the Privacy Statement and that you consent to our processing data in accordance with the Privacy Statement (including international transfers). With pending legislation, health systems must prepare for the changes to come in 2020. Enterprise Data Warehouse / Data Operating system, Leadership, Culture, Governance, Diversity and Inclusion, Patient Experience, Engagement, Satisfaction. As companies from both the private and public sector join forces to solve health care’s biggest problems, health systems should ask themselves if they are ready to compete in this new landscape.

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