The new telemedicine parity law requires private insurance companies to cover telehealth the same way they cover in-person visits, making opioid disorder support services more affordable. Do health organizations collaborate and work with community organizations to collect race, ethnicity, and language data to identify care disparities. We focus on the most important problems and solutions of our time. These disparities lead to situations where patients is prevented from following medical advice due to cost. 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.”. all affect an individual’s health and clinicians should include this information throughout the care process. The debate around universal healthcare will continue to dominate the narrative in 2020, with little movement on the legislative front. Are health systems ready for, and practicing, price transparency? 25. Reducing federal financial support for insurance exchanges. Private sector companies are also playing a part in healthcare on an unprecedented level. Health 2020: the European policy for health and well-being. In addition to mergers and private sector activity, dramatic changes in healthcare costs occurred in 2019—an increase in family coverage plans, increases in overall insurance costs, worker/employer share, etc.—and those changes are likely to continue well into 2020 (Figure 2). Here’s what they’ve already done. 24. Susan Kanvik and Karen Curtis, Industry Voices. Meanwhile, 79% of Americans say the cost of prescription drugs is unreasonable, according to a poll by the Kaiser Family Foundation. 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. A bill from Rep. Rep. Abigail Spanberger (D-VA)’s measure would require the Centers for Medicare and Medicaid Services (CMS) to publish certain payment information regarding PBMs’ discounts and rebates for prescription drugs, as well as generic drug dispensing rates. Why? Figure 4. They also cause major disparities in health and healthcare. Stark Law. For example, in December 2018, the Texas District Court ruled that the ACA was unconstitutional. The case reached the Fifth Circuit Court of Appeals, which heard oral arguments in July 2019. 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. Health systems need have the following capabilities: Although implementing virtual healthcare and telemedicine programs is challenging, many health systems are proving they’re up to the task: While there have been many notable mergers in the past few years—for example, the merger of HCA Healthcare and Mission Health, and Mercy Medical Center joining Cleveland Clinic, to name a few—it is unclear how these newly created companies will impact the future of health systems and insurance companies. 62% of COO respondents rank healthcare among the top three policies most impactful to their business. 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. Enough providers with the scheduling capacity to care for patients via telehealth. In June 2019, President Trump issued an executive order that recommends that the Department of Health and Human Services (HHS) develop policies that would make drug pricing more transparent, allowing consumers to “shop around.” The order has since been held up by the court system, illustrating how difficult it is to create change on this issue. 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. Health 2020 is the new European health policy framework. Medicare is front and center as we kick off 2020. Please correct the errors and send your information again. 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. A final rule has been released requiring hospitals to make prices for “shoppable services” easy for the public to find and understand. Please see www.pwc.com/structure for further details. 62% of respondents are “very actively” looking to shape healthcare policy. See Also: Health Policy Research Paper Titles & Ideas for Students. Interoperability rules recently proposed by the Trump administration will likely lead to greater data sharing and will fuel development of these tools. Buddy Carter (R-GA) related to the disclosure of rates for drugs covered by Medicaid and the Medicare prescription drug benefit also cleared the House. Price transparency is a trending concept in today’s healthcare landscape. However, if the Supreme Court votes to repeal the ACA, the effects will be far-reaching for patients and health systems, as 21 million Americans will lose insurance coverage. Health 2020 is the new European health policy framework. The past decade has seen healthcare emerge as one of the most important issues of our time. How do prescription drug prices impact a health system and its patients? . Speakers will be participating in the program remotely. If you change your mind at any time about wishing to receive the information from us, you can send us an email message using the Contact Us page. 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. Telehealth allows people who live in hard-to-reach places to access the same opioid addiction recovery services that are offered in an urban area. But the agency’s efforts to bring reform to those areas have been stalled in the courts, throwing hospitals in limbo as they await answers. Alternative payment methods—including ACOs, shared savings, shared risk and bundled payments, and population-based at-risk contracts—are just some examples of new payment models that link cost and reimbursements to quality as the fee-for-service model continues to diminish. Banned access to the insurance exchange for those with illegal immigration status (which is under court review). See other healthcare topics. Although the Prescription Drug Pricing Reduction Act bill establishes a $3,100 cap on annual out-of-pocket spending in Medicare Part D, starting in 2022, its main objective is to create incentives for payers to manage costs throughout all phases of the Medicare Part D benefit journey. With source of care and health visit data clearly illustrating the need for better access, health systems have the insight to improve care across underserved race and ethnicity categories. Provides funding for residential treatment programs for pregnant and postpartum women. While there have … Of course, no change will be enacted until 2020 when the Supreme Court hears the case. Lastly, this disparity also appears among those who have seen a dentist in the last 12 months; between 54 percent and 68 percent (Figure 4). Figure 3. High-ranking members of Congress and other prominent members of the blue party (particularly those hoping to be our next president) are going to impact healthcare in a profound way. Hot Topics in Health Care Law 2020 1 Location Available Showing Details for Watch Online. 23. Figure 2. The data clinics, health plans, and hospitals are collecting today is far richer than it used to be  and can highlight inequality. Data shows that healthcare providers are not currently meeting their consumers’ highest priorities (Figure 1). Health systems need to be prepared to care for this new influx of patients without compromising quality and also ensuring they meet CMS standards of care in order to receive reimbursements. Employers across industries are taking action, banding together to provide better, more efficient or more cost-effective care models. Free ideas on healthcare topics for critical research paper. 27. Anywhere from 10 percent to 22 percent, depending on race and ethnicity, did not see a doctor because of the cost, and anywhere between 19 percent and 35 percent delayed needed medical care because of the cost (Figure 3). The infrastructure to avoid technological errors. Posted in The only way for health systems to remain successful, and flexible, is to be willing to try new ways of healthcare delivery and to never lose sight of the reason the organization exists—to provide the care to each patient, when, where, and how they need it. Healthcare Mergers, Acquisitions, and Partnerships, Elijah E. Cummings Lower Drug Costs Now Act, Mercy Medical Center joining Cleveland Clinic, Substance Use Disorder (SUD) Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act, Healthcare Quality Improvement: A Foundational Business Strategy, Today’s Top Five Healthcare Payer Financial Opportunities, Removing Barriers to Clinician Engagement: Partnerships in Improvement Work, Healthcare Analytics for Payers: How to Thrive Through Shifting Financial Risk, I am a Health Catalyst client who needs an account in HC Community. All rights reserved. Legislation is still pending in Kansas, North Carolina, and Wyoming. 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. 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