Becker's Hospital Review

Save the date! CEO Roundtable + CFO/CIO Roundtable — November 18-19, 2015 — Chicago. Please call 800-417-2035 to register. 12 12. Do-it-yourself By allowing consumers to use technology to more effectively manage and track their own health, the do-it-yourself healthcare movement is growing in popularity as patients take on more responsibility for managing and paying for the care they receive. People can track their health independently or work with a healthcare professional to do so. Phy- sicians are jumping on board as well, according to a 2015 PwC report on trends in the industry. 13. High deductible The popularity of high-deducible health plans has increased significantly in recent years, with more than 20 percent of the insured population having these plans in 2014 compared to just 5 percent 10 years ago, according to a report from The Advisory Board Company. Five to 10 years ago, $500 to $1,000 would have been considered a high deductible, whereas about 81 percent of enrollees in these types of plans had deductibles of more than $2,500 in 2014. These plans are a concern for consumers as they become respon- sible for paying a greater percentage of their medical costs, and they're also causing concern among providers, as many patients cannot af- ford to pay their deductibles. 14. ICD-10 One of the most talked about topics in health- care in recent years has been the industry's transition to ICD-10. The transition has been thrown off course by three separate delays al- ready. With global plans to move forward to ICD-11 already in motion, the looming Oct. 1, 2015 deadline for the transition to ICD-10 in the U.S. seems late at best. 15. Insurance exchange Created to help facilitate the purchase of health insurance plans by consumers under the PPACA, insurance exchanges are a relatively recent addi- tion to the healthcare environment. These insur- ance marketplaces, which can be run by the state, the federal government or a hybrid of the two, have been shrouded in controversy. They are even at the center of a U.S. Supreme Court case, King v. Burwell, which will determine the future of health insurance subsidies. 16. Interoperability As hospitals and health systems join forces through partnerships, mergers and other col- laborations, such as ACOs, interoperabil- ity — or the ability to exchange information — is essential. The technology systems used by healthcare organizations must be able to communicate, or "talk to one another," and ex- change data to paint the full patient picture for providers. The ONC has set a deadline of 2017 for national interoperability. 17. Lean A common strategy in manufacturing companies for decades, the philosophy of lean management has gained traction in healthcare, as it is a mecha- nism for driving out waste and providing more efficient care. A successful lean strategy requires a top-down a pproach, with leadership actively in- volved in the transition, to create a cultural shift in an organization. 18. Meaningful use Investing in and implementing an EHR is a lengthy and costly endeavor for healthcare organi- zations, and using technology to improve quality, patient engagement and care coordination while maintaining a patient's privacy and security is a difficult task. However, that is what meaningful use requires. There are three stages in the process, with the proposed rule for meaningful use stage 3 recommending a requirement that all providers attest to the final stage by 2018. 19. Medicaid expansion The PPACA threw expansion of Medicaid into the spotlight, and it has stayed there ever since. A 2012 U.S. Supreme Court decision made Medicaid ex- pansion optional, and as of March 6, 29 states had expanded Medicaid, including Washington, D.C., six were discussing or considering expansion, and 16 were not adopting Medicaid expansion at the time, according to Kaiser Health Facts. 20. Metal tiers Bronze, silver, gold and platinum have been dis- cussed in relation to health insurance plans more than jewelry in recent years. The insurance plans sold through the state and federal marketplaces are primarily separated into those four tiers, and the metal indicates the average percentage a person will spend on essential health benefits under the plan. Consumers using the exchanges are overwhelmingly selecting bronze and silver tier plans, which both have sizeable deductibles, according to a report from The Advisory Board Company. 21. Narrow network By providing a limited choice of physicians and hospitals to choose from, narrow networks can help lower insurance premiums. However, nar- row networks have received scrutiny in sources of the mainstream media, as some consumers have struggled to get the care they need with the lim- ited choices in their network. 22. Navigators Under the PPACA, a navigator program was established to help guide consumers and small businesses in their quest to purchase insurance plans through the exchanges. By law, naviga- tors are organizations or individuals who are required to be unbiased and offer their services for free, helping consumers learn about their SAVE THE DATE learn more & register at beckershospitalreview.com July 20-21, 2015 Ritz Carlton, Chicago, IL Becker's Hospital Review CIO/HIT + Revenue Cycle Summit 80 Speakers, 50 Health System and Hospital CIO & CMIO Speakers, 5 Tracks and 54 Sessions

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