What health care reform means for your business
PwC’s Health Research Institute has devoted its resources to helping executives in the health industry and employers understand the implications of health care reform. New regulations and funding changes resulting from the Affordable Care Act are forcing executives to rethink how they can survive and prosper in a post-reform world. The following content provides insights into what these changes mean for your business / organization.
Prospering in a post-reform world First published in the spring of 2010, this was PwC’s first comprehensive report into how the new health care reform law would change the industry and how organizations could turn these challenges into new opportunities. The report concludes with a new vision for organizational strategy development that is based on collaboration rather than siloed competition. Additional briefs were created to speak for specific groups including:
Quick thinking: Four key findings from health reform Published in the summer of 2011, this is a short read, punctuated by HRI industry surveys on health IT, physician-hospital alignment, mobile health, and the health insurance exchanges.Health care reform research and findings
PwC continually explores health policy proposals and their implications to the industry. The Affordable Care Act health reform legislation was the result of an evolution of ideas and debates on the complex and far-ranging aspects of access, finance and technology. For a deeper discussion of these issues, please consider these reports.
New opportunities
Health Insurance Exchange Final Rules: Moving ahead to 2014
Spring 2012
PwC’s Health Research Institute has created a brief that provides an overview and implications of the Health Insurance Exchange final rules released by the Department of Health and Human Services on March 12 and 16, 2012.
The future of academic medical centers: Strategies to avoid a margin meltdown
Winter 2012
Academic medical centers (AMCs) are the nucleus of our health system, yet they face multiple systemic challenges.
Top health industry issues of 2012
Autumn 2011
This year’s report provides more insight into the following trends: the impact of higher deductibles, how providers and insurers are teaming up for population health, potential drug shortages, health informatics, privacy and security, health insurance exchanges, pharma industry adapts to a post-blockbuster business model, social media in health, how politics may influence policy.
Change the channel: Health insurance exchanges expand choice and competition
Summer 2011
Starting in 2014, insurers will compete head to head as health insurance exchanges open up consumer choice and a new $60 billion market.
The new gold rush: Prospectors are hoping to mine opportunities from the health industry
The new gold rush: Prospectors are hoping to mine opportunities from the health industry
Spring 2011
PwC surveyed US consumers and found they would be willing to spend more than $13 billion a year of their own money on new services. It's the promise of those new products and services that is enticing more and more businesses to turn to the US health system as an opportunity for innovation, differentiation, and profits.
Build and Beyond: The (r)evolution of healthcare PPPs
Autumn 2010
Throughout the globe, Public-Private Partnerships (PPPs) are being crafted to make government and private industry more accountable for healthcare delivery and financing. This report tracks the evolution of the PPP models and explores how the capital and operational structure provided by PPPs can be leveraged more broadly to address government demands for greater efficiency in health spending.
Health IT
Needles in a haystack: Seeking knowledge with clinical informatics
Winter 2012
Incorporating clinical informatics across a healthcare organization will be essential as the reimbursement landscape evolves to a more outcomes-based approach.
Old data learns new tricks: Managing patient privacy and security on a new data-sharing playground
Old data learns new tricks: Managing patient privacy and security on a new data-sharing playground
Autumn 2011
Data is quickly becoming one of the health industry's most treasured commodities. Yet, health organizations are acutely aware that sensitive data can be easily compromised. In just the last year and a half, a breach of personal health information occurred, on average, every other day.
Putting patients into "meaningful use"
Winter 2011
In January 2011, the U.S. Dept. of Health and Human Services issued the draft set of criteria for Stage 2, which sets higher standards for communicating health information to patients. Stage 2, which begins October 2012, requires hospitals to have at least 20% of their patient populations using PHRs. This represents a big leap from what hospitals have been preparing for over the past year.
Designing a health IT backbone for ACOs
Autumn 2010
The market for accountable care organizations (ACO) is generating a lot of interest and industry buzz. However, an ACO's success will hinge, at least in part, on its ability to share patient data at the point of care so health executives must prepare to explore a variety of options for designing the health information technology (IT) backbone for ACOs.
Breakthroughs: HIT that enables quality, efficiency and value
Summer 2010
Meaningful use has the potential to better connect providers and payers by fostering seamless data exchange and collaboration across the healthcare continuum. Using the same or interoperable EHRs, providers and payers can more easily exchange clinical, financial, and benefits information.
Ready or not: On the road to meaningful use of EHRs and health IT
Summer 2010
Only half of hospitals will be ready to apply for the billions of dollars in stimulus funding for EHRs when it becomes available in 2011. Those hospitals that will be ready tend to be those who are working with patients, physicians and insurers on achieving what the government calls "meaningful use."
ACOs and hospital / physician alignment
Medicare ACOs and shared savings models
Autumn 2011
This brief provides a financial analysis of the ACO opportunity, including a breakdown of ROI and cash flow possibilities.
In the land of uncertainty, a map to prepare for the ACO model
Autumn 2011
Is the drive to promote Accountable Care Organizations (ACOs) an intriguing idea of the moment or a lasting trend? If the latter, should healthcare providers make their move now, or wait until the dust settles?
From courtship to marriage: A two-part series on physician-hospital alignment
Summer 2011
The notion of independent physicians may be a myth because so-called independent physicians are becoming increasingly financially tethered to hospitals. In response to this trend, PwC released a two-part series on physician-hospital alignment.
Breakthroughs: The bridge to accountable care organizations (ACOs)
Winter 2011
Health reform is encouraging healthcare providers to integrate resources to help bend the cost curve and increase efficiencies. Developing these "Accountable Care Organizations" has challenged organizations to develop their own strategies around clinical integration. This report shares insights and lessons learnt from leading hospital systems.
PwC’s Health Reform Industry Specialists
Have a question about how the changes in Washington D.C. may impact you and your business? PwC’s subject matter specialists have been working with clients to answer their questions about the impact and opportunities that are present.
- Kelly Barnes
- US health industries leader
- Tel: +1 (214) 754 5172
- Robert Dondero
- US health industries advisory leader
- Tel: +1 (214) 754 7448
