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Transforming healthcare through secondary use of health data
This report, Transforming healthcare through secondary use of health data, addresses a key challenge the industry faces - leveraging the vast amount of electronic data which will result from current investments in IT to implement electronic health records. Despite these challenges, the opportunity for the industry to cut cost and improve care will drive innovation and collaboration in secondary use of data.
Diagnostics 2009: Moving towards personalized medicine
This PricewaterhouseCoopers report suggests that alternative business models with varying degrees of collaboration will emerge to provide a basis for the industry to operate more effectively as times change. It also evaluates the advantages and disadvantages of each alternative, their strengths and weaknesses and lists some key questions to make the transition to a new business successful.
Jammed access: Widening the front door to healthcare
This report from the Health Research Institute (HRI), Jammed access: Widening the front door to healthcare*, addresses how we can increase access to care without increasing costs. The report focuses on three key obstacles that adversely impact accessibility: crowded points of entry; a system that is confusing to navigate; and individuals who inevitably fail to act on their health early. Jammed access: Widening the front door to healthcare* provides solutions and recommendations for the problems facing the healthcare industry.
Behind the numbers: Medical cost trends for 2010
Medical costs are expected to increase in 2010 by 9%, which is slightly less than recent years; 9.2% in 2009 and 9.9% in 2008. However, these rates still significantly outpace real incomes and the rate of inflation. Reacting to higher medical costs as the economy recovers will require innovative approaches to deal with workers and healthcare stakeholders. This year's report addresses cost trends for the coming year, the impact the recession and promise for reform have had on the healthcare industry, and how businesses are reacting to higher medical costs.
Medical identity theft and data mismanagement
The PricewaterhouseCoopers' brochure includes key drivers and facts regarding the protection of sensitive information to avoid medical identity theft and data mismanagement. Data losses can be devastating - besides potential fines and lawsuits, security breaches can have long-term impact on your organization's brand and reputation.
Emerging issues: Summary of emerging accounting, tax and regulatory issues in 2009
PricewaterhouseCoopers is pleased to share this year’s edition of our Summary of Emerging Issues. The accounting, financial reporting, tax and regulatory compliance issues described in this summary have been specifically tailored to concentrate on areas of interest for not-for-profit organizations and governmental business-type activities (BTAs). The publications summary has been divided into six areas: FASB, AICPA, GASB, Other Accounting Issues, Regulatory, and Tax.
Rock and a hard place: An analysis of the $36 billion impact from health IT stimulus funding
By injecting $36 billion in health IT through the stimulus fund, the federal government hopes to create a digital healthcare infrastructure that reduces costs and improves quality. Hospitals and physicians that want the stimulus money will find they have little choice but to comply with the new requirements or suffer future shortfalls in Medicare reimbursement.
10Minutes on health reform under Obama
160 million Americans receive their health insurance benefits through their employer. However, in the coming year many employers could face major changes as the Obama administration attempts to reform the system. The reforms could curb the rising cost of healthcare purchased by government and private employers by introducing new programs and regulations. Controlling costs would benefit private employers, which on average pay 80% of the cost of worker health benefits and may also be saddled with large retiree health benefit liabilities.
Workplace Wellness
The Workplace Wellness special report appeared in Managed Healthcare Executive's February 2009 publication. The report addresses how MCOs need to take the initiative as employers to commit to wellness programs and the benefits that some MCOs have derived from putting these programs into practice.
 Top nine health industry issues in 2009
In 2009, external forces will compel health industry organizations to react to new financial realities, regulations, and technology. Chief among those forces will be the effects of the economic crisis, a new president and Congress, and financial and technology companies looking to extend their reach into the health industry.  PricewaterhouseCoopers' report from the Health Research Institute (HRI) identifies nine significant issues that will shape the health industry in 2009.  To find out more about these nine issues and their implications read, Top nine health industry issues in 2009.
 Proposals to policy: A national conversation on healthcare reform
Susan Dentzer, editor-in-chief of Health Affairs and health correspondent of The NewsHour with Jim Lehrer, moderated a panel of healthcare experts, economists and lawmakers as they discussed President Obama's health care reform proposals. This broadcast was recorded from the National Press Club, Washington, D.C. on November 20, 2008.
Healthcare policy in an Obama administration: Delivering on the promise of universal coverage
President Barack Obama has pledged to implement multiple changes in our health care system with the goal to increase access and affordability of health care in the United States. This report recognizes the difficulty in developing such reforms in light of current market conditions, the implications reforms could have and provides five suggestions to make health care more affordable. To find out more about how the President proposes to implement changes to the existing health care system and the possible impact of such reforms read, Healthcare policy in an Obama administration: Delivering on the promise of universal coverage.
 What employers want from health insurers – now
Studies show that most employers are satisfied with their health benefits and want to continue providing these benefits to their employees. However, employers' expectations of their health insurers are changing, and while many studies in the past have examined the relationship between employees and their employer-sponsored benefits, less is known about employers and what they want from insurance carriers. To find out more about the evolving attitudes US employers have regarding health insurers read, What employers want from health insurers - now.
 You get what you pay for: A global look at balancing demand, quality, and efficiency in healthcare payment reform
As the pressure to control health spending increases, payers, governments, and providers are compelled to scrutinize the quality and amount of care they'll be able to deliver in the future. Health leaders around the world see the health payment system as one of the best tools in managing this challenge and achieving sustainability. However, with less than 40% of those same leaders ranking their existing payment system as good, every country has room to improve and can benefit from shared best practices. See You get what you pay for: A global look at balancing demand, quality, and efficiency in healthcare payment reform.
Behind the numbers: Medical cost trends for 2009
From one year to the next, healthcare costs for employers and their workers always go up. Yet, for the past five years there's been some positive news. The growth rate has been dropping. However, that trend will level off in 2009, according to employers and health plans. The new Health Research Institute (HRI) report, "Behind the numbers: Medical cost trends for 2009", addresses the cyclical nature of the healthcare industry and provides insights into the conflicting factors that are contributing to both cost increases and savings. See Behind the numbers: Medical cost trends for 2009.
PricewaterhouseCoopers answers five top questions on Form 990
While the debate continues to evolve regarding the lengths hospitals and not for profits must go to justify their tax exempt status — one thing is clear — the deadline looms. See more
 The price of excess: Identifying waste in healthcare spending
More than half of the $2.2 trillion spent annually on healthcare in the US could be considered wasteful, according to an analysis published by PricewaterhouseCoopers’ Health Research Institute. Defensive medicine, such as redundant, inappropriate or unnecessary tests and procedures, was identified as the biggest area of excess, followed by inefficient healthcare administration and the cost of care necessitated by conditions such as obesity, which can be considered preventable by lifestyle changes.
Straight Talk: Looking at health system disaster preparedness
When — not if — a large-scale disaster hits, Americans expect a carefully orchestrated and sequenced response from hospitals, emergency workers and public health officials. In their greatest time of need, the system may fail them unless disaster preparedness becomes a greater priority. In this StraightTalk roundtable, health industry leaders discuss the steps health executives should take to ensure an effective response to a disaster.
Working towards wellness: The business rationale
Written in collaboration with the World Economic Forum PricewaterhouseCoopers outlines how chronic diseases risk the economic sustainability of an interdependent global economy. Through examples, we demonstrate how effective workplace wellness efforts can lead to solid returns on organizational investments and can be used to attract, retain and motivate employees.
Paying for performance: Incentives and the English health system
Many countries are looking at ways to reform their healthcare payment systems around performance. The English system for paying primary care physicians is the only one in the world that bases a significant portion of physicians’ pay on quality metrics. For that reason, this “pay for performance” (P4P) system is worthy of study, and the PricewaterhouseCoopers Health Research Institute (HRI) report shows what is working well, what needs further refinement and what should be considered when implementing pay for performance methodologies. The learnings from this go far beyond the English system See more
 Research rewired: Merging care and research information to improve knowledge discovery
Today's ad hoc methods of managing research information are beginning to strain under increasing demands for new drugs, more personalized medicine, better diagnostic tools, and post-market safety monitoring. This report investigates the benefits, barriers, and emerging approaches to creating an integrated information environment that will help to shape scientific diagnostic, drug, and device discovery in the future. See more
 Top eight health industry issues in 2008
Health organizations face a pivotal year in 2008 as they anticipate the wildcard outcome of the presidential election. Meanwhile, they must prepare for impending changes — pharmaceutical and life sciences companies are adapting to a new safety agenda from the FDA including the agency's expanded authority over post-market drug safety. See more
 Beyond the sound bite: November 2007 review of presidential candidates' proposals for health reform
Healthcare is one of the top domestic concerns in the upcoming presidential election. The current health care system is not built to last, and the 2008 presidential election is poised to see a significant push for major health reform. The direction it goes depends largely on the next President.
PwC Straight Talk on creating a climate of innovation: Healthcare industry leaders discuss what they're doing to nurture innovation
The United States faces another political season, and, likely, a volatile debate about what can be done to improve the current health system. Everyone agrees that the current path is not sustainable, and is fracturing around access, affordability and quality. Failure is not inevitable; in our global research report, HealthCast 2020: Creating a sustainable health system, PricewaterhouseCoopers’ Health Research Institute identified "Climate of Innovation" as one of the key features needed for sustainability.
Closing the seams: Developing an integrated approach to health system disaster preparedness
A disaster occurs every week in the US, and the numbers are increasing. Yet despite increased federal and state funding since 2001 and lessons learned following 9/11 and natural disasters like large-scale hurricanes and floods, disaster planning in the healthcare arena remains sporadic, disconnected and under-funded. PricewaterhouseCoopers Health Research Institute's (HRI's) "Closing the Seams" analyzes preparedness throughout every key element of our healthcare system, identifies gaps, and highlights emerging solutions and innovative best practices that can be leveraged to make the most of our resources and help those in the emergency response and healthcare communities deliver the best healthcare possible in the face of unknown disasters.
Creating a climate of innovation: the health industry's most challenging paradox
Innovation is one paradox of healthcare - tremendous strides forward within a system that overall doesn't work well. Can innovation transform healthcare? The annoyingly complex answer is that it does and it doesn't. Effective incremental, sector and local innovations are everywhere, but the breakthroughs that would make the entire health system workable remain elusive
What works: Healing the healthcare staffing shortage
The federal government predicts that by 2020, nurse and physician retirements will contribute to a shortage of approximately 24,000 doctors and nearly 1 million nurses. Health industry leaders are faced with the challenge of orchestrating care in an increasingly complex and converging healthcare labor market. Seeking solutions means understanding that while the challenges confronting nurse and physician shortages are very different, their roles and futures are starting to converge.
Behind the numbers: Healthcare cost trends for 2008
The nation's employers can expect a return to single-digit increases in health benefit expenses in the year ahead. Unlike health plan premium forecasts, medical cost trends reflect the underlying numbers for actual medical costs by plan design. They are used by private insurers and employers to compare health plan costs year over year, ultimately to set premium levels and design the benefit packages that will be offered to employees in the fall.
Pharmacy benefit management savings in Medicare and the commercial marketplace
The Pharmaceutical Care Management Association (PCMA) retained PwC to estimate the value of pharmacy benefit management as well as the potential impact of enactment of proposed legislation that would restrict pharmacy benefit management (PBM) activities for consumers, private employers, health plans, unions, and state and federal governments. Download Pharmacy Benefit Management Savings In Medicare and the Commercial Marketplace (330kb).
Collaboration fosters connected health
The system of caring for people — the chronically ill, the elderly or even the fitness buff — is reactive, expensive and cumbersome. But a new paradigm of care, called connected health, promises to reduce costs and improve quality by working with patients proactively.
Super cluster: Ideas, perspectives and updates from the Massachusetts life sciences industry
Massachusetts is a leader in the life sciences on many measures. This report provides economic analysis on provides trends related to employment, wages, and public funding. It also draws on information from the 2007 PwC Massachusetts Life Sciences Cluster Survey, which provides insight on future opportunities and threats from over 100 executives in all sectors of the life sciences in Massachusetts. Woven into the report are the perspectives of key leaders in life sciences in Massachusetts, who focus on the groundbreaking work being performed in the Commonwealth and its global implications.
Tailoring the approach: Employer attitudes and healthcare strategies address distinct issues
Employers are still debating how to stave off future healthcare cost increases and incent employees to take on more responsibility for their health. In describing emerging employer attitudes and healthcare strategies, a tailoring of approaches can be observed, in which distinct issues, such as chronically ill employees, are being addressed through specific tools, incentives and disease management programs. The newest results released by the Health Research Institute of PricewaterhouseCoopers and Management Barometer demonstrate the evolution of employer attitudes on benefit design, consumers and quality.
TGen: Translational Genomics Research Institute
Translational research generates tremendous benefits. The nexus between basic research and its commercial applications is too often neglected yet it can attract players on both sides, creating a true hub of scientific and business activity.
The economics of IT and hospital performance
More than 60 percent of hospitals in the US have made significant enough investments in information technology to begin seeing reductions in operating costs, according to a report on the relationship between health IT investment and hospital operating performance. The report, the culmination of two-years of research, provides the most comprehensive evidence that investment in information technology will improve hospital business performance and that IT capital investment can eventually pay for itself in the healthcare environment.
The healthcare quality equation
Though various health organizations may define and approach quality differently, the common denominator is the patient’s perspective, experience and outcome. Quality issues should be an important part of health system executives’ agenda. Successful quality programs have a number of key ingredients, including decision-reporting tools and business analytics information - which depend on robust information reporting and a system-wide electronic medical record - as well as highly motivated employees and physicians.
Healthy choices: The changing role of the health insurer
Health insurance is pivotal to healthcare financing. In most parts of the world, governments are looking to enlarge, or at least to encourage, the contribution of private sources of healthcare funding.
My brother's keeper: Growing expectations confront hospitals on community benefits and charity care
PwC interviewed healthcare executives across the country and convened a roundtable of hospital leaders to get behind the headlines of these issues in order to reveal solutions and leading practices around reporting, pricing, and business relationships.
Rebuilding healthcare in Louisiana: A blueprint for the nation
Executives from Franciscan Missionaries Of Our Lady Health System, Baton Rouge, and Ochsner Health System, New Orleans, discuss the present and future state of healthcare in Louisiana and how they have struggled to cope with day-to-day challenges while also preparing for the future.

See related report Louisiana Recovery Authority Endorses PwC Healthcare Report.
HealthCast 2020: Creating a sustainable future
In this groundbreaking report, HealthCast 2020, PricewaterhouseCoopers looks at solutions and responses from around the world to the globalization and industrywide convergence of healthcare. What insights, best practices and policy lessons can be learned from experiences in various countries to create a globally sustainable health system? Who, or what, is driving the solutions?
The trends and benefits of providing healthcare quality data
In this latest HealthBrief, PwC discusses the results of a recent survey of top executives at large US-based multinational companies. The focus of the HealthBrief is on healthcare quality data that firms provide to their employees as a way to influence the utilization of healthcare through better education of their employees on cost and quality issues and improvement of their own health behaviors.
Employers embrace consumerism to control healthcare costs: New PwC white paper
With double digit health insurance cost increases affecting the business bottom line, employers are turning to consumerism and consumer directed healthcare to provide a solution. HRI's latest research gets behind this trend to find out how employers are coping with rising healthcare costs and the promise that consumerism may bring.
Recapturing the vision: Integrity driven performance in the pharmaceutical industry
Pharmaceutical companies face increasingly regulatory scrutiny and highly critical media coverage of the industry's R&D, marketing and manufacturing practices. This report explores the reputation issues and compliance challenges facing the industry.
Acts of Charity: Charity Care Strategies for Hospitals in a Changing Landscape
Hospital charity care provides millions of the uninsured with free care but courts, government regulators, and community leaders are now questioning the value that society derives from this community benefit. This comprehensive report by PwC's Health Research Institute examines the developing charity care issue, discusses key findings and recommendations and provides strategies for succeeding in this evolving environment.
Personalized medicine: The emerging pharmacogenomics revolution
Each revolutionary change in human medicine, from antibiotics to painkillers to vaccines, has moved the practice of healthcare toward improved patient treatment. Pharmacogenomics, the next fundamental development in this area, promises to usher in an era of individualized patient care or personalized medicine. Pharmacogenomics uses markers in individuals' genetic code to pinpoint the underlying causes of disease.

The science is enabling researchers to better identify drug targets and the mechanisms of action of investigational new drug candidates. Genomics-related technology facilitates the elimination of unfavorable products at earlier stages of development than is currently possible. It also could guide companies in designing clinical trials that would more definitively prove drug efficacy, in turn decreasing the time, costs, and risks of drug development.

In the clinical setting, pharmacogenomics will help physicians better define long-term health risks patients face, more precisely diagnose the stage of patients' diseases, and more accurately predict their responsiveness to specific drugs or the likelihood for adverse events.
Trends in IT spending among hospitals
This year's Modern Healthcare/PricewaterhouseCoopers IT Survey included responses from 394 hospital CEOs and CFOs revealing how IT spending patterns are changing.
HealthCast tactics: A blueprint for the future
This report suggests tactics for the healthcare industry to employ over the next three to five years. According to HealthCast Tactics, there are significant gaps between what healthcare executives, policy makers and employers rate as important and what is being implemented performance-based reimbursement, privacy, and clinical excellence. The report draws on a survey of more than 650 top executives of hospital systems, payers, governments, medical supply vendors, physician groups and employers.
HealthCast 2010: Smaller world, bigger expectations
Our survey group included a mix of policy makers, health system executives, employers, physicians, insurers and medical supply vendors. In addition, PwC practice leaders interviewed more than 50 thought leaders from seven countries at length about future trends and their implications for the industry's stakeholders.
Implications of the Medicare Modernization Act: Providers
New white papers from PricewaterhouseCoopers explain the implications and opportunities of the new Medicare reform law for each of the largest sectors of the healthcare industry.