7 Healthcare Trends to Track in 2019
  • Tavelli Co., Inc.

7 Healthcare Trends to Track in 2019


7 Healthcare Revenue Cycle Trends to Watch in 2019

The United States spends almost 20 percent of its gross domestic product (GDP) on healthcare. Most of this cost is administrative inefficiencies. Implementing healthcare technology to enhance efficiency is like moving the Titanic, and changes will be slow because of healthcare's historical glacier-like pace in the adoption of technology - but change will happen.


In 2019, the healthcare trends to track include the following.


Blockchain

Blockchain technology, the same that is used in cryptocurrency transactions, can benefit the healthcare industry in several ways, including:

  • Ensuring the integrity and security of medical records;

  • Recording patient consent and authorizations; and,

  • Providing micropayments and rewards incentivizing patient cooperation and participation.

Nontraditional Companies Entering the Market

In the last year, several non-healthcare companies entered the market. Apple has launched an API through their "Health" app in an attempt to centralize patient medical records and connect the patient portals of multiple health systems. Amazon partnered with Berkshire Hathaway and JP Morgan Chase, and Amazon later acquired specialty pharmacy PillPack. These entries, which have raised concerns and unsettled the market, hold the power to disrupt the healthcare market in significant ways.


Vertical Mergers

Several vertical healthcare mergers were approved by regulators in 2018, including Cigna-Express Scripts and CVS Health-Aetna. These mergers create large companies that wield increased negotiating leverage on healthcare pricing and will have significant implications for the healthcare industry.


Advances in AI

Artificial intelligence and machine learning can be applied to optimize revenue cycle management through improvements in claim scrubbing or denial prediction, denial and underpayment management, and patient payment estimations.


Continued Migration Toward Value-Based Payments

The shift to value-based care payment models is expected to gain further traction in 2019, as cost pressures mount, payers continue to drive change and nontraditional companies enter the healthcare market. This continued shift to a reimbursement model dependent on quality and outcomes will be a major disruption.


Rise of Consumerism

Patients increasingly act as consumers of healthcare, shouldering an increasingly larger cost burden. With higher payments come higher expectations, and people increasingly expect a much more efficient, user-friendly, accessible and transparent healthcare system.


More Focus on Population Health

Increasingly, health systems and payers focus on the overall health and well-being of patients as well as communities, emphasizing the impact of the social determinants of health. This presents challenges both for healthcare providers and insurance companies, in the delivery of care and in the valuing and reimbursement for that care.


Final Thoughts

Expanded and emergent technologies, shifting market participants, and more whole patient-centered focus will have a big impact in laying the foundation for the future of healthcare. Whether change happens now, or later - 2019 is going to be a big year for healthcare!


Tavelli Co. is a Sonoma County based receivables management firm that is committed to doing business the right way! At Tavelli Co. we focus on three key pillars to optimize our client's cash flow and customer relationships. PEOPLE, SYSTEMS, & DATA drive our results. First, we hire the best customer service representatives. Having the right PEOPLE talking to your patients and customers is crucial to the success of your revenue cycle. We put our people first so they put your customers first. Second, we never use SYSTEMS to cut corners. Forget auto-dialers, long hold times, or any technology that puts a barrier in front of a customer that wants to talk to a representative. We don't like when we are on the other end of this technology, so we don't use it. Finally, we believe that your past due receivables are your most valuable asset in gaining insight into what needs improvement in your revenue cycle. We take the time to listen to your customers and report back to you through meaningful analytics, so you have the DATA you need to make quality decisions.