Question

What trends or threats are or will impact the financial environment of healthcare organizations? These may include legislative changes, lack of primary care providers, or changing demographics. How can we best prepare for the impending trends if they are continuously changing? Identify the pertinent changes that you might experience. What plan would you propose to address the changes?

Answer 1

Healthcare Trends and Challenges:

- Technological advancements are transforming the entire healthcare industry: Data demand is increased. Both clinicians and administrative leaders are running for data to make decisions and to use for research & development and to get competitive advantage.

- Financial possibility continues to be a significant concern for healthcare organizations: Major concern of Directors of health care organizations revolve around the financial position of their organizations. All the three rating agencies forecasted substantial amount of rating downgrades of healthcare organizations.

- CMS’s regulations: Eligible physicians need to comply with CMS’s new Value-Based Payment Modifier program or are subject to penalties. The Value-Based Modifier program calculates Medicare’s payments in group practices is based on annual cost and quality measures. It’s part of Medicare’s efforts to improve healthcare, but the program adds yet more regulations physicians need to monitor.

Value-based purchasing applying for CMS’s Accountable Care Organization (ACO) status and participating in bundled payment arrangements. 40 percent of payments made to healthcare providers in commercial plans are based on value

For Data Quality and demand Enterprise Data Warehouse can overcome the current data demand and challenges. EDW provides data to analyze real-time data easily. As demands for access to high-quality, accurate data continue to grow, workers will want better analytics tools, such as EDWs, so they can improve care and reduce costs.

Growing population health management by technology usage for Data Analysis , deployment (execution strategy), and by clinical knowledge.