Disruption and uncertainty have defined the healthcare landscape over the past several years, with healthcare leaders across the nation seeking answers on how to keep their organizations relevant and viable. 2019年即将结束, 医疗保健行业的领导者预计,2020年将是稳定的一年 在经历了前几年的快速增长和政治不确定性之后.
显然,2020年的医疗保健前景没有达到这一预期. The pandemic and its disruptive effects undoubtedly will leave an enduring mark on the healthcare sector, 同时也刺激了医疗bet8娱乐的重大变化.
制定更完整的2021年展望, 心电图在2020年底对80多名高管进行了调查,以了解他们关注的关键领域以及今年对医疗保健的预期. 以下是我们谈话中出现的六个主题. 也许不足为奇的是,它们都与大流行有某种直接联系.
1. 新型冠状病毒肺炎
新型冠状病毒肺炎仍然是提供商组织关注的主要问题, with nearly every C-suite leader’s priorities having been affected by the pandemic in some way. While some organizations navigated the challenges that stemmed from the public health emergency better than others, hospital leaders acknowledged the business of healthcare is forever changed as a result of the pandemic.
对大多数高管来说, 应对2019冠状病毒病仍是其2021年议程的首要任务, 几乎所有人都认为,这种情况至少会持续到夏季或秋季. 进一步, these leaders believe the impacts of the pandemic will have a lasting impact on day-to-day operations, though most also acknowledge their 操作 and care delivery model has become more efficient and consumer- and patient-centric as a result of changes made in 2020—be it the adoption of 数字医疗 solutions that improve patient access; implementation of care standards and care management protocols that foster flatter, nimbler operations; and many others.
Returning to prepandemic clinical care service volumes is the area of greatest concern cited by many C-suite leaders, 紧随其后的是病人可能病情更重,情况更复杂, 在2020年放弃疾病诊断或治疗. 急诊部门的业务量预计不会恢复到以前的峰值, 患者已经找到了非紧急病例的替代护理来源. 非洲国家的手术病例量大多已恢复到大流行前的活动水平, 有些已经长大了, 随着某些病例从医院迁移的速度加快.
在我们打电话的时候, most leaders were in the midst of a second 新型冠状病毒肺炎 surge and concerned about potential new strains, 所有人都在等待或刚刚接种了第一轮疫苗. 几乎所有人都认为疫苗的推出是2021年最关键的里程碑事件. 一些医护人员不愿接种疫苗令许多人感到沮丧.
2. 战略加速
大流行导致许多2020年商业和资本计划推迟. 这迫使一些历史上以医院为中心的业务和以bet8娱乐收费(FFS)为导向的模式的医疗系统重新思考未来的医疗保健是什么样子,以及如何做好最好的准备. 另一些人则专注于一条稳定的道路——尽管对许多人来说是一条缓慢的道路——将他们的组织转变为接受更高水平的财务风险,并在他们的战略上加倍下注(见下一节)。.
首席执行官们仍然担心市场颠覆者(既有创新的小众公司,也有像Optum和亚马逊这样的大型颠覆者),它们对传统的医院商业模式构成越来越大的威胁,并继续削弱核心bet8娱乐. 在回应, 许多bet8网站备用正在寻求建立战略伙伴关系,以建立其他收入来源,并获得零售卫生等领域的专业知识, 数字医疗, 医疗设备创新.
A key observation from our conversations is that while systems remain committed to growth and building scale, 他们正在平衡这一战略,围绕医院投资组合合理化和系统整合注入新的活力——他们清楚地认识到,没有业绩的规模是短暂的. 明白他们不可能成为所有人的一切, 许多bet8网站备用和医院正在寻求摆脱薄弱和表现不佳的资产和临床bet8娱乐,同时优先考虑, 稳定, 并保护他们当前业务的盈利部分.
部分原因是受大流行的影响, 与我们交谈过的高管们认识到,未来需要更具适应性和灵活性, 从bet8网站备用和门诊足迹的角度思考,而不是传统的实体医院的角度. 另外, 新型冠状病毒肺炎造成了对实施的偏见, and leaders state that strategy development will be more focused on quicker assessments and planning, 重点是加快上市速度. bet8网站备用将继续探索让人们远离医院的方法, while simultaneously expanding their geographic footprint to improve patient reach and access points. 2021年最常见的投资策略如下:
- 初级保健(包括零售保健).
- Ambulatory strategies (including ASC, cancer center, and ancillary center laboratory and imaging).
- bet8娱乐线路策略与临床bet8娱乐布局.
- 医师对齐和整合.
- 机构临床合作伙伴关系.
- Digital health (including telehealth, remote monitoring, and consumer engagement and access).
3. 重新燃起追求价值战略的欲望
然而,由于付款人和提供者之间对风险分担的不同看法,先前向价值转变的努力取得了有限的成功, and with risk- or performance-based payments still being insufficient to drive meaningful change, 高管们也承认,他们对持续下行压力的商业利率的依赖是不可持续的. Several developments in the market have spurred leaders to reevaluate potential value strategies:
- 竞争持续加剧, 许多高层领导认为,医疗保健计划通常进展缓慢,不支持医疗bet8娱乐提供商转向下行风险,而医疗保健计划则越来越多地与医疗集团垂直整合.
- 健康计划正积极抵制对传统医疗系统和医疗集团供应商逐年提高单价.
- 新的市场进入者和颠覆者正在引入利基市场, innovative care models are threatening to siphon off profitable segments of current business models.
- 新的价格透明法规将进一步推动消费主义趋势和需求, 随着客户寻求更低成本的替代品.
所有这些因素都为未来新的价值战略奠定了基础. 这些战略的核心将是重新建立注重收入来源多样化的bet8网站备用,以减轻对FFS支付模式的依赖. bet8网站备用还将优先采取行动,实现真正的成本节约和运营效率,以便更好地与新的市场进入者竞争. 这些战略将包括投资新的合资企业和按bet8娱乐项目进行战略性定价,以保持市场份额并更好地竞争商品化bet8娱乐.
4. 优化医师企业
2020 was the most challenging year for health system and hospital financial performance in a decade or more, with cash flow severely reduced and most providers experiencing negative operating margins, 至少在《bet8网站备用》的资助带来一定程度的稳定之前. bet8网站备用战略的每一个方面, 操作, and financial model was exposed; many systems that invested significant year-over-year support for physician enterprise organizations or have carried expensive contracts with hospital-based physician services are now looking for ways to get more value from these relationships, 或者只是重组它们以降低成本.
与我们交谈过的领导人表示,目前的bet8网站备用企业模式成本太高, 以及他们不可持续的历史薪酬率, bet8网站备用合同需要更多的绩效风险. Some are asking the tough questions: how big does my employed physician network really need to be? 有没有其他的就业模式? 我们需要拥有它吗, 或者我们可以与与我们有共同价值观和商业目标的组织合作吗?
许多高级管理人员只将FFS支付视为一种短期战略,并认为他们的医院和bet8网站备用必须在未来十年内发展,以便风险支付成为主要的收入来源. 为此目的, they acknowledge that the shift to risk will require forming and utilizing an aligned provider base (e.g.聘请医疗集团(CIN)来推动这些基于风险的战略. 2019冠状病毒病暴露了bet8娱乐提供者的FFS的弱点和漏洞, with many private practices also losing significant portions of their ancillary revenue, 让他们更愿意在基于风险的支付模式中成为合作伙伴.
在大多数情况下,新型冠状病毒肺炎对私人bet8网站备用的收入产生了负面影响, 许多受雇的bet8网站备用都与世隔绝, 导致许多领导人得出结论,大门为更多的M&一种活动,尤指bet8网站备用的雇佣. 虽然许多独立的bet8网站备用和团体可能对联盟有更大的兴趣, bet8网站备用的一致性可能会继续成为医院的首要任务, C-suite leaders expressed the need to be selective of whom they partner with to achieve their long-term strategic goals. 我们的主要结论是,优化医疗系统bet8网站备用企业将是医疗系统在未来几年的重点领域之一
5. 加强数字医疗企业
2020年之前, expanding telehealth capabilities was often acknowledged by leaders as an eventual necessity; however, 扩张受到传统障碍的阻碍,例如:
- bet8娱乐地点.
- 针对供应商的特定州许可要求.
- Other regulatory considerations, such as types of telehealth services that could be billed.
另外, 这些bet8娱乐的报销因付款人而异, with some 纳税人 hesitant to cover telemedicine in an FFS model due to fear of overuse and concerns about quality.
今天,人们对虚拟访问和面对面访问的对等性有了更好的认识, 和消费者, 纳税人, 供应商也都看到了远程医疗解决方案的价值. The pandemic forced health systems to focus on building and expanding telehealth capabilities, 高管们承认远程医疗将继续存在, and that they would need to look for ways to further refine and improve their digital and virtual offerings in 2021.
Many were surprised at how quickly they got their telehealth systems up and running; and with consumer expectations rising and demanding more convenient and virtual healthcare, 领导者正在寻求将其能力扩展到远程医疗之外,并越来越多地将数字医疗与患者参与和提供者对提供者的参与联系起来. A few leaders pointed out that digital transformation is also driving 操作 improvements, 大多数人表示,重大机遇尚未实现, 数据产生操作收益.
预计未来的医疗保健将以数字化为重点, not just deploying digital front-door capabilities (to drive consumer engagement) or other digitally enabled assets, 例如远程保健和远程监测. 然而,人们认识到,这只解决了访问和方便的问题. 然后,bet8网站备用需要将这些资产与他们的电子病历和其他遗留平台集成,以增强互操作性,并解锁这些平台中已经可用的丰富数据.
Digital health itself is not a strategy but an enabler of an overall strategy to generate value. A sustainable digital transformation strategy will have to go beyond adopting new tools and technologies. 它还需要围绕数据驱动模型进行文化变革和重新定位, which can include a combination of approaches depending on the overarching strategic goals of the organization.
6. 关注人员和运营
For many organizations, the pandemic shifted focus from strategic goals to 操作 issues. Workforce challenges will be one of the most critical topics for organizations to address in 2021 and beyond. 医疗保健人员, 特别是一线工人, 被员工的疲劳所困扰, 士气低落, 倦怠, 并接触到大多数人从未经历过的发病率和死亡率, 导致劳动力流动率上升和心理健康问题. 这是高管们最关心的问题, 在未来,它可能会以不同的方式表现出来.
2019冠状病毒病造成的金融危机为各组织解决臃肿的费用基础和其他运营弱点提供了迫切的平台. 管理层被扁平化, business and support functions far removed from patient care were downsized or eliminated, 边缘临床bet8娱乐被关闭. 医院 learned to manage more efficiently, with an increased importance on being nimble and agile. 许多高管级领导人表示,疫情改变了他们的领导风格,明显倾向于行动,而不是过程或建立共识. 一些系统甚至重新配置了他们的领导团队和操作模型,以永久迭代他们的事件或危机指挥模型.
进入2021年, C-suite leaders state they will continue to ensure their operations are nimble and agile. 许多公司表示,他们将重新审视2020年供应链面临的挑战, 特别是PPE方面, and seek partnerships or develop their own internal capabilities to solve for these issues.
2021年更强劲
如果我们从过去的一年中学到了什么, 这是一线供应商, 以及医院和整个bet8网站备用, 是否比一些人之前所理解的更有弹性, and their ability to adapt and overcome challenges—even a global pandemic—should not be underestimated. 该行业虽然可能伤痕累累,但却比以往任何时候都更有准备迎接未来.
We have little doubt that hospitals and health systems will rise to the challenges ahead in 2021 and beyond, and we detect a palpable shift in C-suite leaders’ commitment to renewal of their organizations—in spirit, 推动创新, 在改变他们的组织. One emboldened CEO expressed a point of view that we’re sure many in the industry share: “T在这里 is no looking back. 2021年,来吧!”
心电图专家可以帮助您的组织迎接挑战.
特里翻滚、校长、及 阿西夫·沙·穆罕默德校长对这个故事也有贡献.
出版于2021年2月22日