Health care reform


Health Care Reform

Quality, Cost, Transparency: Transforming the US health care system

Market-driven and legislative forces are colliding to transform the health care ecosystem. Find out more about how health reform is transforming the US health care system today and how it will impact the life sciences and health care industry tomorrow.

Changes to health insurance access and fee-for-service care are already underway. The patent cliff, end of the blockbuster model and a new wave of regulatory reforms are redefining life sciences. Business models that were once highly effective for health systems, health plans, pharmaceutical and medical device companies may no longer be viable. The focus is now on extracting more value from the US health care system and aligning incentives to do so. Clinical outcomes, cost reduction, and quality improvement will be in the spotlight for the foreseeable future.

Leaders both inside and outside the traditionally defined life sciences and health care industry have hard choices to make. No one is immune from change, and for many, their business models could be turned upside down. Will your value proposition stand the test of time? Are you making the right investments in technology, innovation, and analytics to compete in a new value-driven world?  How are you embracing strategic risk? There’s hard work ahead, and Deloitte can assist.

The impact on health care providers, health plans and life sciences companies

Deloitte’s Survey Findings & Analysis Of Health Care Consumer Priorities

What matters most to the health care consumer

Gaining an understanding of what drives the choice-making for health care consumers is complex. The journey is complicated and multi-tiered, and differs greatly from the consumer experience in other industries. But as the health care industry continues to shift from volume to value, and as consumers take a more active role in managing their health care, the need to understand what matters most to them grows.

Read the full report

MACRA: Physician awareness, perspectives, and readiness

Are physicians ready for new value-based payment models?

"A year from now you may wish you had started today."

– Karen Lamb, PhD*

The Deloitte Center for Health Solutions 2016 Survey of US Physicians sheds light on physicians’ awareness of MACRA, their perspectives on its implications, and their readiness for change. The survey is a nationally representative sample of 600 primary care and specialty physicians who were asked about a range of topics on value-based payment models, consolidation, and health information technology. This year, we queried a subsample of 523 physicians (nonpediatric specialties) about their familiarity with the legislation.

Our survey found that many physicians are unaware of MACRA. Many also realize they likely will have to make changes to their practice to succeed under it; recognize they will need to bear increased financial risk, and understand they will require resources and support to develop the capabilities to do so.

Of the surveyed physicians:
  • Fifty percent say they have never heard of the law and 32 percent recognize it by name but are not familiar with its requirements.
  • Twenty-one percent of self-employed or independent physicians say they are somewhat familiar with the law, compared to nine percent of physicians employed by hospitals, health systems, or medical groups owned by them.
  • Eight-in-ten say they prefer traditional fee-for-service (FFS) or salary-based compensation as opposed to value-based payment models, some of which qualify under the Act’s alternative payment model (APM) track.
  • Seventy-four percent of surveyed physicians believe that performance reporting is burdensome and 79 percent do not support tying compensation to quality, both requirements under the payment reform legislation. 
  • Fifty-eight percent of physicians say they would opt to be part of a larger organization to reduce individual increased financial risk and have access to supporting resources and capabilities.

MACRA is designed to be an opportunity to get better value from health care. But as the survey results show, stakeholders—health systems, payers, and other organizations—need to work with physicians to prepare for the law’s changes. Download the report for the full findings of the survey, or view the infographic for an overview below.

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A View from the Center blog is a forum for sharing timely insights, research, and forward thinking around health care, reform, and what lies ahead for the life sciences and health care industry and its stakeholders.

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