Complying with the Affordable Care Act mandates is only one of the reasons health plans need to rethink, retool and realign. Reform has far-reaching effects, such as the decline of fee-for-service care and an upsurge in the government’s role as a payor. Other forces include the new consumerism and the reign of analytics. And members will likely seek affordability more than before.
Health plans face more than an adjustment. They are playing a new role in helping new populations get new kinds of care in new ways. Instead of just changing practices, they may have to embrace new value propositions. Does this mean doing business differently? More like embarking on a different business entirely. Which of the capabilities you’ve already built will remain vital? What new ones will you have to develop? There’s hard work ahead, but also opportunity.
|Bill Copeland, Vice Chairman, U.S. Life Sciences & Health Care Leader, U.S. Health Plans Leader, Deloitte LLP|
|Greg Scott, Principal, Deloitte Consulting LLP|
|Ken Weixel, U.S. Managing Partner, Health Sciences, Deloitte & Touche LLP|