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Health Plans

New strategies for a new business model.

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.

More Thinking forward

  • 2014 Global health care sector outlook
    The report examines the current state of the global health care sector, provides a snapshot of activity in a number of geographic markets, and suggests considerations for stakeholders as they address funding, cost and other issues while seeking to grow revenue and market share in 2014 and beyond.
  • The quest for value in health care: A place for consumers
    Three key disrupters are driving an increasingly consumer-centric health care system. How are consumers responding? What are the implications for the industry? And what steps can health care providers, health plans and life sciences companies consider to help win in this new marketplace?
  • Survey says health plans advance retail capabilities
    “Retail” is a hot topic in the health insurance industry today. This new survey report offers insights into current U.S. Health Plans retail capabilities and future retail investment priorities in the commercial individual market.
  • Update: Privacy and security of protected health information
    The permanent HIPAA audit program commences in 2014, and the importance of ongoing risk analysis is a central feature of these audits. Industry stakeholders should consider evaluating their HIPAA privacy and security controls as soon as possible.
  • 2014 U.S. Health Plans Outlook: Challenges, trends and strategies that may shape your business
    Bill Copeland, U.S. Health Plans leader and vice chairman of Deloitte LLP’s U.S. Life Sciences & Health Care practice, discusses the biggest challenges and opportunities for health plans in 2014.

Transforming the health care industry

Government Programs
Growth and Scale
Retail Consumerism

Risk and Compliance
Value-based Care

Leading the way

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

Peter J. Micca, Partner, National Health Plans Industry Leader, Deloitte & Touche LLP


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Watch, listen and learn

  • Live from the Center: What’s next for ICD-10?
    View the on-demand webinar.
  • Dbriefs webcast: Harnessing innovation: New strategies for life sciences
    Register for the May 6 webcast.
  • Health Care Current
    A weekly newsletter to keep you informed and ahead.
  • A view from the Center
    Read the Center for Health Solutions blog.
  • In the News: Deloitte Health
    Straight from the headlines.

Dig deeper

  • ConvergeHEALTH by Deloitte
    Learn more.
  • 2014 U.S. Health Plans Outlook
    Challenges, trends and strategies that may shape your business.
  • Deloitte health: Resources, reform, results
    A library of resources.
  • Deloitte Center for Health Solutions
    Health care insights start with research.
  • Health insurance exchanges
    Explore the potential opportunities and implications.
  • Health care consumerism
    Consumer attitudes, behaviors and unmet needs.

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