Managed Care

 

After a decade of tumult, what's next

MANAGED CARE November 1999. © MediMedia USA

After a decade of tumult, what's next

MANAGED CARE November 1999. ©1999 MediMedia USA
LOOKING FORWARD

In a few weeks, the calendar will tick over and, if we've solved our Y2K problems, we'll be seeing a calendar year none of whose digits will be the same as this year. It will look new (even though we know it's really the last year of the second millennium) and may invigorate us. A little emotional support couldn't hurt a health care system that has been buffeted by winds from all directions for years.

We could say that we're on the cusp of dramatic new developments in health care, but people have been saying that for a decade, and there's been no revolution yet. Evolution, however, is indisputable: The '90s have seen significant advances in understanding many diseases, and if treatment advances haven't kept pace, they've done pretty well. The health care delivery system has evolved in ways few foresaw a decade ago. The rise of HMOs to a position of overwhelming influence on the delivery of care surprised a lot of patients and physicians, and lately the increasingly successful counterattack of the "unmanagers" who brought us point-of-service plans, mandated minimum hospital stays and, now, a patients bill of rights, has become a thorn in the side of health plans that pretty much had carte blanche.

The calendar will change dramatically, but there will be no apocalyptic change in health care. Evolution, maybe even progress, will continue.

But what changes? We asked influential participants in the health care system what they saw as developments and issues that would dominate the first half of the '00s (though we didn't ask them to pronounce '00s!). Each speaks from his own field of expertise, and if some show a little self-interest, well, that's part of the equation. They represent distinct constituencies (health plans, physicians, analysts and academics, disease management purchasers, and employers, for example), and all see significant movement within their areas of expertise over the next few years.

We'd like to share their visions and expectations with you. We hope you'll find them as provocative as we do.

Articles in the Looking Forward Series:

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014