Developing and executing on a digital strategy that benefits both patients and providers. As payers and providers  seek to navigate the complexities of healthcare, the “payvider” model, which combines the functions of providing care and paying for it, will require bridging the information gap that exists within many healthcare organizations, and simplifying processes, as mentioned above. In particular, CMS’ push toward price transparency has resulted in many questions from payers and providers. Delivery system transformation. Prediction 2: The popularity and use of alternative healthcare delivery channels will continue to grow. The challenge facing the modern CIO is leveraging the right data into actionable information. Prediction 3: There will be a continued emphasis on process improvement in healthcare. Additionally, a 2016 Accenture survey found that 54 percent of healthcare consumers want to interact more with providers through apps on their smart phones. Data and analytics. As people live longer and the population continues to grow, the cost burden on healthcare will only rise. Barriers and challenges in training health care providers for patient education. But this pandemic has exposed a new challenge for healthcare workers; hospitals and medical offices running out of PPE. The past decade has seen healthcare emerge as one of the most important issues of our time. In addition, Azar said that legislation, such as HR-3’s Title I of The Lower Drug Cost Act of 2019, is proposing that HHS be allowed to negotiate drug prices based on international standards. Cuomo Proposes Wide-ranging Telehealth Reforms, HRSA Grants to Help Assess Rural Telehealth Capacity, Alleviating Patients' COVID Concerns, One at a Time—With a Digital Touch, The value of virtual care and communication has never been greater, says Prisma Health’s chief digital officer, Community Health Worker Institute Launches in Seattle, Northwest Regional Primary Care Association creates institute to lead policy development to strengthen the community health worker model in healthcare, Community Health Centers Pilot Remote Monitoring Tools, National Association of Community Health Centers is working with 20 health centers in 16 states on use of Patient Care Kits. Digital will be a major disruptor to the market in the future and companies such as Amazon and Microsoft are already leveraging these technologies to improve care and the patient experience. actionable insights from data and analytics. Health plans should seek solutions that not only provide data from disparate sources, but that can also display data in a way that is meaningful and actionable. In most cases, price increases directly affect Americans who, in some cases, can no longer afford medications they so desperately need, Bell says. The Biggest Challenges in Healthcare includes Managing Limited Budgets, Managing Regulation / Legal Requirements, Managing Increased Patient Expectations and Managing Competition. “Getting up to speed on the changes and ensuring that existing relationships are compliant should be a priority in 2020,” Fleming says. © 2021 Endeavor Business Media, LLC. Challenge 2: Shifting to value-based payment models. As a new decade begins, healthcare executives will continue to grapple with challenges of the past as well as new issues that emerge. Top 20 hiring challenges and solutions. Data & Analytics . Insurance companies need to understand that doing business using legacy systems which have varying levels of security is tantamount to their business. Challenge 6: Rising cost of specialty drugs. Promoting the use of biosimilars and reducing utilization barriers; Preventing branded drug manufacturers from gaming FDA risk management strategies and 180-day generic launch rules to forestall generic competition; Requiring drug rebates negotiated by pharmacy benefit managers to be passed directly to patients; Requiring drug companies to disclose list prices for their drugs in television ads, just as they do for side effects and other drug risks. 2. Consumer experience. “We have also seen significant moves toward bringing more transparency to consumers, through removal of gag orders on pharmacists not to mention lower cost drugs and requirements that drug ads disclose the cost of the drug being advertised,” Azar said. Delivery System Transformation . As healthcare organizations seek to maximize budgets and improve efficiencies they will continue to employ process improvement disciplines to reduce variation and drive out waste. In addition, HHS recently released proposed changes to the antikickback statute and Stark Law. The impact of COVID-19 on the insurance industry is a huge one right now. Monitoring data’s security is also key. Here is the list of the top 20 recruitment challenges, followed by practical tips for solving them: 1. Jan. 16, 2020 Why Global Citizens Should Care. Thes… Challenges Facing Healthcare Practices in 2020 | NTC . This process is not only difficult, but the information presented in a chargemaster is confusing and does little to further transparency or education.”, Related: Managed Care State of the Industry 2019. How to Reduce Maternal, Infant Health Risks During COVID-19, Secondary Progressive Multiple Sclerosis: Patient Impact and Coverage Implications for New Therapies. 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