2016-03-29-奥纬咨询-Health_Innovation_Strategy_Hub_13页_315kb

Oliver Wyman's 2016 Healthcare Industry Outlook: Transforming Care

Oliver Wyman's "What's Next" series presents key predictions for healthcare in 2016, focusing on consumerism, retail clinics, integrated experiences, price transparency, and exclusive contracting. These trends emphasize a shift from traditional fee-for-service models to value-based care, driven by high-deductible insurance plans.

• Consumerism Pressure: High-deductible health plans (HDHPs) motivate consumers to compare costs and prioritize value-based care, leading to market share shifts for legacy organizations that fail to adapt.
• Retail Clinics Evolving: Retail clinics transition from urgent care to hub roles in provider networks, offering convenient services like insurance enrollment and primary care, with traditional systems integrating these to reduce emergency room visits.
• Fully Integrated Experiences: Pioneering health systems create omni-channel models for seamless care via telehealth and digital tools, enhancing patient loyalty and resource efficiency.
• Price Transparency Gains: Consumers increasingly demand pricing tools for shop-able services, incentivized by HDHPs, leading providers to leverage transparency to improve collections and reduce costs.
• Exclusive Contracting: Plans adopt networks with value-based components and enhanced consumer experiences, such as better appointment access and care management, to boost provider quality and member loyalty.

Overall, the report underscores the need for healthcare organizations to prioritize consumer experience and integration to remain competitive in a market driven by informed, cost-conscious consumers.