From collaboration and consolidation to the inevitable acceptance of a value-based system, the state of healthcare continues to stimulate health plans, providers and employers.

Healthcare Trends & Forecasts in 2015: Performance Expectations for the Healthcare Industry, HIN's eleventh annual industry forecast, examines the factors challenging healthcare players and suggests strategies for organizations to distinguish themselves in the steadily evolving marketplace.

In this yearly strategy playbook, Steven T. Valentine, president of The Camden Group, returns to give the industry outlook for healthcare providers. Beginning with his "pyramid of success" for population health management, Valentine outlines key impacts for physicians and hospitals, including increasing transparency in quality and pricing data; emerging business roles for physicians; shifting locus of care; and the empowered and tech-savvy healthcare consumer.

Offering the payor perspective is Dorothy Moller, managing director, Navigant, who outlines industry "winds of change" and "seeds of transformation" impacting health plans in the form of new roles for existing stakeholders, mobile health and technology, and new players on the healthcare field.

Now in its eleventh year of providing healthcare executives with a look ahead to help shape strategic plans, the 30-page Healthcare Trends & Forecasts in 2015: Performance Expectations for the Healthcare Industry covers the following:

• Snapshot of provider trends, including inpatient utilization, pricing and quality transparency, and population health management;
• Provider milestones along the road to fee for value, including accountable care and clinical integration;
• Report card on accountable care organization (ACO) performance;
• 15 key ACO infrastructure elements;
• Expectations for the patient-centered primary care delivery model;
• Impact of Medicare Chronic Care Management reimbursement in 2015;
• 16 factors in health system transition to a value-based reimbursement system, including time frame, delivery systems and payment models;
• Responding to changes in locus of care — telehealth, retail health, and direct primary care;
• Five payor strategies mirroring provider initiatives;
• 15 transformative payor challenges signaling a fundamental change in the industry;
• Five questions payors must answer before negotiating the path to value-based care;
• A dozen companies to watch that are introducing new technologies, care delivery vehicles, care payment structures and consumer engagement models;
• Eight payor survival strategies for weathering the 'disruptive winds' in the industry;

Table of Contents

• Payor Strategies for 2015
  • Payor Expansion into Provider Businesses
  • Pressure from Increased Transparency
  • Disintermediation of Payors
  • Transformative Challenges
  • Impact of Technology and New Care Models
  • Responding to a Global Healthcare Market
• Provider Strategies for 2015
  • New Framework for Price Transparency, Sensitivity
  • Road to Fee for Value
  • Pyramid of Success from Population Health
  • ACO Rebound and Infrastructure
  • Trends and Growth Areas
• Q&A: Ask the Experts
  • Mobile Apps for Payors
  • Future of 'Pay for Value'
  • Impacts from 2014's Newly Insured
  • Medicare Chronic Care Management Reimbursement
  • Innovations in Reimbursement Models
  • Impacts of Benefit Design Changes
  • Long-Term Impact of Value-Based Reimbursement
  • Anticipated Applications of Telehealth
  • Payor Strategies for Co-located Case Management
  • Outlook for Physician Practices and Specialists
  • Future Care Delivery Models
• Glossary
• For More Information
• About the Contributors