Deloitte Health Care

ACO Medicare Shared Savings Program final rule

Mon, 14 Nov 2011 22:05:56 +0530

CMS released the final rule for its Medicare Shared Savings Program for Accountable Care Organizations. Deloitte reviews the rule’s key takeaways, provides estimated program savings and lists stakeholder implications.

Health reform and the individual insurance market

Mon, 7 Nov 2011 21:06:12 +0530

Our latest Issue Brief models possible scenarios that could have major impacts on enrollment.

The public view of health care reform

Thu, 22 Sep 2011 15:35:41 +0530

The Health Care Issue Brief uses results from the 2011 Survey of Health Care Consumers in the United States to examine consumers’ expectations of aspects regarding health care reform.

Pursuing risk intelligence in a rapidly changing industry

Wed, 24 Aug 2011 14:31:58 +0530

The pharmaceutical industry continues to evolve and change, particularly in light of a number of important industry trends that are reshaping its future, including: product/service and geographic diversification; consolidation; increased regulation; commercial model changes; and R&D model changes. As management and boards of pharmaceutical companies grapple with this increased complexity and market turmoil, they search for ways to address both the threats and opportunities that may come with disruptive change.

Exploring the safe harbor in health care reform

Thu, 4 Aug 2011 15:57:57 +0530

Health care is changing on many fronts, from clinical science to information technology to Medicare and FDA transformation to the very way doctors, hospitals, insurers and patients interact. Every employer is impacted, and the issue goes well beyond the compliance aspect of reform that garnered so much attention last year.

I'm OK, you're OK..

Tue, 2 Aug 2011 16:36:02 +0530

With the U.S. health care system undergoing massive change, some stakeholders are taking bold, innovative steps.

Shaping a connected health care market

Tue, 2 Aug 2011 15:18:55 +0530

The health care industry, through telecommunications and mobility enablement, is at the tipping point of a disruptive transformation as patients will expect to receive quality medical guidance throughout their daily lives. Telecom companies that can effectively integrate a connected health care market will have access to the value from new revenue sources through services and transactions that leverage the increasingly distributed nature of care.

Comparative effectiveness research in the United States

Fri, 1 Jul 2011 15:41:44 +0530

Comparative effectiveness research (CER) has been proposed as a way to understand the real-world, incremental value of specific health technologies in differing patient populations. This Issue Brief revisits CER following the enactment of health care reform legislation and shares implications for stakeholders.

2011 U.S. and global survey of health care consumers

Thu, 23 Jun 2011 18:57:11 +0530

The rising health care cost coupled with the current state of the economy have prompted many consumers across the globe to delay care, alter household spending and worry about their ability to pay for future health care.

Should Health Care Revolve Around Hospitals or Accountable Care?

Fri, 1 Apr 2011 17:37:23 +0530

New options for physician alignment and care delivery – such as Accountable Care Organizations – offer the prospect of more efficiency, better outcomes and higher revenues. But they carry new costs as well – and could upset traditional roles.

Managing Benefit Plan Information in a New Era of Requirements

Fri, 25 Mar 2011 18:57:39 +0530

Employers will be required to give employees a written notice of the existence of State Health Insurance Exchanges. Learn more about this provision and its implications.

Notice of Coverage Options

Thu, 24 Feb 2011 21:03:45 +0000

Employers will be required to give employees a written notice of the existence of State Health Insurance Exchanges. Learn more about this provision and its implications.

Mandatory Automatic Enrollment

Wed, 19 Jan 2011 21:03:45 +0000

Employers with more than 200 full-time employees that are subject to the Fair Labor Standards Act (FLSA) will have to establish an automatic enrollment program for their group health plans. Learn about the impact on employers.

Special Rules For Mini-Med Plans

Thu, 16 Dec 2010 21:03:45 +0000

The continued viability of “mini-med” plans - characterized by relatively low annual limits on the total dollar value of benefits -will be threatened by certain provisions of the new health reform law.

90-day Limit on Waiting Periods

Thu, 9 Dec 2010 21:03:45 +0000

Group health plans will not be permitted to apply any waiting periods that exceed 90 days. Learn about the impact for employers on plan design and administration.

Health Care Reform: Consumer Pulse Survey

Thu, 2 Dec 2010 21:03:45 +0000

According to a new Deloitte Center for Health Solutions survey, consumers express mixed views about health care reform, remain concerned about costs, are divided in their assessment of the system’s performance and are supportive of changes.

Claims Processing – Opportunity or Commodity?

Thu, 4 Nov 2010 21:03:45 +0000

Health care reform and the business of processing claims are under more pressure than ever before. Should health insurers continue to put money into core claims platform improvements – or shift their technology investments elsewhere?

Applying Health Reform to Vision and Dental Benefits

Thu, 4 Nov 2010 21:03:45 +0000

Employers will need to analyze dental and vision benefits to determine if they are subject to the market reforms, or if they are “excepted” health benefits.

Opt-out Provision Changes for Self-insured State and Local Gov Plans

Thu, 28 Oct 2010 21:03:45 +0000

Self-insured state and local gov group health plans, including grandfathered health plans, will no longer be able to opt-out of certain HIPAA requirements. Learn about the provisions subject to opt-out changes and the implications for employers.

W-2 Reporting of Cost of Employer Health Coverage Not Mandatory

Wed, 20 Oct 2010 21:03:45 +0000

Employers will be required to report the aggregate cost of employer-sponsored health coverage on employees’ Forms W-2. Learn how this will affect payroll systems and procedures. Be prepared to develop employee communications that explain the changes.

Health Plan Special Enrollment Periods for 2011 Plan Years

Thu, 14 Oct 2010 21:03:45 +0000

Learn why group health plans, including grandfathered health plans, may need to offer certain employees and their dependents a 30-day special enrollment opportunity, and the key implications of this requirement for employers.

Health Savings Account Reimbursements: Smart First Steps

Tue, 12 Oct 2010 21:03:45 +0000

Learn about provisions for distributions from Health Savings Accounts (HSAs) to pay for a medicine or drug as qualified medical expenses, and the key implications for employers.

5 Techniques for Better Managing Hospital Construction Projects

Thu, 30 Sep 2010 21:03:45 +0000

Hospitals need to contain costs and maximize the value of each capital dollar spent, while continuing to innovate and stay competitive in their markets by launching new facilities and expanding or updating existing ones.

Medical Home 2.0: The Present, the Future

Thu, 23 Sep 2010 21:03:45 +0000

In the Patient Protection and Affordable Care Act of 2010, the expansion of patient-centered medical home (PCMH) pilot programs is among delivery system reforms intended to reduce costs and improve population-based health. Read the new report.

The Mobile Personal Health Record: Technology-Enabled Self-Care

Thu, 16 Sep 2010 21:03:45 +0000

The mobile personal health record – mPHR – is the “killer app” that can help consumers self-manage their preventive, chronic and post-acute care. This Issue Brief examines the barriers and opportunities to accelerate mPHR use.

Health Plans and Hospitals: Irreconcilable Differences?

Thu, 16 Sep 2010 21:03:45 +0000

Is it best for hospitals to continue to own health plans? In the past, there were clear business benefits for such an arrangement. But in a reformed environment, the potential problems and conflicts might outweigh the benefits.

Employer-Sponsored Health Plans for THL Companies

Thu, 19 Aug 2010 21:03:45 +0000

Get in front of the health care reform changes and avoid costly surprises. Review our latest report for the tourism, hospitality and leisure indusrty, which summarizes the provisions, effective dates and employer ramifications of the PPACA.

Deloitte Review

Thu, 5 Aug 2010 21:03:45 +0000

Read the Summer 2010 issue of our semiannual magazine for business leaders.

Good Medicine or a Bitter Pill?

Thu, 5 Aug 2010 21:03:45 +0000

The full implications of PPACA, and other legislative and regulatory initiatives affecting health care, will unfold over the next decade and beyond. Explore implications of health care reform for businesses in America.

Survey: 1 in 5 Americans Skip Medical Care When Sick or Injured

Thu, 5 Aug 2010 21:03:45 +0000

With unemployment rates remaining at an all-time high, one in five Americans chose not to seek medical care for a recent illness or injury, with four out of 10 citing cost as the primary factor, according to the Deloitte Center for Health Solutions.

Social Networks in Health Care: Communication, Collaboration & Insight

Thu, 22 Jul 2010 21:03:45 +0000

Public, Internet-based social networks can enable communication, collaboration and information collection and sharing in health care. This paper explores social networking’s current and potential impacts on the health care industry.

Paying for Change

Thu, 22 Jul 2010 21:03:45 +0000

Learn the impact of the health care reform and White House revenue proposals on high-net-worth taxpayers.

3 Reforms, a Wealth of Resources

Thu, 22 Jul 2010 21:03:45 +0000

In terms of regulatory compliance, three issues are top-of-mind for today's executives. Explore our health care reform, financial reform and IFRS resource libraries.

Health Reform: Are You Ready? (Video)

Thu, 1 Jul 2010 21:03:45 +0000

Health reform is not simple, predictable or completely defined – but it is here to stay. It is a moving target that presents individuals, government agencies and organizations in every industry with critical choices. Watch the video.

Medicaid Long-term Care: The Ticking Time Bomb

Thu, 24 Jun 2010 21:03:45 +0000

This paper examines the effect of an aging population, growing fiscal pressures and health reform’s mandate on Medicaid LTC programs. It presents likely outcomes and innovative programs that may transform LTC services.

Post Health Reform Perceptions: Consumer Pulse Survey

Thu, 17 Jun 2010 21:03:45 +0000

According to a survey conducted by the Deloitte Center for Health Solutions in May 2010, while the majority of consumers are satisfied with their current health care coverage, many have concerns about potential changes from PPACA.

Express Lane for Follow-on Biologics — Big Deal or Big Yawn?

Thu, 17 Jun 2010 21:03:45 +0000

Will the new law do the same thing for biologics? Or will it amount to little more than an administrative detail? And even more important: What should companies do about it?

“Shared” Services for Life Sciences Companies

Thu, 17 Jun 2010 21:03:45 +0000

Given common cultural and historical biases, driving value through applying the “shared services” concept will require significant discipline and commitment to change in order to enable true integration.

Health Care Reform for CFOs: Employee Benefits Considerations

Thu, 10 Jun 2010 21:03:45 +0000

Three considerations for CFOs regarding health care reform and employee benefits: workforce transformation & planning; managing uncertainty & avoiding unintended consequences; and understanding & managing key compliance cost drivers.

Health Care Reform for CFOs: What is Your Timeline?

Thu, 3 Jun 2010 21:03:45 +0000

This paper lays out a timeline of upcoming changes that will likely require planning to manage potential financial impacts. A number of the Act's provisions hold potentially significant short- and long-term cost implications for employers.

Big Issues in Government: Health Care Reform

Thu, 3 Jun 2010 21:03:45 +0000

A former government executive and national leader in health care share their thoughts on health care reform and the important role state governments will play in effectively implementing health care reform and the changes in health insurance.

Retailers and the Implications of Health Care Reform

Thu, 27 May 2010 21:03:45 +0000

The Patient Protection and Affordable Care Act (PPACA) will present new challenges to retail employers. Learn about the provisions of PPACA and the potentially significant short- and long-term cost implications for employers.

A Life Sciences Industry Stance on Health Care Reform

Thu, 20 May 2010 21:03:45 +0000

Explore key opportunities and challenges life sciences executives will wrestle with in the areas of biopharma, devices and diagnostics as they plan for the future based on PPACA law changes.

Chickens, Eggs and Health Care Reform

Wed, 12 May 2010 21:03:45 +0000

Health care reform is here, with implications for organizations of all shapes and sizes. Understanding the impacts of this significant law will require smart first steps and deliberate processes.

2010 Survey of Health Care Consumers

Wed, 12 May 2010 21:03:45 +0000

The Deloitte Center for Health Solutions' third annual survey reveals that, despite difficult economic times and the ongoing health reform debate, consumer attitudes remain largely unchanged from 2009 to 2010.

Accountable Care Organizations: A New Model for Sustainable Innovation

Thu, 29 Apr 2010 21:03:45 +0000

As the 2010 Patient Protection and Affordable Care Act is implemented, there is high likelihood of changes in payment models, rewarding provider performance and enhancing coordination – and Accountable Care Organizations (ACOs) have the potential to drive payment reform.

Health Care Reform: Commercialization Considerations for Life Sciences Companies

Thu, 29 Apr 2010 21:03:45 +0000

Gain real-life insights related to portfolio management, pricing, commercialization, biosimilars, and more.

Financial Reporting and Disclosure Implications Health Care Reform

Wed, 14 Apr 2010 21:03:45 +0000

Deloitte and Gibson, Dunn & Crutcher LLP jointly prepared a report that summarizes matters related to financial reporting and disclosures that public entities may need to consider as a result of the passage of the health care reform legislation. "

2010 Global Survey of Health Care Consumers

Wed, 14 Apr 2010 21:03:45 +0000

This research finds similarities – and intriguing differences – in health care behaviors, attitudes and unmet needs among consumers in the United States, Canada, France, Germany, Switzerland and the United Kingdom. Explore the research library. "

Health Care Legislation Eliminates Tax Deduction Related to Medicare Subsidy

Thu, 1 Apr 2010 21:03:45 +0000

This Financial Reporting Alert addresses the accounting implications of the provision of the Act that eliminates the tax deduction for the portion of the prescription drug costs for which the employer receives a Medicare Part D subsidy (i.e., reduced deduction).

Health Care Reform Library

Wed, 24 Mar 2010 21:03:45 +0000

The bill passed. Now what? Explore our resources and perspectives.

Health Care Reform Memo

Wed, 24 Mar 2010 21:03:45 +0000

Explore the perspective that breaks down the implications of Sunday's historic vote, including a side-by-side comparison of major changes to the Senate bill included in the reconciliation health care bill.

The Evolving E-Prescribing Landscape

Thu, 4 Mar 2010 21:03:45 +0000

Explore challenges, incentives and opportunities for industry stakeholders.

Health Information Technology

Thu, 4 Mar 2010 21:03:45 +0000

Explore the resource library to learn how to integrate clinical data from emerging technologies, while directing investments toward systems that save money and lives.

Social Media for Life Sciences: Trick or Tweet?

Wed, 24 Feb 2010 21:03:45 +0000

Should life sciences companies be using social media channels as a marketing tool to promote and/or protect their businesses? Or is social media just an insignificant distraction unsuited to the business world?

2010 Top Five Total Rewards Priorities Survey

Wed, 24 Feb 2010 21:03:45 +0000

Results find employer and employee interests align around health, personal responsibility and cost reduction.

R & D Tax Incentive Opportunities for Life Sciences Companies

Wed, 10 Feb 2010 21:03:45 +0000

In an era where life sciences companies are rapidly witnessing industry consolidation, global expansion, off-shoring of manufacturing and clinical trials, and increased scrutiny of the R & D process, the research tax credit is more important than ever.

2010 Perspective on Health Care Reform & Growth

Wed, 3 Feb 2010 21:03:45 +0000

Economic turmoil and health care reform efforts dominated headlines in 2009. Paul H. Keckley, Ph.D, executive director, Center for Health Solutions, Deloitte LLP, discusses possible implications and potential growth opportunities.

Update on Health Care Reform: Weekly Memo

Wed, 27 Jan 2010 21:03:45 +0000

Massachusetts elects Brown to Kennedy Senate seat: Explore what's next and Deloitte's take on the situation.

Should Life Sciences Companies Invest in Electronic Health Records (EHR)?

Wed, 16 Dec 2009 21:03:45 +0000

Lead or follow? For life sciences companies, is it better to start investing now to help develop EHR standards and capitalize on the potential benefits? Or wait and then follow the crowd?

Medical Tourism: Update and Implications - 2009 Report

Tue, 8 Dec 2009 21:03:45 +0000

Recession slows growth of medical tourism from 2007-2009 but economic recovery could result in 35 percent annual growth by 2010. Read the report.

Retail Medical Clinics: Update and Implications - 2009 Report

Thu, 19 Nov 2009 21:03:45 +0000

Despite the recession, overall growth of the heath care retail clinic market has increased approximately 15 percent in the past two years. Growth, however, will likely slow to 10-15 percent from 2010 through 2012, and will accelerate above 30 percent from 2013-2014. Learn more.

The Shift Index 2009: Industry Metrics and Perspectives

Wed, 11 Nov 2009 21:03:45 +0000

The Deloitte Center for the Edge has released " The Shift Index Industry Metrics and Perspective, " an industry-specific version of its Shift Index, featuring nine key sectors. The initial version of its groundbreaking Shift Index was released in June 2009.

Sales Quotas in Uncertain Times

Wed, 11 Nov 2009 21:03:45 +0000

The economic crisis is making it hard for sales teams and companies to meet their sales goals. Should companies take a hard line or a kinder and gentler approach to incentive plans?

Your Turn: Growth

Wed, 4 Nov 2009 21:03:45 +0000

Whether or not you're a believer in " green shoots, " you're likely watching closely for signs of a swing from cost cutting back to growth mandates. But every growth initiative comes with inherent costs and risks as well as benefits. Explore our latest resources on investing in growth.

Scenario Planning in Life Sciences R & D: Planning for Uncertainty

Tue, 20 Oct 2009 19:29:11 +0000

A recent survey found that, 30 percent of pharmaceutical R & D executives surveyed believe their companies will have to change completely to face future risk, and 82 percent of biotechnology executives believe their companies need to endure major transformations to address future risk and uncertainty.

More Than Half of Americans Not Worried About Swine Flu, According To New Deloitte Poll

Mon, 7 Sep 2009 19:29:11 +0000

As the first recipients of the H1N1 vaccine are vaccinated, more than half of Americans surveyed (52 percent) do not believe the H1N1 virus, or Swine Flu, will have a major impact in the United States, compared to 44 percent who believe it will, according to the results of a new Deloitte Center for Health Solutions survey.

54% of Americans Believe Health Care Reform Will Not be Passed This Year

Wed, 30 Sep 2009 19:29:11 +0000

Government-run health care and increased taxes top list of concerns, according to the results of a new Deloitte Center for Health Solutions study.

Episode-Based Payment: Perspectives for Consideration

Sun, 27 Sep 2009 19:29:11 +0000

This new report assists industry stakeholders in understanding the rationale, implementation and impacts of episode-based reimbursement.

Academic Medical Centers at a Tipping Point

Thu, 17 Sep 2009 19:35:01 +0000

While driven to serve their tripartite mission of teaching, research and patient care, AMCs are susceptible to myriad pressures that endanger their long-term viability. Learn what transformational change is needed to safeguard their future.

Health Care Reform Memo Library: A Weekly Update

Thu, 17 Sep 2009 19:35:01 +0000

Highlights from the previous week's activities in the new administration, and implications for the C-suite and various stakeholder groups.

A Practical Approach to " GREEN " for Health Care Providers

Thu, 17 Sep 2009 19:35:01 +0000

The current political, social and business climate has made formal corporate sustainability - or " green " – programs, a high visibility issue for many health care systems. This paper describes a number of practical steps your organization can consider as they " go green. "

Webcast: Comparative Effectiveness - A Compelling Approach to Cost Control and Quality Improvement

Mon, 27 Jul 2009 19:40:10 +0000

Learn how better evidence about the costs and benefits of different treatment options can help reduce health-care spending without adversely affecting health. Join us for a live Webcast on July 14.

Health Care Reform Memo Library

Mon, 27 Jul 2009 19:40:10 +0000

This weekly series highlights news from the previous week's administration activities and reviews implications for the C-suite and various stakeholder groups. See what's happening in July.