Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare Industry (PDF)

December 2015 1-943542-01-5 PDF (27 pages)

Healthcare Intelligence Network

From cost pressures, consumerism and consolidation to a proliferation of patient-centered, value-based delivery and payment models, the state of healthcare continues to challenge organizations in the industry.


Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare Industry, Healthcare Intelligence Network's (HIN) 12th annual business forecast, pins down the trends destined to impact the industry in the year to come and proposes tactics C-suite executives can employ to distinguish their operations in a dynamic marketplace.

This 27-page resource begins with a set of metrics that document healthcare organizations' top concerns, challenges and successes in 2015, based on responses to HIN's November 2015 survey. This annual strategic playbook then turns to industry thought leaders Laura Jacobs, executive vice president of GE Healthcare Camden Group, and Paul Keckley, managing director, Navigant, for strategies to build on 2015 accomplishments and avoid common business mistakes in 2016.

Homing in on the provider outlook in the face of increased pricing pressures, Ms. Jacobs examines trending care models, accompanying payment structures and emerging technologies, as well as the variable and highly sophisticated skill sets care providers must possess to achieve success. Mr. Keckley goes on to address key issues facing health insurance plans in 2016, and outlines opportunity areas for payors to make up for eroding books of business.

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Additional Detail


Now in its 12th year of equipping healthcare executives with a strategic planning agenda for the year ahead, Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare Industry covers the following:


  • Growth in the Medicare Advantage market and the explosion of accountable care organizations (ACOs)
  • The 'dance of consolidation' that continues within and across market sectors
  • Blurring of lines between payors and providers
  • Three common shared risk models and the critical success factors for each
  • The deluge of health information technology and the ramifications of putting wearables, healthcare apps and other tools into consumers' hands
  • Retail health trends
  • Rise of consumerism and expected impacts of self-reported healthcare data
  • The Who, Where and When of healthcare today, including options to identify patients, engage them at key points of care, at key intervals, by the most appropriate provider
  • Expectations for payors' core business of managing risk
  • The 'embedded intel' of healthcare data and what infomediation means for healthcare payors, in both shared risk arrangements and in potential partnerships with health systems
  • A readout on provider-sponsored health plans, including performance notes on customer experience, quality measures, financial performance and other metrics
  • Predictions for primary care, pharmacy and population health in the evolving world of healthcare delivery and reimbursement
  • An much more!

Table of Contents


  • 2016 Healthcare Trends: Survey Results
    • Survey Highlights
    • Challenges and Solutions
    • Successful Programs and Services Launched in 2015
    • Best Business Decisions of 2015
    • Business Mistakes and Lessons Learned
    • Impact of Value-Based Reimbursement in 2015
    • About the Survey
    • Respondent Demographics
  • Healthcare Provider Strategies for 2016
    • Healthcare Market Overview
    • Provider Consolidation
    • Impact of Consumerism
    • Care Model Redesign and Population Health
    • Blurred Payor-Provider Lines
  • Healthcare Payor Strategies for 2016
    • Common Thread of Cost Reduction
    • Payors’ New Core Business
    • Examining Provider-Sponsored Health Plans
    • New Roles for Pharmacy
    • Risk Arrangements and Data-Sharing
  • Q&A: Ask the Experts
    • Future of Accountable Care Organizations
    • Challenges for Provider-Sponsored Health Plans
    • Opportunities for Post-Acute and Community Partnerships
    • Wearables and Other Digital Health Strategies
  • Glossary
  • For More Information
  • About the Contributors