As 2012 sets into the sunset(and hopefully the world doesn't end tomorrow) Health Care is face with even more uncertainties. Medical device companies are facing increasing taxes, 25 states have decided not to build Health Information exchanges, the ACA has yet another legal challenge going to the supreme court. The one certainty is that performance measures are not going to go away and will have even more expanded importance. Federal and State dollars will hinge on getting the best results. With the Federal government being even more intractable with RAC audits every dollar will need to be fought for. Every state will be faced with finding "cost-savings" which means the private sector will be under increased pressure. Compliance will take a greater role as every company will need to manage risk aversion.
With every gloomy cloud I do think there are some rays of sunshine. I think the public is slowly starting to realize that good health means taking responsibility for yourself. Wellness is starting to gain traction in employer groups. While it is hard to measure in the short term, living healthy has long term positive effects. Also I think in light of everything that has happen I think mental health may get serious consideration. Its awful that a tragedy has to happen but as a country we really have failed here. Even HEDIS began tracking more mental health measures this year.
I'm hoping 2013 ushers in new strength,joy and certainty.
Happy Holidays, Merry Christmas, Happy Hanukkah, and Merry Kwanza
Andy
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