Excellence in Healthcare Consulting
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Focus Area: Healthcare Reform
With health reform on the horizon and the country struggling with economic challenges, it is an uncertain time for organizations in the health sector. Some health plans are waiting for the storm to clear before investing in strategic shifts and infrastructure development. However, remaining abreast of the issues can help plans to act now so that they are not at a competitive disadvantage when the winds settle.
HTMS is monitoring the reform environment closely, with a particular focus on what health plans can do to differentiate in the evolving landscape. Interventions can range from reform-specific innovations such as readiness for the Health Benefit Exchange to core infrastructure upgrades that assist with MLR compliance through administrative efficiencies or greater agility to respond to changing market demands.
HTMS approaches reform engagements through a four-tiered approach:
| Discovery | Strategy | Planning | Implementation |
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Work with health plan to implement plans as defined:
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