Contact

Payer

Pharma

Provider

Formulary guidance and transparency from P&T to point of care

Perspectives on Payer Priorities in 2018

Posted by Matt Breese on Jan 23, 2018

Find me on:

 
The past year has been eventful for payers and payer organizations. Looking ahead to 2018, Thomas Beaton, editor at HealthPayer Intelligence, wrote:
 
"2018 is a year in which payers are likely to implement strategies aimed at improving growth in Medicare Advantage markets, increasing the use of the social determinants of health to improve outcomes, and expanding member engagement with health plans."
 
More than 17 million beneficiaries were enrolled in Medicare Advantage plans in 2017, according to AIS's Directory of Health Plans. The enrollment is expected to keep increasing, making MA health plan a desirable market for payers. 
 
As high-deductible health plans are projected to grow, payers need to better address the concerns of HDHP enrollees and implement the health savings account benefit. 
 
Social determinants of health (SDOHs) will also be a priority to payers when calculating value-based payments. Both payers and providers are looking for technologies to identify the origin of health care cost, yet spotting and collecting the right data will be the challenges. 
 
In addition, payers are expanding member engagement to tailer experiences to their consumers, such as investing into mobile device interactivity to draw the attention of young consumers. 
 

Subscribe to the MMIT blog for more pharma, provider, and payer perspectives on key topics that affect the healthcare network.

 Subscribe for Weekly Perspectives
 

Topics: Industry Trends, Provider, Payer