Insights for Healthcare Leaders & Change-Makers
Dear HCEG Colleagues and Friends:

Times are changing… Priorities are changing… Join the discussions!

As the 1st anniversary of the pandemic passes, it’s clear that more innovation and change have happened over the past year than over the previous decade. Innovative solutions have been tried and tested with some failing, some succeeding, and some with a verdict still outstanding. Now is the time for healthcare leaders to share and explore the impact of these solutions on health and business operations, and what lies ahead for the transformation of the healthcare delivery system.

I urge you to review this newsletter and accept our invitation to join HCEG as we form small-group roundtable discussions on some 2021 HCEG Top 10+ focus areas. Let’s keep innovation and change moving forward as we find healthcare’s “new normal.”

Be safe and stay well,

Executive Director
The HealthCare Executive Group (HCEG)
HCEG Top 10+ Focus Area Workgroups
New Peer-to-Peer Discussion Opportunities
Similar to the Mastermind Group concept created by Napolean Hill almost one century ago, we are in the process of forming peer-to-peer mentoring groups for select themes on the 2021 HCEG Top 10+ list. The goal of these Focus Area Workgroups is to help healthcare executives find solutions to the challenges, issues, and opportunities they face using input and advice from other group members.

A group to address “Healthcare Policy” with a particular focus on the ACA under the new Biden administration has been formed and a first meeting scheduled for March 11th. A second group focused on "Costs & Transparency" is also being assembled and additional workgroups focusing on other 2021 HCEG Top 10+ themes will be assembled in the coming months.

If you’re a healthcare executive interested in the coordination of knowledge and working toward a definite purpose in the spirit of harmony, indicate your area(s) of interest here and we’ll get back to you with details.
Healthcare Policy, ACA 2.0, Enrollment Period Lessons, & The Journey to the Exchange
After years of talk about repealing and replacing the Affordable Care Act (ACA), the Biden administration acted quickly to express its support for the ACA and broadening the Health Insurance Marketplace. With a special enrollment period currently underway and new options like Enhanced Direct Enrollment (EDE) and Individual Coverage Health Reimbursement Arrangements (ICHRA), health plans and employers have new opportunities to expand coverage opportunities this year and going forward.
Recently, our Executive Director Ferris Taylor and Kevin Deutsch, General Manager & Senior Vice President, Health Plan Cloud of our technology sponsor partner Softheon met to discuss these and related topics. Check out our most recent post that shares highlights of the call and describes content and presentations currently being developed including more on the following:
  • The ACA Revolution – From ObamaCare to TrumpCare to BidenCare
  • Expanded APTC Eligibility and Subsidy Amounts May Drive Individual Market Growth
  • 2021 Open Enrollment and Special Enrollment Period: Lessons Learned & to Be Learned
  • New Marketplace Entrants – Partnering to Advance & Grow
Costs & Transparency – Building on CMS Mandates to Address Consumer Demand & Experience
As evidenced by its presence on the HCEG Top 10 list each year over the last decade, healthcare costs and transparency have long been a priority of healthcare leaders. And the COVID pandemic has unmasked the impact of costs and transparency on the transition to value-based care and improving the healthcare consumer experience.

Additionally, as Mark Menton, CEO of HealthSparq, shared in a recent interview, mandates regarding costs and transparency are “table stakes for plans. It’s about building on those (mandates) to enable consumer experiences that actually help people.” 

To provide support for the Costs & Transparency workgroup, HCEG is partnering with HealthSparq as a technology sponsor partner. A formal announcement with additional details on this new sponsor partnership will be forthcoming.
Upcoming Sponsor Events
Fuel Top Line Revenue Growth with Comprehensive Sales Technologies
This webinar will discuss the technological challenges health insurance providers face maximizing member acquisition across Self-Insured, Fully-Insured, Small Group, Individual, and Medicare Advantage lines of business. 

March 08, 2021 at 2:00 to 3:00 PM ET - Register here
DigitalCare Toolbox Talks
Join digital health experts and benefits leaders from Salesforce, the Kraft Heinz Company, State of New Jersey, Vidant Health, Harvard Medical School, and the Business Group on Health to hear lessons learned in digital healthcare & MSK benefits, best practices, and actionable strategies that you can take back to your organization in 2021.

March 18, 2021 - Learn more and register here
Remapping the Specialty Medication Journey
How will we improve the specialty medication journey for patients and organizations alike? Join senior leaders from The National Multiple Sclerosis Society, CVS Specialty, Centene, AssistRx, Flatiron Health, Modernizing Medicine, and Mayo Clinic for a series of targeted 30-minute keynotes surfacing critical perspectives on the specialty medication journey.

March 25, 2021 at 11:00am to 4:00 PM ET - Learn more here
Recent Sponsor News & Information
A blog post from Softheon’s Paul Garrett on the Special Enrollment Period opened by the Biden administration.

Read more here

More from Softheon:
In these videos, Surescripts Andrew Mellin, M.D. offers a unique three-point perspective on how to evolve everyday healthcare interactions, streamline processes for physicians, and the critical but often hidden role played by a patient’s social determinants of health.

Watch the video here

More from Surescripts:
Zelis shares how telehealth, contactless payments, and artificial intelligence will have a major impact moving forward through 2021 and beyond.

Read more here

More from Zelis here:
A randomized, controlled study published on February 23, 2021 in JAMA Open found that patients who engaged in a virtual physical therapy program like that offered by Hinge Health saw a greater reduction in knee pain than those who continued with their usual care plan at home.

Read more here

More from Hinge Health:
In 2021, companies offering Dual-Eligible Special Needs Plans (D-SNP) must meet new integration requirements. See this infographic by Change Healthcare to determine how to develop a model of care, the value of benefits related to social determinants of health, and what your plan needs to launch your own D-SNP and improve the health of your target population.

Read more here

More from Change Healthcare:
Zipari CEO Mark Nathan shares how the next big healthcare disruptor should work in conjunction with payers and providers to succeed in their mission of disrupting the healthcare space.

Read more here

More from Zipari:
Thanks to Our Sponsors
Learn more about our sponsors here. And learn about sponsoring and partnering with HCEG here.
Connect with the HealthCare Executive Group
The HealthCare Executive Group is a 32+ year-old organization that promotes healthcare innovation, technology, professional growth, thought leadership, and the development of life-long relationships by providing year-round opportunities for executives and change-makers.

If your or your organization is interested in learning more about becoming a member or an annual sponsor, email us at or call 617.302-6224 • 617.302.6224
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