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FORECASTS: Top health care trends in 2016

This is a list of likely developments in the health care field in 2016 – largely from the point of view of payers / insurers.  Here they are:

  • Consolidation will continue.
  • Continued movement towards value-based payment
  • Enrollment in ACA health plans will slow
  • High price of pharmaceuticals will raise concern
  • PPO plans may be scaled back
  • Surprise out-of-network billing will be examined
  • Affordable Care Act will be frequently mentioned during Presidential campaign
  • Demand for quality data will grow
  • Cybersecurity will be an issue
  • Balance between preventive screening and overdiagnosis will be sought
  • Providers will start to work through how MACRA legislation will affect reimbursement
  • Insurance coverage for genetic tests will be debated.

Source: 2016 year in preview. (2015, Dec.). Managed Care, 24(12), 30-36, 45-47.  Click here: http://www.managedcaremag.com/issue/2015/December  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

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