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Mhealth Israel presentation
January 27, 2020
Top health industry issues
of 2020: Will digital start
to show an ROI?
PwC
Each December, right before the holidays, HRI names
the trends that will shape the US health industry in the
coming year.
The report, HRI’s flagship, is developed from input
from dozens of PwC partners and staff, interviews with
healthcare executives and other industry experts and
analysis of government and industry data.
The report also was informed by surveys conducted by
HRI of 3,500 American consumers and 500 executives
from providers, payers and pharmaceutical and life
sciences companies.
About this report
DateTop Health Industry Issues 2020: Will digital start to pay off
2PwC
PwC
This year’s top issues
DateTop Health Industry Issues 2020: Will digital start to pay off
3
Regulation trumps policy2
A looming tsunami of high prices1
4
6
Fast- forwarding from data to decisions7
Consumers inch closer to DIY healthcare3
5
US health organizations are seeking opportunities overseas and through innovation.
Beware of the tax risks.
Equity and inclusion, not just diversity, as a business imperative
A whole new you: Deals as makeovers
PwC
Heart of the matter: Will digital transformation benefit
customers?
In 2020, US healthcare, and especially how it is delivered and how much we pay for it, will be top of mind. As the industry
works to catch up to the rest of the digital economy, the key question will be whether the digital transformation will benefit
healthcare consumers and mark a new dawn for the US health industry and for the people whose lives depend on it.
Top Health Industry Issues 2020: Will digital start to pay off
4
How much will
consumer experience
change as receptionists
no longer hand them
clipboards of forms to
fill out?
Will physicians, now
aided by data-driven
insights, make better
diagnoses and write
better prescriptions?
Will the stream of new
drugs coming to market
swell thanks to faster,
more efficient clinical trials
and regulatory reviews?
Will insurers provide
consumers with choices
that are better for their
wallets and good for
their health?
Date
PwC
Digital upskilling is the top workforce priority for healthcare
organizations in 2020
Date
5
What will be your top workforce priority in 2020?
Top Health Industry Issues 2020: Will digital start to pay off
1. A looming tsunami of high prices
Top Health Industry Issues 2020: Will digital start to pay off
6
Date
PwC
PwC
Providers and plans have many financial options for consumers, yet
Americans are still frustrated
• Providers and plans have many
financial options for consumers, yet
Americans are still frustrated.
• Payers and providers will need to
take additional steps in 2020 to
make care more affordable for
patients
Date
7
Top Health Industry Issues 2020: Will digital start to pay off
2. Regulation trumps policy
8
DateTop Health Industry Issues 2020: Will digital start to pay off
PwC
PwC
The fate of four Trump administration priorities is at stake in the 2020
election
The election’s outcome will determine the fate of policies championed by the Trump administration that do not enjoy bipartisan support. The
administration has used its regulatory power to tweak the administration of the ACA, efforts that could be rolled back under a Democratic
president. This includes expanding sales of association health plans and short-term, limited duration insurance.
Date
9
Top Health Industry Issues 2020: Will digital start to pay off
PwC
Expect a slow 2020 when it comes to healthcare regulation
• Overall, 2020 likely will be a slow
year for action on healthcare out of
Washington, DC. An analysis of
regulatory activity shows a decline in
the 12 months before a presidential
election and a rebound in the 12
months after one.
• One of the important decisions a
president can make is the
appointment of leaders for key
agencies such as the FDA, HHS and
CMS.
Date
10
Top Health Industry Issues 2020: Will digital start to pay off
3. Consumers inch closer to DIY healthcare
11
DateTop Health Industry Issues 2020: Will digital start to pay off
PwC
PwC
Cybersecurity and privacy are seen as major barriers to digital strategies
• When it comes to making use of their
data, few companies are able to go it
alone. They may have limited
internal capabilities, lack data
science talent on staff, require
contract services to store or send
data, or rely almost entirely on
contractors to conduct research on
their behalf.
• These relationships help drive
efficiencies, but they also leave data
open to breaches.
Date
12
Top Health Industry Issues 2020: Will digital start to pay off
4. US health organizations are seeking opportunities
overseas and through innovation. Beware of the tax risks
13
DateTop Health Industry Issues 2020: Will digital start to pay off
PwC
PwC
Top companies from all health sectors are investing overseas and in
innovation
• US-based healthcare organizations
increasingly are hunting for new
ways to grow their healthcare
mission overseas and through
investments in novel technologies
and business models. But global
interests bring risks around tax, as
do activities related to innovation.
• Ninety percent of large health
organizations also are seeking
income in innovation, HRI’s analysis
found.
14
DateTop Health Industry Issues 2020: Will digital start to pay off
5. A whole new you: Deals as makeovers
15
DateTop Health Industry Issues 2020: Will digital start to pay off
PwC
PwC
Deal priorities differ among healthcare executives
• Forty percent of healthcare
executives surveyed by HRI said
their companies are somewhat or
very likely to acquire, partner or
collaborate across healthcare
sectors in 2020.
• They differed, however, on their top
deal priority: While providers valued
access to new technology, most
health plans valued the ability to
remain competitive in the market,
and pharmaceutical life sciences
executives valued gaining access to
new markets.
16
DateTop Health Industry Issues 2020: Will digital start to pay off
PwC
Healthcare organizations are considering new strategic identities that
require deals to match
• Companies identifying as Product
and Innovation Leaders will produce
the most advanced care and
scientific discoveries by acquiring the
best and brightest doctors, scientists
and researchers to preserve the
brand.
• Some health plans may pursue deals
that position them as Product and
Innovation Leaders in financing and
expanding access to high-cost care.
17
DateTop Health Industry Issues 2020: Will digital start to pay off
PwC
Consumers are not convinced that healthcare deals benefit them
• Consumers are not convinced that
healthcare deals benefit them.
• Segmenting consumers to
understand priority populations and
their unmet needs, such as the
social determinants affecting their
health, may help determine which
acquisition targets will bring the most
value to them.
18
DateTop Health Industry Issues 2020: Will digital start to pay off
6. Equity and inclusion, not just diversity,
as a business imperative
19
DateTop Health Industry Issues 2020: Will digital start to pay off
PwC
PwC
Some leading healthcare companies have taken action to promote
diversity in leadership
• Promoting leadership diversity
ranked last on the list of workforce
priorities; only 18 percent of
executives expressed it as a priority
for next year.
• The companies these executives
lead have developed mentorship or
leadership development programs
aimed at diversifying leadership; far
fewer have looked at the
demographics of their workforce in
comparison to the leadership team.
20
DateTop Health Industry Issues 2020: Will digital start to pay off
7. Fast-forwarding from data to decisions
21
DateTop Health Industry Issues 2020: Will digital start to pay off
PwC
PwC
Here’s how health companies can get to insights faster
• In 2020 and beyond, all health
companies will need to get to
insights faster. They’ll need to
develop an engine, a platform, that
can synthesize data, generate
insights and turn those insights into
decisions in rapid form. Here is the
chassis that engine should run on .
22
DateTop Health Industry Issues 2020: Will digital start to pay off
© 2019 PwC. All rights reserved. Not for further distribution without the permission of PwC. “PwC” refers to the network of member firms of PricewaterhouseCoopers
International Limited (PwCIL), or, as the context requires, individual member firms of the PwC network. Each member firm is a separate legal entity and does not act as
agent of PwCIL or any other member firm. PwCIL does not provide any services to clients. PwCIL is not responsible or liable for the acts or omissions of any of its
member firms nor can it control the exercise of their professional judgment or bind them in any way. No member firm is responsible or liable for the acts or omissions of
any other member firm nor can it control the exercise of another member firm’s professional judgment or bind another member firm or PwCIL in any way.
Thank you
pwc.com/us/healthindustries
pwc.com/hri
To download the full report, please visit: www.pwc.com/TopHealthIssues
Benjamin Isgur
Managing Director
PwC Health Research Institute Leader
benjamin.Isgur@pwc.com
follow me on Twitter @bisgur
Top health industry issues of 2020: Will digital start to pay off?

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mHealth Israel_PwC Top Health Industry Issues of 2020

  • 1. Mhealth Israel presentation January 27, 2020 Top health industry issues of 2020: Will digital start to show an ROI?
  • 2. PwC Each December, right before the holidays, HRI names the trends that will shape the US health industry in the coming year. The report, HRI’s flagship, is developed from input from dozens of PwC partners and staff, interviews with healthcare executives and other industry experts and analysis of government and industry data. The report also was informed by surveys conducted by HRI of 3,500 American consumers and 500 executives from providers, payers and pharmaceutical and life sciences companies. About this report DateTop Health Industry Issues 2020: Will digital start to pay off 2PwC
  • 3. PwC This year’s top issues DateTop Health Industry Issues 2020: Will digital start to pay off 3 Regulation trumps policy2 A looming tsunami of high prices1 4 6 Fast- forwarding from data to decisions7 Consumers inch closer to DIY healthcare3 5 US health organizations are seeking opportunities overseas and through innovation. Beware of the tax risks. Equity and inclusion, not just diversity, as a business imperative A whole new you: Deals as makeovers
  • 4. PwC Heart of the matter: Will digital transformation benefit customers? In 2020, US healthcare, and especially how it is delivered and how much we pay for it, will be top of mind. As the industry works to catch up to the rest of the digital economy, the key question will be whether the digital transformation will benefit healthcare consumers and mark a new dawn for the US health industry and for the people whose lives depend on it. Top Health Industry Issues 2020: Will digital start to pay off 4 How much will consumer experience change as receptionists no longer hand them clipboards of forms to fill out? Will physicians, now aided by data-driven insights, make better diagnoses and write better prescriptions? Will the stream of new drugs coming to market swell thanks to faster, more efficient clinical trials and regulatory reviews? Will insurers provide consumers with choices that are better for their wallets and good for their health? Date
  • 5. PwC Digital upskilling is the top workforce priority for healthcare organizations in 2020 Date 5 What will be your top workforce priority in 2020? Top Health Industry Issues 2020: Will digital start to pay off
  • 6. 1. A looming tsunami of high prices Top Health Industry Issues 2020: Will digital start to pay off 6 Date PwC
  • 7. PwC Providers and plans have many financial options for consumers, yet Americans are still frustrated • Providers and plans have many financial options for consumers, yet Americans are still frustrated. • Payers and providers will need to take additional steps in 2020 to make care more affordable for patients Date 7 Top Health Industry Issues 2020: Will digital start to pay off
  • 8. 2. Regulation trumps policy 8 DateTop Health Industry Issues 2020: Will digital start to pay off PwC
  • 9. PwC The fate of four Trump administration priorities is at stake in the 2020 election The election’s outcome will determine the fate of policies championed by the Trump administration that do not enjoy bipartisan support. The administration has used its regulatory power to tweak the administration of the ACA, efforts that could be rolled back under a Democratic president. This includes expanding sales of association health plans and short-term, limited duration insurance. Date 9 Top Health Industry Issues 2020: Will digital start to pay off
  • 10. PwC Expect a slow 2020 when it comes to healthcare regulation • Overall, 2020 likely will be a slow year for action on healthcare out of Washington, DC. An analysis of regulatory activity shows a decline in the 12 months before a presidential election and a rebound in the 12 months after one. • One of the important decisions a president can make is the appointment of leaders for key agencies such as the FDA, HHS and CMS. Date 10 Top Health Industry Issues 2020: Will digital start to pay off
  • 11. 3. Consumers inch closer to DIY healthcare 11 DateTop Health Industry Issues 2020: Will digital start to pay off PwC
  • 12. PwC Cybersecurity and privacy are seen as major barriers to digital strategies • When it comes to making use of their data, few companies are able to go it alone. They may have limited internal capabilities, lack data science talent on staff, require contract services to store or send data, or rely almost entirely on contractors to conduct research on their behalf. • These relationships help drive efficiencies, but they also leave data open to breaches. Date 12 Top Health Industry Issues 2020: Will digital start to pay off
  • 13. 4. US health organizations are seeking opportunities overseas and through innovation. Beware of the tax risks 13 DateTop Health Industry Issues 2020: Will digital start to pay off PwC
  • 14. PwC Top companies from all health sectors are investing overseas and in innovation • US-based healthcare organizations increasingly are hunting for new ways to grow their healthcare mission overseas and through investments in novel technologies and business models. But global interests bring risks around tax, as do activities related to innovation. • Ninety percent of large health organizations also are seeking income in innovation, HRI’s analysis found. 14 DateTop Health Industry Issues 2020: Will digital start to pay off
  • 15. 5. A whole new you: Deals as makeovers 15 DateTop Health Industry Issues 2020: Will digital start to pay off PwC
  • 16. PwC Deal priorities differ among healthcare executives • Forty percent of healthcare executives surveyed by HRI said their companies are somewhat or very likely to acquire, partner or collaborate across healthcare sectors in 2020. • They differed, however, on their top deal priority: While providers valued access to new technology, most health plans valued the ability to remain competitive in the market, and pharmaceutical life sciences executives valued gaining access to new markets. 16 DateTop Health Industry Issues 2020: Will digital start to pay off
  • 17. PwC Healthcare organizations are considering new strategic identities that require deals to match • Companies identifying as Product and Innovation Leaders will produce the most advanced care and scientific discoveries by acquiring the best and brightest doctors, scientists and researchers to preserve the brand. • Some health plans may pursue deals that position them as Product and Innovation Leaders in financing and expanding access to high-cost care. 17 DateTop Health Industry Issues 2020: Will digital start to pay off
  • 18. PwC Consumers are not convinced that healthcare deals benefit them • Consumers are not convinced that healthcare deals benefit them. • Segmenting consumers to understand priority populations and their unmet needs, such as the social determinants affecting their health, may help determine which acquisition targets will bring the most value to them. 18 DateTop Health Industry Issues 2020: Will digital start to pay off
  • 19. 6. Equity and inclusion, not just diversity, as a business imperative 19 DateTop Health Industry Issues 2020: Will digital start to pay off PwC
  • 20. PwC Some leading healthcare companies have taken action to promote diversity in leadership • Promoting leadership diversity ranked last on the list of workforce priorities; only 18 percent of executives expressed it as a priority for next year. • The companies these executives lead have developed mentorship or leadership development programs aimed at diversifying leadership; far fewer have looked at the demographics of their workforce in comparison to the leadership team. 20 DateTop Health Industry Issues 2020: Will digital start to pay off
  • 21. 7. Fast-forwarding from data to decisions 21 DateTop Health Industry Issues 2020: Will digital start to pay off PwC
  • 22. PwC Here’s how health companies can get to insights faster • In 2020 and beyond, all health companies will need to get to insights faster. They’ll need to develop an engine, a platform, that can synthesize data, generate insights and turn those insights into decisions in rapid form. Here is the chassis that engine should run on . 22 DateTop Health Industry Issues 2020: Will digital start to pay off
  • 23. © 2019 PwC. All rights reserved. Not for further distribution without the permission of PwC. “PwC” refers to the network of member firms of PricewaterhouseCoopers International Limited (PwCIL), or, as the context requires, individual member firms of the PwC network. Each member firm is a separate legal entity and does not act as agent of PwCIL or any other member firm. PwCIL does not provide any services to clients. PwCIL is not responsible or liable for the acts or omissions of any of its member firms nor can it control the exercise of their professional judgment or bind them in any way. No member firm is responsible or liable for the acts or omissions of any other member firm nor can it control the exercise of another member firm’s professional judgment or bind another member firm or PwCIL in any way. Thank you pwc.com/us/healthindustries pwc.com/hri To download the full report, please visit: www.pwc.com/TopHealthIssues Benjamin Isgur Managing Director PwC Health Research Institute Leader benjamin.Isgur@pwc.com follow me on Twitter @bisgur Top health industry issues of 2020: Will digital start to pay off?