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Foreword The U.S. healthcare industry is undergoing a period of rapid systemic change. This transformation is being driven by multiple ongoing developments, among them advances in data analytics and information technology, new innovations in treatments and therapies, and a shift in our health system’s focus toward wellness and prevention. For all the benefits these changes have yielded in terms of increasing life expectancy and greater success in combating disease, they have also exposed fundamental gaps in our care delivery model and underscored the need for substantive changes that will lead to improvements in care quality and access for all Americans. In recent years, policy reform has been primarily focused on expanding healthcare coverage; reform efforts have also aimed to build a foundation for value-based care by creating incentives for healthcare stakeholders to improve quality and lower costs. However, there are still many hurdles to overcome in order to deliver the best possible care to patients. With member organizations from every sector of healthcare, the Healthcare Leadership Council is uniquely positioned to help address these issues. All HLC members are committed to advancing U.S. healthcare, making it increasingly affordable, accessible, innovative, sustainable, and high quality. HLC initiated the National Dialogue for Healthcare Innovation (NDHI) to break down the barriers to achieving high-quality, patient-centered healthcare. NDHI is a platform for building consensus among and beyond HLC’s diverse membership — incorporating the voices of patients, government, academia, and commerce — with the ultimate goal of fostering patient-centered innovation and driving positive change in the healthcare industry. Through the NDHI process, HLC created the VIable Solutions initiative, which promotes six solution areas to transform care delivery now: 1. Comprehensive Care Planning: Better care coordination to address chronic disease 2. Medication Therapy Management (MTM): Improvements in the federal MTM program 3. Health Information Technology (HIT) Interoperability: Accelerated health information interoperability, driven by private sector innovation 4. Regulatory Reform: Changes to laws and regulations impeding multi-sector collaboration (Self-Referral/Stark Law, Anti-Kickback Statute, Civil Monetary Penalties) 5. Patient Privacy: Securing informations and respecting privacy while also improving access to data for quality healthcare, medical research 6. FDA Reforms: Common-sense improvements to speed medicines, technologies to patients VIable Solutions: Six Steps to Transform Healthcare Now I. Comprehensive Care Planning IV. Regulatory Reform II. Medication Therapy Management V. Patient Privacy III. HIT Interoperability VI. FDA Reforms The efforts profiled in this compendium are examples of unique approaches taken by HLC member organizations to address these six areas of healthcare transformation. These solutions demonstrate the ability of the private sector to positively contribute to solving some of healthcare’s most difficult problems through organizational change and cross-industry collaboration. 1
Overview 41 HLC member organizations have contributed to this compendium from the following industries: Participating HLC Members 41 Manufacturers 4 14 Providers 11 4 2 6 Supply Chain & Distribution Companies Healthcare Service Suppliers Insurers Health IT Companies This compendium features overviews of 51 programs, services, and other initiatives led by HLC members to transform healthcare delivery. These initiatives reach across the six VIable Solutions categories, as well as other innovative solution areas. The compendium is organized into three sections: Section 1 Section 2 Section 23 Collaborations to Enable Value-Based Care Collaborations across healthcare organizations to advance the delivery of value-based care Individual Member Efforts to Improve Healthcare Delivery Member organizations’ individual contributions to advancing healthcare quality and improving operational efficiency Policy Reform to Shape the Future of Healthcare Efforts and recommendations to evolve the healthcare policy landscape VIable Solutions I. Comprehensive Care Planning II. Medication Therapy Management III. HIT Interoperability IV. Regulatory Reform V. Patient Privacy VI. FDA Reforms 2
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