Top Healthcare Trends 2022

HEALTHCARE:
TOP TRENDS
2022
SLIDESHARE DECK
RESEARCH
INSTITUTE

2
Public © Capgemini 2021. All rights reserved |
Top-10 Trends in Healthcare Insurance 2022
TOP HEALTHCARE INDUSTRY TRENDS 2022 – PRIORITY MATRIX
 Adoption priority refers to the urgency of adopting a particular trend to create maximize value in 2022. Ratings are based on identified trends for healthcare players operating in the current environment.
 Business impact represents the influence of an identified trend on a firm’s 2022 business, including impact on member experience, operational excellence, regulatory compliance, or profitability.
 This matrix represents the view of Capgemini analysts for a healthcare player working within the current operating environment.
• Remote healthcare delivery due to COVID-19
• Changing regulatory environment
• Technology advancements
The factors above will vary by healthcare providers depending on business priorities, geographic location, and several other factors. For specific requirements, contact insurance@capgemini.com.
• Highly-competitive environment and increased focus on patient-
centricity due to new-age players
• Emerging member preferences.
Top Trends in Healthcare Insurance for 2022 by Capgemini
Customer centricity
1
COVID-19 fast-tracked digital health for a seamless patient experience
across care journeys
2
Patient-centric, personalized care, and a shoppable experience will significantly
enhance patient engagement
3
Healthcare sector is now focused on integrated health via a whole-patient approach and
understanding of Social Determinants of Health (SDoH)
Intelligent enterprises
4
Real-time healthcare data and Internet of Medical Things (IOMT) are driving agility in the
medical management
5
Non-traditional players are introducing significant BigTech play
in healthcare ecosystem
6 Healthcare players are on a massive spree of modernization and cloud adoption
Business resilience
7
Prioritizing pricing transparency enables payers and providers to earn member trust and
enable shoppable healthcare
8
Healthcare ecosystem players are stepping up measures to combat privacy
and security risks
9
Margin pressures and the transformation of care delivery models
have triggered consolidation
Collaboration-at-scale
10 Interoperability continues to outpace innovations in the connected care space
Adoption
priority
(2022)
Business impact (2022)
Medium
High
Significant
Medium High Significant
3
8
5
1
4
10
9
2
7
6
Adoption
priority
(2022)

3
COVID-19 FAST-TRACKED DIGITAL HEALTH FOR A SEAMLESS
PATIENT EXPERIENCE ACROSS CARE JOURNEYS
The adoption of virtual healthcare has led to a data-driven view of patient health
Power of
choice for
patients
Personalized
patient
engagement
Better access
to healthcare
professionals
Data-driven
view of
patient health
As we reimagine post-
pandemic business
practices, providers and
payers are adopting a digital-
first approach to integrated
healthcare experiences.
01
TREND

4
PATIENT-CENTRIC, PERSONALIZED CARE, AND A SHOPPABLE
EXPERIENCE WILL SIGNIFICANTLY ENHANCE PATIENT ENGAGEMENT
Patient-centric treatment delivers win-win benefits
The Affordable Care
Act’s value-based
model transformed the
US healthcare system
from a B2C to a B2B
sector with consequent
patient experience and
engagement demands.
Improved
medical
adherence
Improved
patient
engagement
Better
health
outcomes
Enhanced
access to care
02
TREND

5
HEALTHCARE SECTOR IS NOW FOCUSED ON INTEGRATED HEALTH
VIA WHOLE-PATIENT APPROACH AND UNDERSTANDING SDOH
Why has whole patient healthcare taken center stage?
Social Determinants of
Health (SDoH)
significantly affect
well-being
Polychronic patient
trends are on the rise
The behavioral health
crisis is intensifying
The care spectrum has shifted
from episodic to encounter-
based care. Now, interventions
consider the patient’s holistic
history, including past and
present encounters and social
determinants of health (SDoH).
03
TREND

6
REAL-TIME HEALTHCARE DATA AND INTERNET OF MEDICAL THINGS
(IOMT) ARE DRIVING AGILITY IN THE MEDICAL MANAGEMENT
Real-time healthcare data and predictive modeling yield a variety of benefits
Claim
predictions
Accurate
forecasts of
clinical, financial
and operational
requirements
Early
identification
of at-risk
patients
Tailor made
treatment
Efficient
resource
allocation
Precise
insights on
patient
health
For real-time clinical decision-
making, AI-powered predictive
analytics and big data support real-
time medical alerts and flag
catastrophic health events.
04
TREND

7
NON-TRADITIONAL PLAYERS ARE INTRODUCING SIGNIFICANT
BIGTECH PLAY IN HEALTHCARE ECOSYSTEM
Why are BigTech firms a potential fit within the healthcare market?
Access to
broad
customer data
Ability to
deliver a
superior
patient
experience
Strong
technology
capabilities
Rising
consumerization
of healthcare
Non-traditional players and
hyperscalers are transforming
healthcare services delivery. Tech-
driven companies have the
capabilities to launch consumer-
focused health plans that comply
with industry regulations.
05
TREND

8
HEALTHCARE PLAYERS ARE ON A MASSIVE SPREE OF
MODERNIZATION AND CLOUD ADOPTION
Benefits of technology adoption and modernization
Easy and quick
access to
Electronic Health
Records (EHR)
and real-time data
Streamline
administrative
processes and
yield operational
benefits
Seamless
collaboration
among
ecosystem
players
Healthcare players are now
pushing digital health
boundaries and embracing
cloud, automation, and
artificial intelligence.
06
TREND

9
PRIORITIZING PRICING TRANSPARENCY ENABLES PAYERS AND
PROVIDERS TO EARN MEMBER TRUST AND ENABLE SHOPPABLE
HEALTHCARE
How will transparent pricing models benefit patients, payers and providers?
Informed patients have
more control over
healthcare choices
Bundled pricing is
possible; providers gain
clearer visibility to
competitive landscape
Health plan
engagement goes
up, payer-provider
collaboration
becomes seamless
Transparent pricing strategies
and proactive cost disclosure for
bundled healthcare services put
consumers and clients first by
tailoring the cost and quality of
care to individual situations,
attitudes, and behaviors.
07
TREND

10
HEALTHCARE ECOSYSTEM PLAYERS ARE STEPPING UP
MEASURES TO COMBAT PRIVACY AND SECURITY RISKS
Data security has become a healthcare priority
Rise in
frequency and
severity of
cyber attacks
Sensitive
nature of
patient health
information
Data breaches
could impact
business
operations
As the healthcare industry
leverages vast data to innovate
personalized patient solutions
and enhance operational
efficiency, it also faces concerns
from members and regulators
around data security, privacy, and
the ethical use of patient
information.
08
TREND

11
MARGIN PRESSURES AND THE TRANSFORMATION OF CARE
DELIVERY MODELS HAVE TRIGGERED CONSOLIDATION
Why are healthcare organizations consolidating?
Providers need
broader
capabilities and
service
portfolios
Rising number of competitors and
dilution of market share
To offset low
margins, cost
efficiencies
required
To centralize data and enable
healthcare interoperability
As more and more providers deliver care
from alternative settings, horizontal and
vertical health system integration is
becoming commonplace.
09
TREND

12
INTEROPERABILITY CONTINUES TO OUTPACE INNOVATIONS
IN THE CONNECTED CARE SPACE
Interoperability standards improve patient/member experience across the care continuum
Ability to provide
coordinated care
Innovative new
solutions
facilitating
data exchange
Patients have
greater control
over their data
On-demand
access to
healthcare
information
Fast Healthcare Interoperability
Resources (FHIR) interoperability
standards enable dissimilar
systems to connect, which can
improve patient access and
facilitate coordinated care
10
TREND

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Copyright © 2021 Capgemini. All rights reserved.
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