There is no cheat sheet for 2014.

Now is the time of year when we all have 12 things to do in the next 30 minutes, plus we are budgeting and we need to write our strategic approach for 2014. We have to learn how to prioritize and focus on what is truly important to our success. Unfortunately, there is no cheat sheet, no best practices for all things healthcare, and we cannot succeed if we have too many strategies. Let’s compare five areas:

1. Administrative excellence and compliance
2. Clinical innovations around case, disease, and utilization management
3. Provider Engagement
4. Risk Adjustment
5. High-risk member management

Recently, Gorman Health Group asked the attendees of Medicaid Health Plan Association, “What are the most important strategies in 2014?” The answers and ranking are below:

1. High-risk member management
2. Provider engagement and innovative reimbursement models
3. Risk Adjustment

I imagine that this may be that cheat sheet for all of us.

Although Michael Porter shares, “strategy is about making choices, trade-offs; it’s about deliberately choosing to be different.” There are some strategies that every business has to do well to survive, and we all need to be ready to succeed at those mentioned above in 2014.

Resources:

Decision-makers from Health Plans and Provider Organizations are invited to join GHG for a free webinar on November 19th: “The future of the Government sponsored health care.”  Register for this free event now >>

Medicaid health plans must be able to navigate through State and Federal regulations and work well with State agencies.
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