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Spring Luncheon Keynote:
Healthcare Trends, Information Technology and You
Healthcare
is something that many Americans with coverage take for granted and shouldn't.
Certainly the 44 million Americans without any healthcare insurance don't
have a blasé attitude about access to medical care and covered
or shared payment for treatment. Jeff Margolis, CEO and founder of The
TriZetto Group, a $300-million, California-based company that focuses
exclusively on the healthcare industry, doesn't think anyone can afford
to take a casual approach to healthcare. Margolis was the keynote speaker
at the 44th annual College of Business Alumni Association Spring Luncheon
in Chicago. He was also the recipient of the College
of Business Appreciation Award given by the College of Business Alumni
Association to an alumnus or friend who has performed outstanding service
to the organization.
In a keynote to the more than 400 Spring Luncheon attendees, Margolis
reviewed some current healthcare trends. Many employers are slowing funding
for healthcare causing personal, out-of-pocket costs to increase to a
level where consumers are starting to consider the amount significant.
One way coverage is being reduced is by only covering the employee and
shifting all costs of family coverage to the employee. When consumers
notice the impact on their wallets, Margolis noted, behaviors change.
The alumni in attendance ranged from the recent graduate to the retired
executive. Margolis included in his talk several informal, raise-your-hand
surveys of the audience about their healthcare coverage and basic medical
knowledge. His recommendations for taking charge of healthcare concerns
were appropriate for all age groups. Among his suggestions: make healthcare
a line item in your personal budget, set aside funds for healthcare in
retirement, and understand your options. He believes consumers need to
educate themselves, learn about their benefits options, plan ahead, and
learn how to be a good consumer of healthcare.
In a January 2004 article in Health Management Technology titled
"The
Health Plan of Tomorrow," Margolis wrote that "[a]s they
pick up more of the tab each year, consumers will expect more say in the
delivery of their healthcare. They'll demand better service from health
plans, more information about doctors and hospitals, and more help navigating
the healthcare system." He also believes that cost pressures will
ultimately produce efficiency and modernization, and he predicts that
much of this will be possible because of better use of technology. Internet-based
applications such as 24/7 access to information and transactions and personalized
programs for acute or chronically ill patients will benefit the consumer
and the healthcare provider.
A prediction in the article and in his keynote is that consumers will
have a "personal health record" that will be transportable and
secure and that will offer a new level of flexibility for consumers seeking
services. Consumers will come to expect more information about service
providers and costs, treatment options, and their benefits program. Again,
technology will offer a good portion of the solution. In the 2004 article,
Margolis wrote that a solid connect between a health plan's website and
the "workhorse backend system" will make possible what he calls
"straight-through" processing of an entire business and healthcare
transaction.
The 1984 graduate ended his keynote with a observation that was similar
to the conclusion he offered in his Health Management Technology
article: "The age of consumerism is upon us, bringing with it great
expectations that will push our industry to new levels of innovation and
efficiency. Technology can help us get there faster and in ways we never
expected."
--Ginny Hudak-David
March 2004
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