New Strategies for Managing Costs across Populations and Networks

Healthcare organizations have little trouble naming their top clinical cost drivers, but they readily admit they’re still stumped when it comes to determining their total cost of care. Scattershot data practices, financial constraints, and IT and EHR limitations continue to cause information gaps. Without meaningful data, providers face significant challenges in the near future as they move to value-based care and seek to improve care quality while lowering costs. This is the consensus of the 142 healthcare leaders who participated in the August 2017 HealthLeaders Media Buzz Survey Exploring Care Costs.


Survey respondents, largely from provider organizations, identified their top clinical cost drivers while shedding light on their data struggles and other factors impacting patient and financial outcomes. Among the survey highlights, pharmacy spending was a leading cost driver (54%), underscoring the pressure point of rising drug costs, especially when it comes to chemotherapy, specialty pharmaceuticals, and ICU medications. Other major cost centers included inpatient medical and surgical care spending (45%), chronic disease management (34%), and specialty care physician services (33%).


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