The Truven Health Blog

The latest healthcare topics from a trusted, proven, and unbiased source.

 

The Newly Insured Don’t Turn into Primary Care Physician (PCP) Loyalists Overnight


Tuesday, August 19, 2014
Linda MacCracken imageWhen looking at the impact of the newly insured, the Philadelphia market’s experience of an 8% rise in emergency department (ED) use is notable. Moving from uninsured to insured status may happen in a day, but new health service use habits take time. The impact of the newly insured – via Medicaid expansion or private exchanges – is still unfolding.

Truven Health forecasts on the impact of the newly insured mirror the statistics noted in the Philadelphia Inquirer article, “.” In fact, young adults and children are more likely to use an ED when they have insurance versus when they had less insurance. Surprisingly or not, children, Millennials and young Gen Xers are not primary care physician (PCP) loyalists.

“What to Expect from the Newly Insured” to get highlights on what to expect, tips on how to prepare, and how to realize higher profits and deeper customer engagement.

Linda MacCracken
Vice President, Advisory Services

Smart Use of Urgent Care Helps Consumers, Providers, and Payers Win


Tuesday, July 15, 2014
Linda MacCracken imageConsumers – people like us, our parents, and our children – , making healthcare difficult to obtain. When you can take three vacations in the time that you’ll wait to see a doctor, something is really wrong. The magic of the Internet – online Skype appointments and iPhone diagnostics – lacks assurance that something dire hasn’t been missed. This is why doctors train, get credentialed, and ‘practice.’

Providers with smart, extended footprints are doing more. Our data shows that over the next five years, demand for after-hours care in some markets can grow 35%, versus a 22% demand growth for overall Emergency Department (ED) care. The newly insured’s younger enrollees – those under 35 – will use the ED twice as often as when they were uninsured. Nationally, 62% of ED visits are urgent, suggesting that at least one in three can be seen elsewhere.  

Payers are concerned that 70% of ED visits are avoidable, and they can save the $1100/visit by redirecting ED patients to lower-cost sites, such as urgent care centers. Urgent care is right for patient demand, good for the provider access, and effective for payers seeking to contain costs.

and improve patient experience calls for delivering the right service, in the right market, with the right access.

Linda MacCracken
VP, Advisory Services

Generations Connect Differently to Primary Care Providers (PCPs)


Tuesday, June 3, 2014
Linda MacCracken imageA recent article in InformationWeek, "," discusses what "quality of care" means to different generations and how this can affect Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey results. Based on information from the Truven Health PULSE™ Healthcare Survey, we’ve found that Millennials and Boomers select and connect to primary care providers (PCPs) differently. Baby Boomers are more likely (90%) to have regular PCPs than Millennials (66%). Millennials select PCPs based on these criteria: quality (33%), caring (25%) and communication (22%). Baby Boomers select PCPs differently for communication (33%), quality (27%), and caring (23%). Most Baby Boomers (92%) have had the same PCP since the prior year, as have Millennials (88%), although to a lesser extent.

Clearly these differences favor unique pull-through strategies once the right content, such as quality and satisfaction feedback, is put into the right hands, of the right generation, in the right way.

Linda MacCracken
Vice President, Advisory Services

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