Artificial intelligence? Blockchain?
These emerging technologies will one day likely transform industries, including the health care sector. But in the meantime, health care organizations next year will more than likely work on tweaking the technologies that hold more immediate promise, according to SCIO Health Analytics' Predictions in 2018.
"Technologies such as artificial intelligence and blockchain are interesting, but they require more development before they can be applied operationally in a meaningful way," says Rose Higgins, president, North America of SCIO Health Analytics. "In the meantime, there is still much work to be done to realize the full value of the technologies that organizations have already implemented."
Recommended For You
"We expect 2018 to be a year of retrenchment and digging deeper in areas such as advanced data analytics that will set healthcare organizations on a stronger path going forward," Higgins says.
Here's what SCIO Health Analytics experts believe will happen next year:
1. More and better use of data
"Improvements in natural language processing will give healthcare organizations access to a level of data and insights that were previously hidden," Higgins says. "Machine learning will make it easier to spot the trends and patterns that all of that combined data reveals. The result is organizations will be able to be far more prescriptive in their approach, testing hypotheses and making decisions that can drive real behavioral change, which has always been one of the greatest challenges they've faced."
2. Increased payer/provider/life sciences collaboration
Life sciences organizations will increasingly use analytics to demonstrate the efficacy of their treatments, collaborating with payers to increase transparency to prescribers and members. Analytics will also be used more widely by payers to reward providers based on their history of delivering quality outcomes. These collaborative efforts should help raise the overall standard of care while reducing costs and increasing patient/member satisfaction.
3. Renewed focus on addressing opioid abuse
Analytics that can help uncover patterns of fraud, waste, and abuse of opioids among providers and patients will be in high demand.
"By monitoring the quality and cost of different treatments, and using analytics to match patients/members to new therapies that may help them deal with their specific circumstances better, we can begin to turn the tide," Higgins says. "If we extend this to gain insights on how comorbidities such as mental health disorders affect engagement, behaviors, and costs, we can develop treatment strategies that further drive down risks while improving outcomes."
4. Addressing the high cost of pharmaceuticals
To make pharma more accountable, SCIO believes that health plans will pilot outcomes-based contracting with life sciences organizations, likely in phases, from claims data to metrics on the health status of the patient.
5. Value-based care here to stay
The transition to value-based care will continue. The ongoing shifting of risk from payers to providers and life sciences organizations is already accelerating, made even more urgent by the growth of the Medicare Advantage population – "where keeping patients/members healthier in the aggregate is critical to controlling costs."
Commercial payers "recognize the importance of delivering high-quality care while reducing costs, and the need for transparency," Higgins says. "They also recognize it's the right thing to do."
© 2025 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.