Our Payor and Insurance Practice Lead - Jacob Jesson, recently shared valuable insights from his experiences at HLTH Inc. Community Masterclass and CHIME. His observations on the evolving dynamics of selling to health systems in 2024 are spot on. 👇 👇
Fresh off giving a HLTH Inc. Community Masterclass with Rick Bartels, MBA on pitching your solution to health systems and a week at CHIME, I figured it's time to share some insights…. Oh, and look for related video(s) coming out next week. If there are any points you would like me to focus on next week, drop a 👋 below. "We don't need another solution - we need outcomes we can manage and pay for." - every health system CXO I've talked to this year 😅 After 30+ years of working in healthcare and tech, here's what no one (or everyone if you are listening) tells you about selling to health systems in 2024: 🎯 The Real Decision Drivers: RISK (The stuff that keeps CIOs up at night): -Organizational risk in a period of little-to-no revenue and for some AMC’s, record losses -Team bandwidth constraints -Individual career implications (yes, this matters) -That dreaded "strategic ROI" conversation 💰 The Cost Conversation Has Changed - Or Has It: For some, labor costs have improved but it is about more than that -It's about: "Can you increase care while reducing admin burden without additional cost?" -The real question: "Who's actually going to implement this?” (most likely not the system) -The next real question: "Who's actually going to manage this?" (can you help?) -Bonus points: Can you take on financial risk for cost AND outcomes? If so, be SURE you know how to manage the risk 🔄 The Interoperability Reality Check: -All roads lead to the EMR - no exceptions -Is it on, or potentially on Epic's roadmap? (Be honest) -Have a handle on the administrative and policy environment. Things like CMS Final Rules 9115 & 0057 do not just impact Payers -Do you have your certifications in order? Do your own vendors have them as well? -TEFCA readiness - yes, that AI-generated image of TEFCA’s funeral is a talking point 🤝 Credibility Killers & Winners: What Actually Matters: -Perceived honesty (be more than perceived) > Technical capability -Similar client references (especially clinicians) from US institutions (if servicing the US) -Clear implementation and post-purchase support plan -Solid financials (they'll check) Hidden Factors: -Health systems want to be acknowledged (ego really is a thing) -Purchase seen as benefit to you, the vendor (be thankful yes but remember you also provide a benefit) -Have a clinical champion before pitch (these systems provide care after all) -Data to back EVERY claim 💡 Quick Tip: 3-7% of their budget is IT. Know where you fit. -Here's what keeps me up at night: In a time when AMCs are posting record losses, solutions need to address the root cause, not the symptom. Along with my partners at HTD Health, we're seeing successful vendors focus on demonstrable outcomes over features. Risk + Cost + Outcomes = wins. What's your experience selling to health systems? Health system friends, what did I get wrong or miss? Drop a 👋 below if you want to discuss stories from the trenches offline or have recommendations for those videos.