Culver Pacific’s Healthcare Services Group is devoted to assisting companies that are reshaping the healthcare industry by providing innovative services to improve the quality, increase the efficiency, and/or reduce the cost of healthcare.
We see numerous specific themes giving rise to opportunities for achieving these goals, including:
Consumer Convenience and Value
Armed with increased access to medical information, patients are insisting on a greater role in their choice of care. In addition, many patients are increasingly responsible for a significant portion of the costs of their own healthcare above and beyond their health insurance premiums. This cost shifting is causing consumers to choose more cost-effective settings for their care. As a result, the opportunity for companies delivering convenience and value to the healthcare consumer is substantial.
Elder Care
The aging of the population is likely to drive healthcare expenditures for decades into the future. Efficiently caring for an older population requires focused and active management of patients’ chronic medical conditions and the disorders specific to the elderly. Opportunities to care for the elderly outside of traditional expensive care settings or treatment centers will be of growing importance.
Specialization
New companies, highly focused either on a specialized service or a new care setting, typically have an advantage in terms of efficiency and cost-effectiveness over long-established service providers, such as general hospitals.
Increasing Access to Care
Government has been working to increase access to care for the uninsured. Beginning in 2014, the Federal Patient Protection and Affordable Care Act (“PPACA”) is projected to cover twenty-two million additional U.S. residents. We anticipate this newly insured population will create significant demand for healthcare services in the U.S. Companies which address this projected shortfall of access to care.
Legislative & Regulatory Changes
Healthcare costs continue to rise rapidly, putting pressure on the system and compelling payers to seek alternative approaches and more cost effective ways to deliver service. This is often implemented through changes in reimbursement rulings issued by the Centers for Medicare and Medicaid Services (“CMS”) and from private payors seeking lower cost alternatives to traditional healthcare delivery methods. Companies must respond to these changes by providing efficient solutions to the administration of healthcare in these new contexts.
