Rosemarie Day founded Day Health Strategies in 2010 to focus on implementing national health reform. Building on her initial success, she and her company are now serving organizations that want to transform their approach to offering or delivering health care. Since founding the company, she and her team have worked with numerous private and public sector organizations in developing and implementing their health reform and related strategies. Matthew Merker, Senior Analyst, Industry Consulting Research, caught up with Day to discuss, the firm, its offerings, its clients, challenges and opportunities and what, ultimately, a Trump administration will mean for business.
ALM Intelligence: Tell us about Day Health Strategies.
Day: I founded Day Health Strategies in 2010 to focus on implementing national health reform. Over time, we have expanded the company and are now serving organizations that want to transform their approach to offering or delivering healthcare. Since founding the company, we have worked with numerous private and public sector organizations in developing and implementing their health reform and related strategies. One service we have introduced in recent years is a private exchange selection service which offers employers unbiased advice, including decision support, selection assistance, implementation, and evaluation for employers considering a private exchange solution for benefits.
ALM Intelligence: What’s the Mosaic Maturity Model service offering? How has it helped your clients?
Day: Our MOSAIC (Maturing Organizations’ Strategic Assessment of Internal Capabilities) Maturity Model and its accompanying diagnostic tools can be used to assess the maturity of a business’ most critical capabilities in order to pinpoint areas of relative weaknesses or strength and use this information to map a path forward. The model assesses four main organizational categories: organization, strategy, infrastructure, and critical organization-specific capabilities across three stages of maturity: start, stable, and sophisticated. The model has been designed for use with public sector, private entities, and provider organizations. This model has helped our clients to identify the most critical internal areas for improvement so they can narrow their focus.
ALM Intelligence: What challenges are your clients currently facing in the healthcare space?
Day: The biggest challenges our clients are facing are uncertainty in the political climate and continued pressure to reduce costs while providing more value. These pressures have led us to create innovative and nimble solutions. When working through these challenges, we help clients think strategically and do scenario planning. We draw from our deep expertise in health care and combine this with tools like MOSAIC to develop targeted, lean solutions.
ALM Intelligence: How has a Trump Administration impacted clients and your approach to consulting?
Day: The shift to the Trump Administration has introduced a lot of uncertainty into the healthcare field. We have been helping clients think about how their organization can deal with uncertainty and be ready for unknown changes. We have also worked with clients to stay on track with their transformation initiatives despite this uncertainty. While the administration change might have shifted our focus somewhat, our approach largely stays the same. We are committed to a collaborative, cost-effective approach that strives to involve the right resources at the right time.
ALM Intelligence: What do you see coming next for health care reform?
Day: It is hard to say exactly what will come of the government’s efforts to repeal and replace the Affordable Care Act (ACA). We have been paying close attention to what the government is doing and there seem to be some real divisions within the Republican party as to what a replacement plan should look like. Moving to state by state approach, such as the one proposed by Senators Collins and Cassidy in the Patient Freedom Act, may be the most feasible path to a compromise. Despite what happens with the ACA replacement, payment reform is an area that is still very much underway and will continue to be a point of emphasis. This focus on value based care is accelerating and with that comes many challenges of health system transformation.