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Talk about a lesson leaned the hard way! It seems that our November First Look fell victim to your tightly tuned sp*m filters (that "S" word is a trigger too!). You see, we put the short form of a prescribed substance (you know, sounds like ¿are ex¿) in the subject line, and your Postini or Brightmail software smelled a rat. For a minute there, we thought we'd lost you. If you missed our November issue, or want to look back at any others that might have hit your filter, check here for back issues of Healthcare First Look.
"Lately it's been good to get paid, and the government pays." -- Ross Perot, Jr. speaking at Perot Systems' annual analyst day about the company's success in growing its business with the federal government in 2003.
42% of UnitedHealthcare's online members have visited its Web site
More than $1 billion will be spent on EMR systems in 2004
75% of the online elderly research specific drugs on the Net
49% of pharma site visitors believe the sites are a good source of disease information
Forrester's Top 10 Healthcare Predictions For 2004 by Eric Brown
How Health Net Can Catch UnitedHealthcare Online by Liz Boehm
Evaluating Electronic Data Capture For Pharma by David Shiple
EMRs For Small Physician Groups by Eric Brown
Medicare's Law Of Unintended Consequences by Eric Brown
Elderly Consumers: Wired And Tapping Into Online Health Content by Brad Holmes
Perot Systems' Healthcare Coming-Out Party by Brad Holmes
Consumers Don't Swallow Pharma Site Messages by Liz Boehm
We are looking for your input on topics for our 2004 healthcare surveys. Contact Sam Bishop at lbishop@forrester.com with your ideas and suggestions.
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Healthcare First Look at 2004 predictions
It's time again to peer into the future and see what's to come. Technology adoption among health plans, care providers, and life science firms will accelerate in 2004. From clinical quality to drug development to consumer-driven plan design, IT is becoming more important to healthcare stakeholders with each passing year. Here are some highlights from our top 10 predictions for next year.
In the looming pharma downsizing, IT will be spared. Why? Times will be tight for drug manufacturers, but predictable savings from infrastructure and licensing consolidation and the must-have improvements in automation of FDA submissions and regulatory affairs will keep IT professionals out of the cross hairs -- for now.
Driven by demand from Medicare, health plans, and employers for error reduction, quality improvement, and cost containment, clinical software has become the next hot app for healthcare providers. Next year IT attention will shift from back office to exam room as software and service revenue for electronic medical record (EMR) vendors crosses the billion-dollar mark and eclipses practice management system sales.
In the coming year, press coverage of rogue and overseas online pharmacies, state initiatives to re-import drugs for government employees, and the fanfare surrounding the Medicare drug bill will boost consumer awareness of the Net as a viable pharmacy option. Forrester expects to soon report 50% year-on-year growth in the number of online Rx purchasers, to 18% of online US households in 2003 -- and we project 50% growth again, to 27%, in 2004.
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Electronic medical records are moving from pipe dream to mainstream
The electronic medical record, five years away for the past 20 years, has finally crossed over from academic fantasy to business reality. Clinical automation, physician order entry, electronic medical records, clinical data repositories, and decision support tools are the rage in hospitals and large physician groups. As the trend extends to the next wave of adopters -- practices of eight and fewer -- the market will swell to nearly $1.4 billion by 2007.
How pharma and device firms should evaluate EDC vendors
The electronic data capture (EDC) landscape is dotted with dozens of products featuring a variety of technical architectures and service models. Buyers must bring strategic thinking -- and an eye for software subtleties -- to the EDC selection process. To help pharmaceutical firms, biotechs, CROs, and medical device companies select the right EDC solution, Forrester will evaluate these products on nearly 200 criteria -- including both product functionality and market presence -- using TechRankings¿, Forrester's hands-on, scenario-based evaluation methodology.
Health plan site visits and satisfaction go hand-in-hand
Health plans vary widely in driving traffic to online self-service tools and satisfying members who visit their Web sites. Because satisfaction and usage are linked, plan leaders must tackle both targeted promotion and site usability to reap self-service returns.
Elderly consumers: wired and tapping into online health content
As the US population ages, consumers age 65 and older are growing in number and importance. The elderly are going online, and their use of Web-based health content means that healthcare firms must re-assess the Net as a means of serving these active customers.
We are very interested in your feedback on our research. Do you have topics to recommend, data you would like to have, or technologies you want assessed? Drop me a line with your input at bradholmes@forrester.com.

Brad Holmes
Healthcare Research Director
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