Insights on Healthcare Systems & Services


Ten insights on the US opioid crisis from claims data analysis

– Careful analysis of health insurers’ claims data can provide important insights into the opioid crisis by identifying patterns that could help shape strategies to combat opioid dependence and abuse.

Provider scale strategies: A 2018 update on the evolving landscape

– M&A remains an important option for health systems, but targets and strategies are shifting. While traditional economies of... scale will continue to be a strong stimulus for M&A, providers will likely seek and achieve value creation much differently in the future.

Why the evolving healthcare services and technology market matters

– The healthcare services and technology market is growing rapidly, which creates opportunities, risks, and structural questions... for companies in the sector and those in the broader healthcare value chain.

Health system financing: Tips for emerging markets

– Many countries with emerging economies are considering health system financing transformation. Five no-regrets tips can help them... build a strong foundation for their future health system.

Extending the use of episode analytics beyond alternative payment models

– Payers (and providers) that have dismissed bundled payments or treated it as a narrow part of their strategies may under-appreciate... the value of episode analytics in improving core business functions.

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McKinsey on Healthcare

Our latest insights into the world's largest industry.

Center for US Health System Reform

Our source on the economics of health, implications of the Affordable Care Act and other health policies related to reform, the Center undertakes original research and develops tools to help navigate in a post-reform era.

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Revisiting the access imperative

– Challenges with access continue to frustrate consumers and stunt health systems’ financial performance. Engaging clinicians... and improving productivity are vital to address this dual issue.

Spinning customer insights into business gold

– Few healthcare organizations fully leverage customer insights to drive decision making and performance. Here’s how you can translate... that data into concrete business initiatives.

Planning for the future of healthcare—Benjamin Breier, President and CEO, Kindred Healthcare

– Benjamin Breier, President and CEO, Kindred Healthcare shares his perspective on major trends in US healthcare and the value of... an integrated approach with Shubham Singhal, Senior Partner, McKinsey and Company.

In the healthcare industry, profit pool growth has varied widely over the past five years

– Growth, major changes, and strong value-creation potential make healthcare an exciting industry. At the same time, uncertainty... and complexity make it an unnerving one.

The Medicaid Agency of the Future: What capabilities and leadership will it need?

– Medicaid’s scale and complexity are unprecedented. State Medicaid leaders will need to innovate if they are to develop the capabilities... that will enable them to steer their agencies into the future.

The Quality Payment Program under MACRA: Strategic implications for providers and payers

– Performance measurement for the Quality Payment Program (QPP) has begun. Although 2017 is a transition year, providers and payors... need to start planning for the future, given the QPP’s implications for them.
Article - McKinsey Quarterly

Putting the right price on customer interactions

– Consumers are willing to pay more for choice in their interactions, yet most companies remain perplexed about which ones their... customers really want—and how much to charge for them.

Insights into the 2018 individual exchange market

– This analysis reflects carrier participation, pricing, and plan type trends for the 2018 individual exchange open enrollment period.... Findings are across 50 states and D.C.

Low back pain: Two insights on treatment patterns from a patient journey analysis

– Low back pain is common and costly. By providing a longitudinal view of treatment patterns, patient journey analytics can identify... opportunities for timely, high-quality, cost-effective interventions.

Next-generation analytics meets first principles

– As more data about individuals with special care needs becomes available, the latest innovations in data analytics can be used... to transform care delivery for them in a financially sustainable way.

Planning for the future of healthcare—Ken Burdick, CEO, WellCare

– Ken Burdick, CEO, WellCare shares his perspective on major trends and opportunities in US healthcare with David Nuzum, Senior... Partner, McKinsey and Company.
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