Insights on Healthcare Systems & Services


Insights into the 2019 individual exchange market

– This analysis reflects carrier participation, pricing, and plan type trends for the 2019 individual exchange open enrollment period. Findings are across 50 states and DC.

Natural language processing in healthcare

– Artificial intelligence (AI) is increasingly being adopted across the healthcare industry, and some of the most exciting AI applications... leverage natural language processing (NLP). Simply put, NLP is a specialized branch of AI focused on the interpretation and manipulation of human-generated spoken or written data. In this infographic, we describe a few promising NLP use cases for healthcare payers and providers. We elaborate several specific approaches and their associated applications. Finally, we lay out a case study describing how we have used NLP to accelerate benchmarking clinical guidelines.

The journey to a new tomorrow: A conversation with Janice E. Nevin, MD, MPH, President and CEO, Christiana Care Health System

– Janice E. Nevin, MD, MPH, President and CEO, Christiana Care Health System, shares her perspective on embracing challenges and... disruptions in healthcare, improving patients’ experience, and preparing for the future, with David Nuzum, Senior Partner, McKinsey & Company in a June 2018 conversation.

The silent shapers of healthcare services

– The US healthcare services industry is at a tipping point, but who—or what—is driving the undercurrents of change?

Why we need bolder action to combat the opioid epidemic

– Although the opioid crisis in the US is gaining increased attention, the steps taken to date to combat it are insufficient. Our... research suggests that much broader—and bolder—action is required.

McKinsey on Healthcare

Our latest insights into the world's largest industry.

Center for US Health System Reform

Our in-house source on health policies, the Center undertakes original research and develops tools to help navigate an ever-changing policy and healthcare landscape.

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The journey to a new tomorrow: A conversation with Patrick J. Geraghty, CEO, Florida Blue

– Patrick J. Geraghty, CEO, Florida Blue shares his perspective on navigating a changing healthcare environment, embracing challenges... and disruptions, and preparing for the future with Prashanth Reddy, Partner, McKinsey & Company in a June 2018 conversation.

Digitizing healthcare—opportunities for Germany

– Society is aging and healthcare costs keep rising. By digitizing the system, health services can be provided at lower cost and... higher quality. A new study reveals the areas for and extent of potential improvements.

Using machine learning to unlock value across the healthcare value chain

– Machine learning is transforming the healthcare industry by changing the way care is delivered, and its impact is poised to increase.

Assessing the Medicare Advantage Star Ratings

– Since Star Ratings were introduced a decade ago, average MA plan performance has improved, quality standards have risen, and more... people are enrolled in higher-quality plans.

2017 Individual exchange market consumer research findings

– McKinsey’s latest research suggests that although the market for individual insurance appears more stable from the consumer... point of view, opportunities remain to encourage people to obtain coverage.

Planning for the future of healthcare—Penny Wheeler, President and CEO, Allina Health

– Penny Wheeler, President and CEO, Allina Health shares her perspective on the importance of partnerships in increasing value and... understanding the consumer with Jenny Cordina, Partner, McKinsey and Company in an interview conducted in June 2017.

Defining a health benefits package: More tips for emerging markets

– For countries that want to provide universal health coverage, defining the benefits package can be challenging. An analytical... framework provides insights and action steps for emerging economies.

Healthcare consumerism 2018: An update on the journey

– McKinsey’s latest healthcare consumer research suggests that consumer engagement can improve care access, quality, and affordability.... But to be successful, it requires true collaboration.

Medicaid managed care

– Well-managed partnerships could help states drive change in their Medicaid markets.

Why digital is now crucial for private health insurers in Europe

– A digital transformation can enable private health insurers in Europe to control costs, attract new customers and retain existing... ones, and influence the quality and quantity of delivered care.

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.
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