Integrated care or coordinated care is a powerful force in healthcare delivery. Research shows that integrated care can substantially reduce hospital re-admission rates, decrease per-patient costs, and result in improved success rates—such as fewer lower limb amputations for diabetes patients.
McKinsey works with payors, providers, and social and public care organizations to help clients design and manage the integrated delivery of primary and secondary care in a seamless and efficient network.
What we do
We help healthcare systems make the fundamental shifts necessary to succeed in integrated care. Specifically, we help our clients:
Plan a new program. We help clients prepare for their first pilot efforts, segmenting patient populations and choosing high-potential groups to start with. We help design the new program, creating a multidisciplinary system to integrate patient registry, clinical protocols, care plans, and care delivery across organizations.
Integrate the care system. Our teams help establish organizational links and put in place accountability and joint decision-making approaches, foster leadership from clinicians to drive culture change, and establish partnerships between care organizations.
Design incentives. We help set up financial incentive programs that encourage all players to focus on the tasks necessary for making integrated care work. Programs ensure economically positive outcomes for all parties, compensating for increased clinical workloads, for example.
Create an IT support structure. We help clients identify the right information to share and who needs it, ensuring that clients make only necessary and high-impact investments in their IT systems. Some client situations call for fully integrated information systems and some do not; we can help determine the appropriate level of investment.
Launch and scale up. We support pilot programs, helping clients measure and communicate early success to build support and momentum. For clients who have seen early success, we help build on that foundation, expanding efforts to additional patient groups and geographies. We ensure that moving toward delivery at scale will cover costs and achieve desired health outcomes.
Examples of our work
- We worked with a European healthcare system for 18 months to plan and implement the largest-ever integrated care program, involving primary, secondary, community, social, and mental health providers. The aim was to improve the patient experience and offer more proactive care in order to decrease emergency admissions by 30 percent and nursing home admissions by 10 percent for diabetics and the elderly, reducing the cost of care for these groups by 24 percent over 5 years. The program has already produced positive results, with 300 fewer emergency admissions than prior trends would have projected.
- We worked with a large European public payor that had launched a number of integrated care programs but had no clear strategy in place. We conducted a program portfolio and gap analysis and then designed program improvements based on needs, resources, and prioritization. We also identified saving potential of approximately $100 million.
Every other year, McKinsey convenes an International Integrated Care conference. This event is attended by 50 leaders in integrated care from around the globe.