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Center for US Health System Reform

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

Who we are

The Center for US Health System Reform is McKinsey’s in-house source on the Affordable Care Act (ACA). The Center was launched in 2010 to advance knowledge and insights critical to reform-related strategy, organization, and operations. Our goal is to help our public, private, and social sector clients address the implications of the ACA-related marketplace activity unfolding, while also providing the broader public with access to our latest research and findings.

What we do

At the Center, McKinsey brings together the depth of its real-world management expertise, proprietary knowledge, and rigorous primary research and economic analysis to understand the implications of ACA marketplace activity unfolding. Insights power high-impact client activities, and inform reports that are shared with the public.

Our research focuses on the impact of reform across key health system stakeholders including commercial health insurers, healthcare providers, exchanges, consumers, distributors, employers, Medicaid and Medicare organizations, retail pharmacies, pharmacy benefit manufacturers, and pharmaceutical manufacturers. It also includes such topics as cost of care, big data, exchange dynamics, network design, and innovative health care delivery models. While much of our early research was predictive, the Center now focuses on tracking empirical data and marrying it up with primary research in order to achieve a distinct level of understanding about market shifts.

The work is driven by world-class experts in collaboration with McKinsey's global network of consultants. In keeping with McKinsey principles, the Center does not engage in policymaking or advocacy. Research is independently funded by the partners of McKinsey and is not commissioned by any business, government, or other institution.

Featured experts

Erica Hutchins Coe

Partner, Atlanta

Paul Mango

Senior Partner, Pittsburgh

David G. Knott

Senior Partner, New York


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