Insights on Healthcare Systems & Services

Article

How providers can best confront the reality of value-based care
– Value-based care models are becoming increasingly important for health systems. Implemented well, they can improve system economics, enhance care quality and outcomes, and strengthen physician alignment.
Article

Maximizing the “value” in value networks and value-based payment
– Value networks and value-based payment are usually implemented independently, limiting their effectiveness. Greater alignment... of these strategies can allow payers to unlock their transformative potential.
Article

Healthcare consumerism today: Accelerating the consumer experience
– McKinsey’s latest research shows that consumer engagement in healthcare continues to grow, but many payers and providers... are struggling to meet changing needs and demands.
Article

Five trends shaping the future of Medicaid
– The Medicaid program has experienced significant changes since 2010, when the Affordable Care Act was passed. Five trends are... likely to affect how the program will change over the next five to ten years.
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Reducing lapses in healthcare coverage in the Individual and Medicaid markets
– Patterns in how consumers move in and out of Medicaid and Individual market coverage have important implications for both private-... and public-sector stakeholders.

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MORE INSIGHTS

Podcast

The journey to a new tomorrow: A conversation with Ron Kuerbitz, CEO, agilon health
– Ron Kuerbitz, Chief Executive Officer, agilon health, shares his perspective on consolidation of the sector, the role of technology,... and what he’s most excited about for the future. He spoke with Neha Patel, Partner, McKinsey & Company in December 2018.
Executive Briefing

The productivity imperative for healthcare delivery in the United States
– Healthcare is a key component of the US economy, but healthcare spending increases consistently outstrip GDP growth. Improving... productivity in healthcare delivery could change this dynamic without harming patient care.
Article

Performance transformation: Opportunities for healthcare payers
– With increasing affordability pressure, finding opportunities to continuously improve performance is critical for healthcare payers.
Executive Briefing

The seven characteristics of successful alternative payment models
– To aid APM (re)design and support providers and payers in their value-based contracting strategy, this paper highlights seven... characteristics that distinguish well-performing APMs from poorly performing models.
Article

Digital is reshaping US health insurance—winners are moving fast
– Although some payers are succeeding with digital, many risk being overtaken by disruptors. A winning formula of concrete steps... can help other payers along the path to digital transformation.
Podcast

The journey to a new tomorrow: A conversation with Patrick Conway, MD, President and CEO, Blue Cross and Blue Shield of North Carolina
– Patrick Conway, MD, President and CEO, Blue Cross and Blue Shield of North Carolina shares his perspective on embracing challenges... and disruptions in healthcare, improving the patient experience, and preparing for the future with Celia Huber, Senior Partner, McKinsey and Company in a June 2018 conversation.
Article

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.
Article

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.
Podcast

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.
Podcast

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.
Article

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.
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