Insights on Healthcare Systems & Services

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.

McKinsey on Healthcare

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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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MORE INSIGHTS

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.
Article

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?
Article

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.
Article

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.
Article

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.
Article

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.
Podcast

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.
Article

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.
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