Insights on Healthcare Systems & Services

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

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.
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.

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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MORE INSIGHTS

Article

Extending the use of episode analytics beyond alternative payment models

– Payers (and providers) that have dismissed bundled payments or treated it as a narrow part of their strategies may under-appreciate... the value of episode analytics in improving core business functions.
Article

The future of healthcare: Finding the opportunities that lie beneath the uncertainty

– Healthcare is a dynamic industry with significant opportunity, but cost concerns, uncertainty, and complexity can also make it... an unnerving one. Substantial upside exists for players that can deliver value-creating solutions and thrive under uncertainty.
Article

Spinning customer insights into business gold

– Few healthcare organizations fully leverage customer insights to drive decision making and performance. Here’s how you can translate... that data into concrete business initiatives.
Podcast

Planning for the future of healthcare—Benjamin Breier, President and CEO, Kindred Healthcare

– Benjamin Breier, President and CEO, Kindred Healthcare shares his perspective on major trends in US healthcare and the value of... an integrated approach with Shubham Singhal, Senior Partner, McKinsey and Company.
Article

In the healthcare industry, profit pool growth has varied widely over the past five years

– Growth, major changes, and strong value-creation potential make healthcare an exciting industry. At the same time, uncertainty... and complexity make it an unnerving one.
Article

The Medicaid Agency of the Future: What capabilities and leadership will it need?

– Medicaid’s scale and complexity are unprecedented. State Medicaid leaders will need to innovate if they are to develop the capabilities... that will enable them to steer their agencies into the future.
Article

The Quality Payment Program under MACRA: Strategic implications for providers and payers

– Performance measurement for the Quality Payment Program (QPP) has begun. Although 2017 is a transition year, providers and payors... need to start planning for the future, given the QPP’s implications for them.
Article - McKinsey Quarterly

Putting the right price on customer interactions

– Consumers are willing to pay more for choice in their interactions, yet most companies remain perplexed about which ones their... customers really want—and how much to charge for them.
Article

Insights into the 2018 individual exchange market

– This analysis reflects carrier participation, pricing, and plan type trends for the 2018 individual exchange open enrollment period.... Findings are across 50 states and D.C.
Article

Low back pain: Two insights on treatment patterns from a patient journey analysis

– Low back pain is common and costly. By providing a longitudinal view of treatment patterns, patient journey analytics can identify... opportunities for timely, high-quality, cost-effective interventions.
Article

Next-generation analytics meets first principles

– As more data about individuals with special care needs becomes available, the latest innovations in data analytics can be used... to transform care delivery for them in a financially sustainable way.
Article

Planning for the future of healthcare—Ken Burdick, CEO, WellCare

– Ken Burdick, CEO, WellCare shares his perspective on major trends and opportunities in US healthcare with David Nuzum, Senior... Partner, McKinsey and Company.
Article

Planning for the future of healthcare—Marc Harrison, President & CEO, Intermountain Healthcare

– Marc Harrison, President and CEO, Intermountain Healthcare shares his perspective on overcoming challenges and his leadership... priorities with Brendan Buescher, Senior Partner, McKinsey and Company.
Article

The granularity of Medicaid MCO growth

– Despite present uncertainties, MCO leaders can still aspire to grow—and make decisions to support that aspiration. Our research... shows that the key sources of growth for Medicaid MCOs are strategic, not operational.
Article

The new scale imperative for children's hospitals

– Recent trends are changing the scale equation for children’s hospitals. However, the right new approach for each hospital will... depend on its needs and strategic aspirations.
Article

Artificial intelligence in health insurance: Smart claims management with self-learning software

– At health insurers, artificial intelligence can strengthen claims management by systematically identifying and correcting errors... while avoiding ineffective interventions.
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