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Article

Enabling healthcare consumerism

– Companies that can learn to understand, guide, and engage healthcare consumers, while inspiring their loyalty, have a significant... opportunity to change the healthcare landscape.
Article

Hospital networks: Perspective from four years of the individual market exchanges

– An analysis of the individual market health plans being offered across the U.S. reveals that the trends toward narrowed hospital... networks and managed care continue.
Article

Looking ahead in Medicaid: Options for states and the implications for payors and providers

– This paper explores opportunities states could consider to improve their Medicaid programs, both to control spending and improve... the program’s performance.
Article

Where to compete in today’s healthcare market

– To select which markets to focus on—both within health insurance and in adjacent businesses—payors must have strong market insights,... the fortitude to make tough decisions, and the agility to alter course rapidly.
Article

Potential impact of individual market reforms

– A wide range of changes to stabilize the individual market have been proposed. This special report examines the impact some of... the initiatives could have on claims costs and enrollment by the uninsured.
Article

The growth opportunity for private health-insurance companies

– The global market for private health insurance is being disrupted—but also growing rapidly. Understanding the forces at work can... help payors capture the opportunity.
Article

How to tame rising US healthcare costs

– Improving the sector’s productivity and market functioning could potentially lower healthcare-cost inflation to the rate of GDP... growth.
Article

Beating the odds: Hiring and retaining an RN workforce to optimize patient outcomes and minimize unnecessary expense

– Effective workforce management can increase RN retention, reduce absenteeism, and improve patient outcomes and experience. Here’s... how to get ahead of emerging challenges.
Article

Navigating the uncertainty of potential ACA ‘repeal and replace’: A preliminary analysis

– The findings in this Intelligence Brief provide an introductory perspective on how the next US administration and Congressional... Republicans may approach altering the ACA and related legislation. The information is based on publicly reported information released through December 8, 2016. Our Reform Center team is continuing to refresh this perspective on a real-time basis and is closely analyzing potential implications and economic impacts for each policy element under a full range of scenarios.
Article

2017 exchange market: Carrier participation trends

– Analysis of exchange carrier participation nationwide indicates that the overall number of carriers has dropped below 2014 levels.... However, a majority of markets will continue to have more than one carrier participating.
Article

2017 exchange market: Plan type trends

– Analysis of exchange plans indicates that a majority of carriers are continuing to shift toward managed offerings, and consumers... will see less unmanaged plan designs available to them than in previous years.
Article

2017 exchange market: Pricing trends

– Analysis of exchange premiums indicates that overall prices will continue to increase in 2017. Despite this, some consumers will... see their premiums decline given the effect of government subsidies.
Article

Assessing the 2017 Medicare Advantage Star ratings

– In October, CMS released the Medicare Advantage Star ratings for 2017. By analyzing CMS’s data, we uncovered trends indicating... it will be critical for payors to continue to invest in their capabilities if they want to deliver quality programs that receive a Star bonus.
Article

The next imperatives for US healthcare

– Two steps—increasing healthcare-sector productivity and improving healthcare-market functioning to better balance the supply of... and demand for health services—would likely produce sufficient savings to lower medical cost inflation to the rate of GDP growth.
Article

Improving healthcare for people with special or supportive-care needs

– Certain individuals have especially complex medical and supportive-care needs. US state governments, private payors, providers,... and technology companies are innovating to address them.
Article

Achieving ROI from EHRs: Actionable insights that can transform care delivery

– Traditional arguments for EHR implementation such as efficiency gains and meaningful-use incentives are insufficient to maximize... a health system’s returns on its technology investments. However, clinically and operationally oriented sources of value can generate an additional $10,000 to $20,000 per bed in annual margin.
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.

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McKinsey on Healthcare

Our latest insights into the world's largest industry.

Center for US Health System Reform

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

Want to learn more about how we help clients in Healthcare Systems & Services?

MORE INSIGHTS

Article

Enabling healthcare consumerism

– Companies that can learn to understand, guide, and engage healthcare consumers, while inspiring their loyalty, have a significant... opportunity to change the healthcare landscape.
Article

Hospital networks: Perspective from four years of the individual market exchanges

– An analysis of the individual market health plans being offered across the U.S. reveals that the trends toward narrowed hospital... networks and managed care continue.
Article

Looking ahead in Medicaid: Options for states and the implications for payors and providers

– This paper explores opportunities states could consider to improve their Medicaid programs, both to control spending and improve... the program’s performance.
Article

Where to compete in today’s healthcare market

– To select which markets to focus on—both within health insurance and in adjacent businesses—payors must have strong market insights,... the fortitude to make tough decisions, and the agility to alter course rapidly.
Article

Potential impact of individual market reforms

– A wide range of changes to stabilize the individual market have been proposed. This special report examines the impact some of... the initiatives could have on claims costs and enrollment by the uninsured.
Article

The growth opportunity for private health-insurance companies

– The global market for private health insurance is being disrupted—but also growing rapidly. Understanding the forces at work can... help payors capture the opportunity.
Article

How to tame rising US healthcare costs

– Improving the sector’s productivity and market functioning could potentially lower healthcare-cost inflation to the rate of GDP... growth.
Article

Beating the odds: Hiring and retaining an RN workforce to optimize patient outcomes and minimize unnecessary expense

– Effective workforce management can increase RN retention, reduce absenteeism, and improve patient outcomes and experience. Here’s... how to get ahead of emerging challenges.
Article

Navigating the uncertainty of potential ACA ‘repeal and replace’: A preliminary analysis

– The findings in this Intelligence Brief provide an introductory perspective on how the next US administration and Congressional... Republicans may approach altering the ACA and related legislation. The information is based on publicly reported information released through December 8, 2016. Our Reform Center team is continuing to refresh this perspective on a real-time basis and is closely analyzing potential implications and economic impacts for each policy element under a full range of scenarios.
Article

2017 exchange market: Carrier participation trends

– Analysis of exchange carrier participation nationwide indicates that the overall number of carriers has dropped below 2014 levels.... However, a majority of markets will continue to have more than one carrier participating.
Article

2017 exchange market: Plan type trends

– Analysis of exchange plans indicates that a majority of carriers are continuing to shift toward managed offerings, and consumers... will see less unmanaged plan designs available to them than in previous years.
Article

2017 exchange market: Pricing trends

– Analysis of exchange premiums indicates that overall prices will continue to increase in 2017. Despite this, some consumers will... see their premiums decline given the effect of government subsidies.
Article

Assessing the 2017 Medicare Advantage Star ratings

– In October, CMS released the Medicare Advantage Star ratings for 2017. By analyzing CMS’s data, we uncovered trends indicating... it will be critical for payors to continue to invest in their capabilities if they want to deliver quality programs that receive a Star bonus.
Article

The next imperatives for US healthcare

– Two steps—increasing healthcare-sector productivity and improving healthcare-market functioning to better balance the supply of... and demand for health services—would likely produce sufficient savings to lower medical cost inflation to the rate of GDP growth.
Article

Improving healthcare for people with special or supportive-care needs

– Certain individuals have especially complex medical and supportive-care needs. US state governments, private payors, providers,... and technology companies are innovating to address them.
Article

Achieving ROI from EHRs: Actionable insights that can transform care delivery

– Traditional arguments for EHR implementation such as efficiency gains and meaningful-use incentives are insufficient to maximize... a health system’s returns on its technology investments. However, clinically and operationally oriented sources of value can generate an additional $10,000 to $20,000 per bed in annual margin.

Connect with our Healthcare Systems & Services Practice