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David G. Knott

Senior Partner, New York
Leads the firm’s Center for US Health System Reform and Medicaid work, drawing on more than 20 years of experience with payors, including national insurers, HMOs, pharmacy benefit managers, and large employers

About David

David leads the firm’s Center for US Health System Reform. Over the past 28 years, he has worked with many of the leading health insurers, health systems, health agencies, and large employers. David advises clients on both strategy development as well as transformation programs, including care delivery and payment-model redesigns, administrative- and medical-cost restructuring, future operating visions, organization redesigns, capability-building efforts, and M&A integration.

David is passionate about making quality healthcare affordable for everyone—particularly the least well-off—and led the launch of the firm’s Medicaid work. In the past 2 years, he has presented to the management teams and boards of over 75 companies on the implications of healthcare reform and has served as a keynote speaker at industry forums including America’s Health Insurance Plans, Health Datapalooza, World Health Care Congress, National Institute for Health Care Management, Blue Cross Blue Shield Association, and National Governors Association.

Within McKinsey, David serves on the Partner Review Committee and is a leader in partner training, where he serves as master faculty for the client-leadership workshop and new-partner coach programs. David is an enthusiastic advocate for advancing the careers of McKinsey’s women professionals. He leads the Women's Initiative in the Northeast office, serves as faculty for the Pathway to Partner and McKinsey Leadership Development programs, and has built gender-balanced leadership teams on all of the client-service teams that he leads.

David previously served on the advisory boards of AthenaHealth and Castlight Health. As an ardent supporter of the arts, he also serves on the advisory boards of the New York Metropolitan Opera, Manhattan School of Music, Glyndebourne Opera, and Improbable Theater Company. In 2009, he was a David Rockefeller fellow with the Partnership for New York City. David and his wife, Françoise, share many passions in life, including a love of opera, travel, reading, art, fashion, skiing, cycling, fine food, wonderful wine (especially Burgundian!), and spending time at their weekend home in Montreal.

Published work

“The granularity of Medicaid MCO growth,” McKinsey white paper, April 2017

Maximizing value in high-performance networks,” McKinsey & Company, July 2013

The big-data revolution in US health care: Accelerating value and innovation,” McKinsey & Company, April 2013

Past experience

Booz & Company(United States)
Senior partner


Oxford University
PhD, political philosophy
MA, political philosophy

Queen’s University
BA, political philosophy