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Insights on Healthcare Systems & Services


Ensuring financial sustainability while serving a growing Medicaid population

– High-performing health systems have succeeded in “breaking even” in Medicare, but many continue to struggle to achieve similar results in Medicaid. A concerted effort to improve revenue can strengthen a system’s financial sustainability.

Automation at scale: The benefits for payers

– Process automation at scale is now feasible for most payers. When coupled with other next-generation digital tools, we estimate... that it may enable many payers to reduce operational costs by up to 30 percent within five years.

Recession and resilience: Preparing healthcare leaders for the next economic downturn

– Economic ebbs and flows are called “cycles” for a reason. The challenge for healthcare leaders is not whether the... next downturn will occur—it’s whether you’re ready for it.

Omnichannel consumer interactions—a payer perspective

– Omnichannel interactions are fundamentally improving the consumer experience in many industries. Payers should act now to keep... up with rising consumer expectations.

For better healthcare claims management, think “digital first”

– Although end-to-end digital claims management is still a distant vision, much can be gained from digitizing portions of the claims... process today.

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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A vision for medical affairs in 2025

– Four core areas of medical-affairs activity combine to maximize patient experiences and outcomes.

Women in the healthcare industry

– To see how the healthcare sector stacks up on gender equality, we look at employee experiences, policies, and the effectiveness... of industry programs intended to promote diversity and inclusion.

Finding the future of care provision: the role of smart hospitals

– Smart hospitals make extensive use of innovative technologies to improve care quality and patient experience while reducing costs.

The hospital is dead, long live the hospital!

– Hospital care is changing both rapidly and radically. Because of innovations in care delivery and organisational structures, future... hospitals are likely to be very different from those of today.

The era of exponential improvement in healthcare?

– Technology-driven innovation holds the potential to improve our understanding of patients, enable the delivery of more convenient,... individualized care—and create $350 billion–$410 billion in annual value by 2025.

Addressing the social determinants of health: Capturing improved health outcomes and ROI for state Medicaid programs

– The social determinants of health (SDoH) strongly contribute to variations in health status. Addressing SDoH can help ensure access... to high-quality care, improve outcomes, and manage costs.

Insights from McKinsey's Consumer Social Determinants of Health Survey

– Survey findings shed light on how social determinants of health affect healthcare utilization rates and consumers interest in... social program offerings.

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.

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.

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.

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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